EMT Medical Assessment: Chest Pain

[@BillClamps]

Having my final skill assessment today and have been watching these for some help! Thanks!

[@IdahoMedicalAcademy]

We hope it went well!! Thanks for the comment!

[@thecheif6316]

wow these videos are very good. love the dialogue and explanation too

[@IdahoMedicalAcademy]

Happy to hear that! Thanks for the comment!!

[@krystenme6841]

These videos are SO useful! I wish our training unit would actually show us how to perform assessments like this. It has helped me immensely in memorising procedures.

[@IdahoMedicalAcademy]

We are so happy these are helpful for you! Let us know if there is anything specific you'd like to see from us!

[@eternalnate]

Thank you for these videos. I'm a volunteer EMT and I feel like i get a little rusty on my assessments sometimes

[@IdahoMedicalAcademy]

Thanks for the comment! We are so happy we could be of some help!

[@jennifermallare2028]

so I'm noticing something here and I have a question. I noticed with the history taking, the patient states he" takes something for high blood pressure, but does not remember what". neither aspirin or nitroglycerin is given for high blood pressure. The patient does not state he has a prescription for Nitroglycerin but towards the end when the provider starts giving meds, he gives the patient nitroglycerin. So is my understanding of the EMT scope wrong or did I miss something? or does the video give misinformation?

[@IdahoMedicalAcademy]

The general scope of an EMT will allow for NTG administration in patients with chest pain indicative of cardiac origin, without the need for the patient to have a prescription for NTG. There are some EMS systems which will require NTG to be a direct medical control order, or will only allow an EMT to "assist" a patient with their prescribed NTG but we allow our students to operate as if they have a standard order to administer NTG.

[@SingleDonkei]

Hi, if you think the patient have lung embolism (Example if swollen foot), do you still treat it as a acute cardiac infarction prophylactic?

[@IdahoMedicalAcademy]

Swollen feet, or pedal edema, is more likely to be due to congestive heart failure and not a pulmonary embolism. Crackles or rales in the lungs would be another good indication of congestive heart failure in a patient with complaint of chest pain or breathing difficulty. Nitroglycerin is a beneficial medication for patients with CHF, but is not generally in the EMT scope for that purpose. If you are suspecting a patient has a pulmonary embolism due to respiratory complaints with possible hypoxia, as well as chest pain (commonly a more specific sharp pain to a pinpoint area of the chest)and possibly clear lungs sounds, then the patient should not be treated as if they are suffering AMI.

[@robertdaniel8720]

I've watching right now and subscribe....❤❤❤ It's a big help for me as EMT to do better and improved my assessment skills.

[@IdahoMedicalAcademy]

Thank you!