Originally Posted by
Hmac
I've been doing this a long time, but my judgement of efficacy is all retrospective. My expertise is not in the field...rather, I'm the guy that the EMT's are bringing the patient to. I deal definitively with the sustained injuries, but also with the consequences of the pre-hospital treatment of those injuries. I am in awe of the level of professionalism and expertise that EMT-P's bring to bear under very challenging conditions. I know from experience that I am pretty much useless in the field. That said....I see occasional gaps, and the management of penetrating chest trauma is an area where those gaps tend to manifest themselves. In defense...I'd observe that tension pneumothorax is a very rare condition in civilian EMS, and has traditionally been a difficult subject to teach well. I have been faculty on various paramedic and tactical paramedic training courses, and have been an examiner for the state. I also have to re-certify in both CALS and ATLS every couple of years. The people that teach those courses always hate it when I'm in the class.
Doc- Can you say more about the gaps? What should we be doing and teaching differently for penetrating chest injuries to cover those gaps? Differentiated for lay, trained non-EMS, BLS, and ALS providers as applicable.
2012 National Zumba Endurance Champion
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