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At a quick glance, there appears to be a mountain of evidence suggesting that shorter door-to-balloon times are associated with better outcomes. 10 minutes can make a difference. Just because you have 90 minutes until Medicare dings you or whatever doesn't mean faster isn't better for those...

Maybe this scenario is too abstract -- there are so many variables to consider. The likelihood that we find a Mobitz 2 in an asymptomatic patient is basically 0%. Somehow somebody called 911 and we were suspicious enough to put patient on the monitor... I guess it comes down to are we...

https://www.ncbi.nlm.nih.gov/books/NBK482359/ If I incidentally found a 2nd degree type 1, I'd probably ask a little bit about cardiac history and things that could cause it, but not worry too much. If you found a 2nd degree type 2, you probably want to have a high index of suspicion. If...

I am not an expert, and have been wrong many times before, but I don't think pre-hydrating is a thing (beyond making sure you aren't dehydrated to start). In fact, drinking a lot of water beforehand is likely to INCREASE your chances of having fluid balance problems, because you lose some...

Are you working somewhere right now? Think about finding a paramedic to tutor you for $20-30/hr. You just need someone to watch you do practice questions who can pick up on where you're going wrong with your understanding of the material / your approach to studying / your approach to...

I went zero to hero (EMT B->P without experience) and turned out fine. Working as a basic for 2 years during medic school should set you up fine. As you can see though, people have strong and varied opinions about this topic. Medpacks what is your education background? What kind of research...

It just seems strange to me that she could go from being (presumably) normal, to cardiac arrest from DKA 2 hours later... Could it possibly have been a poisoning/ingestion, either accidental or intentional/suicide? St, what were her breaths like, were they deep and kussmaul-ish?

This almost certainly has to either be a primary neurologic or a metabolic problem, I think... Most likely either an ischemic or hemorrhagic stroke I would guess, given such acute onset? Any more info from the son about how she is normally? Was she 100% stone cold normal when he left 2 hours...

Probably you either did really well or really poorly. I've taken/passed it three times: first time I went to 120 questions, second time I finished right at 70, third time I went to like 80ish even though I know this was my best attempt yet ¯\_(ツ)_/¯

It'd be nice to know if the patient OD'd or if he's a diabetic that had a hypoglycemic episode - might be able to figure that out by looking around in the car.

All respect to Austin, I'm sure he's a great medic. It's too bad EMS1 didn't hire him to proof-read this article... 😭 😭 9/134 = 6.7% 🤔

I love this site, have probably spent a few hours on here in total: https://www.skillstat.com/tools/ecg-simulator

I'm not aware of a window period for STEMI's like there is for strokes? I thought the "90-minute window" is more of a guideline for the ED -- If PCI can't be done within 90 minutes of presentation, they are supposed to start fibrinolytics. It's not like you just don't do a cath in this...

Less whining, more flash cards.

I'd probably do this: Sign up for a NREMT practice question site like Kaplan / JBLearning / etc. Download Anki flashcard program Go through practice questions and use them to guide studying. For example: Based on this question, I'd say jeez what's the heck is "vermitium" or "travicula"...

If you have some free time, it's fun to poke around on erowid: https://www.erowid.org/psychoactives/psychoactives.shtml It's more or less a website "by drug users, for drug users", and they try to provide information and science so people can be as safe as possible when using. It's probably...