Like our trauma patients, our thoughts on trauma care seem to go to extremes. We must balance prompt transport with adequate assessment and valuable on-scene care. While the need to transport our patients for surgical intervention is undeniable, the physical and mental toolboxes for determining criticality in trauma assessment have never been greater.
In ACLS and PALS, we learn the H’s and T’s during cardiac events. Interestingly, we can use the H’s and T’s for not just pulseless cardiac arrest, but as one avenue for assessment of the unknowns in a patient without reliable history and information. Here is how six H’s and five T’s can be used in patient assessment.
Not all research papers provide everything you need to know about a topic. It is up to the reader to carefully read, analyze, think and apply each bit of information to clinical practice. How can published research impact EMS thoughts and practices in the field?
Differential diagnosis is a hallmark skill for EMTs, AEMTs and paramedics. EMS has progressed beyond the “EMS doesn’t diagnose” days to become a critical thinking-oriented practice in which differential diagnosis is necessary. There’s a tenet stating that 90% of emergency medicine happens in the cognitive domain—the realm of thought. Although EMS providers’ practice is guided […]
In EMT class, many students don’t realize there’s a significant difference between the medical patient and the trauma patient. The difference begins at assessment and continues through care.
By Dan Limmer We hear a lot about the differences between the geriatric patient and younger adult patients. Rather than list the differences between patient types, I’d rather use five of my favorite geriatric calls to highlight some of the important elements. For additional details and insights I have recorded an audio debrief of each patient […]
By Dan Limmer We get quite a few questions that come in to us here at Limmer Creative. Over the past year we have had several questions about using tattoos instead of medical alert devices. A quick search on the topic found that medical identification tattoos appear to be quite popular. The question is whether […]
By Dan Limmer EMTs have been taught a SAMPLE history for some time. While it is an easy mnemonic, it has evolved into a rote process for conducting an assessment. It is time to shed our dependence on the SAMPLE history and use a more mature and appropriate process for history and physical examination. Old […]
Sometimes we go back into the archives and find a presentation that Dan did some time ago. This top ten list comes from a popular EMT presentation Dan did about 10 years ago called Reviving Your Patient Assessment. Some things never change. 10. Don’t splint your patient to death – multiple fractures = multiple trauma. Don’t miss the […]