The videos that you guys upload have been so immensely helpful! I passed my NREMT today, and this past week I was re-watching all your lectures. Thank you so much for making videos and posting them!
May I suggest a correction: The Central Nervous System is the brain and spinal cord, but the nerves throughout the body are part of the Peripheral Nervous System. Great vid though!
These videos are SO useful! I wish our training unit would actually show us how to perform assessments like this. It has helped me immensely in memorising procedures.
Thank you very much for showing us the technique and if I may make just a little comment when you go to draw her blood your hand is in the way we can't really see what you're doing when you insert the needle so maybe the camera view should be from the other side otherwise I think this was a marvelous learning tool video thank you
More lecture videos please!! My teacher finishes class in 30 mins (suppose to be two hours) so I’m struggling trying to teach myself and these are amazing
My only critique - and I know this is a training video - but the moment you noticed left sided droop and slurred speech, I think you should have been loading the PT onto a stretcher so that a BLS provider could rendezvous with medics and get him to the hospital as soon as possible. While we don’t need to rush and make mistakes, all of that eval could and should have been done on a truck.
They are very meticulously following the NREMT psychomotor exam requirements which recommend a transport decision after assessing ABCs. You’re totally correct though.
@@Lauren.linton26 Sure, and I think that should be made clear. We all know that the national protocols don't mirror exactly what happens in the field and I am sure he is slowing down his initial assessment to make it easy to follow. But we also know that time is a major factor in stroke treatment, so it would have been good to see the txp decision made quickly and an on-ambulance assessment taking place. I think one of my longstanding issues with our EMT and Medic training (esp for Medics who have never worked at EMTs) is that the actual scene and transport portions are critical to understand, move much faster, and require practice to get right. But we do the training in such sterile settings that many EMTs come out of schools truly unprepared to run on an Ambulance.
@@vallopallens I'm currently going through a veteran to EMT accelerated program and have done two field rotations so far. It's quite a difference from the state / NREMT exams and what actually happens in the field. I agree with you. Gotta learn what to do to pass the tests, then provide the best care possible to patients in the field.
@@dinosaurman4000 First, that's awesome. I like to see military providers transition to public providers because of the incredible experience and training gained in the services. Also, I don't want to say that NREMT scenarios are not born of field experience because they are, but they are a bit more sterile than the fluidity on a call. Also, it's great to learn mnemonics like SAMPLE because it gives you a reference point, but I do find that I make my own lists for assessment and I don't always go in order. Further, in asking someone about medications, for example, you can easily meld that with a history and allergies. But the mnemonic is a great checklist to have in mind.
Great lecture, I’m loving it, you’re right on target with your lecture especially since I have been an EMT for over 30 years, but your class does not have any sense of humor!
Swollen feet, or pedal edema, is more likely to be due to congestive heart failure and not a pulmonary embolism. Crackles or rales in the lungs would be another good indication of congestive heart failure in a patient with complaint of chest pain or breathing difficulty. Nitroglycerin is a beneficial medication for patients with CHF, but is not generally in the EMT scope for that purpose. If you are suspecting a patient has a pulmonary embolism due to respiratory complaints with possible hypoxia, as well as chest pain (commonly a more specific sharp pain to a pinpoint area of the chest)and possibly clear lungs sounds, then the patient should not be treated as if they are suffering AMI.
No, not in this video. We place OPQRST during the secondary assessment and this video does not go into depth about specifics during the secondary assessment.
YES, all systems are usually involved, yet I had anaphylaxis shock and nearly died from an allergy to a long time proven safe pharmaceutical drug, dilantin. It began as a rash on my chest - I was told, later. Then I lost consciousness. I was taken to 2 hospitals, expecting me to die in the 2nd one. I don't recall not breathing or swollen tongue. I was awake and aware in the 1st hospital - something must have happened, again, because I didn't know why or how I got to the other hospital. I was placed unconscious in a room with an old woman dying. Her moans woke me up. Obviously, I survived, and was returned to the original rehab facility.
I'm sorry you went through this!!! I understand the fear you went through, this happened to me today from a b-12 shot , which I am so confused because I have had no issues in the past. I lost consciousness in the process of filling out my paper at the urgent care. I drove there and then took an ambulance to the hospital. I thought I was going to die. I remember my whole face was sweating and I could no longer t talk or hear people it was fading in and out. I kept asking them if I was going to survive. My blood pressure and oxygen levels dropped. They let me go after monitoring me for a few hours but I am still terrified. I'm happy you were released as well. I also had hives everywhere and my face turned red. I never experienced this and don't wish this on my worst enemy.
Thank you so much, great refresher! When you do the jaw thrust, are you actually luxating the TMJ? And my second question, once you do it and let go of the jaw, will it stay in the same position, allowing the airway to remain open or do you have to hold it, just like you do with the head tilt chin lift? Thanks
Hi, thanks! No, we are just pushing the mandible forward/up until you meet natural resistance. It is not a forceful movement, though it may seem to be on the manikin due to the resistance of rubber and plastic in the manikin. The jaw will generally move back to it's original position once the jaw thrust is released, which is why we teach to "pull the face into the mask" when ventilating, which will help to retain that jaw thrust position.
Seems like you guys upload these new lectures/videos right when I get a couple chapters past them in the online class 😂😂 i like still like watching them though it helps me review and continue on with the class at the same time
I really enjoyed this video and watched it all this is the 3rd long video I’ve watched all day And this one was pretty amusing Just I noticed how he tries to add a lot of jokes which is cool but the think he should work on them a little better because they coming off like dad jokes and I can see the crowd kinda awkward haha but over all I’ll give him a pass ✅ must be an honor
I can promise you that if you sat in a room with Roger for 5 minutes he would have you cracking up, dad jokes or not! Thanks for watching our videos, I hope they are helping you on your EMS journey!
