AEMT I99 Paramedic - Advanced Skills: Medical Assessment Stroke - EMTprep.com

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This skill video will help prepare you for the NREMT advanced practical exam, Medical Assessment station. For more great free training and educational resources, head over to our website, www.EMTprep.com
This video is specifically provided by EMTprep to assist Members in preparing for the NREMT exam and related skills sheets and for no other purpose. NREMT study aids and resources provided by EMTprep are not intended to provide training for life saving techniques, emergency response training, or any other type of medical training.

[@akjghoiufghskj]

I would have assessed pupils for size and reactivity especially in suspected stroke patient

[@Emtprep]

Great thinking Nessa!

[@BlakeFreeman10]

on a stroke patient where would the pupil size be for a stroke patient?

[@notorious_gian]

Blake Freeman they’d be uneven I believe

[@blaken2651]

@@BlakeFreeman10 the pupils would be unequal

[@IRISHFIRE87]

And the eyes are usually looking in the direction of the damage.

[@Robbievigil]

thanks for now having AEMT Videos, I could have used them before testing a couple weeks ago. it seems to easy here but its so much more difficult when testing.

[@Emtprep]

+Robbie Vigil Hey Robbie, sorry we missed you and your test! The test can definitely be difficult and we want to see people succeed more than anything. Have you received your certificate yet?

[@Robbievigil]

+EMTprep I haven't yet, hopefully this week. Thanks for the videos though I've been using your videos since Basic.

[@Emtprep]

Well best of luck! If we can help you in anyway, let us know. If you haven't already, check out our Free Training page, located in our navigation bar of our EMTprep.com homepage.

[@drew25music]

Did you get it?

[@Robbievigil]

+Caleb Andrew Lewis Yup, and start paramedic in the fall.

[@krazihorce44]

Ty

[@charlesmcdaniel2535]

This is already a load and go. Why is he still on scene? I understand that this is a "test" but my secondary assessment would be in the back ambulance.

[@Nighthawk681]

🤣💦

[@TheWindigomonster]

If you make it a high priority transport, they automatically assume you're completing the remaining steps during the move to the ambulance & transport.

[@Samson-dn4eo]

Since the pulse ox read 98 and patient was not in respiratory distress, I believe 15 oxygen was too much.

[@msizathemotivational7793]

i agree with you

[@its_ya_boi_boi]

Would nasal cannula be more effective

[@Logan-vv7lv]

I Believe he said non rebreather @ 15 lpm because first Sp02 reading was 92%. Secondary reading was 98%.

[@jenidowney2347]

Also, he might be using protocols that were for when the video was made. Not too long ago the protocols said you wanted to be as close to 99 to 100 oxygen saturation. Now it's all good if it's 94%.

[@JM-ir8lw]

Nremt practical DOESNT CARE about what's real world PRACTICAL only whatever is written on that sheet and nothing else. Just about every situation they call for at least 15LPM NRB.

[@sushmasatishghugey6232]

For high blood pressure

[@rockyjetproject1345]

Are all AEMT for NREMT an I99? Im asking because hes getting and ECG. Thanks!

[@Emtprep]

Good question Rocky, the student in the video is going for his paramedic level test.

[@Joey-cg7qt]

Funny, I saw him on a special operations video a few years ago. Dude's a super badass former Ranger sniper and I believe is now a FF/paramedic.

[@yourmom705]

Do you give a stroke patient oxygen even if rr is 18 spo2 is 96 and pt reports zero sob?

[@ripgoose27]

No

[@jumadavid4566]

yes because the brain is already not getting enough oxygen due to ischemia or haemorhage

[@heavenphillips3867]

I thought Onset is asking "what were you doing when it happened?" Asking when did it start is the same thing as time

[@Lindapyron2014]

No. Onset is when did it start. Time is the actual time or around it..
Like onset could be Saturday. But it started again around 5pm today. Make sense?

[@parishj3]

Onset. Was it sudden onset or have you been like this for a couple of days ?

[@DrDavidmx]

Why so much O2?

[@dianaosorio2068]

Well for breathing the guy didn't checked for lung sounds, SPO2, respiratory rate, rhythm and quality and for circulation he only assessed for pulse, forgot CTC or assess for major threat bleeding. The first time he assessed for respiratory rate was until the secondary assessment.

[@ripgoose27]

Yeah because for the skills test you do your vitals during the secondary assessment not in the primary

[@iris201000]

@@ripgoose27 ..but you check aBc in primary.. pulse ox, breathing rate and quality & treat hypoxia before moving onto secondary

[@ripgoose27]

@@iris201000 u don’t check the rate of anything u check the quality and if it’s there. If someone else can get u ur vitals while you’re doing the primary then they can do that. But when ur checking rates ur taking up time.

[@coetzeenandie7438]

Can you not use FAST method to check for stroke?

[@dmayacollections2068]

yeah LAM Score

[@Ms_Tex]

FAST is the Cincinnati Stoke Scale, with the addition of "time" / time of onset.

[@ninjahamster797]

Rule out stroke mimics -> Fast -> Van. Check out the EMBC Canada FAST VAN flow chart it's awesome.

[@jamesbowles3019]

fit

[@historicstudios2708]

What about LOC questions?

[@dmayacollections2068]

yeah no LAM

[@gta8awsomeness]

Glucose?

[@heavenphillips3867]

You're not supposed to "assume" your scene is safe or "assume" how many patients you have. I was always taught to ask is my scene safe and how many patients i have

[@obnoxiouscat6269]

video is pretty old a lot has changed

[@MegaGixo]

blood sugar

[@jevgenijsalunin9820]

he said CBD

[@zukrayinoyu]

CBG.... Cap blood glucose@@jevgenijsalunin9820