So far in this series (view Part One here; Part Two here), we've given an overview of vital signs. In this next segment, we'll go into what they represent in terms of patient physiology and clinical significance. Watch the video below or keep reading to dive in.
This is the second installation of our 3-part overview of vital signs in pre-hospital settings. In this portion we will be talking about pulse oximetry, blood glucometry and the mental assessment scale AVPU. To review the content in the first installment on vitals check out our previous blog post: Learning and Obtaining Vitals Pt. 1 of 3. Watch our video below or keep reading for more.
Obtaining a good set of vitals early and often is a key role of pre-hospital life support professionals as it provides a trend to contextualize patient improvement or deterioration. Whether you're a brand new EMT or a seasoned EMS professional these are the fundamentals you want to learn and master. Today, we're going to be doing a brief overview of fundamental vital signs, what they represent, why they're important to our clinical practice, and how to obtain them. (Watch the video below or keep reading!).
The golden March sunrise cuts through the cold morning fog as the ignition of two Sikorsky HH-60M Blackhawk helicopters crescendos. It’s all hands on deck at the Helena air base with a dozen Montana National Guardsmen scurrying about, rigging up for their mission. But, rather than some foreign insurgency or a dramatic mountain rescue, there is another objective in store for the day. The mission on the minds of the Guardsmen in C-Company of the 1-189th is that of refining and perfecting their medical practice so when disaster does strike, they are prepared.
Are you interested in nursing, paramedicine, or medical school? Perhaps you want to become a ski patroller or a mountain, hunting, or whitewater guide? Learning to care for the sick and injured is an essential skill in these and other exciting careers--and a great way to launch a career in medicine or outdoor recreation. This Montana EMT course will help you stand out for future employers as a emergency medicine expert!
Being prepared for the rare or unexpected medical emergency can be difficult for any clinician or medical team. Mobile high fidelity simulation is changing that, however, helping clinicians stay sharp and be prepared for the infrequent high consequence patient care event. In the following interview we talk with Joe Poole, Director of Education at Best Practice Medicine, about Simulation in Motion Montana -- the largest mobile high fidelity simulation project in the United States. Read or watch the full interview below.
Want to learn the ins and outs of performing a Rapid Trauma Assessment (RTA)? This vital skill for all EMT and EMS professionals is also invaluable for anybody in compromising emergency medical situations. Learn how to assess unresponsive individuals in the event that you witness or come upon a traumatic accident. A proper RTA can give Emergency Responders critical information when they arrive, and consists of a quick inventory of all the body systems to identify injured ones. Read on or watch the video below.
Last month (Feburary 8) we ran an EMS refresher course for a fantastic group of EMTs and Paramedics here at our training campus in Bozeman. As a part of that training refresher, we created a full-on dynamic, emergency medical, rescue task force simulation based around a post active-shooter scenario. It included realistic props, obscure environments, and volunteer actors/trained medical professionals wearing full moulage makeup. This kind of hyper-realistic, immersive, simulation based education helps teams prepare mentally and physically for high consequence encounters.
“We need the most experienced intubator, right now!!...”
The panic and tears in the patient's eyes is alarming. A lethal combination of pain, hypoxia, low dose paralytics and chaos contribute to her tachycardia, tears, cold clammy skin, rapidly dropping oxygen concentration, and terror.
Our flight team sizes up the case quickly. The patient received the wrong RSI medication package; she is not adequately paralyzed and is partially conscious. Multiple semi awake intubations have been attempted by no fewer than three health care providers, rendering the previously a-traumatic airway bloody and swollen.
Next month, April 16-18, is the SIRH Conference, held this year in Omaha, Nebraska. This is the "Conference For American’s Rural Health Simulation And Education Specialists." If you haven't heard of it, it's a must-go event for any person or organization interested in or connected to rural healthcare in America, purpose-built for rural and remote educators. Made possible by the Helmsly Charitiable Trust, this is a gathering of national thought leaders and pioneers looking to network, learn, and move forward this growing and exciting field of clinical education. This is just the beginning for this dynamic, game-changing specialty and we need every thought-leader and change-maker on board.