5 responsibilities of an EMT

[fast65]

My english!! Thats just insult just because im asian...well anyways EMT supposed to act professional not bunch of kids right...if you dont wanna help a fellow EMT then dont act a little selfish kid we all grown up already...

If you're in Asia and English isn't your first language, then I apologize. However, if you're Asian-American and live in the US, then I stand by my previous statement.

I'm not selfish...just incredibly awesome.

 

[Anjel]

I'm not selfish...just incredibly awesome.

Lmao I <3 you

 

[fast65]

Lmao I <3 you

At least someone does


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[hoss42141]

How many contradictions is there to epi, and nitro?

 

[Sasha]

At least someone does


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Aww come on honey bear I'm sure lots of people love you.

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[mycrofft]

Hoss, you meant Contraindications, right?

........

 

[Handsome Robb]

How many contradictions is there to epi, and nitro?

Epi has 2 relative contraindications.

NTG has 4. Now your hw assignment is to go out, look them up, then report back with what they are. The best part is you probably think I'm joking, I'm not, you'll never be a good provider if you don't put in the leg work. Frankly if you don't want to put in the work when you get a job let me know where so I can stay far away from there. No offense intended, thats just how I feel about it.

 

[fast65]

Aww come on honey bear I'm sure lots of people love you.

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No, lies! I will now continue to mope around for the rest of my shift.


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[crazycajun]

I honestly wasn't trying to be sarcastic or put down EMTs at all, that's actually their role in our system. There just isn't much for them to do in terms of patient care since we have medics on every call who prefer to take the lead.

CC we also have medics on every call. However we do let EMT's take the lead on many calls. How else will they ever gain experience? Even though I am an EMT-I, I do train a ton of EMT-B's as I have been in this field for over 20 years. Although some of the newbies have no reason to ever be in any type of PT care, there are some that will make great medics in the future. I want to make sure they can learn by doing and not just carrying equipment and watching.

 

[Handsome Robb]

CC we also have medics on every call. However we do let EMT's take the lead on many calls. How else will they ever gain experience? Even though I am an EMT-I, I do train a ton of EMT-B's as I have been in this field for over 20 years. Although some of the newbies have no reason to ever be in any type of PT care, there are some that will make great medics in the future. I want to make sure they can learn by doing and not just carrying equipment and watching.

The running joke here is "Medics don't run the truck, Intermediates do." We run I/P and a majority of our calls are ILS or lower. EMTs in my service work just as hard as the Medics. We have semi-progressive protocols that allow providers to do a lot of critical thinking.

I know the medic is ultimately responsible for what happens on the truck.

 

[EMT11KDL]

For all the basics out there that are taking offence to the comments and jokes about basics.. i am honestly LMAO and I am a basic.. when all the Medics fancy airways and meds dont work, the all go back to there BLS skills..

 

[Chief Complaint]

CC we also have medics on every call. However we do let EMT's take the lead on many calls. How else will they ever gain experience? Even though I am an EMT-I, I do train a ton of EMT-B's as I have been in this field for over 20 years. Although some of the newbies have no reason to ever be in any type of PT care, there are some that will make great medics in the future. I want to make sure they can learn by doing and not just carrying equipment and watching.

I think it stems from the fact that usually both providers on the truck are medics, its very rare for a basic to even be out there. When they are there, its just in a support role. In most cases there will be several units responding, which means tons of medics, so an EMT won't get a chance to do much. I'm not saying that its right, its just the way it is here.

 

[BrushBunny91]

Epi has 2 relative contraindications.

NTG has 4. Now your hw assignment is to go out, look them up, then report back with what they are. The best part is you probably think I'm joking, I'm not, you'll never be a good provider if you don't put in the leg work. Frankly if you don't want to put in the work when you get a job let me know where so I can stay far away from there. No offense intended, thats just how I feel about it.

I'm gonna be that guy that answers when not called on.

Emergency care 12th edition says specifically epi has no contraindications when used in life threatening emergencies. The only things I can think of is the epi is not prescribed to patient and epi is not a clear liquid and expired.

Nitro, patient with history of asthma, bp systolic under 100... Bummer let me get the book out... Patient has taken a drug for erecile dysfunction, patient has head injury, patient is a child or infant, patient has already taken maximum dose.

 

[JPINFV]

Patient has taken a drug for erecile dysfunction ... patient has already taken maximum dose.

1. So, a patient has a history of pulmonary hypertension and has been prescribed Revatio. Do you give nitro?

2. What's the maximum dose of nitro? Additionally, what is the purpose for that limit for the administration of nitro?

 

[BrushBunny91]

My apologies. Asthma is not a contraindication for nitro. It is for aspirin.

 

[JPINFV]

Asthma is also a contraindication for beta blockers.

 

[BrushBunny91]

1. So, a patient has a history of pulmonary hypertension and has been prescribed Revatio. Do you give nitro?

2. What's the maximum dose of nitro? Additionally, what is the purpose for that limit for the administration of nitro?

I'm afraid I do not know what revaltio is, But I would assume that as long as the systolic is not under 100 that I can assist with nitro.

The maximum number of doses is three and it is to... Prevent the vessels from dilating too much? I honestly do not know the answer.

 

[usalsfyre]

when all the Medics fancy airways and meds dont work, the all go back to there BLS skills..

OOORRR...we break out scalpels and electricity...

 

[JPINFV]

I'm afraid I do not know what revaltio is, But I would assume that as long as the systolic is not under 100 that I can assist with nitro.

Revatio is another brand name of Sildenafil (Viagra), except marketed for pulmonary HTN. This (and I know it's not -your- fault) is the issue I have with teaching students to avoid "erectile dysfunction" drugs instead of PDE* 5 inhibitors. Now add to this the fact that there's a body of evidence that shows it could be useful for [enlarged] prostate hypertrophy, and I can see some poor patient being given nitro when they're on a non-erectile dysfunction PDE-5 inhibitor.

The maximum number of doses is three and it is to... Prevent the vessels from dilating too much? I honestly do not know the answer.

Look up "high dose nitroglycerin." The 3 dose maximum is for the patient to know when it isn't just angina, and time to get to the hospital ASAP.



*PDE = phosphodiesterase = enzyme that breaks down cGMP, which is the second messenger telling arteries to dilate. PDE-5 inhibitors with nitro is like cutting the breaks to a car and then slamming on the accelerator.

 

[systemet]

My apologies. Asthma is not a contraindication for nitro. It is for aspirin.

Bear in mind that asthma is generally regarded as a relative contraindication for ASA. While you have to follow local protocol, if you have someone with a STEMI, they're going to have to be actively wheezing or very poorly controlled to be able to justify withholding the ASA.