EMT Skills: Allergic Reaction Medical Patient Assessment/Management - EMTprep.com

[@devinortiz7042]

The assessment was thorough but deciding to use nasal cannula at 4 Lpm when the patient has a respiratory rate of 34, probably short/shallow tv and most likely affected/labored breathing was highly questionable.

[@anthonycruz6868]

So what would you do instead of using the nasal cannula?

[@generalRonnieDrew]

@@anthonycruz6868 non-rebreather at 15 LPM

[@Ayothismarcus]

Agreed ^

[@matthewtsai4847]

Shouldn't you start with PPV? Is her breathing inadequate

[@drzlockzy9759]

Especially her going into anaphylactic shock 😂 Where was the high flow O2? Thermal management? It was definitely a goofy thing to watch

[@cjordan121095]

He didn’t check the medication before administering Right dose, Right patient, right time, right route, and right medication

[@georgeconstanza6505]

Didn't he check it when reviewing the equipment?

[@joegooderz2735]

​@George Constanza no I think that's just to get a grasp of the scenario and the equipment you should be using.

[@austincrawford8717]

@@georgeconstanza6505doesn’t count

[@varonicaford4738]

@@georgeconstanza6505 If he is using her EpiPen he has to do at least 6 of the 9 rights Right Patient, Right Medication, Right Dose, Right Time, Right Route and Right Education ( giving her the adverse effects even if she used it before )

[@totesmygrotes]

Nasal cannula? Shouldn't it have been an NRB? She was tachypneic at 34 breaths/min.

[@varonicaford4738]

I agree and she has symptoms of shock therefore he should have thermoregulate

[@blakelatour3554]

The thumb placement on EpiPen 😭

[@danielaroque360]

The incorrect placement of the EpiPen😭

[@andrewmiles3409]

would you apply an NPA to secure the airways in this scenario?

[@chimeragroupmt]

an NPA would work, but its uncomfortable for the patient. If there is head trauma, do not use an NPA. Use an OPA. the airway is secured since the patient is conscious, and breathing on their own.

[@leocarr9950]

I think the epi pen should have been used sooner given her presentation.

[@varonicaford4738]

with given her oxygen its helping her breath that gives him a little time to assess her and make sure the medication is not discolored or expired.

[@bobfjoeg9977]

Unfortunately for this test they are very strict about treatments being given after all history taking is done, even if it is wrong for real life.

[@mahimohsin731]

Before giving epipen you should have been told about its indications and side effects, route,

[@dakotadahlberg3872]

He also didn't rub the area afterwards for bloodflow

[@mynameisoliver4790]

I'll take note on this, it's very useful though ❤️⚕️

[@rechelemitchell9615]

Should have administered epinephrine as soon as 2 affected systems were found.

[@calebochieng2022]

Have learn something thanks

[@beeslife3030]

didn’t check pulse, skin signs or cap refill

[@HolyShadow]

cap refill isnt used above 2 years old at least in NYC it depends on your states protocols

[@varonicaford4738]

he checked her skin signs when he checked her pulse

[@meldinr9629]

AVPU