spenac

Are you joking? You have never performed heel strike or heel tap or markle sign , just some of the names for this test? This is an old pretty reliable exam to help determine if it is appendicitis. http://or-live.mediwire.com/main/Default.a...rticleID=118602 http://books.google.com/books?id=fs6sQlM0z...BbptM#PPA176,M1 http://answers.yahoo.com/question/index?qi...22174621AAtOZU2

Even though I'm not invited, why not combine the two?

Dust woke up on the mean side of the bed. :wink:

Go to where the fire burned the pasture in 2003. Turn right go to the rusted out 53 chevy, go left. if you get to house with 2 barking dogs your at wrong house we only have 1 barking dog.

So all joking aside. There are important steps in checking patients completely. 1. Explain what your doing even if they appear out of it. 2. Protect patient privacy as much as possible. 3. Do not hesitate to check completely. Look ( see skin ), Listen ( on skin ), Feel ( skin ) 4. Act like you have done it before and will do it again. 5. Develope a method and stick to it every patient.

Does admin know you have made a second acct?

Only problem with that method is calibration. If you have had candy or soda you will register them as low. If you have not had any food or drink during past 12 hours you will register them high. Because of theses findings I have returned to using a properly calibrated machine.

I hear so many complaints here on the city that we are looked down on by other healthcare professions. Perhaps it is our fault because it seems many are refusing to do complete exams, thus giving incomplete information to the hospital. While our findings may not change our care it might change hospital care. There have been many instances that I have given information that according to the hospital they have never before been given by medics and because of that information they had moved my patient to the first place. I have given description and not even known what it would indicate and been met by doctors at the ambulance bay because it indicated something very serious. For myself I will continue to examine my patients in detail. I will continue to look, listen, feel, etc.

Like these? [web:5938d82eba]http://www.mackspw.com/Item--i-TBGCAMO[/web:5938d82eba]

So would you have touched this guys privates :?: http://www.snopes.com/risque/penile/pool.asp

I have checked the the testicles and penis of patients that complained of problems. I have checked females complaining of problems. I do touch, I do look. That is my job. I am then in a better position to give an accurate report of what is going on. If we do not do an in depth exam we are nothing more than taxi drivers. IMHO do your job right or quit.

People quickly forget. Look at 9-11. Everybody jumped on the band wagon. When Katrina hit everybody got on the band wagon. Now here we are and most have forgotten anything even happened. The government has done nothing that instills confidence that the next disaster will go any better.

WHY? :?:

This was posted on the scenario about my nut is swollen and hurts. It really explains need to examine in depth. chbare wrote "I have been watching this thread with some interest for a while. Allow me to weigh in? Why would we not perform a focused assessment of the genitals? This is the patients primary complaint and part of our care involves performing a physical exam. We should have ruled out and treated any life threats during out primary exam. Now, we can perform a focused exam. I remember having to do this at the medical station back when I did my NREMT-B, so the concept is not beyond the basic EMT. True, the stupid stations usually require you to focus on a chest pain or poisoning and call for you to help with a self assisted med; however, the concept is still intact when we hit the real world. Why would we not perform a brief physical exam and ask a few specific questions? I took care of an elderly lady a few weeks ago who was taken to the ER for vaginal bleeding. The EMT refused to perform an exam and told us that kind of assessment was outside of her scope of practice. If she would have simply taken a look and performed a brief exam of the area, she would have clearly noted a prolapsed uterus. This is a pretty significant finding to miss IMHO. There are a few simple things that we can do: -First, look at the genitals. Note color, swelling, the presence of any skin abnormalities, and look for discharge or blood. -Next, get hands on. Gently palpate and note any abnormalities to the best of your abilities. The text book finding know as the Prehn Sign may provide us with some tangible information. (Elevation of the teste decreases pain with epididymitis, while pain increases with torsion) -Finally, ask detailed questions about the history. Time of onset, dysuria, chills, fever, sexual history and possibility of STD's, and surgical history to think of a few. True, you may not be able to treat these conditions in the field; however, your assessment findings may prove valuable to the receiving facility and help expedite definitive care. People can easily slip through cracks in the ER and emphasizing key findings may expedite treatment to a person with a suspected serious problem. Torsion for example. You cannot treat massive internal hemorrhage in the field, but you let the ER know your findings and emphasize the possible critical nature of the patient based on you findings. While GU complaints may be less glamorous, assessing a suspected emergency should not be based on the system involved. Just one last thing to add: Testicular torsion is considered a true urologic emergency. If the testicle is not de-torsed, it will die and necrose. This will result in the loss of the testicle. Last I remember, we are in the business of emergencies. Sadly, I suspect most EMT schools spend very little time covering the GU system. Take care, chbare. "

I think everyones answers could safely be prefaced with if actually guilty. Yes there are false accusations and even wrong ID's made. There are also cases of rape victims withdrawing their statements to avoid the embarrassment and pain of reliving it. We all know that even some found innocent are actually guilty and some found guilty are actually innocent.

chbare Excellent response. I can not understand why so many are afraid to do their job. Trust me I have no desire to grab a guys nuts, but if thats where his complaint is I need the info to pass along to the doctor. Perhaps as chbare mentioned my actions just might get them definitive care faster. If you are afraid to touch you really need to get past that fear or else look for a new job.

That brings up an important point. I ask all females, trauma or medical, pretty much 10-50 if they are on period or are pregnant, sometimes younger and older. Had one eight year old that had fainted, we get on scene, she is pale. She said she had been feeling very tired all day. I asked if she had started having her period, her mother was like she's to young. The little girl then told her mother she had been having periods for several months already. She did turn out to be on it and had gotten very anemic. It is very important to get hands on. To ask questions. Don't be shy. Do your job or find a new profession.

I include those that are challenged in the same class as children because they are unable to take care of themselves.

Why are we so squeamish about touching? Our job is a hands on job.

Women do get embarrassed by things like that, just like if they cut your pants off and the socks fell out. Another thing is when they are menstruating. I always made a habit of asking if they were on their period. If so made sure I had a pad to put in place after quick check that not bleeding excessively.

Guess I'm not invited then. :oops:

My guess is it was titled that way because thats what article said. Bastard needs to be locked away and labeled a child molester.

My old 90 mile to hospital service had work them at the scene if not successful you terminated efforts, you did not transport.

Welcome to the site. There are some other discussions about it. Click on forums and go down to search forums at the bottom of the list. Search WEMT and Wilderness, etc.

Patients should be completely naked but covered for privacy. We can not be bashful. Get in there look, listen, and feel.