Hello!
Welcome to the first Jersey Shore Regional Trauma Center blog! I'd like to use this blog as a way for the members of the local EMS community to share information, ask questions, and in general, communicate with each other. My focus is the Trauma Center, but am willing to discuss whatever topics you bring to the table.
I'd only ask that we remain professional and supportive of each other. So, please, no bashing, YELLING, or other disrespectful actions....we're all in this together.
We can talk about educational topics and opportunities, look at new advances and changes in practice, share information about equipment and products, or whatever else you want. If you need to debrief a call, feel free to vent, but PLEASE remember to respect patient confidentiality.
So, tell me, what's on your mind today?
Molly
About Me
- Molly
- I'm a trauma nurse, Injury Prevention Coordinator, and volunteer EMT(I) in NJ.
2 comments:
Hey Molly, thanks for the venue!
I'll start off the discussion with auto-read blood preasure cuffs. It's at the top of my mind because the RN at the Shrewsbuty Blood Bank used one on me this a.m. She inflated the cuff, but the little do-hickey on the inflation tube read the dias. and sys. numbers for her as the cuff self-deflated. I also recall the RB first aid squad using them or trying them out. What do you think for use on our volly trolleys, especially when we can't hear as we roll down some of these disasters called roads here in NJ?
Hey Tim!
I am a big proponent of the old fashioned manual blood pressure cuffs. I trust my ears a lot more than a machine, especially in the back of a moving ambulance...and if you can't hear well, you can palpate a systolic. While you can listen to hear the sounds of Kortokoff to ensure you have the correct reading, NIBP machines may pick up artifact and provide a false reading. In my practice in the trauma center, the first BP reading for my trauma patient is always manual....that gives me a reliable baseline that I can then follow with serial NIBP readings. IMHO, they are expensive toys we can do without. Rememeber, always treat your patient, not the machines!
Molly
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