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I know scope varies by state and so do protocols, but I am just looking for a general guideline. If an EMT obtains a 12 lead, can they go by the ecg machine interpretation to advise the patient as far as a refusal goes, or does it have to be transmitted to the hospital? I’m in Virginia by the...

Why do you assess peoples pupils with possible head injuries that are fully alert and oriented? Correct me if I’m wrong, but if you have a bad enough head injury/increased ICP, wouldn’t there be more signs and symptoms? Is it just being extra thorough?

First of all, I am a certified EMT, and have been for a few months. I was one of the top in my class, and passed national registry with just a few more than 70 questions, so I’m not stupid. I think I know a lot of the stuff I ask, but I just doubt myself. The main thing I’m wondering about now...

Anyone have any tips for hearing blood pressures? I have a horrible time hearing them. I have a Littman classic iii stethoscope. I don’t know if a better one would help or not.

What should you do as far as supplemental oxygen if a patient has a normal spo2, and no obvious signs of hypoxia/dyspnea, but complains of difficulty breathing?

What all conditions require supplemental oxygen regardless of spo2 or presentation? I assumed most everything depended on spo2 or presentation, but I read that all pneumothorax’s should receive oxygen because it helps it to heal. What else is like that?

Should all pleural effusion patients receive supplemental oxygen, or just if they are hypoxic?

What do you do if someone has took a BLS medication (Zofran, Benadryl, albuterol etc.) prior to your arrival, but still needs more? How long after each does it have to be for you to give them. That is something that my protocols don’t really say.

Does all types of shock cause low etco2 or just septic? If it’s just septic why is that? I know a lot of stuff uses etco2 of <26 for sepsis, but not other types of shock.

I’m having trouble I guess understanding the purpose of some of the history taking at a BLS level. So for example, if you had some one call for constipation, what are some questions you would ask and why?

What symptom differences are you going to see in a concussion, vs a subdural hematoma, vs an epidural hematoma, vs a subarachnoid hemorrhage?

Should you do a full head to toe on every patient including medical patients? If you do not, should you mark "not assessed" or "no abnormalities" since you can visualize without touching and removing clothing?

I have a few random unrelated questions. Can compazine help esophageal spasms? Does compazine work by paralyzing the muscles that make you vomit? Can glucagon cause tachycardia? Can magnesium sulfate help esophageal spasms?

I don’t know how the best way to do it is.

Does internal bleeding cause bradycardia? I would assume it would cause tachycardia. A patient I had today had me confused.

I just don’t see what you would need to write. Maybe I’m missing things 😂