I am just starting out in EMS as a NYS Certified First Responder (a.k.a Emergency Medical Responder.) I know how to do pulse and BPs etc... what I would like to know from the veterans of the field is how do you do the math after counting palpation??? I suck at quick math and was curious is you all have any suggestions to help me when doing things such as fire ground rehab
We actually use 8-10 pages, or more, of these per event and we file them in the fit log back at the station to demonstrate that we are monitoring the well-being of our crew.
Interestingly, we seem to have guys take better care of themselves at calls, than they do at drills. Perhaps they push themselves harder or farther at drills, or the adrenaline and body's emergency response management is different. Either way, we found that the crew needed extra special attention at drills, compared to calls - vitals are often more stable at calls, than at drills. At a couple of drills, we charted vitals on all staff prior to starting the drill, then throughout and at the end to monitor recovery rates.
We also are not so avid with setting up a food and water station at drills, which may impact the results. At calls someone is appointed to walk around and ensure everyone is ok, and even take them drinks, etc., while still at their post - and make recommendations to shift someone to a lighter duty task - we started increasing this practice at drills too.
sometimes we do some rehab as mobile, such as walking around the scene with a gallon of water and cups or a pile of water/gatorade bottles and handing them out to people, while they are still at their exterior duty posts like running hoseline, or doing overhaul, or directing traffic, or managing water supply, etc. etc. etc.
And those who mumble, I have no problem saying at least put the water bottle in your pocket of your coat so you have it in a few minutes when you need it. And I have no problem using blackmail - hee hee - such as "you wife will kill me if you pass out on scene because you were not drinking enough water or eating something!"
And when I walk around, I have no problem reporting back to my chief/officers if I see a FF that is under an extreme workload - and clearly needs a rest - so if they don't want to do it because I asked them to - then I get an officer to order them to take a break. But after I was on the dept for a few years, the old guys quit whining and giving me a hard time and just listened and complied when I told them to take a break, since they knew I was not playing. Such as "you are doing your job, and I am doing mine - and no one is going to say I am not doing MY job because you are willing to work yourself to death! Now go take a break !!!"
And if one of my chiefs or officers HAD to GO TELL a FF to GO to rehab, after I already asked them - my officers wouuld be pissed, saying "I ORDERED HEATHER TO COME GET YOU, SO YOU WILL GO TO REHAB NOW!"