EMT Basic National Registry Practical Exam DVD Available - Knightlite Software

[cuau1967]

is good

[ComaBoy05]

This is great, I really like how real he makes it.

[bleve08]

One of the better example videos online. This is the NR EMT B standard of patient assesment. State protocols may vary. I am a VA EMT but generally this is how it should be done. All treatment in practical stations is done verbally. The only phyiscal thing we had to do is the first set of vitals and checking ABCs and lung sounds. Good post

[memphisboy29]

@1108tata because as an emt basic you cannot give drugs you may only assist with the patients drugs. And if her airway closes up completely the ALS unit can give epi.

[1108tata]

i dont completely understand why there is a need for ALS intercept. i would just transport the patient directly to the hospital.

[jasmin22344]

this is very scary i have astma too ): its soo anoyyinngg andd its really bad wheen i run D:

[Knightlite1]

@123jp1000 Your right. In real life the O2 would go on immediately, but this is a training video that follows the National Registry Skill sheets. It's real purpose is to help you pass your practical test, not necessarily what you would do in the field, again as you said O2 would go on right away.

[racestarter88]

i am currently enrolled in an EMT 1 class. anyways, for any patients that are having difficulty breathing, is it possible that all of them start to become hypoxic? please respond.

[fanatic136]

where can i find dis dvd today i need it now please give me the info please!!!!!!!!!!!!!!!!!!! i want it now!!!! please get back with me

[usakorjb03]

Glad I found this video, I'm a EMT-B student and will be taking my exams either next month or sept. I wanna be as prepared as possible for the NREMT exams, this will help. thanx for the video.

[socalfrijolito]

Why ALS? All she can get in pre hospital is o2 and the inhaler, looks like a bls call to me.

[nick2293]

@socalfrijolito Well there doing it how the state would want it done, and part of the state requirements is that you asses the need for calling in additional resources, (EX: ALS, police, etc.) so if you call for ALS like he did it's the same as saying, "I'm going to consider the need for additional resources".

[volkersvaugen]

what i dont get is that after the telemetry call the emt is told to give the pt one more dose of her albuterol, would not it be more logical to albute her via the re breather. or canula

[Knightlite1]

@volkersvaugen ...

EMTs don't "give" inhaler dosages. They assist the patient with their own inhaler. That is what the skill sheets says and that is what the EMT did.

[abaugh22]

@volkersvaugen emt basics can only assist the patient with their own inhaler. you have to be an emt-i or higher to give albuterol otherwise from the drug box.

[scottytuby2007]

good vid!

[gonzoboy]

hello,

i'm very knew to this field of transport medicine. (recent emt basic grad.) so please take my comments w/ a grain of salt.

first: i am under the impression that anything over 20 b.r.p.m requires b.v.m. regulation.

second: no questions were asked about chemicals used during gardening . a common practice.

third: no exposure of patient to ascertian potential allergic skin reaction to enviroment.

p.s. always 02!

thanks!

[Knightlite1]

@gonzoboy

Maybe you should watch the video again.

1) You are not going to bag an asthma patient. You will quickly get one punch in the face.

2) She says she has asthma. The mystery is gone. She did not say she was using chemicals. Whether she was or was not using chemicals would have no affect on what your care will be.

3) She is not complaining of a skin allergy. She is having difficulty breathing.

Please re-read the National Registry Skill Sheets.

[Yhoah]

@Knightlite1

yes, she is not complaining of skin symptoms or history of allergies, but this could have been her first allergic episode.

By exposing and inspecting her chest he would confirm she didn't have hives, closed chest injury, blunt trauma, or hemothorax causing her chest discomfort.

She could also have hives and be a pt with history of asthma.

On the way to the hospital we should consider also doing a detail assessment to make sure we are not missing any other possible cause.

[Knightlite1]

@Yhoah She says right up front she has asthma and she also has a prescribed inhaler. He also asked if she fell and she said no, so trauma does not seem to be the issue. He also stated that he would do a detailed physical exam on the way to the hospital among other assessments. That would detect whether she had hives or not.

[blackbeltff]

@Knightlite1 Ignore these guys they obviously did not pass emt class and are trying to gloat on the little information they know. And to you guys, shutup. This is a training video that is very general. No need to over think things here.

[tidd1983]

@Yhoah it says right up front that this is a respitory station and not a poision or allergic reaction station so none of these questions even apply to the station

[izsmrpickle]

@Knightlite1 That's great.

[GanjaGuru91]

@gonzoboy

Its >25breathspm = BVM

if she is at 20breathspm and has asthma, she is capable of moving air adequatley on her own. Her bronchioles are constricted and are incapable of moving such a large quantity of O2 to her lungs. A BVM wouldnt help at all! It could worsen things if anything.

[WhenSheepGoBad]

I would have just instantly administered albu after high flow o2. If attempted tx fails take baseline vitals and load n go due to ventilatory compromise. Pt had GCS of 15 with normal LoC. Secondary Survey enroute, possibly a mandatory base station contact / trauma triage. This could have been gone through faster.

[Knightlite1]

@WhenSheepGoBad - Okay, lets see if I can put this another way so people can understand. What you do in the field is not necessarily what you would do when testing for the National Registry Practical Exam. This video follows the National Registry Skill Sheets. This is what the National Registry wants you to do in order to pass their exam. This is also for instructional purposes. Performing the station fast would serve no purpose as a teaching tool.

[jackel2126]

remember the ABC's guys ....... find a problem fix a problem

[oscarface76]

This is a good video, I'm starting my EMT training next month I'm excited!!

[backdraftmagnet]

anybody know what to focus on for the national registry

[Knightlite1]

@backdraftmagnet This video follows the National Registry. If you follow the steps outlined in the Ace video you will indeed ACE your practical.

[mediccs]

I teach EMT-B, You NEVER withhold O2 for any reason. This went right with the N.R. skill sheet. Maybe those wanting to get v/s prior to administering O2 may want to take another refresher.

[mediccs]

I teach EMT-B, You NEVER withhold O2 for any reason. This went right with the N.R. skill sheet. Maybe those wanting to get v/s prior to administering O2 may want to take another refresher.

[mediccs]

I teach EMT-B, You NEVER withhold O2 for any reason. This went right with the N.R. skill sheet. Maybe those wanting to get v/s prior to administering O2 may want to take another refresher.

[jo3jo3221]

thats right get the o2 on her 15 lpm than worry about the vitals .

[Knightlite1]

The Focused Physical exam was not omitted. He did it right after Vital Signs and just before contacting Medical Control. This is when he auscultated the lungs.

[worldpeace3000]

awesome video really helpful

[redhorserider2]

This is a great video. He is treating this woman as you would a real patient. I would think the instructors would want to see you respond as you would in a real situation, not following a rigid guideline just to make sure you cover every step possible. I'd love to see more of the same type videos.

[MrJustinstfd483]

I was not complaining about the video it is excellent, I was merely responding to the critics here that are hating on this video.  I am on your side.

[MrJustinstfd483]

You need a baseline, that is why you would initially take vitals, you would also take vitals after any intervention to see if it is helping.

[Knightlite1]

Again, you folks need to review your National Registry Skill Sheets. That is what this video is based on, and this is what you need to do during your practical exam.

For heavens sakes, this patient is having an asthma attack. You are not about to take time to take vitals, when clearly this patient needs immediate high-flow O2. You don't need a baseline here to understand that O2 would help this patient and improve vital signs, and the National Registry agrees. Remember your ABCs??

[bd5035]

SORRY, I didn't mean to click the thumbs down button...anyone know how to remove that?

[jrpotpie]

As an instructor for many, many years I can say with confidence that this is the best series I have ever seen. I STRONGLY encourage my students to purchase it. Well done!

[froggyme0303]

where do i get a dvd on the emt basic for my son

[engine173351]

The only thing that I saw wrong was that he didn't hold the valve closed on the NRB to fill the reservoir (maybe they weren't really using O2 for the practical).

[Knightlite1]

Except for the O2 & CPR stations, we did not have the O2 flowing, and that is why the bag is not inflated. Shooting several takes for 21 stations over 4 days using real O2 would be quite expensive. We simulated some things, like not actually shooting the gunshot victim. In all of the stations we followed the NR Skill sheets from beginning to end. That was the script. You need only "indicate appropriate O2 therapy." Its not a critical criteria as it would be in the O2 Admin station for instance.

[waytohell2]

And the second thing he did wrong is take VS After applying o2.

That as u know is going to change her VS.

[Knightlite1]

There is nothing in the station that Gary did wrong, and you are incorrect about when to apply O2 and when to take vital signs. The steps in this station correspond with the National Registry Skill Sheets. The "Review Section" of this video is a review of the actual National Registry Skill sheet for Medical - Respiratory Emergencies. Clearly vital signs are taken after giving O2.

In addition, if someone can't breathe you give them O2 right away. You don't wait around and take vital signs.

[waytohell2]

i just graduated from EMT-B today. and they always told us take V/S before u give o2 and After u give o2 to check if ur intervention is working properly.

i guss in real life it defers from what u do in class, but for passing the exam we had to take 2 v/s

[Knightlite1]

The National Registry has a set order in which they want you to do things. This order is indicated on their N.R. Skill Sheets. That is what the evaluator has in his/her hand when you go take your practical. Our DVD goes through the stations in the same order as the N.R. Skill Sheets. It is the N.R's Standard, not ours. If your local protocols require you to take V.S. before and after O2, then that is what you have to do. We are simply following what the N.R. has deemed the National standard.

[mcdonl]

@Knightlite1 I agree with Knightlite - As your complete your initial assesment and your ABC's you need to treat any issues with the ABC's as you find them, this would include administering 02.

[JoeSmith03301]

@ WH2, Remember, ABC. Denying a patient who is in respiratory distress in order to get a set of vitals is nothing short of nonfeasance (a form of malpractice) You can assess a relative respiratory rate as you are preparing the 02. However O2 changing the pulse or BP that quickly is not likely. To be honest if I were evaluating this station and you deferred O2 until after vitals you would fail. Look at the critical criteria for the section that says did not address problems with ABCs.

[psychocloud]

That's incorrect. O2 is part of the initial assessment where V/S is part of the Focused History and Physical exam portion of the patient assessment. For my test, we needed to get O2 on the patient in 90 seconds.

[DThompson1985]

in real life i would think you would be better off not taking vitals before o2because o2 can only do good for a patient.

[mtfire19]

I agree you perform interventions as needed and found. In this case shes having difficulty breathing you asses the ariways clear and her breathing is labored administer 02 by non rebreather 15 lpm them move on to circulation. From there have your partner do Base line vitals while you go through sample history and opqrst.

[YunJUI]

Yea good luck to all the future EMT's that are watching this.

I'm happy to have gone into this field of work. All thats in my way now is the National Registry Test

My personal suggestions to everyone is to volunteer volunteer volunteer as much as you can while applying to companies.

[EMSInstructor1]

I am using this DVD set in my EMT class and I have to say it is the best DVD for preparing my students for their "end test" that I have come across.

I already use Knightlite's EMT-Basic study software for creating my written tests for my students. This new DVD just compliments the software to give me the complete package.

Keep up the good work Knightlite!