So I notice a few folks are commenting what they would do rather than CPAP and stuff. These videos are NOT meant to be a reflection of working in the field. These are designed to help pass the NREMT skills test and for NREMT we are taught in class to always use CPAP for all respiratory distress and intubations. He chose the proper intervention for the NREMT test however it may be different in the field due to local and state protocols.

OPQRST O: Onset- what were you doing when this started P: Provocation/Palliation- what makes it better and what makes it worse Q: Quality- describe the pain (sharp, dull, throbbing, etc.) R: Region/Radiation- where is the pain and does it radiate anywhere S: Severity- on a scale of 1-10 how would you rate your pain 10 being the worst T: Time- at what time did all of this start

She said that she had an inhaler but she said she didn't had any past medical history. You should have asked her if she has any asthma history or something like that cuz some patients do not consider that as relevant. I would have asked her again for ashtma, asked her if she had used her MDI for today, consider if the MDI is for albuterol sulfate, and depending on her answers, basically administer it, and stay with the nonrebreather or simply place the CPAP with the nebulizer or a simple mask with the albuterol sulfate on it. And his OPQRST were sloopy.

@user-vc3ml9tg1w

3 жыл бұрын

Can you write steps for respiratory assessment in this video?

I would have gone a nebulizer with attrovent and salbutamol instead of a cpap.

Great video !

A great educational video.

Would you do sample 1st to know what to treat if patient had asthma copd or anything

why would you use CPAP here? the lung sounds were diminished and he didn't say there was fluid sounds in the lungs. Why wouldn't you go with a duoneb treatment, especially because she has a hx of using an inhaler?

@brianh1475

8 ай бұрын

4 hours in to asthma (lacking a copd history to go on) you're in stage 2 and the bronchioles are too full of mucous for the beta-2 agonist to contact receptors. CPAP is acceptable in progressive systems at this stage. The best bet is to go for CPAP with the reported diminished breath sounds, then if your mask allows add a neb circuit to it to try and CPAP in the medication as things hopefully open up. Some protocols also allow a dose of 1:1000 epi similar to anaphylaxis, and you definitely want 2g of mag sulfate and either solumedrol or decadron at the Paramedic level. But for I99 the CPAP and epi are easily in scope.

Could albuterol or atrovent still be given for this patient since her heart rate was above 100 bpm?

@FaTaLthe13th

3 жыл бұрын

NREMT says don't administer to symptomatic tachycardia, I would imagine as in a form of SVT >150 or it was drug induced tachycardia. Let me know what you think.

Why wouldn't he [help her] administer a dose from her inhaler? I am going for EMSB, is that the difference?

@Emtprep

8 жыл бұрын

Good question Anne, we went off the national registry skill sheets.

@damientrevino2762

6 жыл бұрын

EMTprep in what country?

@user-iw3kx5tv2b

5 жыл бұрын

merica

Past medical history?

@Emtprep

8 жыл бұрын

+EdDerp101 Great idea Ed!

Wouldnt you give albuterol?

@Emtprep

8 жыл бұрын

Definitely something to consider Andrea. Treatment of illnesses depends on a lot of factors. For the test, whatever treatment you choose should be backed up with rationale for why you're intervening.

@jordanmanuelito9541

6 жыл бұрын

It's a good thing it's not for the EMT basic level then

@braxtonrichardson1938

2 жыл бұрын

@@Emtprep the Albuterol might of been contraindicated due to her heart rate

0:32 Why didn't he do that?

I believe O of the OPQRST mnemonic is "What were you doing when this started?" T is "How long".

@dennylutz1758

7 жыл бұрын

really o and p are lol you are correct

@dennylutz1758

7 жыл бұрын

o*

@akjghoiufghskj

6 жыл бұрын

O represents onset

@mollerbt

3 жыл бұрын

not correct. O is onset. Was it immediate onset? Gradual onset? T is when did it start. P is what makes it worst or better.

@nicholasjoyner6266

Жыл бұрын

T can represent whether their situation is constant or comes and goes. Example if chest pain is subsiding and comes back or if it is constant and does not go away

Inhaler...5 rights.

@nerrinecolon3164

6 жыл бұрын

6 rights

@bajamedic

4 жыл бұрын

6, definitely 6

@thespaceelefant2441

4 жыл бұрын

@@bajamedic 10 actually: patient(and allergies), drug, dose, route, time, documentation, right to refuse, education, assessment, evaluation

@bajamedic

4 жыл бұрын

@@thespaceelefant2441 that's not a thing

@thespaceelefant2441

4 жыл бұрын

@@bajamedic oh yes it is. just look it up