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5 Critical Pulse Points: Circulation Assessment in Unstable Patients
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Transcript
Clinical Decision-Making and Ongoing 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
45:00
45:00
Presentation (Video)
Completed
Complete
Clinical Decision-Making and Ongoing Assessment
›
Learning Material
Presentation (Video)
Updated Jan 22, 2024
Bookmarks
00:10
Eric Fuze is a professor of athletic training in the Department of Park Recreation exercises Sports Science at East Kentucky University. Hughes has an extensive experience in emergency healthcare to critically injured athlete, public a chapter on emergency medication, his administration.
04:40
So I don't just have the credential. I actually practice with that advanced wilderness team as a division of Park County EMS where I also work as a part time EMS provider. So Those are kind of my disclosures. The objectives for this talk, we've been talking about respiratory emergencies. We had an introduction of basic assessment and and anatomy, but you wanna get proficient at assessment and decision making skills that's what you need to do.
09:01
They're flaring out really, really large, trying to get air in. What kind of noises are you hearing? Are they wheezing? Do they have a high pitched weave like Strider? What's their skin color like? And then in the case of pneumothoraxes, which Chris touched on more from traumatic ones, and these are late signs.
13:08
Athletic trainers often don't measure or take vital signs, according to Dr. John. Getting good at vital signs is important, especially when dealing with noncritical patients, he says.
17:22
Getting a quick blood pressure is also very, very helpful. There's a new vital sign or gold standard that has talked about in EMS that may be fairly new to public trainers. If you're dealing with airway and you're administering oxygen, you can put this in line with what you're doing.
21:33
Chris: We need to get better at assessing them, especially the basics, respiratory rate, pulse. Blood pressure SPO2 temperature, and then definitely doing a a BGL. Chris: We reassess a critical patient for someone that we consider in significant distress every 5 minutes.
25:50
If we administer NARCAN naloxolone, I should start seeing their SPO2 come up. Hopefully, heart rates coming up as their respiratory drive improves. But I need to be able to check that for any of the medications I'm giving. So you gotta know how to interpret the findings you're getting and use the equipment that you have.
30:08
If I give them albuterol, and they're taking it correctly and it's working, then hopefully their airways opening up. If their SPO2 keeps going down, we've got a problem. Interventions, if they're not improving the respiratory rate and quality, We either have to change those interventions. And for sure, if it's not improving and we haven't activated our EAP and called 911 at this point, We definitely need to do so.
33:58
This is another chart talks about problem, what you've administered, the drug. She may not need all of these things on your chart, I'm just pulling from from resources that I know I have as a way for you to create something simple in Excel. That's what I have for this presentation and open to questions.
38:11
In my sling pack, so when I worked at volleyball tournament, all of our roving patrols have a sling pack. Even in mine, I have besides the mulch now and I have a manual BP cuff. I have all that equipment to do a quick assessment right when I get to a patient.
41:58
The the 2 most common is anuscultated blood pressure, which is using a b peak of inputting the stethoscope over, you know, the intercubital faucin, and we're gonna take it. Then a blood pressure by palp is where you're going to find the radial pulse, the distal radial pulse and then you're gonna feel that pulse.
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