speedygodzilla

Gosh, I really dislike that woman or man, whatever . Sure hope she doesn't take over The Price is Right and ruin it. :twisted: :evil:

For basic questions I like to goto www.prenhall.com/limmer every now and than to brush up. It has the questions separated in chapter by the EMT-B brady book.

See about working at the ER as a tech. It is a whole another side of EMS but it is experience. That is what I do, and I believe it to be good for a very new EMT-B. I am planning on going out to the field someday, but I feel much more prepare now by working in the ER. The ER is a great place to work. You may not get to see paramedics at work but the nurses do some of the same things just in a whole other setting. You'll learn a lot from the experience, and it will beneficial to getting a paramedic job later.

First off welcome to EMS. Congrats, and as many have said don't stop your education, continue it in whatever you are interested in. Doesn't have to be right away. I recommend working as an EMT-B for 6 months to a year or two getting some experience before you start paramedic or other classes (except any chance at continuing education, one day refreshers). This experience will give you a lot of insight on what paramedics do and how you can really have someones life in your hands. I believe it takes more than a year or a semester of education and experience to receive a career or be expected to be seen as a professional. Take the national. It is simple as long as you payed attention. If you had a year of EMT-B classes you should be prepared. "is it a hard job?" I wouldn't call it particularly hard. It depends on the service. Some services you will be waiting on calls and others you will go from one to another. Give most people a week or so of the shifts and you should be good. "scary job?" If it is you and somebody else is doing something wrong. BSI, Scene safe? and so on. Don't forget your scene size up and you will be fine. Dispatch should dispatch police if the scene is unsafe. If you find your crew in unsafe scene, leave/stage call dispatch and follow orders.

FUNNY, I wonder if anyone else would of ever looked at the date. Who is digging up these old posting and bringing them back to life?

I have seen people with 60 or so fail also. Why even worry about how many questions you got? It really can't tell you 100% if you pass or failed. We are so lucky now days because we get are results in about 3 business days. I believe before it was CBT the wait was like a month. NOW THAT SUCKS. I love having the results in 3 days or less. My questions seem hard so I thought I passed, and sure enough the I did pass the first time. That was months ago, but I had a positive experience with the whole testing experience.

There is not really a min or max number. The test stops when it decides that you pass or fail. It has nothing to do with the number of questions. I got like 60 I think (been awhile so I don't know exatly), and I had a friend answer over 100 or so and we both past. I also hear people with low numbers of questions passing and others failing and the same with high number of questions. That is just how I have seen it.

Congrats!!! Now ur off to the cbt. That is unless your state has a state test. Good luck.

I take it you are about to take the NREMT-Basic practicals. The AED as we (my class) called it (Cardiac) station is simple. Follow the sheets that you got on the test that have the point by point things and the critical points on the bottom. Memorize the sheet and you are golden. I believe it is acting as you have arrive at the scene and CPR has already been started. You do you your BSI, scene size up, have them stop CPR check pulse, no pulse is stated by the examiner, have the other start CPR again than you hook up the AED. Stop the CPR, clear the patient, shock patient, CPR for 2 minutes, clear patient, shock patient, for a total of three shocks. I can't remember if that station has anything after that. Oh yea, at that station I do not believe they will even provide a combitube. Just a simple adjunct should be provided, I think. If you have a Brady book they have the practical sheets in the back. The AED sheet I believes says something about 3 shocks right after another. Since those were written the training has changed. My teacher told us to state during the question time that I had been train with the new standard with shock and than CPR for 2 minutes and ask if that will be okay. Than you are off 8) . There is a airway station which I believe requires combitube, but it is totally separate from the AED station. Just be prepared for all the stations, cause you never know which one you will get. Best of luck

wow a game that isn't blocked! I got to 836.

After talking to a few of the RNs here it seems to be a case by case thing for patients. They all seem to agree that hypothermia for sure would get a core temp, but seems to be have be taken case by case for the others. They don't seem to just have a cook book that says all patients with such and such get this. They are allow to think for themselves and mainly follow the doctors orders.

("Ridryder 911 Let me know what hospital you work at & I will avoid it. Never seen a patient with a fever? Tympanic (not temporal) temps are considered inaccurate and worthless @ especially in those that are febrile. [u) All patients with possible sepsis, hyper/hypothermia should have baseline rectal core temps. They are called core temps for a reason. I suggest your ER and clinical manager do some investigation on core temps and policies. Emergency Nurses Association as well ACEP has some recommendations. There is some great literature and studies out there. R/r 911 I am not saying the hospital doesn't check them on possible sepsis, or hyper/hypothermia. I just have never seen it done. I done believe I have ever dealt with these patients. I see many patients but do not see all that the ER does. I will be sure to ask some on the RNs if they do check the rectal temp on these patients next time I am at work. By no means are we going to do them on all patients. That is unnecessary for us in the ER and even more so in the field.

I work in the hospital ER for 2 months and have never seen or had to get a rectal temp on any patients other than pediatrics. I don't think that it is needed. I really don't see why we don't have EMS get at least get the temporal temp in the field. I know that every patient get some kind of Temp in the hospital ER. Even if it won't effect the treatment it is good to get for a baseline vital (temporal temp, not rectal) in the field. As for the BGL, we don't get those on patients in the ER unless they have a history, or if it is suspected. Many of the labs we do, check this anyways for every other patient. If the labs come up with an odd number than we check it with the meter, and always capillary even if they have an IV. In the ER we check every female of age with abd pain for pernancy. This is not as easily done in the field, and as it maybe nice in some cases, it is not needed in the field. Personally I much rather have EMS check my BGL, than check a rectal temp on me.

Yes we do lack much education in the standards of the EMT-B training. My point is not that. My point is that we are still part of the EMS team. To throw us to the side saying that we are not part of the team because we are not a professional status or for whatever reason, is rude. It works against the overall teamwork that is needed in the EMS system. I can respect the idea that we are not seen as "a professional status." I did not expect to take one class in be a professional, and I don't believe I ever said me in general was. That is something that you need to earn, and that I plan on earning through getting my paramedic and beyond in the years to come.

So EMT-B are not medical providers????? :?: :?: :?: We are not trained to provided professional care?

There is more to BLS than that. Sure EMT-B is equivalent to "couple hours of training" and any layman can do it? I don't quite see how you think. :?: Sometimes I wonder if you just type it before it processes. Maybe EMT-B training when you were younger was equivalent to couple hours of training, but dust it arn't today. My classes were 3 hours two days a week for a semester. I am not saying that is a lot, but it sure arn't a couple hours. It is still medical care rather it is done by a boy scout, an EMT-B, Paramedic, Nurse, or Doc. The difference is the level of medical care.

Agreed. It is like 10 codes for police. Some may be the same from state to state or county to county, but many mean something totally different. I will try to keep it to plain english, yet it is so easy to get into the habit .

:roll: Please, that is just not even close to being right. ABCs is the main focus in EMS medical care. Key word medical care. Yes that may be what EMT-B focus on but that is also what I am am sure all medics must refer back to. What good are all the meds you give if the airway is never maintain. To define EMT-B care as not medical care is a disgrace to all EMT-B weather they are fresh out of school are been a basic for years. We are part of the team. I know at where I work I am a vital part of the team. I am well known as an EMT-B and I don't know a single RN at the ER that does not appreciate my "basic" medical care. We are all part of a team. Even the first responders, and trained public. I do agree with you that EMT-B lacks education in many areas. That is why I try to learn more out on the field. I am sure even after paramedic class you lack education in many areas. Some things can really only be learn in the field.

wow my typing is retarted. I am usually at work when I post, so I guess I must be in bit of a hurry. I meant boy oh boy. Somehow I got my h and n mixed up twice and didn't even notice it lol. Typing and reading fast is not always an advantage. I need stupid check not just spell check :oops:

:roll: :shock: Please explain!!!

Wow you never seek to amaze me. It is like I thought I had seen it all, but wait he has got another posting to try and be funny or just trying to show how much smarter he is than me. What unapproved abbreviation? SOA? Around here that replaced SOB. SOA means shortness of air. You had to of known that. Boy on boy, sounds gay. I don't know how old you are, or do I care, but you sure don't act it. What really push it over the top was on the other posting saying how you don't see EMT-B as part of the team. I assume you never had to work your way up like many of us.

That is pretty much what I do, and some of it I will be doing. The ER is a invaluable experience for me too, however I really want to get out on the streets also.

It was hard to say from the first general impression given. I wanted more info, which is why I also asked for base line vitals. Much easier to determine in real life. And yes I am the one making this decisions at times, even though I work an ER surrounded by RNs. They are not able to be with every patient that comes into what seems a nonstop ER at times.

Boy on boy. The amount of O2 you give a patient depends on their condition. It is not just a on and off switch like they teach you in basic class. Yes for the test it is, at least the ones I have taken. You have to look at a few factors on like their speaking, skin color, pulse ox, and their level of awareness. I am sure that some others could give you better answers but that is how I see it. On the posting here it hard for me to judge what lpm of O2 to give as I deal better with things hands on. Lot of the patients I see in the hospital are put on 4 lpm NC when they present SOA. (I work at a couple different ERs as a Tech, and am a EMT-

I do agree with you all. I was a bit short on 6 or 15lpm. The general impression he gave made me think either 6 or 15lpm due to "The child is in one-word-dyspnea. You ask her whats wrong and she responds, "can't"..... "breath"...." I was taught in class not to treat the machine treat the patient. Just because the o2 sat is 100% doesn't mean the patient get no O2. Looking back at the vitals of "Your EMT has a look at the pupils as you put on the pulse oximeter. Pupils are PPEARL and pulse ox reads 88%." I would put the patient on a NRB. If I was out on this call on a BLS unit there is not much that I could do except O2, transport urgently (urgent to me does not mean reckless), Vitals every 5 minutes, go down the line with SAMPLE and do a detailed physical exam listening to lung sounds and so forth. Revisiting the initial assessment every 5 also. If calling for ALS was an option I would be sure to do it. While on my trip to hospital contacting medical control and letting them know the report, ETA and seeing if there anything they would like me to do. I can do nothing more than try to calm and reassure her. What more can a BLS do?