Відео

If you do opqrst first you can get them on oxygen faster if indicated. the only kinda contraindication to oxygen is COPD. why do you think he should have done sample first?

@@ashley-cc4eu because if he passes out midway thru all those questions you wouldn’t know what allergies he have and what meds he is on. Tho in reality most patients would already be telling you about their past medical history

He also forgot to ask if the patient was alert and oriented during his initial assessment prior to questioning the patient about SAMPLE, OPQRST, and HAM (history, allergies, and meds.) Otherwise all this info could be inaccurate. He started but stopped at person, and event.

Pretty sure it was an assumption based on chest pain. Idk

EMT's can't give a 12 lead

I was thinking the same thing, thankfully where I'm at we can do 12 leads.

@@c.i.a7392yes they can

@@3lizabeth324that’s great especially if you run a bls agency and use a hospitals medic and you live in a state that thinks EMTs are like middle schoolers….. enter NJ where we only had a short hands on lesson for 10 minutes of placing leads and that’s only because of how thorough our academy was most in this backwards state don’t even see the damn machine until an ALS call if they’re lucky 😂 hell NJ doesn’t even allow bls and als trucks unless the bls is hospital ran cause by law medic programs all have to go through a hospital cause why not, even when it was used active charcoal no sir oh and the biggest fuck you from the state and is the reason our normally only 4 als MICU crews (5 if you’re very lucky and if you’re stupid lucky to also have a cooper hospital doctor riding around, then its a miracle and you should play the lottery) for 23 towns in our entire county are on calls that aren’t ALS calls causing real ALS calls to have no proximal crews is because not only did the state complain for a long time and even now since it’s becoming more available on bls trucks nationwide…. I-gels nah not in your scope oh and you got a possible stroke or maybe even it’s a mimic for a bad sugar…. This state no sir bls you may not even touch a glucose meter cause it’s an open wound 😂😂 oh but sure get the random family member or bystander who has fuck all training or experience using one to use it of course if they pt even has one I do apologize for this rant being long but on shift and this type of scope of practice comment is what we’re pissing about NJ being behind or clueless oh and the best part to wrap it up, a hospital or at least any of our response area hospitals will not call a CVA alert incoming without a sugar reading it’s great seeing every single patient with any sugar imbalance possibility or just because our trauma center has a protocol for it, seeing a line of incoming patients in the ambulance pay lining up and a tech going patient by patient poking fingers.

@@c.i.a7392In our state, its in our scope.

Bro I’m thinking the same thing I was taking notes while watching this and even I couldn’t remember most the stuff. It looks like he was reading someone off screen but if it was by memory then that means I have a lot of practice before I’m ready do be an emt lol

he writes the patients symptoms and his notes on his glove and note pad which he later uses for his call the medical control and verbal report to als

We probably wouldn’t be able to hear him for the video as well if he did that

Technology is at a level where that is not a problem anymore.

Every one needs to start somewhere ❤

lmao

@@deannag7283and the best advanced providers remember their basics

Do you know how long the online paramedic program is? And congratulations!

Patient was cool and moist upon feeling for skin which means shock. The nonrebreather mask is the right treatment but he didn’t fully treat for shock like keeping the heat on the patient with the blanket or position of comfort. Maybe I’m wrong. I’m new lol

@@slactusjack7103 There's a million things that can cause cool clammy skin besides shock. It was likely due to an impending MI and not shock.

@@slactusjack7103at least it’s easy to tell that you’re gonna do fine in EMS simply based off the fact you have the right thought process or right idea and also you’re not like many new EMTs/medics who graduate and get too cocky thinking they know everything it’s good quality to be able to admit mistakes or that you’re not sure, so while in this case there’s no obvious or suspected reason the patient is in shock that isn’t skin condition related that is also associated with Heart Attacks and the added chest pain with prior history gives you more clinical suspicion that the current focus should be treating/transporting for a possible MI. finally don’t get the impression that you’re necessarily off on you’re judgement because a heart attack very much especially large blockages can and is one of the leading causes of cardiogenic shock.

I’m thinking this too, this guy must be good with only online training

in my state, u can give 3 doses of nitro max, regardless of if the patient took 1 dose prior; but i agree that medical control should’ve been informed about that

i feel you

In all honesty this is for the practical exam Out in the streets ALS will be responding to this 911 call Not much that BLS can do for this pt

Couldn't agree more. I have a pet peeve and my students know it. While we call for ALS right away in training, on the street, ya better handle your sh*tuff before your call the reinforcements, specially if you have not laid eyes on them.

Yea I agree, but for the practical I can see why they do it, but yes that's dumb, our small Midwestern County has no als except the chopper!

I’m currently in emt school and I can fully understand that sentiment. but I’m seeing a lot of this type of stuff as being “textbook” for testing so, I get why this is a thing. I’ll just move forward understanding that IRL will run slightly different and will see how it goes after establishing CC

Because its not shock related, its heart related, heart attacks can cause cool, and clamy skin, as well as moist skin, trouble breathing and and nausea ..Shock is mainly due to trauma, or major injuries, or blood loss.

@@dieselwolf3005 That makes sense. thank you for the reply!

@@ashleyhuang388 you're welcome

Because its not shock related, its heart related, heart attacks can cause cool, and clamy skin, as well as moist skin, trouble breathing and and nausea ..Shock is mainly due to trauma, or major injuries, or blood loss.

@@dieselwolf3005 thanks!

There are so many jobs offering $20+ hourly, starting. 2nd, STUDY and don’t fail.