Giving Patients An Unfair Advantage

When you prepare beyond your basic training and knowledge you are giving your patients an unfair advantage. This is good for them of course but great for you as well.

It’s unfair unfortunately because many EMS providers just do the minimum to get certified and get a job. But as you know, EMS is more than just a job. There are so many moving parts and you should be understanding them all thoroughly.

Doing that will give your patients that advantage they need. Take a listen to this weeks episode and see what I mean.

Looking for help on getting and giving that unfair advantage I mentioned? Join me at Turbo Medic and get access to GB’s or downloads, hours of audio and video, practice exams and more. All designed to move that knowledge needle and make you a better EMS professional. All the details are available by clicking here.

Another reason why patient assessment is key

This weeks episode includes a story why patient assessment is the key to your success and the patients. Plus I talk about EMS exam overwhelm and new vs. Salty EMS provers.

Takes a listen and be sure to leave your thoughts below.

 

 

Are you engaged in your education and success? You must pass your exams and build your confidence to succeed. Proper preparation is key. 

Click here for details on the EMS Exam Success Formula. 

Why Patient Outcomes Are Important To Know

This week on the show I wonder why we don’t get any feedback unless:

A –  we seek it out or
B – it serves some in house agency purpose.

Take a listen and think about how knowing more about the patients we transport “afterwards” can help us all.

 

Have you discovered the Turbo Medic PHD? Watch this behind the scenes video on what it is and how you can claim yours. Click here to watch it now. 

Seizures | EMS Quick Study Help

This episode focuses on EMS study tips for seizures and epilepsy. More key elements of exams and patient assessment. [Read more…]

When The EMS Patient’s Story Changes

This is part three of a recent episode where the panel talks about the patients story or how the story seems to change. Jim mentions some pet peeves he received via email and the one that stood out was how a patients gives you one story in the ambulance and then once at the ED does a switcheroo on you.

Take a listen to why we think this happens and some ideas on how to mitigate this from happening.

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My patient has slurred speech but…. WWYD?

zebrahtI sent this email to my members the other day about a possible stroke call I had.

Most of us expect that one sided droop, weakness, slurred speech or no speech deal.

What I get is a 78 y/o female completely alert who says she feels like her speech is slurred.

I do note some slurring. But no facial droop, negative Cinninatti Scores etc.

She also complains of headache that has been worsening over past 3 hours and numbness to her right hand for the past 20 mins, which is about the time she noticed her sleech issues.

When doing my history taking she can’t seem to recall details like why she takes a medication.

She says she feels “dopey” like she can’t formulate her thoughts as she usually can.

Her BP was 176/100, HR 88, RR 18, Sp02 98% on room air.

Here is what I did.

I called this in as a Code Stroke. Started an IV, gave 02 via NC and perfromed a 12 lead.

To me although she wasn’t presenting like a classic stroke patient, there where enough signs and symptoms to suspect that one may be occuring.

It may even have been a TIA.

But I felt better to up triage and treat as a CVA than blow it off and have her suddenly get worse enroute to the ED.

Plus I always worry that if I don’t point out my suspicsions she would end up in a ED room or hallway and not be seen for 10-15 mins or longer and suddenly a nurse will think “hey this may be a stroke” and now precious time has past where the alert talking patient is now unable to communicate or move her entire right side.

So, what would  you do in this case? The same? Totally opposite?

I’d be interested to know if you think her complaints warranted a priority transport or not.

Leave your comments below with your thoughts and keep an eye out for a follow up on this in a few days.

EMS Study Help

If you want to be a better clinician and think about a bigger picture with your patients like the one above, Members of Turbo Medic do just that. Anyone can follow a protocol, real EMS professionals look at the whole patient presenation and treat/transport in the best interests of their patients. Join me at Turbo Medic and see what I mean – http://turbomedic.com/whytm/

Anatomy & Physiology P1 | EMS Quick Study

EMS study guide on anatomy and physiology. This first installment in the A&P area focuses on the systems of the body and what is located within the various sections of the body.




Check out the printed resource mentioned in the video by clicking here.

Do You Know Your Stroke Mimics?

This weeks episode talks about many of the mimics of a CVA/Stroke. Do you keep these differentials in mind when assessing your patient for neurological emergencies?

Get the free download mentioned in the video by clicking here.

Taking Orthostatic Blood Pressures

This weeks Monday Minutes episode focuses on the procedure for taking orthostatic blood pressures. Now it may seem pretty straight forward for many but I have seen too many EMS providers do it wrong or for the wrong reasons. Take a look and let me know your thoughts on this skill.



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EMS Patient Assessment | Pulses and…

This episode focuses on a common element in EMS patient assessment. Giving a patients heart rate is great but do we consistently describe a patients pulse quality so that every healthcare professional understands what we mean?

This video will give you an easy and accepted method in pulse quality description.


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