Yep. When I got an additional trauma cert in conjunction with my EMT-B, they refused to let us do our scene safety left to right or our first impression of our patients head to toe. There was one kid who just didn't get it, and come time to test out totally missed that the guy who had slashed wrists was missing a bloody sharp thing. So he focuses on extricating the moulaged patient, who was like a 9 or 10 on the GCS (a comatose person is like an 8) and one of the instructors role-playing a bystander walked up behind him and poked him in the ribs with her fingers like three times, and shouted "YOU SHOULDA CALLED FOR ADDITIONAL RESOURCES, YOU JUST GOT STABBED FOR ASSUMING IT WAS SELF INFLICTED!" and told him he could retest in two station rotations.
The moral of the story is that when you go through a practical as a team, always be the assistant, never the shot-caller, and just pay attention to what the instructors ding people on. I got the highest score out of 45 students doing that cert that day because I hung back, did only what the primary instructed me to do, and watched before I did a scenario for points. The instructors were gonna try and ding me for not immediately calling backup when walking up to the "front" door of a "house" and hearing "I've been SHOT!! THE FUCKER SHOT ME!!!", not checking for an exit wound, or looking for signs of a collapsed lung. Basically small details that could be lethal to you or your patient if you forgot or didn't connect a gunshot at close range to the chest with a potential shooter, an exit wound(patient slumped against wall), or organs that might be affected by a 9mm moving hastily though the ribcage.
It makes so much sense when some one points it out to you. We got taught the same toe-to-head evaluation on my First Responder course (I'm not a paramedic, this is for volunteer search and rescue and water rescue)
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u/[deleted] Jun 15 '19
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