How To Get The Vital Information You’ll Need

By | October 20, 2022

If there were disaster which took our Grid down for an extended period of time It’s really going to be up to you to Take care of your family’s medical needs In part four of this 12-part video Collaboration series with the doom and Bloom YouTube channel Dr Joe Alton Provides us with a very detailed Explanation of Performing medical exams When dealing with a patient that’s Suffering from a medical problem if you Missed the first three videos in the Series I’ll post a link up in the cards And in the description section below so You can check out the playlist now if You haven’t already done so I highly Recommend you pick up the survival Medicine handbook Dr Joe Alton is a Co-author of the book which is an Excellence Award winner in medicine it’s Easily one of the first books that I Recommend individuals in my community Purchase when getting serious about Preparedness I’ll also post a link to Their website where you can pick Up quality medical kits that they design So let’s jump into this video Foreign Last time we discussed how to document a Full medical history something that’s Going to help those medically Responsible for a group in survival Settings as for patient encounters Off

The Grid few Medics will be conducting Regular yearly physicals in survival Scenarios their patient encounters are Going to be related mostly to some Specific medical problem the reason why A patient is seeing the health care Provider is known as the chief complaint This is sometimes very obvious it may Take a little medical skill to ascertain Why it’s happening is not always this Clear for example a person presenting to The medic with tremors needs a full Neurologic or nerve-oriented exam but Might not have actual nerve disease they Could be withdrawing from alcohol Addiction or suffering from exposure to Cold let’s say someone has a problem With their arm when it comes to an Injury in a specific area a simple General method of evaluation is known as Dots Dots D deformity is there an Abnormality of the area compared to the Same space on the other side of the body Oh open wounds has the skin been Breached tea tenderness is there a lot Of pain S swelling is the area swollen compared To the opposite side a problem-oriented Exam more efficiently identifies the Issue if you’re evaluating a college Football player whose Chief complaint is That they hurt their knee during a game You probably don’t need to perform a Full Heart and Lung exam if an older

Person presents to you complaining of Leg swelling not associated with injury However cardiac causes should be ruled Out documentation is important if you’re Going to follow a patient’s progress Long term in your role as medic the Simplest method of documentation is Called soap s-o-a-p a soap note is Concise and only contains necessary Information it can be used for a fast Evaluation or perhaps to follow the Progress of an injury or infection there Are four parts s in soap stands for Subjective what’s the chief complaint What other information do the patient Give you that’s pertinent to the Encounter here’s an example a raccoon is Biting my foot that foot right there Oh objective what physical signs of a Problem did you uncover on physical exam How about multiple foot puncture wounds Attached to the teeth of a live raccoon A for assessment what is your impression Of what’s wrong with the patient Raccoon bite P plan what are you going to do to deal With the problem remove raccoon clean And dress wound make Daniel Boone a hat Could be that simple not always but it’s Concise and accurate I also want to talk About something you’ve had done yourself Almost every time you see a doctor Vital Signs what are they what use do they Have in survival settings

Once you’ve taken the history of a Patient and their current medical Problem you can begin the physical Portion of the exam by checking the Vital signs these are a set of readings That give an idea of the general Condition of the patient Vital Signs Include the pulse respirations blood Pressure and body temperature let’s take The basics one by one Pulse rate you take a pulse by using two Fingers to gently press on the side of The neck to feel the Carotid artery It’ll be right in front of the neck Muscle right in the middle here this Action is called palpation a more common Alternative is to gently feel for the Radial artery which is located on the Inside of the patient’s wrist by the Base of the thumb the pads of your Fingers are going to feel the pulse Better than the very tips Speaking of thumbs don’t use that finger To take a pulse it’s got a pulse of its Own you may wind up taking your own Pulse instead of the patience a normal Pulse rate at rest is about 60 to 100 Beats per minute you may choose to field The pulse for say 15 seconds and Multiply the number you get by four to Get beats per minute a full minute However would be more accurate another Way to measure the pulse is with a Common battery powered medical item

Known as a pulse oximeter shown here Placing the pulse oximeter on a Fingertip will give not only the pulse But also a general measure of the oxygen Level in the blood also called the Oxygen saturation percentage or spo2 Put simply if your pulse oximeter Reading is 97 it means that 97 percent Of your body’s red blood cells Hemoglobin is oxygenated normal readings Are between 95 and 100 but many consider Anything more than 92 to be acceptable Consistent readings less than that are Considered low although those with Chronic obstructive pulmonary disease COPD may have adapted to function at Lower levels than that lesson 90 usually Means there is a need for supplemental Oxygen if available you’ll find that Most people who are agitated after Having suffered an injury will have a High pulse rate over a hundred this is Called tachycardia tachy is Greek for Fast cardia for heart those with Significant fevers or blood loss can Also have tachycardia a pulse rate below 60 beats per minute is called Bradycardia Brady is Greek for slow and Might be seen in patients with certain Heart rhythm problems or low thyroid Levels it’s also sometimes seen in Highly athletic patients as a normal Finding Why bother checking the pulse rate and

Survival scenarios a patient’s pulse may Give you an idea of their ability to Perform daily activities of survival Although a person’s pulse rate will rise During the activity it returns to normal Quickly with rest in those who are Healthy if it takes a long time to Return to normal the patient may have Cardiac issues or at the very least is Being over taxed by the activity Performed what’s the highest recommended Heart rate for an individual a maximum Safe rate is calculated by taking the Number 220 and subtracting the person’s Age for example a healthy 55 year old Shouldn’t go over a heart rate of 165 During physical exertion that’s 220 Minus 55 equals 165. someone who’s 220 Years old should have a maximum heart Rate of zero haha LOL then there’s Respiration rate simple observation of a Patient’s breathing will give you a rate Per minute you can as an alternative Place hands on their back to count the Raising and lowering of the chest wall For accuracy respiration rate is best Evaluated for an entire minute it’s Better to not announce that you’re Measuring breathing rates however as it Tends to make the patient self-conscious Could skew the reading the normal adult Rate at rest is 12 to 18 breaths per Minute somewhat more for children note Any unusual aspects such as audible

Wheezing or gurgling noises during Inhalation or exhalation a respiratory Rate of over 20 per minute is elevated Is known as tachypnea it’s usually a Sign of a person in respiratory distress Suffering anxiety or in the midst of Some exertion someone who’s had a fast Pulse breathing fast has a less than Acceptable oxygen saturation reading Isn’t doing a good job getting oxygen to Their tissues and is not a candidate for Survival type work sessions now blood Pressure blood pressure is a measure of The work the heart has to do to pump Blood throughout the body this is Determined partially by the elasticity Of the walls of the arteries the less Elastic the wall the more pressure is Required to force blood through it your Blood pressure is at its highest when The heart beats this is called the Systolic pressure pressure is at its Lowest when the heart is between beats This is called the diastolic pressure The reading is documented as systolic Over diastolic say 120 over 80. these Readings are measured with an instrument Called a sphygmomanometer but we’re Going to call it a blood pressure cuff These are manual usually but there are Battery powered versions as well In survival save your batteries and Learn how to take it manually previously The standard acceptable blood pressure

Was a blood pressure of less than 140 Over 90 at rest but the American Heart Association has since then imposed Stricter guidelines now you’re looking For a reading less than 130 over 80 at Rest under 120 over 80 is considered Normal 120 to 130 that’s considered Elevated this actually puts a large Percentage of older citizens in the Abnormal range and has led to many Taking medications they didn’t have to Previously or higher doses of their Current meds a number of medical issues Are associated with high blood pressure Including diabetes stroke kidney disease Cardiac problems thyroid dysfunction Just a whole lot blood pressure may also Be temporarily High during and after Physical exertion and a number of other Reasons low blood pressure is considered To be less than 90 over 60 and is seen With among other things dehydration Blood loss and severe infection Otherwise known as sepsis low blood Pressure may also be seen naturally in Very very thin persons and those who are Very athletic Blood pressures are most accurate when The size of the cuff is correct for the Circumference of the arm a blood Pressure cuff that’s too small gives Inaccurately High results while one That’s too big gives inaccurately low Results in survival you may not have

Much choice but realize that in some People you have to assume it’s higher or Lower than measured to use this fig Bell Manometer place the cuff around the Upper arm in such a fashion that there’s An inch of space between the bottom edge Of the cuff and the bend of your bare Arm extend the arm and feel for the Pulse at the bend of the elbow it’s Either in the center or in my case Slightly in from the vein if you’re an EMT you may have been taught to fill up The cuff with the attached bulb while Feeling for the pulse to disappear and Then go 30 points above that this takes Some practice to get right it’s more Time consuming than just filling to say 180 to 200 or so once you’ve filled it Up to the level you want place the Bell That’s a concave part of your Stethoscope where you found the pulse And listen while you slowly loosen the Valve until the gauge readings slowly Drop a few points at a time the systolic Pressure is noted when the medic First Years the pulse return this is the Systolic pressure as the air deflates From the sphygmomanometer the pulse will Fade away the point where it’s no longer Audible is the diastolic pressure as Blood pressure tend to vary at different Times of the day and under different Circumstances you’d be looking for two Or more consistently elevated pressures

130 or more in a row on separate Occasions before making the diagnosis of Hypertension readings above 150 or 160 Over 100 are considered very high and Associated with a higher frequency of Complications 180 over 120 or above That’s considered a medical emergency in Survival those who have run out of meds May need to use herbs from the medic’s Garden yes you should start a medicinal Herb garden for when the drugs run out Garlic thyme cinnamon Ginger cardamom Basil these are all thought to lower Blood pressure you could also lower Blood pressure by having the patient lay Down if you think of your heart is a Pump lying down well most parts of your Body are at the same level as your heart Because of this your heart doesn’t have To work as hard to circulate blood Throughout your body therefore lower Pressure A word about one piece blood pressure Wristband units with these is especially Important to have your wrist at the Level of your heart when taking a Reading let’s talk about body Temperature taking the patient’s Temperature can verify that they don’t Have a fever also known as pyrexia a Person with a fever is referred to as Being febrile it’s a rare individual That didn’t have their temperature taken A lot during the pandemic why do we get

Fevers when we’re sick there’s a body of Evidence that suggests a higher body Temperature kills many viruses and Bacteria that do just fine at a normal Temperature fever is therefore a weapon Against disease-causing organisms why Bother taking it a normal temperature Will range from about 97.5 to 99.0 Degrees Fahrenheit or about in the Average about 37 degrees Celsius a Significant fever is defined as a Temperature above 100.4 degrees Fahrenheit or 38 degrees Celsius very Low temperatures less than 95 degrees May indicate cold related illness also Known as hypothermia on the opposite Hand is heat stroke or hyperthermia Where the temperature may rise above a Whopping 105 degrees Fahrenheit or 40.5 Degrees Celsius you should know that Your body temperature is a fluid Statistic in the morning it’s lower than It is in the late afternoon or evening Sometimes by a degree or more the Temperature also varies depending on the Method used to measure it in the past People use glass mercury thermometers These are useful items off the grid Unfortunately they were fragile and Frequently broke causing cuts and Dispersing Mercury a toxic substance Into the environment today’s Thermometers don’t use mercury the Majority are electronic some are oral

Other use the armpit rectum ear Temple And forehead Compared to the average normal oral Temperature of 98.6 degrees 37 degrees Celsius you can expect a normal rectal Temperature to be about one half to one Degree higher a normal temperature using An ear thermometer will also be one half To one degree higher to be accurate by The way take the temperature in both Ears use the highest reading a normal Armpit reading is one half to one degree Lower a normal forehead scanner such as Those used in many airports is also one Half to one degree lower so if a Person’s temperature is 100.4 degrees Fahrenheit orally it could be 99.4 Degrees Fahrenheit in the armpit or Forehead and 101.4 degrees Fahrenheit in The rectum or ear rectal temperatures Are thought to be the most accurate and Of course the leesa comfortable note That an oral thermometer reading may be Inaccurate if your patient ate or drank Something recently a precise value may Not be obtainable for 15 to 30 minutes Afterwards during the coveted pandemic Non-contact forehead infrared Thermometers ncits became popular hold The device perpendicular to the forehead At the distance recommended by the Manufacturer usually between two and six Centimeters it should be noted that one Recent study of various ncit Brands

Found several that were not completely Accurate so do your research this is Joe Almendee that old Dr Bones wishing you The best of health and good times are Bad thanks for watching hey have you Experienced the joy that comes with Helping the elderly well help this Elderly person and your own family by Checking out our entire line of books Quality medical kits and individual Supplies at thanks Hopefully this video helps to explain The process of performing a medical exam And getting the important vital medical Information that you’ll need to help Diagnose a medical problem again I’ll Post links to everything that we covered In the description and comments section Below if you have any questions please Don’t hesitate to post those Below in The comments section as always stay safe Out there