NREMT EMT Exam Study Guides

Paramedic Study Guide Audio Format

Finally a solution for your Emt needs. It's 100+ page Quick Study Guide for persons either currently in Emt school or preparing for the Nremt Emt-B exam. As you have certainly heard, the Nremt Emt exam is no joke. This is one of the most difficult exams you will ever take and often times, your career depends on you passing it. Nremt Paramedic Exam Study Guide is the Most Condensed Paramedic Study Guide Ever Created! Study Only Nremt exam tested material. No fluff or other information you dont need to know to pass. Over 8 hours of audio study material available as downloadable MP3 ready for your iPod or other MP3 player. Topics include: Legal & Ethics, Airway Management, Cardio, Trauma, Burns, Many More. Perfect if you dont study well by reading. No books to read or classes to attend. Rewind and replay over and over at your discretion. Plus: The 37 most tested Paramedic On-Board Drugs and their Actions, Indications, Contraindications, Dosages, Etc.

Paramedic Study Guide Audio Format Summary

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Highly Recommended

I usually find books written on this category hard to understand and full of jargon. But the author was capable of presenting advanced techniques in an extremely easy to understand language.

My opinion on this e-book is, if you do not have this e-book in your collection, your collection is incomplete. I have no regrets for purchasing this.

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Implementation Of An Acute Stroke Team And Acute Stroke Protocols

The overwhelming prerogative, in thrombolysis for acute ischemic stroke, is the need for rapid, yet complete, evaluation of potential therapeutic candidates within the 3-hour treatment window. Time is the acute stroke clinician's worst enemy.33 The acute stroke protocol should begin at the first of point of contact with the healthcare system the call to an ambulance dispatcher. Stroke symptoms should be recognized and given high priority for dispatch. Emergency medical technicians (EMTs) should be trained to identify potential thrombolysis candidates in the field by recognizing signs of stroke,73,74 and several simple scales have been created for this purpose.75-78 Prenotification by the EMTs, before hospital arrival, allows time for notification of the acute stroke team and preparation of the CT scanner before patient arrival, and has been associated with fewer in-hospital delays in treatment.79,80 The initial evaluation, after arrival in the emergency department, should include a...

Miscellaneous Drugs And Therapeutic Interventions

Observational studies show that magnesium levels drop in injured brain (111). Experimental data suggest that magnesium is neuroprotective (112,113). The potential benefits of magnesium could be related to its effects on ionotropic N-methyl-D-aspartate receptors or to the fact that magnesium might function as a vasodilator (114,115). Unfortunately, an initial prospective, randomized, controlled trial of magnesium administration within 12 hours of ischemic stroke failed to show any benefit (116). Another trial in which magnesium is administered by paramedics within one to two hours of symptom onset is underway (117).

Australian Hypothermia Study

The Australian study (9) enrolled comatose patients after ROSC who presented with an initial cardiac rhythm of ventricular fibrillation. Seventy-seven patients were randomly assigned to hypothermia or normothermia, according to the day of the month, with patients assigned to hypothermia on odd-numbered days. The hypothermia arm had 43 patients, and the normothermia arm had 34 patients. Paramedics initiated hypothermia by removing the patient's clothing and applying cold packs to the head and torso. In the hospital, patients underwent vigorous cooling by means of extensive application of ice packs around the head, neck, torso, and limbs to a target core temperature of 33 C, which was monitored by tympanic or bladder thermometer. The target temperature was maintained for 12 hours, and the patient was sedated and paralyzed with small doses of midazolam and vecuronium, as needed to prevent shivering. The patients were actively rewarmed by external warming with a heated-air blanket,...

Emerging Technologies

Revision A) will support earlier diagnosis and management by allowing an interview and clinical examination of a patient in the field or during transportation by paramedics in an ambulance. Investigators in San Diego recently presented a case series of 25 patients for whom wireless TeleStroke consultation was completed they found excellent inter-rater reliability among 82 of modified NIHSS items.49

Testing Your Comprehension

She strikes the ground with her chin, causing severe hyperextension of the neck. Emergency medical technicians properly immobilize her neck and transport her to a hospital, but she dies 5 minutes after arrival. An autopsy shows multiple fractures of vertebrae C1, C6, and C7 and extensive damage to the spinal cord. Explain why she died rather than being left quadriplegic.

Magnesium

Magnesium is involved in multiple processes relevant to cerebral ischemia, including inhibition of presynaptic glutamate release 180 , NMDA receptor blockade 181 , calcium channel antagonism, and maintenance of cerebral blood flow 182 . In animal models of stroke, administration of intravenous magnesium as late as 6 h after stroke onset, in doses that double its physiological serum concentration, was found to reduce infarct volumes 183, 184 . In pilot clinical studies, magnesium was found to reduce death and disability from stroke, raising expectations that magnesium could be a safe and inexpensive treatment 185 . However, in a large multicenter trial involving 2589 patients, magnesium given within 12 h after acute stroke did not significantly reduce the risk of death or disability, although some benefit was documented in lacunar strokes 131 .Further studies are ongoing to determine whether paramedic initiation of magnesium, by reducing the time to treatment, yields benefit in stroke...

Hyperoxia

In light of the difficulties of HBO, several groups have begun to investigate the therapeutic potential of normobaric hyperoxia therapy (NBO) 236-241 . NBO has several advantages it is simple to administer, well tolerated, inexpensive, widely available, can be started very quickly after stroke onset (e.g., by paramedics), and is noninvasive. In animal studies, NBO has been shown to reduce infarct volumes, improve neurobehavioral deficits, improve diffusion and perfusion MRI parameters of ischemia, and increase brain interstitial pO2 in penumbral tissues 236-238, 241 . In a small pilot clinical study of patients with acute ischemic stroke and diffusion-perfusion mismatch on MRI, NBO improved clinical deficits and reversed diffusion-MRI abnormalities, suggesting that similar beneficial effects can be obtained in humans 239 .As compared to HBO, NBO is relatively ineffective in raising brain ptiO2, and the mechanism of neuroprotection remains unclear. An indirect hemodynamic mechanism (...

Leadership

The weekly round-up meeting had started and the case managers were making their presentations about the patients. Quickly, the usual petty envies began to emerge between the various professional groups. The occupational therapists crossed swords with the physiotherapists, the social workers looked askance at the psychologists and the psychologists looked askance at everyone, particularly the doctors. The doctors looked down their noses, or so it seemed to the paramedics.