EMT Medical Assessment - SOB w/ allergic reaction by Erick. Los Medanos College

[homeworkhater5000]

With the Epi-Pen you NEVER put your thumb on the end of it, you always hold it like a child holds a crayon. This is because you might accidently trigger the epinephine into your thumb and it will swell up and will need to be amputated. When administering the Epi-Pen the EMT will grab the leg with the right hand to keep the leg from flinching, the EMT will tell the patient that he will feel a sting and will administer on the lateral side of the thigh, not medial, and will remove after 10 seconds.

[The91efcivic]

@homeworkhater5000 sadly an EMT will need to call medical direction to HELP the patient administer their own Epi if they are conscious....

[FariisPrettyBad]

HIS SKILLS SUCK! NEEDS WORK

[fp21soon]

Other then the Chief Complaint comment, it was good over all!

[fp21soon]

haha What is your chief complaint? lol LOVE IT!

[mttpg4]

Im in the emt academy now, and not bad overall. And I think people who get on here and criticize in a negative way are all dumb because videos like these help us learn both by showing us how its done and by showing in some cases what we forgot. As humans we learn from our mistakes. The only thing I would have done differently is you never asked where the bee stung him or checked to remove the stinger. Correct me if im wrong because i watched this video to try and prepare for final scenarios.

[donavon2006]

Very good man I'm currently in my EMT class two months away from taking the national exam. Then I'll be off to get my Associates in Paramedicine. I have the same problem with laughing always hard when its your fellow classmates haha. But other than that man good job and keep up the good work!!

[MrRaybeez1]

All you yahoos with negative comments are tools. I went through the corse with Erick and he is currently in paramedic school. So check your selfs if you have a problem with the assessment and cant leave a more positive response do not comment. Night Class EMS 010 L.M.C

[572HardyBoy352]

@MrRaybeez1 im also a parmedic and id say he didnt do bad but i agree with asking the pt what is your chief complaint,thats pretty stupid,could of been a lil faster

[223DesignGroup]

this is stupid...

[emtdanielk]

Good job on your medical assessment video, check out our Anaphylaxis Video.

[summahype]

didnt call medical control

[maveholic]

what is this a fucking joke??

even if you dont have the necessary materials at LEAST simulate that you are putting on the oxygen for the patient who CLEARLY stated he has trouble breathing

[Xicequeen18X]

@maveholic he said that he was giving him oxygen if you listne closely- besides this was clearly for testing purposes, in the field everything is obviously much quicker. You just have to state every little thing you do for testing.

[istramike]

@maveholic Word. O's right away for the DB pt. Also... a full trauma assesment? There was no mention of trauma at all. He needs to go to the hospital quick even after his epi-pen. Also... checking his "patent airway"? He was talking... he has one.

[milkcowblues1]

yep...this is obviously for testing purposes only... at least I hope! That patient would totally be dead by the time they gave appropriate treatment! For testing, they want to make sure you know all the steps in order- this is not how things go out in the field.

[Jag182]

So by this time, once u go into a detailed physical exam, you could assume that a patient that has an epi-pen, and that is allergic to bee's is highly allergic, doctors don't go trigger happy when prescribing these, by the time your done w/ a full detailed & focused history exam, your patient is already going into anaphylatic shock, & his airway is closed. the O2 is going to do absolutley nothing for him.. u should be on the phone with MD and give him the epi, if protocol doesnt already allow it

[Madmadsnout]

@Jag182 I totaly agree there wher so many things wrong with this video and im only 16! it shouldent take that long to find out whats happened!!!

[vision57]

wow with all the comments and knowitalls of what is right.. youd think everyone in the world coudl be an EMT with no education..things are a lot different on the street..like noahno8 said this is for practicality testing..in the field your intervention would be more quicklly and the patients are not a cooperative..lol

[mrctrujillo]

Are you guys Practicing EMT's or still in school? Need to intervene much quicker on pt's like this. Go with more studying and rx rather than cinematics!

[katehaley]

A monkey can be trained to do the physicalities, however it takes real knowledge to make sound clinical judgements and think for yourself. Come on guys, step it up. Do not call your selves EMT's if you clearly are not.

[katehaley]

It seems to me, from the video and comments of other ''EMT''s that you all seem very protocol based. If A happens do B. In England, Paramedics are autonomous practitioners, in other words we think for ourselves. It is down to your clinical judgement if and when to give epinephrine, not to some flowchart or protocol.

[VagueIconoclast]

Here in 'Merica, we operate under the license of a doctor. We are not autonomous, and must abide by protocol. Expect when you're in the field, in which case you do pretty much whatever you feel like doing. (EMT practicals are about passing a test)

[noahno88]

judgment is used when you are actually employed as an emt, but for the sake of passing the test flowcharts and protocols is what gets you there.

[Rreynaertt]

lol i like the props yall used

[elk80]

We were taught to not give Epi until we get to interventions, after SAMPLE and vital signs.

[jared040282]

Ha Ha! My rig is smal too.

[zammamy2]

automatic failure.. oxygen should be administered durring your abc's.. anfter you verbalize a patent airway... very critical.. you also did not rule out spinal injury.. thats a must..

[davidbathke]

just curious... do you say that cause his breathing was too fast? im just starting my emt b, bare with me,

[zammamy2]

Lets just put it this way.. Look up Anaphylaxis.. Respatory failure..You hear wheezing... Rapid, shallow breathing.. That screams Oxygen to me.... Diaphretic indicates shock..

[NFLBalln420]

@zammamy2 in the medical assessment going by testing standards, ruling out a spinal injury is not a critical fail

[ChristopherO88]

These are the best videos i have ever seen lol. It's weird tho, my protocol requires us to administer the epi-pen...in class we were told to automatically check vitals and oxygen (if needed). Nice video :)

[crazybbeautiful860]

awesome! I love these videos!!!

[jmaxwell56]

Awful.

[theoffspring90]

I'm sorry but poorly done, you don't ask the patient what is your chief complaint, that's for you to figure out, you ask most patients what your chief complaint is and they will look at you like you are an idiot.

[elk80]

Wow, you are really ignorant. You need to look up your National Registry guidlines, dude. Cheif complaint is #8

[theoffspring90]

you don't ask the patient sir or madam "what is your chief complaint?" you should ask "what is wrong?" or where does it hurt?" then according to what the patient tells you, you will decide what the patients chief complaint is. it's not a matter of being ignorant are not, it's just that in that situation the patient doesn't have the time or patients to try and figure out what you are asking them, especially in a situation like this where the patient is suffering from and anaphlacitc shock

[deahnkou]

@theoffspring90 i agree about "what is your chief complaint". a better way to say it instead of "what is wrong", cuz that sounds rude, is "how can we help you today?"