Every 5 years we get an update to the CPR guidelines courtesy of the AHA. Some years, we see minor changes and other times we see major changes like we did in 2010 where the A-B-C sequence was completely rearranged to C-A-B. We saw an emphasis placed on early compressions for the lay rescuer. This has, at times, led to some confusion amongst healthcare workers. Our goal with this study guide is to bring clarification to the 2015 AHA CPR Guidelines and describe any differences between lay rescuers and healthcare providers.
It should be mentioned that all of the information in this study guide was gleaned from the “Highlights of the 2015 AHA Guidelines...
Cardiac Tamponade Study Guide
In EMS, chest pain and chest injuries are some of the most critical and time-sensitive patients we encounter. Cardiac Tamponade is no different.
What is it?
Acid-Base Balance/ Imbalance
Acid-base balance is the balance between the body’s acidity and alkalinity. An acid is a hydrogen ion or proton donor. A base is a hydrogen ion or proton acceptor. Acidity and alkalinity are measured using the pH (power of hydrogen) scale. The scale ranges from 0 – 14. 0 represents the most acidic, 14 represents the most alkaline, and 7 represents neutral. The human body is slightly alkaline, with a pH ranging from 7.35 – 7.45. If the pH value in the human...
Rapid Sequence Intubation
In the prehospital setting, airway is your first priority when treating a conscious or semi-conscious patient (If they’re unconscious, we check circulation first to determine the need for compressions, then we check airway). Endotracheal intubation is the most definitive treatment in securing a patent airway. If a patient is having trouble keeping a patent airway, has impending respiratory arrest, or you, as a prehospital care provider, see that a patient is deteriorating...
“My name is John Woods and I’m an EMT in Bremerton, WA. I have spent the last 8 years in the military but decided I wanted to get out and directly help people, but I wasn’t sure how. I applied for a firefighter position, thinking it would be fun, and had no idea what I was getting into. The fire was fun, but my true passion was the medical side. I quickly desired to obtain my EMT, and get into the field! I attended the EMT class at Everett Community College and worked hard throughout the course to do my absolute best, studying over the material on my days off and running training scenarios in my head. This worked very well for me, but when it came to the...
“I started to get into the world of EMS after having very close friends who are employed at various Fire Department’s around the area where I currently live. So I decided that in the spring/summer of 2014 that I will attend EMT-Basic school. Class was great and at times it was difficult. Towards the end of class they revealed the so-called “horror” stories of the NREMT exam and shared a few ideas on how to stay calm through the exam. After successfully completing the EMT program I quickly scheduled and took my first NREMT exam. Long story short, I failed miserably.
After that I told myself that maybe this career choice is not for me. Seven months...
The paced rhythm is often simultaneously easy and complicated. You put on your 4-lead cables and take a look at the monitor. “What the heck is that?” may be your first response, then your brain kicks in and says, “Oh, it’s just a paced rhythm.” Hopefully this post will give you some more information to think about and consider the next time you see a paced rhythm in the field.
Things to Remember:
Medications: Lantus, Simvastatin, and warfarin.
Allergies: Penicillin and Sulfa Family Medications
Vital Signs: BP 91/53, HR as shown in the 12-lead, CBG 187 mg/dL, SpO2 91% on room air, Temp 97.9 deg F (oral).
12-Lead Findings: Remember to walk through the steps we’ve outlined for you. If you forgot a step or two, watch our video HERE for review.
Top 5 Most Essential NREMT Test Day Tips
We’re Not Presenting Rocket Science Here
Who We Are & Why It Matters
Let’s Get Started, Here is Tip #1