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Myocardial infarction

Myocardium-Heart muscle

Infarction-muscle death

Serous Drainage

• Normal clear/yellow drainage

Purulent

WELCOME!!!!!!!!!

• This exam is not about the big obvious picture; it is about the small details!!!! (Words, Phrases, History, Home meds, Risk factors, Etc.)

• The NREMT knows that you guys know the big obvious topic.... they want to see if you can think outside the box, pay attention to detail, and utilize forward thinking & implement clinical judgement!!!

• All categories must be passed!!! If someone does really well in Trauma, Airway, and Medical, but they fail the EMS Operations section, it is a failed attempt. So, you need to be a generalist, not a specialist

• You are in route to a 45 y/o male patient c/o abdominal pain and N/V. The patient is located on a 2nd story apartment and states he has a history of asthma. It is a warm summer day, w/ clear road conditions. What condition should the paramedic suspect?

A. Pancreatitis-X

Class 4-Calcium Channel Blockers

MOA-Block the influx of calcium into the myocardium, causing a decrease in the HR, thus also lowering the BP

• Cardizem/Diltiazem

• Verapamil

• Rapid Afib

UTI (urinary Tract Infection)

• Kidneys (all internal structures-nephrons, renal tubules)

• Ureters

• Bladder

• Urethra

• Pyelonephritis

WBCs

Neutrophils

Lymphocytes

• T-cells (mature in the Thymus gland)

• B-cells (mature in the bone marrow)

• NK Cells

Clinical Judgement Questions

Always pay attention to the following things:

• The age, history, risk factors, allergies, and home meds of the patient

• Who are you working with? (Another medic, EMT, AEMT)

• The time of day of the call

• The weather and the road conditions

Clinical Judgement Questions

Always pay attention to the following things:

• The age, history, risk factors, and home meds of the patient

• Who are you working with? (Another medic, EMT, AEMT)

• The time of day of the call

• The weather and the road conditions

Quadrants

LUQ

• Spleen

• Stomach

• Pancreas

• Small/large Intestine

Clinical Judgement Questions

Always pay attention to the following things:

• The age, history, risk factors, and home meds of the patient

• Who are you working with? (Another medic, EMT, AEMT)

• The time of day of the call

• The weather and road conditions