e-Study Guide for Paramedics

Paramedic Study Guide Audio Format

Finally a solution for your Emt needs. It's 100+ page Quick Study Guide for persons either currently in Emt school or preparing for the Nremt Emt-B exam. As you have certainly heard, the Nremt Emt exam is no joke. This is one of the most difficult exams you will ever take and often times, your career depends on you passing it. Nremt Paramedic Exam Study Guide is the Most Condensed Paramedic Study Guide Ever Created! Study Only Nremt exam tested material. No fluff or other information you dont need to know to pass. Over 8 hours of audio study material available as downloadable MP3 ready for your iPod or other MP3 player. Topics include: Legal & Ethics, Airway Management, Cardio, Trauma, Burns, Many More. Perfect if you dont study well by reading. No books to read or classes to attend. Rewind and replay over and over at your discretion. Plus: The 37 most tested Paramedic On-Board Drugs and their Actions, Indications, Contraindications, Dosages, Etc.

Paramedic Study Guide Audio Format Summary


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The author presents a well detailed summery of the major headings. As a professional in this field, I must say that the points shared in this ebook are precise.

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Incorporating Thrombolytic Therapy Into A Rapid Triage And Treatment Algorithm

Of the more than 5 million patients presenting with chest pain annually to paramedics or emergency departments, only a small percentage will be candidates for thrombolytic therapy (approx 5-10 ) (179,180). However, the importance of rapidly identifying, triaging, and treating these patients cannot be overemphasized. Patients with chest pain are rapidly screened with a targeted history, physical examination, and ECG, within 10 min of arrival. They are then assigned to one of four or five chest pain pathways (definite STE BBB AMI, unstable angina non-STE MI, probable unstable angina, possible unstable angina, or noncardiac chest pain) (8,9). In the STE BBB AMI group, further screening for thrombolytic contraindications is rapidly performed and treatment begun.

What Happens In The Ambulance

The paramedics will ask the patient about the symptoms, check pulse and blood pressure, and do an ECG. A very small tube (cannula) will be placed in a vein on the back of the hand or in a vein in the arm. This will allow the staff to give drugs for pain and a clot busting drug. Patients will be given aspirin as long as it has not recently given them a tummy problem, some oxygen through a mask, and a painkiller injection (diamorphine). Some

Importance of Medical Studies What Is Specific in Them

The continuing medical education resources may be delivered to health professionals working in rural or peripheral medical facilities as interactive video courses or in asynchronous mode. This latter option is particularly important for clinicians who can review available material at a convenient time. The access to online health databases including digital video library may be important for tracing continuous medical education 49 . The capabilities of streaming video were appreciated by the editors of Annals of Thoracic Surgery who since 1998 have added online video clip adjuncts to papers published 14 . Adding the video imaging improves the impact of training on healthcare professionals. Lavitan et al. studied the effects of video viewing before undertaking practical interventions in a group of paramedic trainees. The success rates among trainees who, apart from traditional training courses, were given the opportunity to see videos on intubation were higher than...

Take Advantage of the Technology

Harry, a taxi cab driver, is found parked in his taxi and in great pain. He has a puncture wound in his right thorax (where he had been stabbed by an assailant), and the paramedics correctly determine that his lung is collapsed. When he is taken to the hospital and blood gas measurements are taken, he is found to have a high arterial PCO2 and a pH of 7.15. He is treated surgically, and during his recovery smokes numerous cigarettes despite his physician's warning.When blood gas measurements are again performed, his arterial PCO2 and pH are found to be normal, but he shows a car-boxyhemoglobin saturation of 18 . Pulmonary function tests are ordered, and they reveal that he has a vital capacity slightly below normal and an FEV that is significantly lower than normal.

The Victim S Injured Extremities Were Immobilized Before Transport. Immobilized Means

Cephalocaudal Assessment

During a triathlon, paramedics responded to a scene with multiple patients involved in a serious bicycle accident. B.R., a 20-year-old woman, lost control of her bike while descending a hill at approximately 40 mph. As she fell, two other cyclists collided with her, sending all three crashing to the ground. The paramedic did a rapid cephalocaudal assessment and immobilized B.R.'s neck in a cervical collar. She was secured on a backboard and given oxygen. After her bleeding was controlled and her injured extremities were immobilized, she was transported to the nearest emergency department. During transport, the paramedic in charge radioed ahead to provide a prehospital report to the charge nurse. His report included the following information occipital and frontal head pain laceration to right temple, superior and anterior to right ear lumbar pain bilateral thoracic pain on inspiration at midclavicular line on right and midaxillary line on the left dull aching pain of the posterior...

Vt Related To Regions Of Scar

Scar Related Reentry

The common occurrence of multiple tachycardias in an individual patient, and the various approaches to ablation, makes the interpretation of catheter ablation results somewhat confusing. When VT is observed to occur spontaneously, this tachycardia is often referred to as a clinical tachycardia. Tachycardias induced in the electrophysi-ology laboratory that have not been previously documented to occur spontaneously are sometimes referred to as nonclinical tachycardias. This situation is complicated because the 12-lead ECG is often not recorded when VT is terminated by an implantable cardioverter defibrillator or by emergency medical technicians. Some centers select patients who exhibit only one predominant morphology of clinical VT documented with an ECG. If other tachycardias are induced at the time of study, these may be ignored if they have not been observed to occur spontaneously. This approach reduces the number of radiofrequency lesions required, but is more likely to leave...

Management Of Hypoglycaemia

By paramedics by relatives or friends after minimal training. Paramedics can also use it at the patient's home or in an ambulance. The disadvantages are that it takes longer (approximately 10 minutes) than intravenous glucose to restore consciousness and does not work in patients who have deficient or absent hepatic glycogen stores (alcoholics or people with cachexia). Unfortunately, even where glucagon is available, relatives or friends may not use it. In one study (Muhlhauser et al., 1985b), 53 of 123 episodes of severe hypoglycaemia were treated by relatives or friends with glucagon, 30 by assisting physicians and 44 required hospital admission. When glucagon was available but not used, it was because those who knew how to use it were not present (20 cases) or were too anxious to do so (24 cases). In children with diabetes, Daneman et al. (1989) found that glucagon was used in only a third of households in which it was available - presumably because relatives were either too...

Prehospital ECG and Prehospital Thrombolysis

The Myocardial Infarction Triage and Intervention (MITI) trial randomized 360 pre-hospital AMI patients to receive either prehospital or hospital-based thrombolytic therapy (27). Using prehospital 12-lead ECGs and a paramedic contraindication checklist, the MITI trial demonstrated that 353 (98 ) of the 360 patients enrolled had subsequent evidence of AMI. Two percent of patients had nondiagnostic abnormalities on the initial ECG. Prehospital identification of patients eligible for thrombolysis by paramedics reduced the hospital treatment time from 60 min (for patients not in the study) to 20 min (for study patients allocated to begin treatment in the hospital). Since this was not a comparable group by definition, it is only suggestive of the potential benefit of a protocol-driven prehospital thrombolytic program.


Nearly everyone in the United States knows something about defibrillation. They have all seen television shows where the paramedic places paddles on the chest of a man who has unexpectedly collapsed, yells Clear and then a jolt of electricity shakes the body of the victim. Mysteriously, the victim revives. Since they were first made in 1947, defibrillators have saved many lives, and the recent development of implantable defibrillators will no doubt extend the lives of many people who in a previous era would have died from their first heart attack. The goal of a defibrillator is clear. Since during fibrillation different regions of tissue are in different phases of electrical activity, some excited, some refractory, some partially recovered, the purpose of defibrillation is to give an electrical impulse that stimulates the entire heart, so that the electrical activity is once again coordinated and will return to rest as a whole to await the next normal SA nodal stimulus. Said another...