hey guys, i am currently studying for my NREMT cert in Arizona and something the text book never really evaluated on was immediate transport based on LOC being less than alert and oriented ... ok so you havent even addressed pt ABCs yet but clearly LOC is less than alert and oriented, heres my question.. do you stop the assessment at general impression, administer o2 then package the pt and then transport? while en route you address ABCs? OR complete ABCs then package and transport? thanks.
Immediate transport and LOC
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Your primary assessment process is about detecting immediate life threats. Being less than fully alert/oriented isn't usually an immediate life threat. It could be the patient's baseline... and it doesn't always mean that O2 is required. It's something to take notice of as you proceed further. In other words, you always complete the primary survey. You may not ever escape addressing the ABC's on patients, but you'll always complete at least a primary survey.
There have been (more than a few) times that I've made my transport decision based on general impression, because the patient's condition was quite obvious, but I always did a primary survey and usually did as complete a secondary as possible.
DesertMedic66
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It means you have realized that the patient is "critical" so you should not sit on scene all day. It doesn't mean you stop everything and leave right now.
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Just because they are unresponsive does not mean they are critical or that you need to stop ( before you even really start) your assessment. Look at your nremt skills sheet. It has the areas where they want you to consider transport.
What do you mean by making your own algorithms? What was your own method for doing so?
Sorry, should've clarified. I used the concepts from other algorithms or combined algorithms into one, and made it all easier to read/use/follow. I'm not over here re-writing EBP and protocols
I used Microsoft Office Visio to make the flow charts from scratch. Very awesome program, and perfect for this use. I've made one for EMT-B-level patient assessment and cardiac management, and dumbed it down/altered it a bit to make one for on-field assessment for an athletic trainer. Shoot me a PM if you want to see one, I'm happy to share and have before. Always looking for input.
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If you'll PM me what you have got, I'd be happy to take a look at it.Sorry, should've clarified. I used the concepts from other algorithms or combined algorithms into one, and made it all easier to read/use/follow. I'm not over here re-writing EBP and protocols
I used Microsoft Office Visio to make the flow charts from scratch. Very awesome program, and perfect for this use. I've made one for EMT-B-level patient assessment and cardiac management, and dumbed it down/altered it a bit to make one for on-field assessment for an athletic trainer. Shoot me a PM if you want to see one, I'm happy to share and have before. Always looking for input.