Healthcare plays a significant role in our everyday life. Without healthcare, how else could be stay alive when something goes wrong? We hear almost every day about not only others loved ones, but our own facing a traumatic injury or sudden medical emergency. As healthcare employees it isn’t only an obligation, but it our promise and commitment to serve those who need us in times of medical attention – whether it’d be severely dangerous or not. Coming from myself, a student currently studying Pre – Nursing, I know that it is up to me to support the doctor in whom will be saving a patient’s life. Nurses, as well as others working in a healthcare facility, must come together to perform one primary goal; to save that patient’s life. The process starts with an individual in a dangerous situation contacting 911, whom then alerts EMT’s to pick up the individual. They then bring those to the hospital or emergency centers where they become known to us as patients that we are responsible for.
Before performing any type of emergency care, I believe it is appropriate to take a quick breather and play the story step-for-step what has happened and think of the most accurate, or should I say precise, way to resolve the situation. The emergency care giver (i.e. trauma nurse, surgical staff, etc) should think ahead and have a sort of mental blueprint how to treat or diffuse the situation which is negatively impacting the patient’s health. The emergency personnel should be quick and have good judgment on what to do. I was always taught growing up with an aunt who has her Ph.D in Nursing to follow the ABCDEFGHI rule, which stands for:
A – Airway
B – Breathing
C – Circulation
D – Disability
E – Expose & examine
F – Full set of vital signs
G – Give comfort
H – History & assessment
I – Inspect posterior for wounds
Referring to the airway, it is important for emergency personnel to keep the airway passages as clear as possible so that O2 can enter, and CO2 can expel out appropriately. For breathing, hear for abnormalities in breaths. Also, observe chest carefully to notice if it is rising and falling. For circulation, no pulse will be detected if there is no breathing due to O2 rich blood not being able to circulate. Disability refers to if the patient shows any abnormalities in neurological status. When exposing and examining, it is important to check all over the patient’s body for any visible wounds or abnormal skin tearing/marks; this means removing articles of clothing in order to see accurately and identify properly. Full set of vital signs means to check vitals such as blood pressure (BP), pulse (arteries of the brachial, carotid, etc), and temperature. Giving comfort means that we should comfort the patient if they are conscious and can detect something wrong has happened. Check patient’s history just as you would typically do in a unharmful situation – history can tell a lot about someone! And finally, check the back of a patient for any visible wounds or abnormal skin colors that could give insight to the injury. As a nursing home employee, I know that dangerous things happen fast. It is up to the staff to save that residents life. On the daily, I notice people jump fast at emergency situations. I am quite aware that is important to keep attention on our residents at all time. This is something else that emergency personnel should also do after treating a patient. Make sure their vitals are at a stable level – after all it is up to us to save a life, right? Something else that’s important in emergency work is to look at the symptoms. The symptoms of a patient shines a huge light on what the real problem is. For example, if a patient is having slurred speech, vomits a lot, and seizures occur – the patient must be having head trauma. Some staff don’t pay close enough attention the symptoms, which they need to know to make a several diagnoses.
Overall, it can be agreed on that emergency/trauma care is very frightening. We don’t give enough credit to those who dedicate their time and lives to saving others. They must be quick on their feet, and willing to make risky sacrifices to make sure their patients become stable again. Most people believe that the money is the most beneficial thing to become a part of an emergency staff; although most are satisfied with the pay, the bigger accomplishment is that of saving someone’s life. I know that one day if I were to work in a trauma unit, my day would be a success just to see someone come out of a dangerous situation and end up with a smile on their face knowing that they will continue to live a life that was meant for them – all because I helped give them that graceful opportunity. To me, that sounds a lot better than a paycheck.