e-Study Guide for Paramedics

Paramedic Study Guide Audio Format

Finally a solution for your Emt needs. It's 100+ page Quick Study Guide for persons either currently in Emt school or preparing for the Nremt Emt-B exam. As you have certainly heard, the Nremt Emt exam is no joke. This is one of the most difficult exams you will ever take and often times, your career depends on you passing it. Nremt Paramedic Exam Study Guide is the Most Condensed Paramedic Study Guide Ever Created! Study Only Nremt exam tested material. No fluff or other information you dont need to know to pass. Over 8 hours of audio study material available as downloadable MP3 ready for your iPod or other MP3 player. Topics include: Legal & Ethics, Airway Management, Cardio, Trauma, Burns, Many More. Perfect if you dont study well by reading. No books to read or classes to attend. Rewind and replay over and over at your discretion. Plus: The 37 most tested Paramedic On-Board Drugs and their Actions, Indications, Contraindications, Dosages, Etc.

Paramedic Study Guide Audio Format Summary

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Advance Directives Living Wills And Durable Powers Of Attorney

In 1976 California passed the Natural Death Act, the first legally binding living-will act. In general, living wills are written documents that provide instructions to health care providers, family members, and others about the kinds of treatments an individual would want or not want to prolong life. A living will is executed while an individual is still capable of making decisions. Now most states have passed laws to sanction living wills, make them legally binding, and provide guidelines for their preparation. However, there are few, if any, assurances that the declarer's wishes will be carried out. Considerable differences currently exist among the state laws concerning the rights and responsibilities granted to patients and health-care practitioners for withholding or withdrawing life-sustaining procedures. Some of the laws limit the kinds of life-sustaining procedures a patient may refuse. For a living will to become effective, most statutes require that the patient must be...

Resuscitation Systems And Devices

Handhelp Lifepack Lead

Today, most emergency medicine service units utilize a multitier response system, with emergency medical technicians (EMTs) providing basic life support services, backed up by paramedics if advanced life support is needed. All of these personnel are trained in the use of automated external defibrillators. There are several companies that produce such devices, and their availability is no longer limited to hospital or emergency services settings. To date, devices such as the LIFEPAK 12 defibrillator moni-tor series give paramedics access to sophisticated diagnostics and treatment in the field. This single piece of equipment monitors the ECG continuously, measures the level of oxygen in the bloodstream, and if necessary, provides defibrillation or pacing to help maintain the heart's rhythm. Thus, it allows paramedics to perform computerized 12-lead ECGs before the patient reaches the hospital. By the time a given patient had arrived at the hospital, the symptoms had subsided, and the...

Case 22 Clinical Summary

The patient was a 34 year old African American woman, HIV negative, smoker (one pack per day for 20 years), asthmatic, with a history of positive PPD and tuberculous infection, treated with 4 antituberculous medications. As part of the work-up a CT scan of the chest was done, which revealed a large mass involving the middle and lower lobes of the right lung. In addition, a bronchial washing was reported positive for adenocarcinoma, and subsequently she underwent right pneumonectomy. The right lung as well as the mediastinal lymph nodes were involved by a moderately to poorly differentiated adenocarcinoma. Moreover, the lung showed focal emphysematous changes and several 0.5 cm arteriovenous malformations. After the operation she returned to work, but came back to the ER twice complaining of dyspnea and productive cough with yellow sputum. Jugular venous distension was absent and left breath sounds were clear. She was treated with albuterol and discharged on prednisone (20mg qd x 5...

Case 18 Clinical Summary

A few months later, the patient called the paramedics with complaints of severe dyspnea. He was found agitated and in respiratory distress. During transportation to the hospital, the patient became apneic and was intubated. He arrived to the emergency room without vital signs. Defibrillation was attempted several times without success and the patient was pronounced dead.

Urban Governance

Homeless people frequently interact with both police and paramedics, but they have much lower levels of trust in police than in paramedics (Zakrison, et al., 2004). By inhibiting homeless people from calling for needed emergency assistance, this distrust could result in serious harms to health. In a study of injection drug users in San Francisco, 56 of those who had been present with an unconscious heroin overdose victim did not call for emergency services due to fear of police involvement (Davidson, et al., 2002). Police action can also have direct adverse effects on the health through the excessive use of force (Cooper, et al., 2004). In a study in

Clinical Summary

The current illness began a few days prior to her admission with the development of diarrhea, vomiting, abdominal pain and fever. Her foster family took her to the hospital, where she was rehydrated and sent home with the diagnosis of a viral syndrome. At home she had a seizure manifested by stiffness, turning of the head and cyanosis. The next morning she was lethargic, had poor respiration and weak pulses. The paramedics were called and on their arrival they found the patient pulseless, without detectable blood pressure or respiration. She was immediately intubated and CPR was started. Her post-resuscitation physical exam revealed BP 70 palpable, P 134 min, T 37 C evident peripheral cyanosis and clubbing. There was no lymphadenopathy, or edema. Neurologically her pupils were dilated, fixed, and non-reactive. There were no doll's eyes or caloric and pain responses. The cardiovascular exam showed no jugular distension an S1 present, diminished S2 and no murmurs peripheral pulses were...