Transcript prepared by Fielding M. McGehee III. If you use this material, please credit The Jonestown Institute. Thank you.
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Side A Blank
Several moments of silence
Schacht: Okay. Okay, what I want you to do is to describe the person, and uh, describe them the way they look, so that they can be recognized in a group of other people and be selected out. Okay. That means you’ll have to describe their– their age, their sex, and their general appearance, if they’re alert, if they’re cooperative, if they’re in acute distress or they’re uh– (Tape edit)
Woman: (Unintelligible, low tone)
Schacht: –that’s right, if they’re anxious, if they have any uh, problems at all that are uh, evident. If they come in in a wheelchair, then you describe that, for example. If they are on a stretcher, then you describe that. Okay, basically, you just describe their physical appearance. Okay?
Then the uh, next thing you do is you take their vital signs, remembering that when you take the blood pressure, you occlude the radial pulse. And when you take the temperature, you state whether it was taken orally, whether it was taken uh, in the axilla or taken rectally. But always state where the temperature was taken from. Always state whether the pulse is– when you take the pulse, take the pulse for 15 seconds and then multiply times four to get the rate per minute, and uh, state whether the pulse is regular and uh, grading– use a grading system from one plus to four plus, the normal pulse being two plus.
Woman: (Unintelligible, low tone)
Schacht: (Unintelligible, low tone) Okay then, generally, the things that you’re expected to know for the test are, I want a– we’ll expect a general description of the person themself, their age, their sex, and any uh, characteristics which separate them from other people. (Tape edit) I uh, want you to describe how they present, whether– whether– (Tape edit) Okay, if the person presents on a stretcher, you’re to describe that. If they’re in acute distress, if they’re cooperative, if they have a uh– (Pause) if they have anything about them which– which will distinguish them from other people, that’s what you’re supposed to describe. Then when you do the vital signs, I want you to take the pulse radially on both hands – take both radial pulses – and remember that a two-plus pulse is about normal. Three-plus is a very firm strong pulse, four-plus is very strong, and one-plus is palpable, but just barely so. Then it– when you take the blood pressure, be sure that you occlude the radial pulse. Go above that about ten millimeters on the scale, and then let down the blood pressure cuff until you hear the first sounds over the brachial artery.
Woman: Um-hmm [Yes]. (Tape edit)
Schacht: When you take the temperature, be sure that you record whether it was taken orally or axillary or rectally. And you should take the temperature orally, and you should get used to using a centigrade scale, so that 37 degrees is normal. (Tape edit) Remember that a slight variation in temperature is– is– is also normal. (Tape edit) When you take the respiratory rate, you– you take the person’s pulse so that they’re not anxious and that they’re not concerned about uh– concerned and uh, you can get an accurate recording of their respiratory rate.
End of tape.
Tape originally posted June 2010