How To Assess Difficult Patients | Scene Safety BSI

Remember that violent patient manikin in EMT class? Or what about the simulated patient under arrest?

Yeah, most EMT courses stick to the basics and rarely present students with a violent patient or patient in custody scenario. 

It’s hard to do and time is often limited in class. So instructors have to stick with the basics. 

But then you have that shiny new NREMT card and go on your first violent patient call and find patient assessment is anything but your standard head to toe. 

This episode of the podcast discusses the violent patients, the ones under arrest and even the ones you think could be violent at any minute. 

Plus we talk about the need for more situational awareness given the apparent increase in violence against EMS and Fire crews. 

Talk a listen or watch the video below.

Your patient didn’t read the textbook. 

All chest pain is not an MI and all breathing problems are not asthma.

Think critically and get your FREE differential diagnosis guide. 

Download it by smashing the button below.

The “I Can’t Breathe” Myth

This episode asks:

When a patient says “I can’t breathe” How can we tell if they are telling the truth? Should that even be part of the assessment?


Being eased into 911 or thrown in the deep end. Which is better?

What to do when you’re in a self taught EMS program

Take a listen:

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EMS Study Help Tips | Specific Types Of Burns

This EMS quick study help video focuses on key elements for your EMT, paramedic and NREMT exam. This is part of the EMS study guide series.

This episode talks about inhalation, chemical and electrical burns and how they relate to your patient assessment and treatment as an EMT or paramedic.



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The Patient With The 105 Degree Fever

Happy New Year! The very first episode of the podcast for 2019 is live. I wanted to make it quick but also wanted to get you in the right mindset for the new year.

So, I talk about my latest call and the 105.3 degree fever I had. But most important is how I got the call and how you can benefit from my initial frustrations.

Take a listen below


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Respiratory Emergencies P6 | Pulmonary Edema | EMS Study Help Tips

This EMS quick study help tip focuses on pulmonary edema and respiratory emergencies. This video is great for key paramedic study content to help with EMS exams, documentation, patient assessment and more.


Go visit the main site for more EMS study resources and content. Start being an EMS professional now here. 

Coma & ALOC | EMS Quick Study Help

Recognizing coma and altered level of consciousness in EMS patient assessment. Paramedic exam study tips video focusing on coma and LOC.

EMS Study Guide


Get all the EMS Quick Study Help Tips by downloading the leading resource. Click here for details.

EMS Airway Assessment | Hours Of Training, Seconds To Act

EMS airway assessment is drilled in to us from EMT school to recert classes like ACLS. But we know it all already so why keep harping on it? While it may take hours of classroom training and skills practice to learn airway assessment. You only have seconds in the field to decide how to manage a patients airway.

Deciding on using a BVM, KING airway or ETI depends on many things. You should be thinking about them as you approach your patients and during your
initial and on going EMS patient assessments.

This video drills home some more key points to think about during your airway assessment. Take a few minutes now to watch the video so you can
act in seconds later when your patient needs it.

Do you have some airway assessment tips? Post them below and be sure to like this video if you found it helpful.


Recognizing Aphasia In EMS

pixtures_reloaded_logoThis week we were joined by Ellayne S. Ganzfried, M.S., CCC-SLP who is a speech-language pathologist and the Executive Director of the National Aphasia Association. Fellow paramedic and long time subscriber to Avi Golden also joined us to share his story about how aphasia has affected him.

Many health professionals have heard of aphasia but often don’t have a good understanding of the disorder and how to communicate with a person with aphasia. EMTs and other health professionals are in fact more likely to encounter a person with aphasia than someone with multiple sclerosis, cerebral palsy or muscular dystrophy. Unfortunately, because few health professionals are specifically trained to deal with people with aphasia, they may mistake the aphasia for mental illness, mental retardation, or other conditions. Misunderstandings may arise and efforts to help people with aphasia may be useless – or dangerous. The goal of this episode is to provide comprehensive information about aphasia along with practical communicative and intervention strategies.

Thanks to EMS Manager for sponsoring the show. To get your customized free trial of their innovative EMS employee management and scheduling software click here.

Be sure to visit John Broyles on his podcast this Saturday by clicking here and check out Josh and his one of kind EMS oxygen wrench by clicking here.

I also want to give a shout out to Tena who joins us each week and has her new podcast and blog here.

Join Jim at Turbo Medic here

Get more information about aphasia via the National Aphasia Association by clicking here.

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EMS Skills | Assessing Lung Sounds

Assessing lung sounds in EMS as a paramedic or EMT can be difficult. All the background noise like diesel engines, radios, movement and even what a patient is wearing can really hinder what you are hearing. Knowing a baseline of what to expect to hear can be helpful. This week I talk about four common lung sounds we might hear as EMS providers.

Want additional lung sound assessment training and more? Check out Turbo Medic and master your assessment skills. Click here.

EMS Patient Assessment | Skin

ems trauma assessment tipsThis patient assessment sign is discussed during this Monday Minutes session. Remember, assessment of the patients skin during your primary EMS assessment can give you clues to the patients circulatory status. See the video version over at youtube