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A – another airway check. Mainly meant to remind you to go back and put an airway adjunct in if you haven’t already done so (for unconscious patients)
E – events leading up. Different than onset, this is asking how the patient has been feeling the past couple of days
The patient assessment model
O – oxygen, this is when you determine if your patient needs O2 at all, and how much
B – breathing. Make sure patient breathing is adequate, if not you may need to ventilate for them with the use of a BVM
A – airway. Examples of fixing an airway problem would be suctioning out fluids, placing the patient in a head tilt chin life/jaw thrust to lift the tongue out of the way, or inserting an airway adjunct (OPA or NPA).
I think today was the third strike for hard hit lessons. The first one was during my OFA3 practical exam, the second was during my EMR practical exam, and now it wasn’t in front of one examiner, but in front of 500 people and VIPs. Now 500 people isn’t bad except for the fact that 98% of them know advanced first aid, or are nurses, paramedics, and some, doctors.
I felt like an idiot pulling off my bike gloves and putting on the nitrile gloves, I could feel all the eyes burning into me, perhaps mocking me, chastising me, it was so obvious that I’d messed up and there was nothing I could do about it, I was still in the spotlight. I couldn’t believe I made such a beginner mistake. All these thoughts were bombarding me, as I shook the thoughts away and continued the rest of the assessments. I mean, what else was I supposed to do?
I don’t think my head was quite there as if it was a real call. I felt that the pace wasn’t dictated by me but by the narrator. There is always a different pressure during mock scenarios like practical exams than in real life situations that I can’t explain. I’ve always found it more difficult during those situations because there is someone watching you and criticizing you. I think it might’ve been the same this time round with the demo except instead of one examiner there were a whole armory full. But in the end, these are all just excuses.
*BSI = Body Substance Isolation (depending on the scenario: gloves, goggles, gowns, etc.)
I was selected along with a couple of other people to do a bike patrol first aid demonstration for this special event with St John Ambulance. I wasn’t nervous going into it, but I did feel the pressure of hundreds of eyes bearing down on me. My partner and I approached the scene and circled the patient doing a scene assessment for hazards, then I got off my bike, got the O2 tank and approached my patient. There was a narrator that narrated the scenario, and I felt like I had to keep time with his promptings while doing first aid, so I went a little faster than I would normally have liked. I checked if he had fallen, hit his head, what happened, then proceeded to doing the ABCs. I did everything in the mneumonic HEMP-BC* except for the most important one B-SI*. I felt like I had gloves on, technically I did have gloves on–bike gloves, but that wasn’t the same especially since they were the summer ones with the finger holes in it. I noticed my mistake partway through the RBS* and quickly changed to the actual gloves, meanwhile thinking S&*$!