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5 Critical Pulse Points: Circulation Assessment in Unstable Patients
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Understanding The Respiratory System and Assessment
General Course Information
Course Info (BOC Domains of Athletic Training; Presentation Description; Learning Objectives; Clinical Practice Gap Statement; Clinical Bottom Line; Summary Conclusions)
About the Presenters
Continuing Education Credits / Course Disclaimers and Conflicts of Interest / Refund Policy
Learning Material
36:54
36:54
Presentation (Video)
Completed
Complete
Understanding The Respiratory System and Assessment
›
Learning Material
Presentation (Video)
Updated Jan 22, 2024
Bookmarks
00:10
Kate Samoda is a certified athletic trainer, national restard ENT. She is a graduate of Boston University, degree in athletic training, and from the University of Georgia with her master of science in kinesiology. Kate, welcome to our symposium and the floor is yours.
04:28
A lot of times, if there's a true emergency there, it's gonna be beyond the scope of what, you know, we as athletic trainers are able to provide. So for the remainder of this discussion, we'll focus primarily on pathologies of the lower respiratory system.
08:04
The diaphragm is our prime mover for breathing. The scalients, sternocleidomastoid, will also assist in breathing. It's important to keep in mind that adequate ventilation does not necessarily guarantee that the body is actually receiving oxygen.
12:29
This is focused more on just understanding kind of the EMS system and how to evaluate the respiratory system in an emergency. So the 2 kind of categories here are gonna meet apnea and dyspnea. This is caused by disturbances in either ventilation or respiration. It's super important to be timely here because we can only survive about 4 to 6 minutes without oxygen.
16:06
Primary assessment is to evaluate and treat immediate life threats. Will assess level of consciousness, assess ABCs, perform a rapid scan, make a transport decision. If anything abnormal in our primary, we wanna activate the EAP right away and call for a transport.
19:35
So, basically, you know, if they're calm, they're talking to us normally. They're not in respiratory distress. If they're using smaller word clusters, if. they're reporting shortness of breath, if They have pale, cool, clammy skin.
23:08
Pulse oxon is a valuable tool, but if they have calluses or nail polish or poor perfusion, we might not get a reading at all. Respiratory rate, breath sounds, lung sounds will continue to do repeat this stuff from the primary assessment. If we have apnea, so if the patient is not breathing, We wanna ensure that the air is clear.
26:45
Will assist with any medications, oxygen, albuterol, epinephrine glucose, obviously practicing within your your state practice act and your limitations, and then we'll reassess our respiration perfusion interventions. If you have any questions for Kate, we have a few minutes here before we transition to our next speaker.
30:46
I mean, so that's what's gonna cause the hyperventilation is that buildup of carbon dioxide side in the system when the blood pH drops below or to about 7.1 or lower. So it's actually managing CO2 issue, not an oxygen issue, is to try to get to body back in balance.
34:24
"I think talking to, you know, everyone who's gonna be involved in the care of that patient ahead of time will help make your care more effective when the time comes," she says. "You just don't wanna wait around or risk anything worse happening"
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