Search results

Hi had this patient that was a young adult with chest pain. I did a quick BSI assessment, then saw 1 patient, asked for HPI and Pmx which was pain started 10 minutes ago no other symptoms and no past medical history, SAMPLE: CP, no allergies, no meds, no pmx, last oral intake was a healthy...

Just a scenerio I made up um the ETCO2 is 34 and 12 lead shows the S1 Q3 T3 pattern.

I do 2;12s so, 24 hours. I am a EMT-A. I am part time in EMS also soon starting my bachelor's for a pre PA I am currently working as a full time salesman for my local Ford dealership.

Ok thanks for all the tips and feedback. So how well did I do on your scenerio?

2. 👍 3. Our EDs like IVs routinely and not sure all about the pharmacology but I assume a med can be given to treat AFib with RVR and heart rate probably around high 130s before meds just a guess not completely sure it's not in my scope of practice to treat AFib with RVR but would love to hear...

1. Ok maybe I did over exaggerate 2. I see a high BP so not low so I know they have perfusion 3. I do IV's on most patients because I really see so much that could be usually in ED like labs or doctor ordered meds. I did in this scenario Incase heart rate climbs and BP...

Oops didn't see that the first time I read it

Also check A&O and ask pain scale 1/10

I probably would start a IV, ask if right upper or right lower, do a exam including a mc Burney's, start transport and if a medic is on our way to the hospital and doesn't delay transport allow a medic to do a eval en route or just transfer. Advice ED on patch that patient is in AFIB with RVR.

Ok thank you for being clear with your feedback because I can process and learn from it :)

The other scenerios help me by feedback. These keep other providers up to date. I shouldn't have questions? I thought questions are a good thing because means even after completing training I get to learn and improve. I haven't done one thing that would hurt a patient and haven't given a...

What? No this is a fun way to keep updated. Also a bit hurtful of a comment.

So I have been doing these scenerios that help me learn from feedback and I attend to still do some of those scenerios Because I love the learning. But I am also going to give scenerios for other people to work up for fun learning. You are dispatched to a 60 year old chest pain BSI scene safe...

Thank you for the feedback I will try to take better histories and create more of a differential. Thanks for being clear on what I can improve I really appreciate! :)

Thanks for the link. I will definitely look at it and keep it in mind :)

I considered cancelling intercept yes, but decided not to so the medic could give input. Like interpret the ECG we did on a advance level. Btw we ECGs for a lot of reasons at my company including the complaint of weakness.

My differential is infection, surgical complication, or the chance it's unrelated. I wanted a intercept because patients hemodynamic status was questionable and if BP drops a bit more the medic could give a presser unlike me. Medic may not be able to help with sepsis but can help with a...

No we were close when I met with the intercept. The overall ETA was 15min but we started driving with patient then met up with a intercept on the way. No delay in IV or fluids

This scenerio is based on a recent case so s few details are changed for patient privacy. Male 50s CC of weakness Vitals are HR in low 100s BP around 99/48 O2 98% on RA RR 20 Temp 101.6 BGL 104 SAMPLE: Weakness, no allergies, taking ibuprofen for pain post surgery, past medical history...

Ok. I think I understand what I did wrong so I can apply the lesson to future cases.