MRT/MFR test on Tuesday..

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I am beyond nervous although I think I have most of it down. Before today I was pretty confident that I'd be able to pass the written portion easily and I was really nervous about the practicals, but now it's the other way around. In class tonight we went over the practicals and I was surprised at how well I did. However, I'm SO worried about forgetting everything before Tuesday.. I need to study, but it's so much easier going through things when you have someone (who's a paramedic and can tell you a lot) standing right next to you.

If anyone can give me any tips it would be greatly appreciated.
I'm also going to put down some stuff, please let me know if I'm missing anything.

CPR

-BSI, scene safety!
-Talk to victim
-Are you okay?
-Can you hear me?​
-Ask partner/bystander to call 911
-Head-tilt, chin-lift; listen to air coming out of the nose, feel for air coming
out of the mouth, watch for rise in chest
-Give 2 breaths with BVM
-Start compressions, ratio of 30 compressions to every 2 breaths,
-Continue doing compressions & using BVM until medical personnel arrive with AED


Medical Assessment
(Chest pain, breathing is slowed down)

-BSI, scene safety!
-Introduce yourself/assess responsiveness - AVPU
-Put them on high-flow O2, 15 l/m through non-rebreather
-If they can't handle the non-rebreather, use nasal cannula 4-6 l/m​
-Put them in a comfortable position that allows them to breathe better
-Go through OPQRST
-When did you start having chest pain?
-Is there any movements/pressure that make the pain better or worse?
-Can you describe the pain?
-On a scale of 1-10 how bad is the pain?
-How long has this ever happened before? If so, when was the last time?​
-Go through SAMPLE questions
-Signs/symptoms - already covered in OPQRST
-Are you allergic to anything?
-Are you currently on any medications?
-Pertinent past history - already covered in OPQRST
-What was the last thing you ate or drank?
-What were you doing before the chest pain started?​


Trauma/rapid Assessment
(Unconscious patient)
-BSI, scene safety!
-Have partner hold C-Spine
-Check head for any crepitice
-Check neck for tracheal deviation
-Check shoulders
-Check arms, take pulse and check cap refill
-Check sternum
-Feel the four quadrants of the abdomen for any rigidity or distension
-Check pelvis
-Check legs for any swelling, deformities / DCAP-BTLS
-Check pedal pulse & cap refill


Splinting
(Fracture in radius/ulna)
-BSI, scene safety!
-Take radial pulse in broken arm
-Check cap refill
-Put splint on
-Put sling on
-Put swath on
-Check pulse & cap refill once again
 
Do MFR's do Provider level CPR? If so, why no painful stimuli? Little piece of advice on CPR... when testing, don't check for pulse before breaths! It's different in real life, but you're being tested by the book.


After SAMPLE, does the situation just end? Ditto for trauma.




You'll be fine, don't worry. It always seems much harder until its done. Take your time, as you'll have plenty of it at each station. Don't rush. Speak the step outloud, it helps.
 
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Linuss said:
Do MFR's do Provider level CPR? If so, why no painful stimuli? Little piece of advice on CPR... when testing, don't check for pulse before breaths! ABC for testing, CAB for real life!!!

Gosh, seems so simplified, no offense. After SAMPLE, does the situation just end? Ditto for trauma.
Click to expand...

I'm not really sure.. we haven't really used painful stimuli with CPR in my class. I should definitely keep that in mind though.

As for medical & trauma, I guess so. I just went through that station today, went through a majority (if not all) of what I posted and my teacher told me I did a really good job. That is a good question though.. hm..
 
Well go by what the teacher has taught/tells you, and not some EMT in a different state that doesn't know your guidelines. If you didn't use painful stimuli in class, then don't on the test. If he said you did good on the school, do the exact same thing in the test.


When you (hopefully) took AHA CPR, was it provider level, or layperson?
 
Linuss said:
Well go by what the teacher has taught/tells you, and not some EMT in a different state that doesn't know your guidelines. If you didn't use painful stimuli in class, then don't on the test. If he said you did good on the school, do the exact same thing in the test.


When you (hopefully) took AHA CPR, was it provider level, or layperson?
Click to expand...

Ah, I wasn't necessarily saying I was going to use it on the test, just to keep it in mind for any future calls.

I'm not sure whether the AHA CPR class I had was provider level or layperson.. but I'm thinking it might have been layperson?
 
I haven't received it yet.. still waiting on it. I hope it doesn't take too much longer to arrive. It's been about a month since the class.
 
Did you do AHA?

They give the card at the end of the class.
 
Yeah, it was definitely an AHA class. However, the teacher said he didn't have any cards on him and they would have to be mailed out. I think that was a pretty dumb way to go on his part and I'm not sure why he didn't have them with him if he knew he was going to be doing a CPR class that night.
 
Dont worry! The best way to study is to do it over a range of time, not the night before. Start a certain number of days before the exam, and do one chapter/unit a night, then the night before you can do a quick review of everything and then relax. I scored a 92% on the Maryland First Responder exam. The practicals are okay if you take them slowly and don't rush. REMEMBER BSI AND SCENE SAFETY!
 
Thanks :) That's the first thing I always remember! I wish I would have started studying earlier.. I'm going to attempt to do 130 pages of the book Saturday, Sunday and Monday.. hopefully I can make it through. I'm pretty sure I'd hate myself if I failed on the first try.
 
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