Ep 11: First Impressions Matter – Scene Size-Up & Primary Assessment

In EMS, your first impression can literally save a life. This week, the crew breaks down the scene size-up and primary assessment—the first steps every EMT takes when arriving at an emergency. From assessing safety and forming that “doorway impression” to managing life threats with the ABCs (airway, breathing, circulation), Mike and Max unpack what it means to stay calm, think fast, and see the big picture.

With Jonathan out on contract, the guys navigate class solo—sharing real ride-along stories, lessons from their first volunteer shifts, and what it’s like to start applying classroom knowledge in the field. They also introduce the AVPU scale (alert, verbal, pain, unresponsive) for gauging patient responsiveness, and cover PPE in this week’s Tools of the Trade.

Episode Breakdown

00:37 – Pop culture warm-up: SNL, The Pit, and EMS on screen

08:30 – Real-world ride-along stories and first volunteer calls

15:10 – Scene Size-Up: safety, awareness, and “from the door” impressions

18:15 – Medical Term of the Week: AVPU responsiveness scale

25:40 – Primary Assessment: airway, breathing, circulation, and life threats

33:10 – Scene safety, violent scenes, and when to call for help

38:40 – Tools of the Trade: PPE (gloves, glasses, and gowns)

1:14:20 – Student Tip of the Week: Always carry a pen & pad

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⚠️ Disclaimer: This podcast is for educational and storytelling purposes only. It is not medical advice or official EMT training. Always follow your accredited instructors and local protocols.

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🚑 RideAlong: EMT School Links

www.ridealong.bulletn.net