Hey guys! First post here so I apologize if it's been answered before or if I have placed it in the wrong area.
Anyway, I recently took my NREMT practical exam (EMT-B) in Connecticut. First time around I passed Trauma,AED,Airway,and Random. KED and Medical posed some problems to me. I registered to take the retake about 2 weeks later.
I took the retake again, and to my disappointment, no joy! I know why I failed KED (I was nervous and did not reassess PMS after moving patient to a LSB), but I have no idea why I failed medical. Honestly I followed the sheet exactly, but I did it appropriately and expanded on my thoughts so I wasn't just reciting it. I was hoping you guys could help me out. Below is the situation, followed by my actions.
SITUATION:
40 y/o male
Woke up complaining of headache, tingling arm, and has slurred speech.
Airway is patent
Breathing is within normal limits
Pulse: Strong ; Skin: Dry, cyanosis around lips and fingerbeds.
OPQRST: Everything was maxed out. Nothing made it worst or better. No radiation. Described the pain as sharp (in regard to the headache)
SAMPLE: Aforementioned signs and symptoms, allergic to penicillin, diagnosed with HBP and is currently on HCTZ, everything else normal.
Pulse: 140
BP: 210/110
BR: 24
MY ACTIONS:
I'll skip all the basic stuff. I know I hit every one of the simple things. Here are my actions that would change based on the situation:
-Questioned "wife" if there were any C-Spine precautions needed
-Immediately began Hi-flow O2 at the sign of cyanosis (15l NRB)
-Made decision for immediate transport (called for ALS)
-Secondary Assessment: Checked lung sounds (equal)
Checked for any JVD (none)
Checked for pedal edema (none)
-Interventions: I said that under my skill set, I could not give HCTZ in the field. This is true, right? Assuming that it was, I said I would continue to monitor the patient every 5 minutes to gain updates on his condition. I would also continue his oxygen therapy. I then gave an accurate report the the incoming ALS.
(SAMPLE,OPQRST,etc were all completed)
sorry for the long post, just hoping someone can help!
Thanks,
Dan
Anyway, I recently took my NREMT practical exam (EMT-B) in Connecticut. First time around I passed Trauma,AED,Airway,and Random. KED and Medical posed some problems to me. I registered to take the retake about 2 weeks later.
I took the retake again, and to my disappointment, no joy! I know why I failed KED (I was nervous and did not reassess PMS after moving patient to a LSB), but I have no idea why I failed medical. Honestly I followed the sheet exactly, but I did it appropriately and expanded on my thoughts so I wasn't just reciting it. I was hoping you guys could help me out. Below is the situation, followed by my actions.
SITUATION:
40 y/o male
Woke up complaining of headache, tingling arm, and has slurred speech.
Airway is patent
Breathing is within normal limits
Pulse: Strong ; Skin: Dry, cyanosis around lips and fingerbeds.
OPQRST: Everything was maxed out. Nothing made it worst or better. No radiation. Described the pain as sharp (in regard to the headache)
SAMPLE: Aforementioned signs and symptoms, allergic to penicillin, diagnosed with HBP and is currently on HCTZ, everything else normal.
Pulse: 140
BP: 210/110
BR: 24
MY ACTIONS:
I'll skip all the basic stuff. I know I hit every one of the simple things. Here are my actions that would change based on the situation:
-Questioned "wife" if there were any C-Spine precautions needed
-Immediately began Hi-flow O2 at the sign of cyanosis (15l NRB)
-Made decision for immediate transport (called for ALS)
-Secondary Assessment: Checked lung sounds (equal)
Checked for any JVD (none)
Checked for pedal edema (none)
-Interventions: I said that under my skill set, I could not give HCTZ in the field. This is true, right? Assuming that it was, I said I would continue to monitor the patient every 5 minutes to gain updates on his condition. I would also continue his oxygen therapy. I then gave an accurate report the the incoming ALS.
(SAMPLE,OPQRST,etc were all completed)
sorry for the long post, just hoping someone can help!
Thanks,
Dan