Emergency Medical Technician Classroom Lectures and NREMT Prep: Recent Episodes
thepublicsafetyguru
Basic EMTclassroom lectures designed to help students understand the fundamentals of the EMT program as well as preparing for the National Registry Test
Exclusive content and support:https://www.patreon.com/theemttutor Students should have an understanding of types of open and closed soft-tissue injuries; how to care for soft-tissue injuries, including the use of dressings and bandages; and the assessment and care of different types of burns, including thermal, chemical, and electrical burns. Knowledge Domains The EMT should be able to describe the anatomy of the skin; include the layers of the skin as well as the the functions of the skin. The EMT should be able to name the three types of soft-tissue injuries as well as describe types of closed soft-tissue injuries and open soft-tissue injuries. The EMT should be able to explain the assessment of closed and open injuries as well as the associated medical care for these injuries. The EMT should also be aware of airway management as it relates to these injuries. The EMT should have an understanding of the medical care for an open wound to the abdomen, an impaled object and injuries to the neck. The EMT should know the steps of the emergency treatment of small animal bites, human bites, and rabies. The EMT should be able to explain how the seriousness of a burn is related to its depth and extent and be able to define superficial, partial-thickness, and full-thickness burns, including the characteristics of each burn. The EMT should be able to explain the primary assessment of a burn patient and the emergency medical care for burn injuries. The EMT student should be able to describe the emergency management of chemical, electrical, thermal, inhalation, and radiation burns as well. Last the EMT should know the functions of sterile dressings and bandages.
Exclusive content and support:https://www.patreon.com/theemttutor The EMT student should have an understanding of the structure and function of the circulatory system, the significance and characteristics of bleeding, the importance of personal protective equipment when treating a bleeding patient, the characteristics of external and internal bleeding, how to conduct a patient assessment, and methodologies for controlling bleeding. Knowledge Domains: EMT's should be able to describe the general structure of the circulatory system and the function of its different parts, including the heart, arteries, veins, and capillaries. Explain the significance of bleeding caused by blunt force trauma, including the importance of perfusion and discuss hypovolemic shock as a result of bleeding, including the signs of shock. Students should know the importance of following standard precautions when treating a patient with external bleeding. and describe the characteristics of external bleeding, including the identification of the following types of bleeding: arterial, venous, and capillary. Additionally students should be able to explain how to determine the nature of the illness (NOI) for internal bleeding, including identifying possible traumatic and nontraumatic sources. Students should know the signs and symptoms of internal bleeding and discuss internal bleeding in terms of the different mechanisms of injury (MOI) and their associated internal bleeding sources. The EMT student should be able to explain how to conduct a primary assessment, including identification of life threats beyond bleeding, ensuring a patent airway, and making a transport decision. Last, students should be able to explain the emergency medical care of the patient with external and internal bleeding.
Exclusive content and support:https://www.patreon.com/theemttutor The EMT, following this lecture should have an understanding of the basic concepts of energy and its effect on the human body; the general injury patterns associated with different types of impacts, falls, and penetrating trauma; and the basic application of laws of physics on the assessment of trauma patients. Students will also understand some common injury patterns to major body systems. Knowledge Domains: The EMT student should be able to define the terms: mechanism of injury (MOI), blunt trauma, and penetrating trauma. You should be able to explain the relationship of the MOI to potential energy, kinetic energy, and work. Describe the five types of motor vehicle crashes, the injury patterns associated with each one, and how each relates to the index of suspicion of life-threatening injuries. Discuss the three specific factors to consider during assessment of a patient who has been injured in a fall. Discuss the effects of high-, medium-, and low-velocity penetrating trauma on the body and how an understanding of each type helps EMTs form an index of suspicion about unseen life-threatening injuries. Discuss primary, secondary, tertiary, and miscellaneous blast injuries and the anticipated damage each one will cause to the body. Describe multisystem trauma and the special considerations that are required for patients who fit this category. Explain the major components of trauma patient assessment; include considerations related to whether the method of injury was significant or nonsignificant. Discuss the special assessment considerations related to a trauma patient who has injuries in each of the following areas: head, neck and throat, chest, and abdomen. Explain a general overview of multisystem trauma patient management and patient management in relation to scene time and transport selection. List the Association of Air Medical Services criteria for the appropriate use of emergency air medical services as well as talk about the American College of Surgeons’ Committee on Trauma classification of trauma centers. Last, explain, the American College of Surgeon’s Committee on Trauma and the Centers for Disease Control and Prevention field triage decision scheme as it relates to making an appropriate destination selection for a trauma patient.penetrating trauma.
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The EMT student should have an understanding of the anatomy, physiology, and pathophysiology of hypersensitivity disorders and anaphylactic reactions. Additionally, students will have the knowledge and skills to recognize and allergic and anaphylactic reactions.
Knowledge Domains:
The EMT student should be able to define the terms allergic reaction and anaphylaxis and know the difference between a local and a systemic response to allergens. The EMT should be able to list the five categories of stimuli that could cause an allergic reaction. Students should know how to conduct a primary assessment for a patient with a systemic allergic or anaphylactic reaction and understand the importance of managing the ABCs of these patients. The EMT student should know the emergency medical care to a patient who is experiencing an allergic reaction including the use of an EPI-Pen.
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The EMT student will have an understanding of diabetes, sickle cell disease, clotting disorders, and the complications associated with each. EMT students should be able to understand the characteristics of type 1 and type 2 diabetes and be able to list the appropriate steps for assessment and prehospital treatment of diabetic emergencies. Students should also be able to discuss hematologic emergencies, and describe sickle cell disease, hemophilia, thrombophilia, and deep vein thrombosis.
Knowledge Domains
Describe the anatomy and physiology of the endocrine system and its main function in the body and discuss the role of glucose as a major source of energy for the body as well as its relationship to insulin.
Define the terms diabetes mellitus, hyperglycemia, and hypoglycemia and understand the differences between hypo and hyperglycemia to include the signs and symptoms of both.
Understand the interventions for providing emergency medical care to both a conscious and unconscious patient with an altered mental status and a history of diabetes who is having symptomatic hyperglycemia or hypoglycemia.
Identify the steps the EMT should follow when conducting a primary and secondary assessment of a patient with an altered mental status who is a suspected of having diabetes.
Know the indications, and contraindications for giving oral glucose to a patient with a decreased level of consciousness who has a history of diabetes.
Know the composition and functions of blood as well as describing the pathophysiology of sickle cell disease, complications, and management of sickle cell disease.
Describe two types of blood clotting disorders, and the risk factors, characteristics, and management of each.
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The EMT student should understand the anatomy and physiology of the gastrointestinal, genitourinary, and renal systems as well as being able to assess and manage various patient populations with numerous related gastrointestinal/genitourinary complaints, which include, but are not limited, to direct or referred abdominal pain, hypoglycemia, hyperglycemia, shock related to acute (medical versus trauma) or chronic gastrointestinal disorders, hemorrhage, peritonitis, and complications related to the renal system (renal dialysis).
Knowledge Domains:
Describe the basic anatomy and physiology of the gastrointestinal, genital, and urinary systems and define the term acute abdomen. Describe pathologic conditions of the gastrointestinal, genital, and urinary systems and explain the concept of referred pain. Identify the signs and symptoms, and common causes, of an acute abdomen and explain the procedures to follow in the assessment and management of acute and chronic gastrointestinal hemorrhage, peritonitits, and ulcerative diseases. List the most common abdominal emergencies, with the most common locations of direct and referred pain. Describe how to manage the patient with shock associated with abdominal emergencies as well as the emergency medical care of the patient with gastrointestinal or urologic emergencies. Last explain the principles of kidney dialysis.
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The EMT student should understand the significance of the anatomy and physiology of the nervous system, common disease processes, assessment and basic care management involving patients with neurologic emergencies (including performing tests for speech, facial movement, and arm movement).
Knowledge Domains:
Anatomy, presentations, and management of
Decreased level of responsiveness, seizures, and strokes
Anatomy, physiology, pathophysiology, assessment, and management of
Stroke/transient ischemic attack, seizures, status epilepticus patients, and headaches
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This is a bonus lecture for the Cardiovascular Emergency lecture. We discuss the use of OPQRST for the chest pain patient.
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After this lecture the student should understand the significance and characteristics of the anatomy and physiology of the cardiovascular system; cardiovascular emergencies; the pathophysiology of respiration and perfusion; signs and symptoms of the most common cardiac conditions; the indications, contraindications, and use of automated external defibrillators (AEDs); and the general care of a patient experiencing a cardiac emergency.
Knowledge Domains: Identify the basic anatomy and physiology of the cardiovascular system, the pathophysiology of the cardiovascular system as well as describe the anatomy, physiology, pathophysiology, assessment, and management of the following cardiac related emergencies: thromboembolism, angina pectoris, myocardial infarction, a hypertensive emergency and a aortic aneurysm/dissection.
Explain patient assessment procedures for cardiovascular problems and the relationship between airway management and the patient with cardiac compromise.
Give the indications and contraindications for the use of aspirin and nitroglycerin.
Recognize that many patients will have had cardiac surgery and may have implanted pacemakers or defibrillators.
Define cardiac arrest and understand the differences between the fully automated and the semiautomated defibrillator. Describe the different types of AEDs and the indications and contraindications for use of an automated external defibrillator (AED). The EMT should know the reasons for early defibrillation and explain the circumstances that may result in inappropriate shocks from an AED. Describe AED maintenance procedures, continuing education and review.
EMT should know and understand the the emergency medical care for the patient with cardiac arrest and describe the components of care following AED shocks.
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The EMT will understand the significance and characteristics of respiratory emergencies in infant, child, and adult populations. The EMT should be able to demonstrate a fundamental comprehension on the following topics: respiratory anatomy and physiology, pathophysiology, signs and symptoms of various respiratory etiologies (eg, asthma, COPD, pneumonia), and the assessment and management necessary to provide basic care in the prehospital setting.
Knowledge Domains
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List the structures and functions of the upper and lower airways, lungs, and accessory structures of the respiratory system.
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Explain the physiology of respiration; include the signs of normal breathing.
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Discuss the pathophysiology of respiration, including examples of the common signs and symptoms a patient with inadequate breathing may present with in an emergency situation.
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Explain the special patient assessment and care considerations that are required for geriatric and pediatric patient who are experiencing respiratory distress.
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Describe different respiratory conditions that cause dyspnea, including their causes, assessment findings and symptoms, complications, and specific prehospital management and transport decisions.
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List the characteristics of infectious diseases that are frequently associated with dyspnea.
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Discuss some pandemic considerations related to the spread of influenza type A and strategies EMTs should employ to protect themselves.
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Describe the assessment of a patient who is in respiratory distress and the relationship of the assessment findings to patient management and transport decisions.
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Describe the primary emergency medical care of a person who is in respiratory distress.
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Popular medical acronyms to be used during your patient assessments:
AEIOUTIPS
AVPU
DCAPBLSTICS
SAMPLE
HAM
DRGERM
OPQRST
SLUDGE
PERRL
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After this lecture, the EMT should understand the need for a proper patient assessment when responding to patients whose chief complaint is medical in nature. The EMT should be able to differentiate between medical and traumatic emergencies but realize a patient may be suffering from both as well as the following knowledge domains:
Common Medical Emergencies
Nature of Illness determination
The Medical Patient Assessment
Proper Patient Transport and Destination
Define Infectious and Communicable Diseases
The EMT will learn about shock (hypoperfusion), perfusion, the signs and symptoms of shock, types of shock, causes of shock, and the specific treatment for the different shocks.
Pathophysiology of Shock
Causes of Shock
Types of Shock
Signs and Symptoms of Shock
Compensated versus Decompensated Shock
Assessment for Shock
Emergency care for Shock
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In this lecture, students will learn about the patient assessment. Unlike other lectures, the patient assessment here will be broken up into five sub-lectures which are scene size-up, primary assessment, history taking, secondary assessment, and patient reassessment. Students will also learn how to use SAMPLE, PENMAN, AVPU, and OPQRST.
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NREMT #EMT #PODCAST
Hello Everyone, the NREMT - EMT Podcast series has been developed into a written study guide which corresponds with the actual lectures of Season 2. The first study guide to drop is the Foundation Block. Based on your comments and reviews, there might be future study guides.
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We are on YouTube now: https://www.youtube.com/channel/UCOt5Y2uPL77QxrGDhAPv0Jg
This lecture/podcast is part of the Pharmacology Block series. By the end of this lecture, the student should have an understanding of the following:
Knowledge Domains:
- Define the following key terms:
- Pharmacodynamics
- Intended Effects
- Indications
- Side Effects
- Unintended Effects
- Untoward Effects
- Contraindications
- Generic versus Trade name medication
- Enteral versus Parenteral medications
- Routes of medication administration
- Rectal
- Oral
- Intravenous
- Intraosseous
- Subcutaneous
- Intramuscular
- Inhalation
- Sublingual
- Transcutaneous
- Forms of medications
- Solid
- Liquid
- Gas
- The Six Rights of Medication Administration
- Direct Orders versus Standing Orders
- Peer-assisted, Patient-assisted and EMT-administered medications
- Medications used by EMTs – Lecture 1 of the Pharmacology Block
- Medications administration to pediatrics, geriatrics, and pregnant patients
- Steps for auto-injector
- Understanding patient medications (prescribed and OTC)
- Medication Errors
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In this lecture, students will be introduced to the various aspects of the aging process and how humans change from the time of birth to older age and the associated physiological changes within the body.
Knowledge Domains
- Know the following terms to designate a stage of life
- Infant
- Toddlers
- Preschoolers
- School-age children
- Adolescents/teenagers
- Early adults
- Middle adults
- Physical and psychosocial characteristics of these groups
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This lecture/podcast is part of the Foundational Block series. By the end of this lecture, you should have a fundamental knowledge of the human body to include the topography and planes of the body as well as the anatomy and physiology of the body systems.
Knowledge Domains
- Human Body Topography
- Anatomy
- Planes of the Body
- Anatomy and Physiology of the
- Skeletal System
- Musculoskeletal System
- Respiratory System
- Circulatory System
- Nervous System
- Integumentary System
- Digestive System
- Lymphatic System
- Endocrine System
- Urinary System
- Genital System
- Life Support Chain
- Aerobic Metabolism
- Anaerobic Metabolism
- Pathophysiology
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In this lecture the student will be exposed to the basics of medical terminology and how medical terms are composed and how an EMT can break up a word to understand the meaning of the word. This lecture will also expose the EMT student to the body planes to help enhance how an EMT documents injuries.
Knowledge Domains
- Purpose of Medical Terminology
- The four components of a medical term
-
Breaking down medical terms
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Interpret medical abbreviations, acronyms, and symbols
- Understand directional terms and body positions
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In this module, students will become familiar with the legal and ethical side to emergency medicine. We will discuss issues associated with Advanced Directives, Consent, Confidentiality, and End of Life Issues. If there is any area an EMT will get in trouble it is this area.
Knowledge Domains:
- Consent, what is it and how does it apply to emergency medicine?
- Understand the several types of consent:
- Actual, Expressed
- Implied
- Involuntary
- Minors and consent
- When can you forcible restrain a patient?
- EMT’s roles and responsibilities when a patient refuses treatment and transport.
- HIPPA
- DNRs and EMS
- Signs of Death
- Physical
- Presumptive
- Definitive
- Organ Donors
- Standards of Care
- Scope of Practice
- Duty to Act
- EMT can commit the following:
- Negligence
- Abandonment
- Assault
- Battery
- Kidnapping
- Legal reporting requirements of the EMT
- Ethics and morality
- Role of the EMT in court
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The job of an EMT is both physically and mentally demanding and as such an EMT must understand workplace safety and wellness. In this lecture, the student will learn how to keep themselves safe from physical dangers as well as those dangers that cannot be seen such as infectious and communicable diseases. The EMT will also learn how the job can produce stress and fatigue as well as depression.
Knowledge Objectives
- Identify the steps that help with wellness and managing stress.
- Define infectious and communicable diseases.
- Identify the routes of transmissions.
- Identify steps to prevent infectious/communicable disease transmission.
- Identify the Standard Precautions
- Identify the steps to for personal protection from airborne and bloodborne pathogens.
- Identify proper hand washing.
- How does one build up immunities?
- Post exposure management.
- Identify the steps to scene safety.
- Identify personal protective clothing.
- Caring for critically ill/injured patients.
- The dying patient and the family grieving process.
- Identify the body’s response to stress.
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In the lecture, the student will be introduced to the EMS system and how it evolved from a “White Paper” back in 1966. The student should have a fundamental understanding of the various certification levels of the EMS program, the 14 components of the EMS system, the science behind quality and assurance and the role the EMT plays as well as patient privacy concern as outlined by HIPPA.
Knowledge Domains:
- The student should be able to define the emergency medical services system.
- The student should be able to name the four levels of EMT training and the skills associated with each level.
- The EMT should have a fundamental understanding of the historical background of how the EMS system came to be.
- The EMT student should know the 14 components of the EMS system.
- The EMT student should understand medical direction and the EMT's role.
- The EMT should have a fundamental knowledge of the mobile integrated health (MIH) care and community paramedicine program.
- The empty should be able to discuss the purpose of the quality improvement process of EMS.
- The EMT should understand how EMS plays a role in public education regarding disease and injury prevention.
- EMT should understand their roles and responsibilities and the attributes that an EMT is expected to possess.
- The EMT should understand how the health insurance portability and accountability act FX patient privacy.
The EMT in 10 series, we will present EMT topics in ten minutes or less. This series is designed to take subjects from bigger lectures and scale them down into a format that focuses on one subject. For example, in your cardiac emergency lecture, your lecture should have consisted of a cardiology refresher followed by specific cardiac emergencies such as angina, heart attack, and CHF.
EMT in 10 Angina is its own less than 10 minute course. In 10 minutes, e discuss:
What is angina?
Symptoms of angina.
Signs of angina.
Treatment of angina.
The Public Safety Guru EMT lecture series is dedicated to breaking down the EMT program into an easy to learn and understand format. As your instructor, I take the complicated out of the lecture and use terms and a format that helps you to understand the concepts behind the lecture. These lectures are being updated as more and more feedback comes in. I hope you enjoy and please leave feedback...
The Public Safety Guru EMT lecture series is dedicated to breaking down the EMT program into an easy to learn and understand format. As your instructor, I take the complicated out of the lecture and use terms and a format that helps you to understand the concepts behind the lecture. These lectures are being updated as more and more feedback comes in. I hope you enjoy and please leave feedback...
The Public Safety Guru EMT lecture series is dedicated to breaking down the EMT program into an easy to learn and understand format. As your instructor, I take the complicated out of the lecture and use terms and a format that helps you to understand the concepts behind the lecture. These lectures are being updated as more and more feedback comes in. I hope you enjoy and please leave feedback...
The Public Safety Guru EMT lecture series is dedicated to breaking down the EMT program into an easy to learn and understandable format. As your instructor, I take the complicated out of the lecture and use terms and a format that helps you to understand the concepts behind the lecture. These lectures are being updated as more and more feedback comes in. I hope you enjoy and please leave feedback...
An EMT lecture in which I break down respiratory emergencies in an easy format to help you understand the emergencies which affect the respiratory system. CHF and COPD are covered...
A lecture on the patient assessment to include the primary and secondary survey, PENMAN, and basic vital signs, pulse, respiration, blood pressure, etc...
An EMT lecture class on the human body respiratory system as well as associated emergencies that affect this system.
This podcast is designed for the basic first exam of an EMT program. This study guide discusses actual and implied consent and when consent can be taken back. Basic anatomy and physiology is covered to include the two important cranial nerves. Medical terminology and concepts is also covered.
This is a lecture on obstetrics and pediatric emergencies. The EMT will learn about childbirth and the associated emergencies as well as PIH and PID. This is a good lecture for those EMT students needing to review OB.
This podcast is designed to teach the EMT student on how to recognize various head, spine and chest injuries and the associated treatment for those injuries. This is lecture 4 of 4 for my classroom trauma block exam; however, this lecture can be utilized by any EMT student in preparation for their trauma or NREMT exam.
In this podcast, the EMT student will be introduced to soft tissue injuries and the structures affected by these injuries. Additionally, students will understand the types of bleeding and bleeding control techniques available to the EMT student. Lastly, there is an overview of burns and burn treatment.
injuries #bleedingcontrol #burns #emt #nremt #trauma
This is a short lecture on orthopaedic injuries, sprains, strains, fractures, and dislocations. This lecture should assist the EMT student with any trauma testing and National Registry preparation.
sprains #strains #fractures #dislocations #emt
This is a small lecture on shock from the EMT perspective. Students will gain knowledge of the four types of shock and how to treat shock. There is some trauma information but this podcast is but one of four lectures to enhance one's knowledge on trauma-related emergencies.
cardiogenic shock
distributive shock
hypovelmic shock
obstructive shock
This podcast focuses on everything trauma as it relates to the EMT. Soft tissue injuries, burns (chemical/thermal), treating and preventing shock, fractures and dislocations, spinal immobilization, flair chest, bleeding control, and many other topics...
In this podcast, listeners will learn about the legal and ethical aspects of emergency medicine such as abandonment, duty to act, and other such legal concepts. Advanced directives, consent, minors, Standard of Care and other principles will also be discussed.
This study guide is designed for the Block 4 Medical exam; however, this guide can be used to prep for any EMT medical block as well as NREMT. In this podcast, we discuss the following: Medical Overview, Respiratory Emergencies, Neurological Emergencies, Endocrine, and Hematologic Emergencies, Immunological Emergencies, Environmental Emergencies, Toxicology, Psychiatric Emergencies, Gastrointestinal and Urologic Emergencies.
This is the first lecture of my EMT program. In this lecture, students will be introduced to the following:
- License and Training Requirements
- History of EMS
- EMS Systems
- Prehospital Certification Levels
- Components of an EMS System
- Roles and Responsibilities of the EMT
This is a short podcast introducing students and listeners to my EMT lecture podcasts and the reasoning behind this passion project.