EMTprep Free Training Materials

Our Free Training Materials include articles, test day tips, study guides and training videos as well as words of advice for both your NREMT journey and EMS career.


            Dopamine works in the body by binding to alpha 1 and beta 1 receptors to increase peripheral arterial and venous constriction and increase cardiac contractility and heart rate. Alpha 1 receptors are found in smooth muscle vasculature and control vasoconstriction and Beta 1 receptors are typically found in the heart and control inotropy and chronotropy. In lower doses from 1-5 mcg/kg/min it mostly affects the renal arteries and in doses from 5-20 mcg/kg/min, it increases its inotropic and chronotropic effects on the heart and systemic vasoconstriction. This is important because in lower doses it does not affect cardiac contractility and may...

After months of paramedic school, clinicals, internship, and training, it was official, I had been deemed competent to be the lead paramedic of an ALS ambulance. The NREMT, State of California, and my employer had given me their blessing with full confidence that I was ready to take on whatever came my way. There was only one problem – I wasn’t.

Sure, I’d checked every box and passed every test. I had graduated from a top-tier paramedic program in the upper part of my class. Shoot, my internship preceptor had even given his stamp of approval (he wasn’t an easy one to please). Most calls I could handle well enough but there were those few that would...

“I had absolutely no experience in EMS. I took a certified class as required by the NREMT and found EMTprep out of the blue.  Now I'm an integral part of my EMS organization and on the track to be an emergency department tech and have already started studying for the next level of care, AEMT.  I highly recommend EMTprep to anyone who thinks they don’t have what it takes.  That’s what I thought, and now, I am certified.  Never stop learning!” –Corey B.

 

Congratulations Corey! Corey passed on his first attempt at the NREMT. 

One might assume you could take what you’re proficient at with static cardiology and walk into dynamic cardiology and be good to go. Wrong. Remember the AED station during your EMT practicals? The proctors want to see that you’re capable of operating your monitor and are able to treat cardiac patients who are going in and out of ACLS related arrhythmias. 

Attacking these scenarios is doable. Practice and train like you fight. Over and over again. When the time comes to perform the skill, follow these steps, and BE SURE TO ACTIVELY LISTEN TO THE PROCTOR:

  1. BSI. Ask yourself if the patient appears stable or unstable. Be ready to defend your...

In this station, you’re tasked with showing the proctor you know how to correctly diagnose a rhythm strip and then state your treatment of the patient experiencing that arrhythmia. Attacking these scenarios is easy, just follow these steps in order:

  1. Review the scenario presented out loud and then examine the strip. 
    • Look closely for pulse status (absent or present) and any clues regarding whether you feel the patient is Stable or Unstable.
  2.   State to the proctor, “This is __________ . I believe they are (Stable or Unstable) based on the information provided.
  3. General treatment of the patient experiencing this is _____________...

One of the most invasive airway procedures that can be performed by a paramedic is a surgical cricothyrotomy. Although infrequent, this procedure could mean the difference between life and death for a patient when there are no other means of securing their airway. With that being said, surgical cricothyrotomy is only to be used when other methods for ventilating a patient are not possible, such as endotracheal intubation or the use of a BVM. We must also add, ALWAYS FOLLOW YOUR LOCAL PROTOCOLS AND PROCEDURES!!

In most cases, cricothyrotomy is not needed, as prior attempts at establishing an airway are usually successful. The incidence level for...

Beck’s Triad is a set of three cardiovascular signs that indicate cardiac tamponade. These three signs got their name from the American cardiothoracic surgeon, Dr. Claude Beck, in 1935. In order to fully make sense of Beck’s triad and what it means, it's essential to understand cardiac tamponade.

Cardiac tamponade is an acute condition in which blood surrounds the heart, putting so much pressure on it, to the point where it is unable to effectively pump blood. You can think of it essentially as something squeezing the heart until it stops.

Surrounding the heart, there is a pericardial sac that is made up of two layers. Together, these two layers...

Many emergency situations occur in which police are first on the scene, or where the police are the only ones on the scene because the scene is deemed “not safe” for EMS to enter. In many of these cases, medical treatment is needed, but EMS has not arrived yet or is unable to do so. When situations like this occur, it begs the question: should police be trained to render care before EMS is on the scene? 

In an article by Mosesso Et al., a study was conducted involving 7 suburban communities where police usually responded to the scene before EMS. In this study, police were trained to use, and equipped with AEDs in the case of a cardiac arrest, prior to...

In EMS, many skills are learned and practiced over and over to ensure that the provider is confident and capable of treating a patient in various situations. An EMS provider may spend several weeks or months learning how to properly establish an IV, intubate a patient or use the monitor during a code scenario. However, there is one skill that tends to be overlooked, and that is the skill of effective communication. Developing the ability to effectively communicate with patients, co-workers, other health care providers such as nurses and doctors, and even emergency dispatchers, cannot be undermined in this profession. To some, the skill comes quite...

EMS personnel are exposed to a number of different situations on the job that can deeply affect their mental health and well-being. Caring for the needs of others in emergency situations can put a large amount of stress on someone, especially having to do it multiple times in one day. To add to that, EMS personnel also deal with irregular schedules, lack of sleep or disruptions of their sleep and irregular eating schedules, all of which can add on to the already mounting levels of stress. It is important for each person working in the health care field to understand the effects of stress and be able to recognize and deal with it as it comes up during...