Static Cardiology

Lopester

Lopester

Forum Probie
21
0
1
I'm about to take my NREMT-P exam (for the second time) in just over a month. last time I failed the static Cardiology because I ran out of time. I found myself being very long winded about the treatment of each rhythm because I did not know what was an acceptable answer. (in school we were not tested this way we just did entire scenarios)

Do we interpret the rhythm and just say what medication and the proper dosage? (an old training video i found said not to do this)
Do we verbalize routine medical care before verbalizing whatever interventions we deem necessary?

thanks for the guidance.
 
OP
OP
Lopester

Lopester

Forum Probie
21
0
1
PA EMT said:
Keep It Simple ... 1) Verbalize Diagnosis, 2) Verbalize Treatment. The end.
Click to expand...
Ok.. So for example... I am given an obvious v fib strip. Do I rattle off the entire ACLS algorithm (lengthy) or say CPR and Epi (oversimplified.. which is how your are making it seem)
 
NomadicMedic

NomadicMedic

I know a guy who knows a guy.
12,103
6,849
113
"This strip is coarse VF. My treatment for VF is high quality CPR with defibrillation shocks every 2 minutes, Epi every 3 to 5 minutes and up to two bolus doses of Amiodorone if indicated."

That's all I would say. If the proctor has questions, they'll ask.
 
OP
OP
Lopester

Lopester

Forum Probie
21
0
1
DEmedic said:
"This strip is coarse VF. My treatment for VF is high quality CPR with defibrillation shocks every 2 minutes, Epi every 3 to 5 minutes and up to two bolus doses of Amiodorone if indicated."

That's all I would say. If the proctor has questions, they'll ask.
Click to expand...

Excellent.. Thank you for your response.
 
jteeters

jteeters

Forum Crew Member
52
25
18
The way we were taught in my Paramedic program is to start off the rhythm by identifying it, and then pretty much rattle off the algorithm. The style we were taught was (using your Vfib strip for example) went like: "This is Vfib. LOC, CAB, O2, IV, Monitor, Fluid (just so that part is out of the way)"...and then everything that DEmedic said. I used that method...and passed the first time. Happy to report, I passed the written yesterday and am now a Paramedic! Good luck!
 
OP
OP
Lopester

Lopester

Forum Probie
21
0
1
jteeters said:
The way we were taught in my Paramedic program is to start off the rhythm by identifying it, and then pretty much rattle off the algorithm. The style we were taught was (using your Vfib strip for example) went like: "This is Vfib. LOC, CAB, O2, IV, Monitor, Fluid (just so that part is out of the way)"...and then everything that DEmedic said. I used that method...and passed the first time. Happy to report, I passed the written yesterday and am now a Paramedic! Good luck!
Click to expand...

Congratulations!!! thank you for your response. i'm going to use this..
 
jteeters

jteeters

Forum Crew Member
52
25
18
I hope it works out for you. As long as you hit everything, you should be fine, but make sure you get the rhythm right. No rhythm, no points. Keep us posted. And thank you!
 
STXmedic

STXmedic

Forum Burnout
Premium Member
5,018
1,356
113
Just two general tips for static:

As has been said, make sure you identify the rhythm correctly. If you miss the rhythm, you miss all of the treatments associated with it (even if the treatments would have been the same). Hopefully your instructor has pointed that out, but it bears repeating since I see people rush the rhythm all the time.

Secondly, don't try to force treatments. It's not uncommon for you to be given a strip that is a completely benign rhythm, or a rhythm/presentation that requires nothing but monitoring.
 
TransportJockey

TransportJockey

Forum Chief
8,623
1,675
113
And if the cards are faded, bring it up to the proctor if you have.difficulty reading it
 
Never2Old

Never2Old

Forum Crew Member
89
60
18
DEmedic said:
"This strip is coarse VF. My treatment for VF is high quality CPR with defibrillation shocks every 2 minutes, Epi every 3 to 5 minutes and up to two bolus doses of Amiodorone if indicated."

That's all I would say. If the proctor has questions, they'll ask.
Click to expand...

Spot on ... Just did this on my test and that is how I answered and passed my Static Cardiology. Had four rhythms, and one of the four was just Monitor, O2 and Transport. No need to overthink. One of my classmates did that and went down several rabbit holes and failed.
 
jteeters

jteeters

Forum Crew Member
52
25
18
PA EMT said:
Spot on ... Just did this on my test and that is how I answered and passed my Static Cardiology. Had four rhythms, and one of the four was just Monitor, O2 and Transport. No need to overthink. One of my classmates did that and went down several rabbit holes and failed.
Click to expand...

We had an overthinker too, haha. He messed up a couple of things and ended up failing. For three weeks after at, every day I'd get a text about some rhythm. Told him the very same that everybody else told him, and explained to him my method...and he passed. The texts have stopped! I'm freeeeee
 
bcemr

bcemr

Forum Crew Member
59
15
8
Do they throw any curve balls, or do they typically stick to textbook style rhythms?

I have my practical coming up. I'm not too worried about it, rather curious than anything.
 
NomadicMedic

NomadicMedic

I know a guy who knows a guy.
12,103
6,849
113
There are no tricks in the NREMT practicals. If you can interpret basic rhythms and treat them, you'll be fine.
 
STXmedic

STXmedic

Forum Burnout
Premium Member
5,018
1,356
113
bcemr said:
Do they throw any curve balls, or do they typically stick to textbook style rhythms?

I have my practical coming up. I'm not too worried about it, rather curious than anything.
Click to expand...
There are no curveballs, but people often over-think simple rhythms and presentations.
 
H

Handsome Robb

Youngin'
Premium Member
9,736
1,173
113
We had a rhythm that they tried to say was a Mobitz Type-II but marched out perfectly as a Complete Heart Block. Ended up having to give the pass to both analysis of it when we all contested failing that specific rhythm.
 
A

Aprz

The New Beach Medic
3,029
664
113
Handsome Robb said:
We had a rhythm that they tried to say was a Mobitz Type-II but marched out perfectly as a Complete Heart Block. Ended up having to give the pass to both analysis of it when we all contested failing that specific rhythm.
Click to expand...
With a complete heart block, the ventricular beats should be regular. Did it not have a missing QRS / regular irregular rhythm?
 
You must log in or register to reply here.
Top