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

[@timsentsov7282]

A couple additions that would be necessary for assessment of a patient with cardiac distress would be oxygen saturation (SpO2) and capillary refill time. These are both fast, non-invasive procedures that provide critical information. Does this patient need supplemental oxygen? Is she perfusing sufficiently? I understand that these videos are limited in duration; however oxygenation status should be in the "baseline vitals". Otherwise this video is a great review for those involved in critical care. As an RT student, I find these short videos to be helpful resources.

[@travisanderson6455]

I recently took a Medical Con Ed course on Cardiac Emergencies at a fire department that I volunteer as a Firefighter/EMT Basic. Anyway, when it comes to administering Aspirin it was suggested that we ask the patient if he or she is allergic to Aspirin

[@bradyb11100]

O2 in primary would have helped. I am an EMT student going to take the exam this Saturday. That was drilled in during mt class.

[@barrowlatasha86]

How was it?

[@ethanwagner4712]

O2 isn’t advised in cases of chest unless pt is suffering from respiratory related symptoms such as SOB

[@commader620]

Chief complaint chest pain, then PQRST, patient history, medications, vitals, O2, lung sounds.

[@tateisaacs1048]

Probably better then I could do, however did just want to point out I think he said that this had "happened before" when in fact she only said her heart has beat quickly in the past which makes me suspect A-fib which I think puts you at greater risk for an MI and he also said she ate about an hour ago which is also not what she said, she said she ate breakfast that morning, in general pretty negligible details, however just wanted to point it out.

[@AndreasAbrahampulle-il4vx]

Yes aspirin can be given, remember to attach ECG to analys heart rhythm 😊

[@tiastafford4162]

Giving report he missed how many aspirins and dosage he gave the patient when transport arrived. The more details the better .

[@whatacow8]

were allowed to give aspirin and nitro as emt? i though it was only o2, epi, activated charcoal, and glucose

[@joshennis9965]

Yes!! Nitro only if it’s prescribed and aspirin as long as they meet requirements aka no bleeding disorders etc

[@bmccaffrey7281]

53 BASH for the giving of nitro when chest pain is involved and a heart attack is suspected.

[@Nmt_menace]

When you set your ABCs, shouldn’t you do CAB. I was taught that when there’s a cardiac problem for a patient you prioritize circulation first

[@mikahdarrah4595]

why no treatment for shock ?

[@Chris09978]

because its not a trauma patient and you can find that for your trauma assessment, this is only patient medical assessment.

[@CookieSlinger]

​@@Chris09978 There are different types of shocks for different conditions. Traumas are NOT the only cause of shock. And you're an EMT? *face palm*

[@Chris09978]

@@CookieSlinger yes I know but he’s talking about a different assessment. Medical patient assessment is different than the Trauma assessment cause that would be the case for treating shock if needed. Btw I’m an EMT student, and I know there’s multiple different kinds of shock. Medical assessment is to treat patients who have cardiac, respiratory distress, and even OD or unconscious. Trauma patients for the Trauma assessment is basically more so on traumas so anything from blunt force trauma-GSW. And the shock that you treat for this assessment is hemorrhage shock. I’ll break down the hemorrhage shock one for ya Keep patient warm Raise legs 6-12in Rapid transport Nonrebreather 12-15L minute Lay the patient in a supine position This is in no ordinary order at all if you want it in order Lay the patient in a supine position Raise the legs 6-12in High flow O2 nonrebreather 12-15L Keep them warm Rapid transport

[@CookieSlinger]

@@Chris09978 He's not talking about a different assessment. Medical assessment can have shocks as well. If a pt is having an MI (which is what this scenario is), they can have whats called cardiogenic shock and that is related to medical assessment, not trauma. Again, trauma is not the only scenario or assessment that will include shock treatment. EMT for 12 years.. since you're a student take this as a learning moment.

[@Chris09978]

@@CookieSlinger well I’m glad that you brought that up, cause for the Practical skills exam we are taught minor things, so if it’s a cardiac it’s cardiac, anaphylactic it’s that etc. And about trauma it’s GSW or even blunt force. The other stuff you were talking about it’s really stuff I’m going to see when I’m an EMT in my 5-10 year term. Also I have a good instructor as well he said to the class that a medical patient can be a trauma patient as well or vice a versa. But for the practical it’s medical is medical and trauma is trauma, sucks and not realistic Ik. But anyways thanks for the heads up. What EMT are you btw EMT i or AEMT

[@jacobcollins8647]

Early oxygenation would benefit this patient

[@dailydoseofmedicinee]

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