Patient Assessment: Scene Size-Up
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- Опубликовано: 3 авг 2024
- Today's video is detailing the first part of a pre-hospital patient assessment, scene size-up. This is the first video in a multi-part series that will walk through the entire assessment process. If you are an EMT or Paramedic much of this video will be a review of concepts from NREMT.
Just started EMT school, and currently loving it. My instructors are awesome and I couldn't be happier with my current squad. Excited to finally be able to use these videos to help me study.
Edit: I graduated a few months ago. Working on an ambulance now. School was the hardest part.
Was school hard for you?
@@yap1882 I wouldn't say it's hard, just as long as you study the test curriculum somewhat regularly. You're not expected to understand every aspect of, for example, cardiology in extreme depth; so don't stress too much about achieving an physician-level knowledge of the material. Memorize a few important things like SAMPLE, OPQRST, DCAPBTLS, and integrating them into your scenarios. Once you get into the field, things make a lot more sense from an order of operations standpoint. You're going to mess and make stupid calls. Hopefully, you can rely on your senior EMTs and helpful paramedics (not all are) to cover your butt and get your through the calls. Don't ever stop asking questions and expanding/deepening your knowledge. You'll do fine.
Where are the rest?! I want more!!
I'm in EMT school and these videos really help me
Same
Seriously. Could you PLEASE upload more?
Update? I’m in EMT school now.
@@Joby1980 im working as a surgical tech for UPMC
zach walters Awesome! I’m in my first month of EMT school. It ain’t easy. I’m sure you know. Then Fire Academy in January.
*Great video! I can't wait for the rest of the series.*
What a great video. I've been a clinical mentor for many years (assigned to interns where I assess their competencies and sign them off as they progress through their training).
Here's my take on scene management (based on our training which may vary from other EMS systems). Remember this is in Australia. We're not part of any FD, so don't have firefighter/paramedics. FD's role is Fire and rescue, not to assist ambulances at medical cases (or is that just a TV thing?).
1. Safety of yourself and your partner is paramount. Appropriate use of your PPE is essential (we're issued with our personal PPE kit that has safety glasses, facemasks, earplugs, heavy duty gloves, full shield helmet, sunscreen, disposable overalls, SCOTT mask etc). Basically everything to protect ourselves and reduce cross infection. I never attend a job without nitrate gloves, and never attend an RTC etc. without my high vis vest (tabard).
2. Don't race into a scene. As I arrive at an RTC I slow down, survey the scene and work out the safest place to park (using the ambulance as a shield if necessary).
There are two types of danger/hazards; actual and potential. Be aware of both types.
With our SOP, if we're first on scene at a multi cas., the senior paramedic assumes the role as on scene controller (triage, sitreps, ascertain resources needed etc.). Paramedic 2 does ABC on each patient (then more detailed treatment). At most incidents in public (RTCs, fires etc. Police and Fire and Rescue get dispatched anyway).
The safety and wellbeing of you and your partner always outweighs the safety etc. of others.
One critique I'd make on your video (maybe I'm being nit picky here). At 2:02 you say "try to make an educated guess". Perhaps "make a clinical assessment based on your knowledge and training" sounds more professional.
Keep up the great videos.
Cheers from Australia.
That's very interesting. I was under the impression that a fully crewed Fire Truck turning up with the ambulance at a dyspnoea or chest pain case was just a "as seen on TV " thing. While having extra hands to do the heavy lifting, how do the bean counters justify the costs of calling out Fire crews for such cases? 90% of our jobs are just handled by the two paramedic ambulance crew. Like most places, everybody get's an invite to major incidents (PD, FD, EMS) and critical patient jobs get backed up by Critical care paramedics.
If I can find your postal address online, I'll send a QAS patch to your station.
I just started my EMT classes and these have been awesome to recap my chapters with. Love it, thank you!
These literally get me through class you make it so much clearer then the book and sum it up perfectly
Solid work, Prep Medic! Keep it rolling! Stay Safe!
Looking forward to the next video in the series!
As an EMT student I could definitely use more videos on patient assessment.
I really like these videos
I take it you changed your mind on making the other videos.. oh well. I liked your presentation. I'm currently in an accelerated EMT course and wanted an edge in pt assessment
Great video. Thanks.
Literally just graduated EMT school today. I shouldve watched these EMT related videos before.
Enjoying your field medicine related videos (Stop the Bleed, kit reviews, etc.) and I viewed a recent vid where you advised that you have a busy schedule due to a personal relocation. That being stated; following the same enquiry as noted in some of the attached comments I am wondering if you did the other videos in the above topic and/or are you planning on doing them. Keep up the great work.
I was taught in my EMT-B class (RI) that we never enter an unsafe scene... and that we always retreat and request law enforcement or fire.
Southern RI... why do you ask?
This reminds me of the EMT-A course I took in Los Angeles. I also worked in NYC and we came to the scene of a car crash that we thought was only that and nothing more but, as soon as our first firefighter came onto the scene to treat him, he shot our firefighter in the chest area and started firing at others. I kid you not, it was a mass murderer who was on his way to the scene of where he planned to kill people but wrecked his car so he changed the scene to where the mvc was,.
I didn't get shot that time thank God but they're toys in the attic gone-crazy in NYC. Our Lt. said that. I've never worked in a small town. I visited my hometown, which is small and told the EMT's where I worked, what happened, ane one or them said, "We haven't seen that yet."
im a new EMT in a busy/rural 911 company working BLS. I NEED that initial/primary assessment video ASAP !
Where I worked they called that medical vs trauma incident rather than NOI/MOI. I know one thing. I hated calling it "medical domestic" as a euphemism for what they called in New York "domestic abuse."
Awesome video, where are the rest Sam?
Answer please
Did you do the initial/primary assessment video???
Awesome video! The only thing that I noticed in the video that I was taught different in school is that you always want to make sure that the patient has an open airway. If anything compromises the ABCs then we need to assess an airway for that patient before we do anything else.
That is part of the primary assessment, not the scene size up.
Can you tell me where part 2 is? Thank you
Where’s the rest of the series?
Hi, should i do cpr on someone with a spinal injury?
PrepMedic Thank you Sir
You said this was first of 5 where are the rest it has been a year or more?
SNAAC = Scene Saftey, NOI / MOI, Number of PT's, Additional Resources (ALS ECT), Consider C-Spine
Where are the rest of the videos???s
Ever considered a collaboration with Skinny Medic?
@@PrepMedic Will do! I'd say while you guys do thing slightly differently, you are both of similarly high quality with a focus on education. Might help grow the channel!
@@PrepMedic He just subscribed to your channel. Maybe things are in motion? 😉
@@PrepMedic Not connected at all just lucky I guess!
My ulterior motive : I'm a part-time LEO who always operates in 2-officer units. We have a fantastic EMS family in my region but have to contend with both frequent urban violence issues as well as calls to remote areas where we often are first on scene by a few mins. I want to be as survivable and able to support other officers as possible, and the content put out by both of your channels has and will continue to aid in that effort.
As a civilian, how do you carry a patient that is much larger than you?
Call the FD 😂
Yo can we get an infographic?
Part two bruh?
Disappointing... You removed the video explaining differences among EMT, AEMT, Paramedic...
No. I did not.
@@PrepMedic I really cannot find it...
@@PrepMedic Sorry... my bad! I found it!;)
U stole this from itls HOW DARE U
Borgassett lol is that a joke?
Ok I am going to assume it is not. No, I did not steal this from ITLS. This scene size up sequence is used in the national registry of EMTs, PHTLS, AMLS, ITLS, and various other certification courses (I am an instructor in all of those except ITLS). Furthermore the concepts taught in all of these classes are public domain, you can’t steal the format of a patient assessment. Lastly did you even watch the video? I don’t claim any of these concepts as my own and give NREMT credit. Do some research before leaving outraged comments.
@@PrepMedic it is 2am in the morning when I replied as I had nothing better to do , itls is better.
@@PrepMedic I inferred to that since itls end with life support this means nremt is basically useless please take this note sincerely ,itls is better as its just better
@@PrepMedic also why reply to mine when there other better ppl u can rply to