PA MEDICAL

[bleve08]

MEd control should always be contacted with regard to taking meds after BP is taken,. I failed the first time taking the EMT B because i admin nitro before. I knew instantly i failed and was livid at the fact I blew such a simple but critical point. Always assess BP. No nitro for lower than 100, no BP if any ED meds werre taken. Always ask the % rs right patient, right meds, right exp, right route.

[crazlil8on]

passmedics(dot)com helped me pass my nremt paramedic exam.. it has a bunch of paramedic practice questions

[Ruinari]

Another very useful video, I'm am impressed with the man doing the assessment.

I think the only problem with this video isn't actually with ~this~ video, I would just like to see more along these lines, both PA Trauma and Medical, with different NOI / MOI. Learning visually as I do, these have both been invaluable.

Again, Thumbs up and Kudo's!

[gotmayhem]

I'd check the details on the nitro before calling medical control...same with the vitals. If her BP is already in the pits then you're obviously not going to administer it.

About the viagra, people can take the wrong pills, especially the elderly. She could have accidentally taken something of her husbands and thought nothing of it until asked. Also, nitro isn't always offline. I know in my area it's online and that EMT-B's don't carry it.

[MsChelseadawn]

ECG?

[vickiormindyb]

@MsChelseadawn I used to be an EKG Technician and they were calling it ECG then too. But electrocardiogram was a Greek word first and I refuse to call it ECG.

Even though my tag said ECG Tech., I still called it EKG.

ECG = Electrocardiogram. EKG = Elektrokardiogram.

[vickiez1313]

You can not get rid of these videos they are very helpful!! Just out of curiosity where am I watching? Just wondering how far this video is seen from.

[milhouse5432]

mountain home ar. this video was made at ASU-MH.

[ladybirdkate]

They told us that we were never to call Medical Control unless we take the vitals BEFOREHAND.

[biffrack]

I thought it was a very thurough, well detailed assessment. Thanks. Definitley will help with my practicals on 1/30 :)

[milhouse5432]

good luck with it let us know how you did on it.

[Jamarvlous]

huh didnt he go way over time... vid is 6 mins long and he started like a min into it???

[milhouse5432]

its a ten min. station.....

[lexus10272003]

I think it was a great practical

[wuppal]

Well Technicians in England are trained in ECG acquisition and interpretation, and with very good reason. Obviously EMT's over there are not as highly trained. Hardly ignorance, I do not work in the USA, and I do not claim to know what your scope of practice is, however I do know patient care, and this is something which is universal, so I can comment on what should have been done. Why can an EMT not interpret a 3 lead rhythm strip?

[milhouse5432]

I dont know why the EMT cant interpret ECG's (3lead) it would be nice. wouldnt always have to call for ALS intercept on a chest pain. but that skill doesnt come into the SOP until intermediate.

[sanitymeltdown]

why are you checking rate in the initial assessment when you should be treating for IMMEDIATE life threats? And why bother with Medical control for Nitro its in protocol.

[vickiormindyb]

I just have to say this. Why would a woman take Viagra?

I thought it was only for men.

[ByronC900]

Because it was designed as a heart medication, and some women are given it for that still.

[858Heatstroke]

You'd be surprised at what some people will take/do. we still have to ask because Viagra is a contraindications to nitro. it would kill the patient. so it's just safe to ask.

[vickiormindyb]

What is the nature of trauma when you have an allergic reaction where you stop breathing and have to have a tube inserted to breathe for you?

That's what happened to me. I was talking at first, but then I couldn't talk even when I wanted to.

They were talking to me so much in the beginning, I was afraid that talking would be necessary for them to know what's wrong.

I never knew they put the tube in; the ER doctor told me I was intubated when I arrived.

[milhouse5432]

its actually nature of illness. when you have an allergic reaction you go into anaphylactic shock and thats what it sounds like happened to you.

[nowitsjustdrew]

I'm studying for my practicals at the moment and I just wanted to say thanks! These videos are very helpful.

[sushidawg68]

90 over 40 bahaha the look on his face was priceless, like "crap! come on, you know I can't do that!" haha, awesome video though.

[socceric93]

i was thinking the same thing as him. must be at least 100 dyastallic.

[vickiormindyb]

My (former) best friend's normal blood pressure was 90/60, and he was a grown man.

When he had the fainting spell paramedics wouldn't believe me when I told them it was always 90/60. He once had a spontaneous pneumothorax, and his mom smoked during her pregnancy. He was born in 1956, and she didn't know the dangers.

It made me furious they didn't believe me about his blood pressure, then turned around and believed the doctor.

I lived with they guy for years. He told me it was that.

[jane934]

Thank you for this; it's very thorough and helpful

[budweiser8907]

and also this skill is not past the level of an EMT-B at all...i mean maybe it is for you buddy but speak for yourself and not others and the reason you wouldnt actually apply the non-rebreather and palpate is because you have a 10 minute time limit and voicing the opperation is accepted

[budweiser8907]

you wouldnt give asprin in this scenario in case it was a CVA in which case asprin would be extremely dangerous. and requesting ALS is the fifth step on practicals testing thats why it was delayed. obviosly in the field you would probably have ALS with you. its for practical testing you tards...are you guys even emts or just read the practical sheets cuz none of you really know what you are talking about and i think you just like to sound smart on the damn internet

[vickiormindyb]

I'm allergic to aspirin. I hope they don't give you aspirin as a standard procedure.

My doctor's PA gave me aspirin and it almost killed me. My allergy to aspirin is already on the chart, and my dr. was really furious at the PA.

I never saw her again.

Please tell me they don't give aspirin as a matter of routine.

I have no medic bracelet, b/c I didn't know I'd have to for that allergy.

[radiorobwalker]

Getting ALS on the way right off the bat is a good thing. This scenario is obviously past the skill level of a basic. He did a nice job with the OPQRST and SAMPLE but it was interesting that he didn't take a blood pressure until he wanted to give nitro. And I'm also surprised that a skill station like this didn't have the EMT actually perform the skills... like auscultating a BP, listening to lung fields and putting the PT on an o2 delivery device.

[rsanchez0085]

REAL GOOD VIDEOS..THANKS ALOT

[hilaryellis]

I've got my general assessment practical for my EMT-B class in a few weeks, this is a great find...thanks so much. I hope I can do it just as well.

[Whitsittkillz]

Great video, this really helped me get though my National Registry. Only suggestion and questions I have is one, why call ALS backup when you have decided to transport? It depends on the ETA to hosp and how stable the PT is. And also field impression, this is a possible MI

[thatellen]

(cont'd) Granted, in this scenario, her s/s were very consistent w/ poss MI, but we try 2 teach our students 2 think & maintain high indices of suspicion of causes of the pt's c/c. Anyway, good job.

[thatellen]

(...cont'd) PTA, how would the EMT know whether or not she has fallen until he/she assesses the pt? It would also be good to determine when (not just acute/gradual onset) the c/c began & whether or not it's constant or intermittent. Furthermore, is the pt's c/c like that which he/she has had before? Just because the pt has a hx of cardiac issues doesn't necessarily mean that all their CP complaints are cardiac-related. (cont'd)

[bbmtge]

I dont think you understand that the video is showing a candidate how to manage the particular practical station. Additional resources is the 5th step of the scene size-up. Thus, they want you to call for those resources immediately. "Might be better off" does not fit when it comes to a practical test. You simply follow your handouts as you will be tested.

[thatellen]

If u have 2 call ALS (d/t "nature of the call") before even assessing the pt, then WHY would dispatch even have sent BLS?!? Too many students are taught 2 call ALS as soon as they hear CP, SOB, & the like, b4 even getting a gen'l impressn or assessing the pt. Also, when testing, in the scene size-up prior to arrival, the student might b better off 2 state that there doesn't seem 2 b a need 4 spinal immob at such time (until further assessmt). (cont'd...)

[guitaranthony]

Better to be safe then sorry, why delay ALS until after you have done the assessment. you may think it is a waste of the ALS rigs time, however I would argue that if the patient needs ALS care it will be sooner rather then later.

OH yea...why didnt they give aspirin in this scenario? hehe

[go4broek]

There are several reasons why a BLS unit might be dispatched instead of an ALS unit. Availability, patient age/history, and proximity are a few. Sometimes, callers will downplay the seriousness of the situation (denial?). Any EMT-B that is taught/thinks they can just call for ALS to respond without good cause or put ALS on "standby" and never call back to say disregard, is in for a rude

[go4broek]

...awakening and is being taught wrong. The scene size-up is not the only place/time that you should consider ALS/additional resources. At a minimum, it must reccur after the Initial Assessment. Good post!

[Parabola614]

Why send a BLS unit? Around here, if I'm on the BLS truck I run with and first due ALS has both units out, second due ALS is 15-20 minutes out, even if they go emergent. Getting the patient on a BLS truck will not only speed up the time before medical attention begins, but also speed up the time it takes for the patient to receive ALS interventions and IV therapy (rendevous with ALS en route). I've done this plenty of times, as part of the crew on both a BLS and ALS unit.

[eepta]

To obtain standing order/asking permission to Medical Director. it is better to describe the patient condition, Vital Signs, Assessment, Therapy being taken, and ultimately get suggestion from the Medical Director.

[eepta]

It's so important to ask the patient using open-ended question..

[eepta]

Bravo..nice video..It'so beneficial for me in managing cardiac patient on scene.

Thank's for sharing..

Keep uploading up more movie pertaining of prehospital care..I like it..

[CButler8]

HELPFUL, THANKS