Rezq304

Virginia has four levels:

EMT-B

EMT-E (Equivalent to EMT-I/85)

EMT-I (Equivalent to EMT-I/99)

EMT-P

CONGRATS!!!

NREMT-I/85 is based on the DOT 1985 NSC. It is essentially a basic with a few more hours of training and additional skills. This level is based around additional assessment skills, IV therapy, and advanced airway management.

You should find that the written is actually quite basic in nature. Many of the questions are BLS in nature. You will have to answer a few IV questions and calculate a couple of drip rates. In addition, you will answer a few questions on airway management.

You will only have 4 psychomotor skills stations:

1) Airway management

2) IV therapy

3) Patient assessment and management (Trauma)

4) Random basic skill

NREMT-I/99 is based on the DOT-1999 NSC. The exam from what I understand is more in depth than the 85 exam. The psychomotor stations are similar to the paramedic stations.

The course is a few to several hundred hours in length. The I/99 receives additional training in several areas and can generally perform more interventions than the I/85. Much of the scope of practice will depend on local policies, state policies, and medical direction however.

With all of that said, I would go the route of paramedic if I had a choice between the three routes.

Take care,

chbare.

To add to that, the I/85 is quite similar to the "Enhanced" level hear in Virginia. The I/99 adds in all of the cardiac issues/assessments/meds. The I/99 is pretty much the same as Paramedic as far as the exam goes except the I/99 does not have the two oral stations.

CONGRATS!

The heart is dependent on preload to generate the myocardial stretch for an effective contraction. The preload is created by the diastolic filling of the right and left ventricles. The systolic contraction remains fairly constant up to rates greater than 250 beats per minute.

Your answer is diastolic, not systolic.

Exactly!

Every patient gets the ABC's done on them. It's a matter of if you catch the manner in which I assess them for the ABC's. Do I walk up to them and physically check a pulse? Look for breathing? Not always. If I walk in and a patient is upright and talking to me, then their ABC's are in tact. If they're unresponse, then I do the "look, listen & feel" approach...or part of it. Sometimes I can check these by visualization alone. The inital assessment of a patient should be a matter of seconds. A quick "hello, how are you?" is sometime's all that's needed. You can gauge a lot by a patient's answer to the most basic questions. Couple that with a quick pulse check and you'll have an idea of if they're rate is fast or slow, and if they're pulse is normal, bounding or weak. But yes, every patient gets the ABC's done.

Don't compare a competition to what happens in real life. People act differently when they know they're being scored. It's easy to get worked up in the competition and leave things out. Gauge someone instead by how they conduct themselves when working with real patients.

Shane

NREMT-P

Same approach I take.

In any case, I finished the test in about 77-78 questions.

Either you did quite well or you missed EVERY question. I'm sure it's the former. I took mine two weeks ago & was cut off at 80.

Wook, it's not wike I did it on purpose. I didnt kill anybody. Why can't you just weave us dispatchers alone. We have a widdle bit of integrity and dignity too...

Did someone mistake the "w" key for the "l" key??????

We are only alowed to administer beer and wine now. If through assesment you believe the pt would benefit from a hard liquer tx, you must activate the ALS intercept vehicle. They have a fully stocked dry bar per protocols, complete with secondary tx's of salt and lime.

I want a QRV like this!!!!!

LMAO....sounds like a new mixture for an old "Jungle Juice" recipe I have.

I might check a CBG, but I really do not see the point of performing a 12-lead. There are more effective diagnostic tools at the hospital and they might actually be able to DO something about a tamponade.

So, you'd rather not know about it if it's happening?

Also, let's control that scalp avulsion too. Any Battle signs?

As stated above C-Spine precautions. Intubation and BVM with 100% oxygen. Anyone with him? Who called this in? Rapid trauma assessment to include DCAP-BTLS of the entire body, lung sounds, full set of vitals all working toward full package on LSB with texas two-straps/spiders and head blocks. How about also a 12-lead to rule out tamponade/contusion while we're at it.

Does Mount Horeb have one of these?

If you are not familiar with Mount Horeb, I submit Exibit "A"

An ambulance with a custom chassis.

Can we say "overkill"? lol

So what are your plans now? Are you working in EMS currently? If so, what is the process for you to move up to a medic slot? If not, are there any good prospects for you in the area? I hate to see guys work so hard to excel and graduate, only to realise "crap, there are no jobs here!"

Did you earn a degree, or just a certificate? Do you have plans to immediately continue your education?

I currently work as an ALS provider in a split EMS/Transport system. Basically, nothing changes with my job other than one letter on my badge & about a $2 an hour pay raise. I earned an Associate's Degree in EMS Technology. I am going to take a semester to evaluate my options. I plan on returning to school in the Spring semester to start working toward my Bachelor's. Right now, I believe my best option for my Bachelor's would be a Business degree although I have looked into the possibility of going for the Bachelor's in EMS.

Regardless of what field I choose to major in, a Bachelor's degree give me room to move both up with my current company and also laterally if I would so choose to go with another company. Also, I want to start working toward Critical Care as soon as possible. The next goal with my current company is Flight Medic.

I apoligize for my vagueness. +5 to Dust for putting me in my place. LMAO!

As far as I know students would rate just below pond scum...but I could be mistaken.

As for emt-B's dipping their hands into ALS teritory....

You mean to tell me that for two years, I was ALMOST pond scum?!?!? HORRAY!!!!!! LMAO!!!

I took the EMT-B. Have you gotten your results?

Yeah, I found out the following day.....I passed. And like spenac said, unless you missed just about every question, you should've passed.

What level did you test at?

I took my Paramedic CBT last week & was cut off after 80 questions.

I used the Mosby "Paramedic Prep" study guide. Pretty good book with some rather in depth questions.

Congratulations!

But minus 5 for a horribly unimaginative subject line.

How about the ever-so popular "I passed"?

Yes, the real education is now set to begin! I can honestly say that I've learned a lot while on the truck as an Intermediate and can only hope to glean more knowledge from the other medics where I work!

Took the CBT on Thursday, had the results by 11am yesterday. The card and "glitter" patch is in the mail as of today. Look out world, I'm a Paramedic.

Well if death has them I hope they're mute. Cause if they're dead and talking some uneducated medic done scewed up big time. :oops:

Unfortunately, EMS is stuck on "skills equals knowledge". Unfortunately, nothing is further from the truth.

This echoes my sentiments. I have just recently finished my two year Associate's Degree to obtain my Paramedic.

Can you be a good/competent medic if you can't read or write in chicken scratch? No! (Cue two semesters of English)

Can you be a good/competent medic if you can't do basic algebra and work equasions? NO! (Cue 1-2 semesters of Algebra & above)

Can you truly understand why your psychiatric pt's are acting like they do and deduce how to handle them the best? NO! (Cue two semesters of Psychology)

Having the Paramedic certification incorporated into a two year degree is a wonderful step in the right direction for EMS. It makes for more knowledgeable and more capable ALS providers IMO. It also makes a more well-rounded individual.