Texas EMS School provides online EMT and Advanced EMT training for healthcare and first responder organizations. Access free resources and explore our training programs at texasemsschool.
Heyy beautiful video! I tried EMT a few years ago. But I couldn’t really get it. Well I’m trying again and I hope this time I can do it. Thanks for the video, very nice job and it gave me a few pointers.
This is too advance patients assessment awesome and great jobs this guys. But to be honest if the patient is paining scale 8 out 10 like this guy. He may be dead if the process taking this long.
Lol at my fire recruit school, we have barely gotten any skills practice, only touched a stethoscope and BP cuff once and now they got us going on two 12 hour ride alongs with EMS and want us to assess and treat 10 patients and fill out a report irl. We're all stumbling doing the practice with the cheat sheet in our hands. I'm nervous as shit
Im in EMT school, I Didnt see him palpate the shoulder. I know that is a sign of MI along with crushing chest pain and signs of shock but aren't we suppose to also check the site of any pain?
I want to express gratitude for uploading the video. I am a first year paramedic student and I found this really interesting and insightful. One thing that stood out to me was however, how unclear the consent obtained was initially; he said “Mr Roberts do you mind if I touch you?without explanation as to what that meant. For my Australian friends, this can risk you being liable for legal action, namely for the trespass to person by ‘battery’.
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.
How did he know the patient was pale and diaphoretic at the 37 second mark? Other than that, and not getting on the patient's level this was a pretty good assessment.
@@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.
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
Texas EMT school it is a really good program to be in I was a student I just graduate from their school not too long ago it was a really good experience that anybody and whoever should be in their program is so amazing to the point you graduate even to the point to go to your skills lab you're still lad is Hands-On and it's the wonderful experience that you will get from it you're right out with the ambulance is the most experience one is because you can do more Hands-On by same time you have paramedic and EMT teaching you as well it's a really good experience and I hope whoever takes this course would do good...... Anyhow the wonderful staff members they are really kind and once you get to your skills lab they will help you through all the steps of the way to pass and no matter what when y'all leave the skills lab they are still a phone call away and they will help you no matter what is they want us to pass the staff members are like family when you get there they feel like family and if you struggling ask them and they will help even the friends that you make there they will help as well just don't give up on your dreams keep going and push forward because if I can pass for school y'all can pass as well we got this together... And remember it's always good to y'all ask for help... And also they are one phone called the away...... Thank you to all the staff members for helping me passing my exam even me getting through this course thank you to all.. I can't wait to pass my national registry with all the good knowledge that I have with this course even with the hands-on experience and me as well studying I can't wait to pass my national registry Thank y'all
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
@@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.
Awesome video all the way around. Extremely helpful and detailed. Good acting by the patient too. Unloading that pipe in the Texas heat is enough to give anyone a cardiac event!
Only thing I would have changed is let medical control know patient had already taken one dose of nitro, but didn’t affect much overall leaving that out
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
Impressed! 1st time ive heard a confident easy flow of what is expected as a medic please can we do mote common everyday senariors will follow medic shirley Miller canada
Everyone just calls ALS based on NOI before interaction with the patient. Which the dispatcher could do themself. Or from the general impression without explanation on why. I was taught to call ALS after confirmation of CC or on overall poor general impression but only with clear explanation on why. We would be given 1 minute to call ALS after suffiecient suspicion of the need. Getting it out of the way just on Dispatch NOI doesn't sit right with me. anyone feel similarly?
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.
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
