This video helped make me more confident. Reading off signs and symptoms and treatment from a book is one thing but actually watching how the process and treatment would actually happen during a call in a video is a big plus and very helpful
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.
Many people carry a reference card with common prescription medications on it that can be referenced on calls. You can also ask the patient what the medication is taken for, or look it up on a phone or tablet if you have one for charting.
This video helped make me more confident. Reading off signs and symptoms and treatment from a book is one thing but actually watching how the process and treatment would actually happen during a call in a video is a big plus and very helpful
Dude blinks a lot lol but other than that great video!
Hot pocket consumption induced stroke
That's why we always need to remember to ask about Last Oral Intake during SAMPLE!
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.
Awesome video.. it really helped me. Thank you
Excellent video.
Thanks so much for the comment, Randy!
What do emt do when he doesn’t know what that medication is
Many people carry a reference card with common prescription medications on it that can be referenced on calls. You can also ask the patient what the medication is taken for, or look it up on a phone or tablet if you have one for charting.
@@IdahoMedicalAcademy thank you so much