Back to Basics
Blood Pressure, Pulse Oximetry, Blood
sugar, Oxygen administration, GCS scoring,
CPR, AED
Patient
Dispatch tells you a 79
y/o male has
collapsed in at the
SDC after a
basketball game.
They say he is
breathing and...
On Scene
Scene safety
BSI
Introduce yourself and
team members
AVPU
On Scene
Airway - He is able to talk so he has
a patent airway
Breathing - Respirations are
24 and labored
Circulation - N...
On Scene
Secure Airway
do you need a device?
NPA, OPA, King Airway

•

or will a manuever work?
head-tilt-chin, jaw thrust...
On Scene

If advanced airway is needed AND you are an EMT...
On Scene
Find Pulse Manually
Pulse Oximetry
what is a good number to see?
what are things to be aware of?
On Scene
O2 administration
which device?
non-rebreather
nasal cannula

•
•

what flow rate?
Patient: 02 Saturation is 93%,...
On Scene
Blood Pressure
where do you put stethoscope?
what if you can't hear?
How do you determine systolic
number?
How do...
On Scene
Blood Sugar
when should you check
sugar?
what are the steps to check
sugar?
Patient: 02 Saturation is 96%, Pulse:...
On Scene
GCS Scoring
what are you looking for?
how would you rate this patient?

Patient: 02 Saturation is 96%,Pulse: 105b...
On Scene

•
•
•
•
•
•

Pupils - PEARL / PERRL
Lung sounds - clear and present bilaterally
Heart tones - something doesn't ...
On Scene
Radio Relay-Patient Condition Update
Who and how do you call to give update?
What information do you give?
What d...
Patient Conditions
Your patient all of a sudden becomes
unresponsive.
where do you check for pulse
what are immediate next...
On Scene
CPR
what rate?
what depth?

Patient: 02 Saturation is n/a, Blood Pressure is n/a, Blood sugar n/a, GCS 14 now is ...
On Scene

http://statter911.com/2013/09/18/must-seeems-video-bystander-captures-rochester-nycardiac-arrest-save/
http://ww...
On Scene
AED
where / how to apply patches?
how to use?
Radio Mercy

•
•
•
•
•

79 y/o male
CPR in progress
Any shocks delivered
Location and entrance
Signs/Symptoms leading
up t...
Next steps
Mercy Ambulance - MEDIC SKILLS
Cardiac Monitor
Asystole or VF
IV or IO (bone drill) access
Medication push
Intu...
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Michigan Tech EMS Back to the Basics Training

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Michigan Tech EMS Back to the Basics Training

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Michigan Tech EMS Back to the Basics Training

  1. 1. Back to Basics Blood Pressure, Pulse Oximetry, Blood sugar, Oxygen administration, GCS scoring, CPR, AED
  2. 2. Patient Dispatch tells you a 79 y/o male has collapsed in at the SDC after a basketball game. They say he is breathing and is confused. He is pale, cool and sweaty on your arrival. He is sitting in a chair.
  3. 3. On Scene Scene safety BSI Introduce yourself and team members AVPU
  4. 4. On Scene Airway - He is able to talk so he has a patent airway Breathing - Respirations are 24 and labored Circulation - No obvious bleeding, skin is cool, pale, and moist
  5. 5. On Scene Secure Airway do you need a device? NPA, OPA, King Airway • or will a manuever work? head-tilt-chin, jaw thrust • Patient: 02 Saturation is 93%, Pulse: 115bpm
  6. 6. On Scene If advanced airway is needed AND you are an EMT...
  7. 7. On Scene Find Pulse Manually Pulse Oximetry what is a good number to see? what are things to be aware of?
  8. 8. On Scene O2 administration which device? non-rebreather nasal cannula • • what flow rate? Patient: 02 Saturation is 93%, Pulse: 115bpm
  9. 9. On Scene Blood Pressure where do you put stethoscope? what if you can't hear? How do you determine systolic number? How do you determine diastolic number? Patient: 02 Saturation is 96%, Pulse: 105bpm Where are your gloves!
  10. 10. On Scene Blood Sugar when should you check sugar? what are the steps to check sugar? Patient: 02 Saturation is 96%, Pulse: 105bpm, Blood Pressure is 100/60
  11. 11. On Scene GCS Scoring what are you looking for? how would you rate this patient? Patient: 02 Saturation is 96%,Pulse: 105bpm, Blood Pressure is 100/60, Blood sugar 78
  12. 12. On Scene • • • • • • Pupils - PEARL / PERRL Lung sounds - clear and present bilaterally Heart tones - something doesn't sound right Capillary Refill - 3 or 4 sec SAMPLE OPQRST Patient: 02 Saturation is 96%,Pulse: 105bpm, Blood Pressure is 100/60, Blood sugar 78
  13. 13. On Scene Radio Relay-Patient Condition Update Who and how do you call to give update? What information do you give? What do you do if radio reception is bad? How do you express transport priority? • • • • Practice-use VMEDTAC channel Patient: 02 Saturation is 96%,Pulse: 105bpm, Blood Pressure is 100/60, Blood sugar 78
  14. 14. Patient Conditions Your patient all of a sudden becomes unresponsive. where do you check for pulse what are immediate next steps Patient: 02 Saturation is 96%, Pulse is n/a, Blood Pressure is n/a, Blood sugar 78, GCS 14 now is 3
  15. 15. On Scene CPR what rate? what depth? Patient: 02 Saturation is n/a, Blood Pressure is n/a, Blood sugar n/a, GCS 14 now is 3, no pulse, no respirations
  16. 16. On Scene http://statter911.com/2013/09/18/must-seeems-video-bystander-captures-rochester-nycardiac-arrest-save/ http://www.youtube.com/watch?v=t6nbcmeh_l0
  17. 17. On Scene AED where / how to apply patches? how to use?
  18. 18. Radio Mercy • • • • • 79 y/o male CPR in progress Any shocks delivered Location and entrance Signs/Symptoms leading up to arrest
  19. 19. Next steps Mercy Ambulance - MEDIC SKILLS Cardiac Monitor Asystole or VF IV or IO (bone drill) access Medication push Intubation Capnography Transport or Terminate Code YOU: Possibly ride with and assist Mercy

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