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Tummeyer begins a review of the lessons for the day, checking “patients’” pupils for dilation, taking pulse rates, listening with a stethoscope to see whether breathing is shallow or deep or whether lungs are noisy and bubbling, wheezy or smooth.
Turnmeyer tries different scenarios—if it is a very hot djy or cold, is the skin clammy and moist meaning shock or does it have a permanent reddish color suggesting high blood pressure? Maybe the patient’s skin has the blue-gray tint caused by lack of oxygen.
“We are looking for trends and changes, whether our patient is getting worse or, stable,” Turnmeyer instructs.
She warns the youngsters that in the real world in which they might work, an ambulance noisily bouncing over country roads will make it hard to hear a pulse or get a blood pressure reading. The computerized blood and pulse machines in most ambulances are to be used, but distrusted, she warns, and most veteran paramedics take at least one reading by hand as a check on the machine.
The students learn the difference between palpation, examination by
94.7%