(36:10) “Which will kill you faster? And which should you treat first?” Ron had his first test of the semester in trauma and we talk about a couple of questions that annoyed him. One involved and airway problem and a lacerated femoral artery. Was this a case of the book vs the street?
Speaking of the real world, we also talk about taking off helmets, using a PASG, and one of the alternative uses of a KED – pelvis fractures.
Answers about Boston EMT from Ep 32 from Matt: “NREMT-B vs. MA EMT-B…
a bit of a difference. NR generally comes with Epi and Glucometry skills. MA EMT-B must be tested and individually get permission from the service for such skills. MA EMT-B per diem runs $9.50 – $12.00”
Stomach inflation when using BVM from the video. from Timothy
More questions, sorry if there are too many for the show, feel free to make them more succinct, and dont feel you need to use them all:
1. The dreaded BP. Lately I do a BP on a patient either by auscultation and/or palpation (no machines ever), I instantly do it again to confirm it, I get repeatable results all the way to hospital…and the hospital gets something way different to me with the machine. Like 50mmHg higher different. And they confirm it with auscultation. Someone told me I might be aligning the cuff in the wrong spot or on the wrong way, but changing its position doesnt seem to help. Any ideas?
2. Another BP question. I remember reading that if you let the cuff deflate too slowly, you are creating a back pressure of blood that will give you an artificially high reading. This makes some sense to me, is it correct?
Videos on airways, and tourniquets. In the tourniquets video at 20 min what femoral artery bleed looks like (animal). At 23:15 what radial arterial bleed looks like and a tourniquet stopping the bleeding (human).