EMT Medical Assessment - Chest Pain - by Rui. Los Medanos College

[trjukv]

Dude forget to say reassess initial assessment at the end

[trex23yfz450]

lmao....hilarious! "S" as in signs and symptoms should have confirmed NOI. Could have gotten a verbal from this pt., that there was no MOI. That said, what purpose did DCAP BTLS serve other than killing time unnecessarily. Don't forget to check condition of pt Nitro., in date doesn't mean it's any good, hot pockets and washing machines are hard on meds.

[The91efcivic]

medical direction was NOT called to HELP him adminster his nitroglycerin

[japanesetyperdriver]

Reassess every 5 min? shouldnt it be every 15 in adult patients' condition? sorry im new and learning but cant wait to be an EMT!!! LOL at jersey shore comment xP

[Triple88a]

@japanesetyperdriver 15 mins if stable.  Obviously this patient is dead so..

[japanesetyperdriver]

@Triple88a hahaha cool thanks yea that makes sense ^^

[The91efcivic]

@japanesetyperdriver every 10 mins if the patient is stable and it is not life threatening...every 5 mins if it is life threatening

[siafulinux]

I'm no expert, but this kinda looks fake.

[EMSgirl1989]

only a man would ask a man if there working out,again LMAO

[ionicfire024]

very unprofessional the way there handling the scene keep pounding the fist your giving medics bad names by doing that

[BeautifulFeetDrama]

@ionicfire024

Looks like they know how to have fun.

[MsBella121209]

HAHA this video is amazing, It was fairly well done as far as the actual patient assessment goes. It was also Very funny and entertaining. Great job guys!

[varnlestoff]

@MsBella121209 Yeah really only one small thing I noticed they didn't do right, at least according to orange book. And it's not a big deal, but you when making initial impression of patient you note the characteristics by reporting color, temp, then whether dry or not. "Skin pale, cool, and clammy"

In video they did temp & feel first, and color last.

[bleve08]

I hate when people comment on videos and say " we do this like this " or get too technical for the level of video. THIS IS A EMT B assessment. Therefore chest pain = O2 by nrb 15lpm, and nitro if the patient has it. MED control is alway required before administering medications. Also priroty transport. He did all of the neccessary steps. This vid does'nt have to be "professional" as most EMT's are trained to assess and treat per state requirements. Good for training thats about it. Good job.

[santos011]

What about a cardiac monitor? What if this is guy is having an MI? IV? Nitro is not recommended for someone having a right sided MI unless you adequateley increase their preload so you dont bottom out their pressure

[gothedistance2222]

@santos011 EMT-B cant use a Monitor or IV, Im pretty sure these guys are JUST EMT-B thats prob why, they should of called for ALS

[pullnshoot25]

I like the "check" and fistbump. Nice!

[sincerejones112]

every state, every county, every agency, has their own protocols. I think these guys are just going over general protocols via National Registry.

[jad3948]

cool vid

[Serpico261]

that was fun and informative to watch

[andreybigb2343]

Awesome video!! you guys were great!

[PhilJ808]

lol...Why the thumbs up when the patient says he is not doing well?? If this was at the beginning of your program, well done gents. Just remember, algorithms are not set in stone..play with it, this is medical...Patient with chest pain ischemic in origin and a history of it... DCAP-BTLS is not necessary.

[theprivatejackson]

makes fun of ems in my opinon. not very professional. i understand that it's a joke, but that's not what we do. and idk about you, but here in ohio, we deliver oxygen via NR mask in L/m. not mL/m.

[grapejuicenews]

haha these guys r so funny! :O)

[mcfr23]

do you know wear you at ?

[MondoBone]

This video and especially the main emt is full of win. This is really going to help me a lot with my medical assessment practical. Added to favorites for reference. Thanks, guys.

[RIVERSHIT07]

this went from medical to trauma lol

[MrRaybeez1]

What the fuck is every ones problem. All you with negative comments are a bunch of fuck heads. These guys were in my EMT Class. Rui is currently in paramedic school. So you bustards go fuck your selfs. Unless you are in this field dont say shit. That goes for you smart ass students. If you are a student you really dont have room to talk. most of you will not pass the national registry.

[islandboi614]

This is off

[socalfrijolito]

Just my two cents

-chest pain=ALS, request the additional resources

-I recommend asking the date instead of time for A&OX3

-Guys wearing shades indoors are douchbags

-o2 is administered in liters, not milliliters

-don't touch your face during a call

-this is most likely a medical emergency, worry about checking for dcapbtls en route.

-write down any info your pt gives you on your run tcket or your gloves. PT's hate repeating themselves.

-It's cardiac compromise not "heart compromise"

[cmiranda1234]

haha if jersey shore were EMT's

[khaos2k10]

He forgot "Radiates" in the OPQRST

[SmokeEater209]

good job! great learning video

[tapemasteriscool]

Oh we just ate some chicken on the way over here. Good source of protein

[laughingbarrel]

Enjoyed the video, thanks guys. Well Done :-)

[wickedupun]

I am going to use this video during my EMT Class. Good Job.

[yofatface]

this was more entertaining than educational but hey.. thanks for the laugh

[jandcpro1]

"What's up with the cup?"

LMFAAOOO

[oce12]

not funny

[jandcpro1]

didn't he forget SAMPLE? he just did signs and symptoms, but he forgot the rest...

like allergies medications, past medical history, last oral intake, and events prior...

[fafinaf]

@jandcpro1 no he got it.. he asked about past history, medications, last time and thing he ate. but he did forget allergies

[condawg73]

So he missed a couple things...its all good...good times...thats how we do it baby. Did he ask if that pain radiates???

[elk80]

Only an EMT-P (Paramedic) can administer Aspirin in California.

[MisterGorefest]

haha you guys are hilarious

[freese271]

@vadwayne1964. Right it is an anticoagulate...but I still don't understand why california doesn't give it

[wolfmanradio]

Wow. Are we doing medical or trauma? It seems like it's somewhere in betwixt.

[wlkcourtn]

What a douche. Hope you're more professional in the field.

[freese271]

why is aspirin a no no in california....it is a blood thinner

[rivasider1]

music killed it. cant hear that good at the beginning. wtf

[Auggiedog2125]

this is educationally funny lol

[kylesteinhauser]

The constant fist bumping makes this video awesome.

[Yhoah]

(I'm pretty sure) you have to do a quick physical assessment to the patient complain area, and consider a detailed assessment on your way to the hospital...since for test purposes we have to verbalize it only, it just looked different...but you are right detailed assessment is also done on medical. my bad.

[Yhoah]

i can't help but smile..even the pt is smiling = ) !!

how did u check ur pulse? radial and what? (wasn't carotid)

we only do SAMPLE, OPQRST for medical and (DCAPBTLS+PMS) for trauma

(@ 7.37) = D even the camera guy is giggling.

[bryan10rb]

This was supposed to be a medical assesment video right, so may be i am wrong but one doesnt check for DCAP-BTLS when its medical such as this case caseu the patient CC was chest pain and had a Hx of heart attack ... right?

[elk80]

@bryan10rb In a medical assesment, you still to a focused physical exam of the effected area. Read your national registry sheet.

[pokkitmonzturr]

COME AT ME BRO!

[wetnoodle666]

chest pain- MONA~ o2 aspirin nitro morphine

[ooabtoo]

pretty good except no ecg...which is needed for EVERY dyspnea chest cardiac problem

[elk80]

@ooabtoo Um, we're EMT-Bs.... ECG is not in our scope of practice.

[marker1613]

can i know why it takes so freakin long to get the patient out of the house I.m an Emt for close to a year what takes so freakin long to transport a patient with chest pain.

And why does the emt have no initiative. why does he wait for every instuctoin for the medic

[ATAHUALPA867]

He asked to the patient for chief complaint, normally no patient may know that terminology.

Overall ok. Good luck , I'm going for Mod 4 this monday, very hard test , I hope I pass and my c.lass mates..

[Tsamy18]

Auscultating with the cloth on?, That's really new for me

[jacobjoes]

@Tsamy18 its hard when you're bouncing around in the back of the unit, but totally a time saver. same for BP. granted, cant be done over sweaters, but if its a lighter cloth it'll likely work. try it out sometime!

[Iraq07kurd]

well done mate, i have my in two weeks any tips?

[kzam717]

wow.Don't tell me either one of them is an EMT!-Because I'd want to carry DNR orders on me then....on the bright side he had his "protein" and thinks he looks good.

[Iraq07kurd]

@kzam717 hahah i thought it was funny thats how i am during class lol

[jo3jo3221]

saharah22469 did you ever get checked out , i saw your comment and what you described was a heart attack and asprin is a no no only if you also took nitro or if you have a gi bleed

[miked98032]

@jo3jo3221 Well it depends on where you are. There are some contraindications for asprin, GI Bleed, Asthma, prego. However where I live you give the patient 324mg asprin (4 baby asprin), followed by the nitro.

[jo3jo3221]

also yo dont have strong breathing its the rate and if its labored or unlabored

[jo3jo3221]

whodafukru82 thats wrong cause 90 systolic is too low , nys bls protocall states you can only give 1 nitro you have to call for any more after that , but about the meds ur right and for the video its a and o x3 what he was doing at the time has nothing to do with it

[stihlthebest]

I can see by all your past text comments that everybody was born a Doctor, and never had to "START" from the beginning!

[fatfrancis2000]

dickheads

[smokeater2104]

wow all I got to say is GOOD TIMES. These guys are so effin stupid how the hell you get a diastolic b.p when you palpate it plus you palpate the radial not the a.c fucking retards. well have a great day.

[JenniferKelly]

haha.

[katehaley]

No ECG even though the pt has a cardiac history, no Sp02, and no sense of urgency. I think I would rather treat myself.

[emtahmadi09]

i knew that guys partner.....he works for alameda sherrif...he was in my unitek emt class....tell him Ali says hi

[garebear926]

all and all i think it was a good job, but also the guy palpating for his b/p is suppose to palpate the radial pulse and he never used the stethoscope so how did he get a diastolic b/p?

[garebear926]

they were suppose to check the MOI/NOI before they determining number of patients and determining if they needed additional resources

[anjulkat9900]

hehe goofballsmcspazatrons. Funny and decent at the same time.

[RealPimpin06]

u guys are pretty good but why do u all keep asking "what is your chief complaint?" that is not the right way to get a chief complaint

[saharra22469]

WooHoo, I want this guy with the muscles to be my paramedic. I'll recover very quickly.

[JoeOnTheRoad]

Great vid guys!

[lmcemt08]

Aspirin is a big no no, at least in California.

[saharra22469]

Why is Aspirin a no no?? I am watching this video cuz...I think I might have had a mild heart attack today or I'm going to have a big one soon. I had pain down my left arm, my chest, my shoulder, nausea, and light headedness....then something squeezing my back and chest til l got down on the ground..to week to stand...then the pain left. I took some aspiran...all day long. is this bad? Please tell...cuz I can't go to a Dr. Yet or he hospital. I'll loose my job. No family to feed my animals.

[fafinaf]

@lmcemt08 where did you go to school? (not an insult, just really wondering cause i am going to school right now)

[rhythmco]

@lmcemt08 just curious, why is that?

[tragicRob]

@lmcemt08 The scope of practice for medics and emts in California is so limited that everything is a big no no. As a medic in TN, 12 leads are required in chest pain, Morphine, Oxygen (limited due to current research), Nitro, Aspirin. Hell, we can RSI, as just EMT-P, let alone our CC/EMT-P. CA needs to get with the times.

Rob B, CCEMT-P, NREMT-P FPC

[Lavafist]

Where was the assistance with aspirin and nitro administration?

[merkleyb]

Nice exam, but 5 and a half minutes to get the 1st set of vitals is a bit slow. Also I didn't think there was a need to do a trauma exam. Was ALS called? Good Pt communication.

[msiligup]

haha awesome. made me crack up. "he's got some nice traps partner!!!" great vid, just don' forget to call medical direction to administer nitro

[breakonthrough27]

That was good. But you don't reassess SAMPLE and you should have to contact medical control for administration of Nitro. Good assessment though.

[whodafukru82]

Medical direction depends on the jurisdiction, for example in MD we can administer three pt perscribed nitros every five mins. with no pain alleiviation, in a prehospital setting as long as the systolic B/P stays above 90 and pul;se stays over 60. Oh yeah if they haev taken cialis viagra or levitra in the past 48 hours we have to perform a consult as well.

[mflaherty23]

@breakonthrough27 Depending on your state and their protocols. The first three doses of Nitro is a standing order you do not need to contact Medical Control. The doses include how much the patient took. If at all unsure contact Medical Control.

[ChristopherO88]

Right now i'm an EMT student (B&I) and this is by far the best demonstration ever lol. I'm diggin' the fist bump and thumbs up. Over here we have to keep in contact with the hospital for almost everything (admin of nitro, etc.) Excellent job

[crazybbeautiful860]

i love u guys!! My heros!!

[lv307]

haha.entertaining. pretty good but all over the place.

Its funny, thumbs up and bumping fists every thirty sec.

[andyc48906]

i think they would at least be more professional and prob set him up on an ekg. But I'm not a professional.

[Duffyproductions]

all this work and they go on to work BLS and transfer grandma home all day.

[yerp128]

in NY its A&Ox3 (person, place, time)...nice assessment, but i dont think your supposed to touch the nitro with a bare hand...(nitro tablet was given to pt. in his hand, in NY we're supposed to give it to them in the cap for the nitro bottle and have them drop it under their tongue via the cap, its their bottle anyway...) Otherwise good...

[walaha80]

tomorrow i got my NY State skills test with medical trauma and five more, splinting,aed,bvm,KED,spinal immobilization supine,

[fitzy7990]

AAOx3- Alert,Awake and Oriented

[lmcemt08]

What we were taught in contra Costa county, is that you ask "Person, Place, Time, Event", and if all questions are answered, then the patient is A&Ox4 (Alert and Oriented)

[Deadeye990]

@lmcemt08 Same here in new york. "he sees me, he sees you? so he's alert" lol idk if these guys are just having fun or kind being legit'

[joshuamorell]

Wow... He covered alot, but he jumped all over the place and rarly spoke to the PT and/or reasurred him.

[sushidawg68]

GASP! I don't know if maybe your state protocol is different but I know in AZ, you completely need to patch medical direction before giving that nitro! lol. Awesome video though, very sweet.

[lmcemt08]

Yea, in CA, or our county at least, that is a standard protocol, or an Offline medical direction.

[572HardyBoy352]

@sushidawg68 in florida if ur an emt you have to get medical direction for nitro for sure.

[fitzy7990]

its a lil out of order, and its AAO X3... at least thats what i was taught

[DERECARTRON]

what would u ak in terms of A&O x3? in A&Ox4 we do place, person, time, and what happened (events).

[DERECARTRON]

aw oops i stole your song for my project... sry... eye of the tigers a dope song