Good Stuff Happens in 1:1 Meetings: Why you need them and how to do them well
Michigan Tech EMS Back to the Basics Training
1. Back to Basics
Blood Pressure, Pulse Oximetry, Blood
sugar, Oxygen administration, GCS scoring,
CPR, AED
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.
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. On Scene
Secure Airway
do you need a device?
NPA, OPA, King Airway
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or will a manuever work?
head-tilt-chin, jaw thrust
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Patient: 02 Saturation is 93%, Pulse: 115bpm
7. On Scene
Find Pulse Manually
Pulse Oximetry
what is a good number to see?
what are things to be aware of?
8. On Scene
O2 administration
which device?
non-rebreather
nasal cannula
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what flow rate?
Patient: 02 Saturation is 93%, Pulse: 115bpm
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. 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. 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. On Scene
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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. 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?
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Practice-use VMEDTAC channel
Patient: 02 Saturation is 96%,Pulse: 105bpm, Blood Pressure is 100/60, Blood sugar 78
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. 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
18. Radio Mercy
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79 y/o male
CPR in progress
Any shocks delivered
Location and entrance
Signs/Symptoms leading
up to arrest
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
