Professional Soldiers ® - View Single Post

Rumblyguts · 08-25-2006, 08:28

Hello,

Great thread. I'm just a prior grunt who had CLS back in the 90's and have had a Wilderness First Responder cert erver since. I'm curious about two things that I've seen in this thread.

First, there's a difference between x_sf_medic's and AF_IDMT's civlian scenario posts. X_sf_medic's post is very much lined up with the ABC's and primary/secondary surveys. AF_IDMT's seems to be jumping around a bit with doing complete spine imobilizatoin then continuing on with his "rapid assessment" (which I'm interpreting as the primary survey).

I understand the need for spine immobilization, but in my trainings, I would have been gigged for not completing the primary survey before complete immobilization. Note the head and neck trauma, immobilize neck to best of immediate ability, see if the airway could be quickly cleared (if not, at least there is air getting in), and finish the primary survey (looking for massive bleeders) without disturbing the patient's positioning. What I'm getting at is getting stuck on the first injury (TBI/spine which is somewhat stable and not much can be done for it, or if done correctly, could take several minutes to move and board) as opposed to finishing the primary sweep looking for more immediatly life threating injuries (bleed-outs). Does that make sense? Am I just nit-picking?

The second deals wiht the IV's. I don't know much about IV's, and don't plan on using any. I'm just wondering why the IV's were started. Is it to expedite future Tx's (med deliveries)? As noted with the TBI, brain pressure apears to be the issue, so why start an IV? Again, IV's are a dark area for me (other than CLS), so please be gentle

Hopefully this post made sense. I'd apreciate any input.

Thanks,
Bill D.

08-25-2006, 08:28	#7
Rumblyguts Guerrilla Join Date: Aug 2006 Location: Western WI Posts: 176	ABC's? Hello, Great thread. I'm just a prior grunt who had CLS back in the 90's and have had a Wilderness First Responder cert erver since. I'm curious about two things that I've seen in this thread. First, there's a difference between x_sf_medic's and AF_IDMT's civlian scenario posts. X_sf_medic's post is very much lined up with the ABC's and primary/secondary surveys. AF_IDMT's seems to be jumping around a bit with doing complete spine imobilizatoin then continuing on with his "rapid assessment" (which I'm interpreting as the primary survey). I understand the need for spine immobilization, but in my trainings, I would have been gigged for not completing the primary survey before complete immobilization. Note the head and neck trauma, immobilize neck to best of immediate ability, see if the airway could be quickly cleared (if not, at least there is air getting in), and finish the primary survey (looking for massive bleeders) without disturbing the patient's positioning. What I'm getting at is getting stuck on the first injury (TBI/spine which is somewhat stable and not much can be done for it, or if done correctly, could take several minutes to move and board) as opposed to finishing the primary sweep looking for more immediatly life threating injuries (bleed-outs). Does that make sense? Am I just nit-picking? The second deals wiht the IV's. I don't know much about IV's, and don't plan on using any. I'm just wondering why the IV's were started. Is it to expedite future Tx's (med deliveries)? As noted with the TBI, brain pressure apears to be the issue, so why start an IV? Again, IV's are a dark area for me (other than CLS), so please be gentle Hopefully this post made sense. I'd apreciate any input. Thanks, Bill D.
Rumblyguts is offline