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hey folks brandon odo from ems basics i wanted to talk about something that i think is important but doesnt get too much emphasis in emt education normally which is the idea of diagnosis using overall impressions so another blogger gave this example and ill give a link in the uh in the post but he said last night we had a patient in failure respiratory failure withdrawals to the apices bilaterally pretty close to total respiratory failure want to guess her o2 saturation my answer was who cares because imagine this you walk in the room you got a 60 year old female there you can hear fluid in her lungs from the parking lot shes tripoding you know breathing real fast and shallow but its starting to slow down skin is is pale and starting to turn a little bit blue it looks like she just thinks shes about to die you think shes about to die well whats your general impression in that patient oh yeah shes a ch and shes uh shes fallen apart needs aggressive management becoming hypoxic