I had severe abdominal pain for over a year and I had 2 doctors that kept saying it was me overthinking and creating anxiety making myself physically sick and in April of last year I woke up And couldn’t walk due to the pain and the paramedics (buddies of mine) rushed here and lifted my shirt up and my abdomen was tender and warm to the touch and was extremely painful! They took me to the ED/ER and they did an ultrasound, X-rays, MRI, Blood Work, A Urinalysis, and A CT Scan all that morning and turns out my Gallbladder Had Ruptured. The paramedics were super professional!
Great question PJ! We'd recommend memorizing the skill sheets and reciting them verbatim into a voice memo app on your phone. This will give you a way to practice recording it and listening to it on playback.
Curious why we call for ALS instead of just transporting? Level of consciousness is normal, vitals are stable, and there is not much we can do at this level. Since she is in acute distress she probably wants to be transported right away.
is there a reason why you didn't treat for shock in this situation pale cool skin, increased bp, and respiratory rate? genuinely curious if anyone knows
Shock is hypotensive and if he would have went a little further in depth and lifted up the shirt to check for ecchymosis he most likely wouldn’t have found any. Flank or periumbilical bruising is a good sign of internal bleeding which with abdominal NOI would come from internal bleeding. Shock is low perfusion/hypotension and it’s key signs are normal narrow bp during compensated shock high hr and cool and clammy skin. Also your resp rate would be elevated. Decomp shock is when you see low BP. 😊
12 to 20 BPM is normal breathing. she doesn't need o2, cant just put a patient on oxygen for the sake of it, first you would need to get a pulse ox reading, the fact shes breathing more than 20 in this case), no need for oxygen
May just be me over thinking it. But it seems like this one was too simple like more could of been done. But then again the situation was too difficult so maybe not.
@@michaelu2562 you took ur first set of vitals at the first 5 minutes. That first set will determine if ALS is needed. Ur first set basically everything u need to know. When load up, u start taking vitals every 15 minutes to the hospital. If this is a ALS intercept, it's critical. So taken ur vitals every 5 minutes on the way to meeting ALS. If ur not meeting ALS and the patient is critical, still take vitals every 5 minutes on the way to the hospital
@@johnnyamaro1933 right , stable is every 15 , critical every 5, but during the scenario do we just verbalize that to the instructors or do we actually reassess like physically take vitals again ?
To a point, this is a simple medical scenario, but they are trying to reflect the steps / actions you will verbalize during the skills stations rather than focus on the treatment of the GI issue. Also, sometimes all we can do, as EMTs, is transport the patient to a higher level of care once we’ve established they are stable.
Great question Jordaan. The industry has moved away from everybody getting oxygen. Like other medications, oxygen must be indicated prior to administration. While we ALWAYS recommend you follow your local protocols, most agencies suggest administering oxygen when the SpO2 is 94% or less. I hope that helps!
I had severe abdominal pain for over a year and I had 2 doctors that kept saying it was me overthinking and creating anxiety making myself physically sick and in April of last year I woke up And couldn’t walk due to the pain and the paramedics (buddies of mine) rushed here and lifted my shirt up and my abdomen was tender and warm to the touch and was extremely painful! They took me to the ED/ER and they did an ultrasound, X-rays, MRI, Blood Work, A Urinalysis, and A CT Scan all that morning and turns out my Gallbladder Had Ruptured. The paramedics were super professional!
These are so helpful! I’m starting my EMT program in January
I passed my practicals thanks to this!!!
@@whataday67 well done!
What’s the best way to practice this if you do not have anyone to give you sanarios
Great question PJ! We'd recommend memorizing the skill sheets and reciting them verbatim into a voice memo app on your phone. This will give you a way to practice recording it and listening to it on playback.
Just curious if in the States you need to seek consent before treating?
Yes
Curious why we call for ALS instead of just transporting? Level of consciousness is normal, vitals are stable, and there is not much we can do at this level. Since she is in acute distress she probably wants to be transported right away.
Irl you might not but for the exam you might as well say it no matter what just in case
is there a reason why you didn't treat for shock in this situation pale cool skin, increased bp, and respiratory rate? genuinely curious if anyone knows
the DEAD give away for shock is PALE, COOL, and DIAPHRETIC(sweaty), skin. increased respiratory rate could be anxiety or the pain from the abdomen.
Shock is hypotensive and if he would have went a little further in depth and lifted up the shirt to check for ecchymosis he most likely wouldn’t have found any. Flank or periumbilical bruising is a good sign of internal bleeding which with abdominal NOI would come from internal bleeding. Shock is low perfusion/hypotension and it’s key signs are normal narrow bp during compensated shock high hr and cool and clammy skin. Also your resp rate would be elevated. Decomp shock is when you see low BP. 😊
Good job
Breath rate is 24 then why don't the emt start o2?
12 to 20 BPM is normal breathing. she doesn't need o2, cant just put a patient on oxygen for the sake of it, first you would need to get a pulse ox reading, the fact shes breathing more than 20 in this case), no need for oxygen
May just be me over thinking it. But it seems like this one was too simple like more could of been done. But then again the situation was too difficult so maybe not.
My question is , what about the reassessment part? We don’t take vitals again?
@@michaelu2562 you took ur first set of vitals at the first 5 minutes. That first set will determine if ALS is needed. Ur first set basically everything u need to know. When load up, u start taking vitals every 15 minutes to the hospital. If this is a ALS intercept, it's critical. So taken ur vitals every 5 minutes on the way to meeting ALS. If ur not meeting ALS and the patient is critical, still take vitals every 5 minutes on the way to the hospital
@@johnnyamaro1933 right , stable is every 15 , critical every 5, but during the scenario do we just verbalize that to the instructors or do we actually reassess like physically take vitals again ?
Just verbalize to the examiner the time interval you would select for re-assessment and repeating vitals.
To a point, this is a simple medical scenario, but they are trying to reflect the steps / actions you will verbalize during the skills stations rather than focus on the treatment of the GI issue.
Also, sometimes all we can do, as EMTs, is transport the patient to a higher level of care once we’ve established they are stable.
Shouldn't he have put her on 15L/min O2 via NRB? I thought everybody gets O2.
Great question Jordaan. The industry has moved away from everybody getting oxygen. Like other medications, oxygen must be indicated prior to administration. While we ALWAYS recommend you follow your local protocols, most agencies suggest administering oxygen when the SpO2 is 94% or less. I hope that helps!