[ducati666]

I'm just wondering if EVERY patient will get a focused history and physical exam? Even if you're administering CPR.

[juleenrob]

I'm just wondering if EVERY patient will get a focused history and physical exam? Even if you're administering CPR.

You have to do the ABC's before you can move on to a focused exam.
so....
if they have no Airway, aren't Breathing, and have no Circulation (ABC'S) you have to fix those issues before you move on
CPR is fixing those issues. Your focused exam is stopped at those and you have to get them corrected before you could do anything else. Obviously you would still do a rapid exam to see if there is a hole in the person, or other thing that might be the reason for them not being alive.

[ducati666]

You have to do the ABC's before you can move on to a focused exam.
so....
if they have no Airway, aren't Breathing, and have no Circulation (ABC'S) you have to fix those issues before you move on
CPR is fixing those issues. Your focused exam is stopped at those and you have to get them corrected before you could do anything else. Obviously you would still do a rapid exam to see if there is a hole in the person, or other thing that might be the reason for them not being alive.

(Thank you so much for getting back to me.)

That is exactly my problem. Don't you fix an issue (ABCs) as you go (in that order)? How can I move on to a Rapid trauma exam if I'm doing CPR? For example, I opened the airway w/ and adjunct, they are not breathing and pulseless. Therefore I would start CPR. I have to continue to do CPR until I get to the hospital, correct?

PS. How long do I continue CPR until I can move them for transport?

PSS. I have choking pt. who goes unresponsive. I lay them on the floor, check to see if I can see the object(remove it if I can see it), do 2 slow rescue breaths. I'm confused because I'm seeing "start CPR" while others are stating, "do abdominal thrusts". I'm not familiar with abdominal thrusts on a pt on the floor. Could you point me in the right direction on this?

Thank you so much in advanced.

[ScottR]

(Thank you so much for getting back to me.)

That is exactly my problem. Don't you fix an issue (ABCs) as you go (in that order)? How can I move on to a Rapid trauma exam if I'm doing CPR? For example, I opened the airway w/ and adjunct, they are not breathing and pulseless. Therefore I would start CPR. I have to continue to do CPR until I get to the hospital, correct?

PS. How long do I continue CPR until I can move them for transport?

PSS. I have choking pt. who goes unresponsive. I lay them on the floor, check to see if I can see the object(remove it if I can see it), do 2 slow rescue breaths. I'm confused because I'm seeing "start CPR" while others are stating, "do abdominal thrusts". I'm not familiar with abdominal thrusts on a pt on the floor. Could you point me in the right direction on this?

Thank you so much in advanced.

Don't think so much into this. Remember, CPR is a team exercise. If you are by yourself in these situations you have to make do until more help arrives. Assessment is a team exercise in the field as well. If you direct your team to start CPR, you can then begin to assess the patient for reasons why they are in cardiac arrest, ie. Gunshot wounds, knife wounds, medical bracelets or ID, looking around the scene for clues.

You will follow your local protocols for guidance on how long you should stay on scene when performing CPR, and the criteria for when you can stop CPR, etc.

As for the choking pt. question, Refer to the AHA guidelines for choking patients. AHA guidelines are used by the NREMT as the standard for CPR and choking questions. The NREMT will continue testing over the 2005 AHA guidelines until early 2012, so if you are testing this year, make sure you study the 2005 AHA guidelines. here is a link to a summary of those guidelines. http://www.emt-national-training.com/pdesk...=38&lang=en



Good luck

Scott
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