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Just felt like sharing that I passed the CBT of the NREMT-P this last week, shut off at 90 questions, first attempt. Huge weight off my shoulders...now I just need to tackle the practical... in the mean time, more biology courses and more anatomy courses to help me become a better clinician and...

Okay so tonight we got a call for Mental Status Change. Our patient was a0x1, nonverbal, and could not follow commands, pupils = but slow to react. Patient is normally aox2, somewhat verbal, and follows commands. History of a-fib and past CVA. vital signs all within normal limits. onset of...

I didn't know I had a back injury. It was supposedly just a muscle strain. I didn't find out about the disc involvement until last December when my doc finally decided to give me an MRI. Its extremely mild but its there. ER tech is a good idea rob. They hire a lot of medics in the ER's...

Well, its starting to look like my DDD and mild L5-S1 herniation are going to knock me out of EMS..and I only just started a year ago! Its become apparent that working as a EMT is just making it worse and exacerbating it, regardless of physical therapy/weight loss/anti-inflammatories. Worst...

hello I can't agree with medichopeful more. A good understanding of A&P is VERY helpful. With that, a lot of things will fall into place. Also, as the class progresses and you learn treatment modalities and drugs, you'll understand WHY you're doing what you're doing and how its affecting your...

Thanks for all the feedback ven I appreciate it, and have been researching more into every possible explanation you gave. Also, I picked up a book about fluid/electrolyte balances to better understand all of that. We went over it in medic class, but very limited.

Pt. had a catheter. The pulse was rapid, but strong and regular with no abnormalities.

Oh also..... -on vicodin 325/5 -dialysis tx had not been started -only given Flagyl the morning before treatment my mistake about the hypo k+, hyper makes way more sense. I just get frustrated with myself when I don't know something so I try to get as much information about what I...

sorry ven! I wrote this in a hurry. doh I meant hyper not hypokalemic oops. And apparently not everything I wrote posted. Ven for your questions -Pt. only has 1 kidney and ESRD -Right nephrectomy due to Kidney CA -Not currently on chemo, although finished it within the past couple of weeks -No...

Had a call earlier I wish to get some input on. Here's the scoop....oh and its on a Basic truck, Hx: Kidney CA, Right nephrectomy, HTN, Hyperlipidemia, Anemia Took a regular dialysis pt. to dialysis, VS the entire time are normal, 110/64 HR 82 and regular Resp 18, pt. has no complaints at...

You are of course correct. I just posted this because...I don't know. I'm just rather anxious/worried about it, felt like I needed to type it out.

Okay so last year I used to work construction, long story short hurt my back lifting some cinder blocks. Saw the doc, diagnosed with a strain yadda yadda. Here we are a year later, still having issues. Somedays i'm fine, other days I have sharp shooting pain, muscle weakness of the lowerback...

the oxygen sat was 97%, no cyanosis. Pt. had a history of GERD(can cause bleeding), COPD, Pacemaker, CHF, PAD.

so what you're saying is it very well may of been a PE but just a partial occlusion? I'm relatively new to working the road. I was suspicious given the hx of recent dvt and coumadin....but I felt confident in my assessment since he lacked the low O2 sat, pain on inspiration, SOB that I was...

Recent call I've had..want to get some input because it's bothering me for some reason. Dispatched to GI bleed, turns out pt. had coughed up a "glob" of blood earlier in the day, about 2 hours before they called us. Assessment was fine, pt. was negative for any SOB, no pain on inspiration, no...

thanks for all the input everyone, very helpful. Yeah...I agree DIB sound's weird but my company uses it and I use it out of habit.

So I had this routine bariatric IFT from hospital X to nursing home X. Pt. is 550lbs, hx emphysema, copd, asthma, CHF, diabetes,, chronic pneumonia, etc. Pt. c/o DIB once in the truck to leave hospital X, states its because of the heat in the ambulance. Once cooled down, breathing improves so I...

I'm going to take a guess and say she took her calcium incorrectly causing hypercalcemia. That would at least explain the muscle twitches and generalized severe pain, and it could account for her HTN as well. Just my guess though.

It just said morphine, nothing about morphine sulfate. But sulfate and sulfa drugs differ in their chemical makeup don't they? Anywho, thanks for the input everyone, I was just curious and it was a question that was kind of nagging at me.

I have not started my medic yet (my class starts July 10th woo!) So I do not have a very large knowledge base regarding pharmacology. I noticed the other day that a pt. of mine had an allergy to morphine, however was prescribed tylenol #4's and hydrocodone. This made me curious, since the pt...