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.

In this article, we are going to cover:

  • The anatomy of the pelvis
  • Types of pelvic fractures
  • Pelvic fracture concerns
  • How to manage pelvic fractures

Anatomy of the Pelvis

            The pelvis is made from two bones. The bones join in the front at the symphysis pubis, and in the back with the sacrum, at the sacroiliac joints. This forms a ring, and typically when a ring breaks it will break in two places. The pelvis contains ligaments that help maintain the pelvic structure. These ligaments connect the sacrum to the iliac bones, the pubic bones to one another at the pubic symphysis, and the sacrum to the coccyx. Additionally, there is...

            Epinephrine works by binding to alpha 1 and beta 1 receptors in the body to increase vasoconstriction and increase the positive inotropic and chronotropic effects of the heart. We remember this because of its use in cardiac arrest patients, asthma patients, bradycardic patients, and hypotensive patients. We’ve all used epinephrine in varying concentrations either IM, SQ, IV, or IO for cardiac arrest calls, anaphylaxis calls, and some respiratory calls because it also affects beta 2 receptors for smooth muscle relaxation in the respiratory tract, and nebulized in pediatrics for croup.

Why would we use an epinephrine drip? These are useful...

            In this post, we will discuss what nitroglycerine does in the body, what it is used for, and appropriate dosing.

Nitroglycerine is a vasodilator, meaning it causes smooth muscle in the vasculature to relax thereby decreasing blood pressure and decreasing workload on the heart. It can be used to treat angina, myocardial infarctions, hypertension, and acute pulmonary edema.

            How does nitroglycerine work? Nitroglycerine is a nitrate that causes systemic vasodilation. This means it works more on veins than arteries. The nitroglycerine is converted into nitric oxide in the body which in turn causes vasodilation, relaxes smooth...

            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. Beta 1 receptors are typically found in the heart and control inotropy and chronotropy. In lower doses (1-5 mcg/kg/min) it mostly affects the renal arteries and in larger doses (5-20 mcg/kg/min), it increases the 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 not...

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 decision....

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 a patient experiencing this is _____________ . 
    • This is simply...

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 that it can no longer 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 make up the...