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Today we identify the 14 components of the EMS system. There are various programs that will ask you to identify these components. I’ve also been told that there could be a similar question asking you to identify or to identify, which is not a component of the EMS system.

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Today we’re going to discuss what consent is and specifically actual/informed consent.

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Today we were talking about Epinephrine, and specifically identifying the action indication, Contra indications, route, side effects interactions, dose administration, concerns for this EMT drug.

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The EMT student should understand how to manage a patient with abdominal and genitourinary trauma. The student will learn how to recognize life threats associated with these injuries and the need for immediate intervention. We will discuss the anatomy and physiology of the abdominal and genitourinary systems as well as the pathophysiology, complications, assessment, and management of abdominal and genitourinary injuries. Additionally, we will discuss the patients assessment and discuss specific injuries to include blunt versus penetrating mechanisms, evisceration, impaled object, injuries to external genitalia, vaginal bleeding secondary to trauma, and sexual assault. Last we will discuss the medical care as it relates to the management of blunt abdominal injury, penetrating abdominal injury, and abdominal evisceration.

Knowledge Domains: The EMT student should be able to describe the anatomy and physiology of the abdomen; include an explanation of abdominal quadrants and boundaries and the difference between hollow and solid organs. You should be able to define closed abdominal injuries; provide examples of the mechanisms of injury (MOI) likely to cause this type of trauma, and common signs and symptoms exhibited by patients who have experienced this type of injury. Additionally, you should be able to define open abdominal injuries; include the three common velocity levels that distinguish these injuries, provide examples of the MOI that would cause each, and common signs and symptoms exhibited by patients who have experienced this type of injury.

The EMT should be able to describe the different ways hollow and solid organs of the abdomen can be injured, and include the common signs and symptoms exhibited by patients depending on the organ(s) involved. You should be able to explain the assessment of a patient who has experienced an abdominal injury; include common indicators that help determine the MOI and whether it is a significant or insignificant MOI. The EMT student should be able to explain the emergency medical care of a patient who has sustained a closed abdominal injury, including blunt trauma caused by a seatbelt or air bag. The EMT student should know the the emergency medical care of a patient who has sustained an open abdominal injury, including penetrating injuries and abdominal evisceration.

The EMT should know the anatomy and physiology of the female and male genitourinary systems; include the differences between hollow and solid organs. You should be able to discuss the types of traumatic injuries sustained by the male and female genitourinary system, including the kidneys, urinary bladder, and internal and external genitalia. You need to explain the assessment of a patient who has experienced a genitourinary injury; include special considerations related to patient privacy and determining the MOI as well as the medical care.

Last the EMT should know the special considerations related to a patient who has experienced a genitourinary injury caused by a sexual assault, including patient treatment, criminal implications, and evidence management.

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Today we talk about the acronym AEIOU – TIPS as well as a AVPU

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Ladies and gentlemen, today we discussed the difference between the generic and trade name for medications.

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Today’s tidbit is on the acronym 53 – BASH. This acronym is used when you’re administering nitroglycerin to your patient. Don’t forget to follow us on Instagram at the EMT Tutor.

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Today’s tidbit is on the acronym sludge, which is utilized for organophosphate poisoning. Don’t forget organophosphate poisoning is essentially pesticides. Don’t forget to follow us on Instagram at the EMT Tutor.

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Today’s tidbit is on the acronym DCAP-BLS-TIC which should be used for your trauma assessments. Don’t forget to follow us on Instagram at the EMT Tutor.

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The EMT student should understand how to manage a patient with chest trauma. Students will learn how to recognize life threats associated with these injuries and how to provide immediate intervention.  We will discuss the anatomy and physiology of the chest and underlying organs as well as the pathophysiology, complications, assessment, and management of chest injuries. Age-related issues are discussed specific to pediatric and geriatric chest trauma. We will also discuss information on incidence (morbidity and mortality) and a detailed discussion of blunt versus penetrating or open trauma. Specific injuries discussed include sucking chest wounds, pneumothorax, tension pneumothorax, hemothorax, flail chest, and pericardial tamponade.

Knowledge Domains:

The EMT student must explain the mechanics of ventilation in relation to chest injuries and describe the differences between an open and closed chest injury. You should be able to recognize the signs of chest injury and describe the management of a patient with a suspected chest injury, including pneumothorax, hemothorax, cardiac tamponade, rib fractures, flail chest, pulmonary contusion, traumatic asphyxia, blunt myocardial injury, commotio cordis, and laceration of the great vessels. The EMT student should recognize the complications that can accompany chest injuries and explain the complications of a patient with an open pneumothorax (sucking chest wound). The EMT should be able to differentiate between a pneumothorax (open, simple, and tension) and hemothorax and describe the complications of cardiac tamponade, rib fractures and with a flail chest.