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NREMT-PTE | NREMT Paramedic Trauma Exam

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NREMT-PTE - NREMT Paramedic Trauma Exam - braindump

Vendor Medical
Exam Number NREMT-PTE
Exam Name NREMT Paramedic Trauma Exam
Questions 49 Q & A
Recent Update January 15, 2019
Free PDF Download NREMT-PTE Brain Dump
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NREMT-PTE exam Dumps Source : NREMT Paramedic Trauma Exam

Test Code : NREMT-PTE
Test Name : NREMT Paramedic Trauma Exam
Vendor Name : Medical
Q&A : 49 Real Questions

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Medical Medical NREMT Paramedic Trauma

EMT-Paramedic practicing classes and necessities | killexams.com Real Questions and Pass4sure dumps

moreover the core paramedic curriculum, college students getting their associate's in paramedic science are required to comprehensive the common education required by way of the establishment, such as literature, writing, psychology and arithmetic courses. generally, one of these application is completed in two years. associate diploma classes put together students for administration-degree careers within the pre-health center care field. course subject matters could include:

  • ideas of management
  • Intermediate algebra
  • company communique
  • concepts of sociology
  • EMT paramedic I
  • Employment Outlook and income assistance

    based on the Bureau of Labor facts (BLS), EMTs and paramedics make a median every year income of $31,980 based on may additionally 2015 records. From 2014 to 2024, the employment for EMTs and paramedics is anticipated to grow 24%, which is lots faster than typical.

    carrying on with training suggestions

    The country wide Registry of Emergency medical Technicians (NREMT) presently certifies emergency response service suppliers at 4 EMT ranges: basic, Intermediate-1 and Intermediate-2, and Paramedic. achieving certification requires a hit completion of a practicing program and a finished examination. Such certification is required in each state to be able to attain licensure. All 50 states require emergency scientific technicians to have present licensure in order to work in the box.

    once employed, classes reminiscent of advanced medical existence help, emergency pediatric care and pre-health facility trauma life guide supply further training for an EMT-Paramedic. Such lessons are backed through the countrywide association of Emergency scientific Technicians (NAEMT) and also deliver some of the carrying on with education credits required to hold present certification and licensure. The variety of hours of carrying on with schooling required to keep licensure varies via state. EMT-Paramedics must also take a BLS Refresher course every 1-2 years.

    a lot of educational movements are available for EMT-Paramedics, constantly offered by using regional or statewide emergency scientific carrier departments. youngsters, there are just a few nationally backed activities, such as the annual EMS Expo presented by the NAEMT and the Emergency clinical functions tutorial Seminar groundwork. The branch of fatherland protection also presents periodic seminars appropriate for emergency medical provider providers.

    EMT-Paramedic certificates and associate's diploma courses put together students to enter or strengthen in the container. State licensing is required and usually entails earning certification during the NREMT. additional training can be bought in the course of the NAEMT.


    officials: Mass. paramedics falsified practicing records | killexams.com Real Questions and Pass4sure dumps

    An investigation discovered that at least 5 Armstrong Ambulance paramedics falsified information for superior cardiac lifestyles support, CPR and Pediatric advanced existence aid

    by way of Abbi MathesonWicked local Metro

    ARLINGTON, Mass. — if you happen to dial 911 in an emergency, you predict qualified knowledgeable authorities to come to your help.

    in response to the results of an investigation into Armstrong Ambulance, which has been found in Arlington for seventy two years, by way of the state department of Public health's (DPH) workplace of Emergency scientific functions (OEMS), at the least five paramedics falsified working towards data for superior cardiac existence guide (ACLS), cardiopulmonary resuscitation (CPR) and Pediatric advanced lifestyles support (acquaintances).

    An investigation found that at least five Armstrong Ambulance paramedics falsified records for advanced cardiac life support, CPR and Pediatric Advanced Life Support. (Photo/Flickr) An investigation found that at the least 5 Armstrong Ambulance paramedics falsified facts for superior cardiac existence guide, CPR and Pediatric superior lifestyles guide. (photo/Flickr)

    One paramedic is Armstrong Ambulance's Chief government Officer Richard Raymond.

    Allegations in opposition t the five paramedics were filed with the DPH in April and can of 2018, referencing incidents that happened within the fall and iciness of 2017.

    The result of the investigation concluded that "Armstrong failed to make certain the validity of ...credentials, in violation of the EMS systems laws and had in location a procedure that allowed this classification of false acquiring of credentials required for EMT certification to happen."

    Armstrong presently capabilities 17 communities in enhanced Boston, together with Arlington. city supervisor Adam Chapdelaine informed The advocate town contracts with Armstrong to give superior lifestyles assist (ALS) ambulance capabilities.

    Chapdelaine talked about they've at all times been "reasonably convinced" with Armstrong's functions and that the business is a "powerful supporter of their community," having financially supported town routine in the past.

    according to a statement from Armstrong Ambulance's Chief enterprise Officer Meredith Lambroff, the employees who oversaw the practising programs are no longer employed with the aid of Armstrong.

    Falsification at the highest level

    in line with the report from DPH, an unnamed complainant suggested that Raymond turned into brought to a category roster, dated March 13, 2017, for an ACLS recertification type with out the teacher's capabilities.

    in response to the DPH file, emergency scientific technicians (EMT) are required to renew their certificates each two years. They have to meet training necessities in keeping with their degree of certifications.

    Raymond, recertifying as an EMT-Paramedic, was required to successfully finished and doc CPR and ACLS practicing, which must be acquired through an teacher-led route or blended learning journey with an in-adult, fingers-on expertise comparison.

    Documentation of accomplished training must then be submitted during the DPH web-primarily based continuing schooling tracking platform.

    The complainant alleged that there was no documentation of Raymond's practical expertise assessment, while there was for the other 12 students in the class, and the documentation for the written verify became distinctive than the examination given to the different 12 college students.

    in accordance with an interview between OEMS investigator Renee Atherton, documented in the investigation, Raymond acknowledged he didn't attend the ACLS type held on March 13, 2017 however couldn't bear in mind how his identify was delivered to the roster.

    He told Atherton that he didn't sign his personal identify, in accordance with the report.

    Raymond referred to that he instructed Scott Morency, Armstrong Ambulance's medical coordinator on the time, that his ACLS certification essential to be renewed and that Morency gave him the written check and later followed his arms-on abilities evaluation.

    He advised Atherton he assumed Morency achieved the documentation for his talents contrast and will now not remember who he gave his accomplished written check to.

    The DPH investigation cited that there isn't any documentation of Raymond having accomplished this ability assessment.

    After receiving an digital ACLS certification, Raymond pointed out on March 13, 2017 he submitted his recertification on the DPH net-based tracking platform and renewed his Massachusetts paramedic certification according to this route.

    "operating out of time"

    according to a 2d file from DPH, a criticism was additionally filed towards Armstrong Ambulance paramedic and Chief tips Officer James Brooks, alleging he falsified practicing facts for ACLS and CPR recertification, including his identify to the roster of a category he didn't attend.

    Ricardo Gomez, a Woburn firefighter who taught the CPR type Brooks changed into on the roster for, told Atherton he held a class on March 9, 2018 for 4 college students.

    Brooks turned into not one in every of them.

    Gomez spoke of he didn't add Brooks' name to the roster and assumed it become added through someone at Armstrong Ambulance, in accordance with the document.

    Morency instructed Atherton that Brooks approached him on or round March 28, 2018 and noted he turned into finishing his ACLS recertification and crucial to do the knowledge evaluation element, in accordance with the document. Morency stated he arranged to satisfy with Brooks on March 30 to comprehensive the talents evaluation.

    Morency added that he was known as away the morning of March 30 and certainly not met with Brooks, mentioning that the did not ask what Brooks did that day as a result of he did not believe it become his accountability and if Brooks crucial to reschedule, he would let him be aware of.

    Brooks talked about afterward March 30, Morency known as him and observed he "changed into all set."

    Armstrong Ambulance practising center Coordinator Carla Iannetta informed Atherton in an interview that Brooks approached her a few times asking a few CPR roster for him to sign to recertify his CPR certification and mentioned she offered him with Gomez's roster to sign.

    in line with the document she, "felt compelled by means of him to accommodate his request," and "cited she turned into aware that Brooks was making ready to complete the requirements for paramedic recertification and he turned into running out of time to meet the deadlines."

    Iannetta spoke of in her interview she obtained an e mail from Brooks on or around March 28 together with his certificates completion for the on-line, written component of Brooks' ACLS comparison and assumed he had completed the capabilities evaluation as smartly.

    Brooks' competencies evaluation listed Morency because the reviewer. each Morency and Iannetta informed Atherton that during the past, Iannetta had typed Morency's identify in because the teacher for him as a result of he changed into regularly not purchasable to log off himself.

    Brooks referred to he felt like he changed into "working out of time" to finished his paramedic recertification and pointed out he became unclear about no matter if he desired to get recertified, in response to the report.

    Brooks advised Atherton he "has now not been staffing an ambulance for about eight years and does not intend to in the future," and "is embarrassed this took place in any respect, and that he has not ever executed this before."

    Three's a crowd

    DPH officials additionally investigated allegations that three extra Armstrong Ambulance paramedics, Davin Fors, Sean Mangan and William Carroll, obtained friends certification without attending a category.

    The complainant reported that the three paramedics have been the simplest ones signed up for the pals class, dated Oct. 21, 2017, and the classification become certainly not held.

    in accordance with the file, pals courses can be used for continuing schooling credit score against paramedic recertification however aren't required to renew a Massachusetts paramedic certification.

    Armstrong Ambulance does, although, require all of its paramedics to keep current associates certification as a condition of employment, in response to the record.

    All three paramedics informed Atherton they got the written component of the recertification verify previous to the talents evaluation. Carroll and Mangan referred to Iannetta gave them the written test someday in October and Fors talked about it turned into on his desk someday that equal month.

    they all told Atherton they did not vicinity their names on the roster for the classification, according to the record.

    Iannetta advised Atherton that she can also have given the three paramedics the written test, but didn't bear in mind who advised her to try this. in keeping with the file, she talked about she knew this became wrong and was now not the manner the recertification is always completed, however she did it anyway.

    Morency referred to he followed each and every of the three paramedics operate the knowledge assessment in my view but didn't administer the written test or complete documentation for the capabilities assessment.

    He introduced that he did not be aware of any roster had been created and didn't hold a formal class.

    handiest Fors submitted this buddies practising towards his carrying on with schooling requirements for his paramedic recertification.

    Licenses exceeded over, revoked

    In an email to DPH on may 20, 2018, Brooks voluntarily surrendered his paramedic certification and his national Registry of EMTs (NREMT) paramedic certification.

    according to the Massachusetts health Professions License Verification site, Brooks' teacher/coordinator license become also voluntarily surrendered.

    In a letter dated June 19, 2018, Raymond informed DPH he turned into voluntarily surrendering his Massachusetts paramedic certification and his (NREMT).

    Mangan and Carroll are currently licensed paramedics; they retook and completed a valid pals class and got legitimate acquaintances certification.

    based on the Massachusetts fitness specialists License Verification web site, Fors' license turned into revoked.

    in accordance with the DPH findings, Armstrong's Director of Operations Michael Kass submitted a plan of correction. He additionally accomplished a retrospective review of Armstrong's ACLS and CPR recertification programs and did not find any questionable documentation and believed Brooks' incident was remoted.

    As of June 6, 2018, Armstrong Ambulance not offers American coronary heart association (AHA) classes, such as associates, CPR and ACLS, and should use skilled Ambulance provider as its AHA working towards core for its emergency scientific features personnel.

    "we have cooperated absolutely with every requirement and recommendation of the Massachusetts workplace of Emergency scientific capabilities (OEMS) all through this technique," Lambroff observed in her commentary to The suggest. "OEMS took no opposed action towards Armstrong Ambulance's license, and in August during our annual license renewal inspection, OEMS gave Armstrong a favorable comparison and mentioned zero serious deficiencies."


    Trauma in EMS | killexams.com Real Questions and Pass4sure dumps

    title /content material ]]> Editor's word: this is the primary installment in a three-part collection on clinical transportation and EMS. examine the 2d half, "Equipping EMS."

    Emergency scientific technicians, first responders and paramedics—the spine of emergency medical services—have worked for decades beneath a repayment system that quite simply maintains their pay low and provides them an incentive to not all the time supply effective, first-class care. That repayment mannequin can be in for revision, even though, a stream that might be welcomed by way of many in the trade.

    at the core of the difficulty is a 1960s-period repayment model that EMS consultants say not matches with how the EMS neighborhood desires to give care. below the existing mannequin, which changed into developed when ambulances were used for transportation only, an ambulance carrier receives paid simplest if a patient is transported to a medical institution.

    title

    abstract study greater >

    /content.1 ]]> An EMT or paramedic who spends the time and effort to appropriately stabilize a affected person in a home or at the scene of an accident receives reimbursed nothing if the affected person feels neatly enough to decline a trip to the emergency room. but if that same affected person—who may now not want extra care—decides to consult with the ER, then now not only does the ambulance carrier get paid, however the health facility ER does too, unleashing a string of expenses that possibly could have been prevented.

    That variety of compensation for a service designed to be able to go at any time makes it complex to support the infrastructure and overhead of EMS. It also encourages inefficient use of healthcare materials.

    “there may be a disincentive to no longer take individuals to the sanatorium,” says bypass Kirkwood, president of the countrywide EMS administration affiliation and chief of the Wake County Emergency clinical functions division, Raleigh, N.C. Kirkwood and others say that EMS professionals do their job to the best of their skill, but EMS providers could do greater, saving the healthcare device money by using featuring additional care upfront. but the latest repayment model without problems discourages preventive care via not giving businesses the resources to deliver it, Kirkwood says.

    And whereas the nation has come to expect the use of tax funds to pay for the readiness of hearth insurance plan, ambulance carrier is not at all times subsidized with taxes. There isn't an automatic expectation that the government should lower back EMS providers. That ability ambulance services commonly may additionally run on a shoestring or may additionally subsidize emergency care with nonemergency care, reminiscent of transferring patients between healthcare amenities.

    definitely, the trend among public ambulance providers is to drag back, specialists say.

    connected content Tenth annual file on the healthcare team of workers

    Celebs, execs to the rescue

    study half 2: Equipping EMS

    “We're basically losing jobs” in the municipal and county arenas, says Connie Meyer, board president of the national affiliation of Emergency scientific Technicians and EMS captain for Johnson County (Kan.) Med-Act, a public EMS company. “We're trying to make the case that we're a a must-have part of the healthcare equipment,” she says. “EMS is a safety net for the healthcare system.”

    on account of the current repayment mannequin, regions through which emergency medical services do not have neatly-subsidized funding from the community tax base usually tend to pay their EMS personnel less and fight to maintain personnel within the container for a very long time, industry experts say.

    Compensation and retention contemporary records from a federally backed 2010-11 survey of participants of the country wide association of State EMS officers, or NASEMSO, suggests that EMS salaries will also be low given their magnitude in the scientific-care spectrum. That survey discovered emergency medical technicians earned a median of $25,066 to $28,600 a 12 months, whereas a person with the extra-advanced designation of paramedic earned a median of $38,000, based on the survey, which for this component obtained responses from 26 to 29 states.

    A separate file from the U.S. Bureau of Labor data, which businesses EMTs and paramedics into one classification, estimated their 2010 median pay to be $30,360 a yr. EMS worker's who do double duty as firefighters often earn greater. The median earnings in 2010 for a firefighter was $forty five,250 a 12 months, in accordance with the BLS. both fall short of the median revenue of registered nurses, which become $69,110 as of may also 2011, in response to the BLS.

    “there's a retention problem because (EMS) is what people consider a low-paying job,” says William Brown Jr., executive director of the national Registry of Emergency scientific Technicians, which presents knowledgeable EMS certification. The reimbursement must consist of a part that covers the “readiness” required of EMS, Brown says. “How are you speculated to assist the delivery of EMS to 300 million americans for those who do not get paid for lots of the work and readiness that you just do?” Brown asks.

    whereas EMS personnel in urban settings commonly get paid a income, there are nevertheless a large variety of EMS responders who receives a commission little or nothing as volunteers. That creates some tension in the trade, with some wanting to increase entry-stage EMS requirements. The U.S.' requirements are among the lowest of English-speakme countries, Kirkwood says, while communities counting on volunteers frequently oppose it. Volunteer EMS personnel are already being requested to do a lot, and raising requisites would make it even more complex to attract and keep volunteers, he says.

    “individuals who do it at no cost need to do it with minimal funding,” he says.

    changing certification The countrywide Registry of Emergency medical Technicians is in the procedure of transforming or renaming its certification degrees, eliminating some of the categories and introducing a new one. as soon as all of the changes are in location via the conclusion of 2013, the variety of certification ranges will stand at four: emergency scientific responder, emergency clinical technician, advanced emergency clinical technician and paramedic.

    The emergency clinical responder certification, to be able to exchange the first responder designation, allows the holder to deliver entrance-line EMS care although they can't look after patients in the returned of an ambulance, in keeping with the NREMT. EMTs can deal with sufferers in an ambulance the usage of scientific device equivalent to automatic defibrillators in addition to deliver trauma care; EMTs are also proficient in standard easy methods to treat accidents and ailment.

    An advanced emergency scientific technician requires EMT certification plus further training, permitting the holder to deliver greater advanced care. The paramedic certification additionally first requires EMT certification, and they provide the maximum stage care of the EMS gurus. not all EMS techniques will be littered with the adjustments as a result of NREMT certification is optional and some states present their personal examinations or respect only one of the crucial certification ranges.

    Demographics of the nation also can be working in opposition t EMS by way of might be creating a scarcity of those staffers. “we will face improved challenges sooner or later because of all of the child boomers ageing,” says Gary Ludwig, deputy fire chief for the city of Memphis, Tenn. Memphis is putting a better volume of emphasis on EMS care and is increasing its workforce and funding for it, Ludwig says.

    Some influential organizations are taking a glance at these core issues with how emergency scientific functions are supplied and paid for, and adjustments might turn up given healthcare's moving of more focus on a affected person's complete continuum of care and moneymaking suppliers for more advantageous first-rate.

    Dia Gainor, executive director of the NASEMSO, says there are a couple of considerations that trade stakeholders are working to remedy, together with a body of workers count number; creating country wide definitions for what constitutes an EMS worker—paid or volunteer; and the business's strategy to compensation, which frequently is beneath the cost of offering the carrier.

    Work to evaluate the EMS model is below means at companies such because the U.S. department of Transportation's countrywide highway site visitors defense Administration, the country wide EMS Advisory Council and the Medicare charge Advisory commission as neatly as the NASEMSO.

    The NHTSA, which has primary oversight of EMS on account of its history as a transporter of sufferers, commissioned a series of foremost reports on the EMS workforce. probably the most fresh of which, released remaining year, goals to spotlight the concerns dealing with the industry. known as The Emergency medical features workforce Agenda for the longer term, the file outlines goals related to EMS staff: fitness and safeguard; education and certification; planning and development; and facts and analysis.

    The dearth of records on the EMS team of workers became in the past addressed in a 2008 NHTSA file, and was summarized in the greater contemporary file. “probably the most primary personnel information, such as staff measurement, cannot be accurately estimated using obtainable records,” the record authors wrote. The BLS would not distinguish between EMTs and paramedics, does not establish EMTs pass-expert as firefighters, and doesn't capture volunteer EMS laborers, in accordance with the file. Others note that many EMS workers have a couple of job, which additionally complicates the calculation of an trade group of workers total.

    “it's very difficult to count this personnel,” Susan Chapman, one of the authors of both stories, says in an interview. There have been distinctive attempts to calculate personnel totals, but the stories' results produce divergent numbers, says Chapman, director of allied health group of workers reports on the college of California at San Francisco's middle for the fitness Professions and an assistant adjunct professor at the u.s.a. faculty of Nursing.

    effects of reform one more effort through the NHTSA-affiliated national EMS Advisory Council is learning the techniques the EMS phase could participate within the form of initiatives being carried out because of healthcare reform, similar to pay-for-performance and shared-savings programs, says Marc Goldstone, a member of the council and vice president and associate established information for a regional division of group health methods skilled capabilities Corp., Franklin, Tenn., the management services unit of for-income clinic chain neighborhood health techniques.

    “The council has been very energetic,” and is addressing a number of considerations, including attracting and conserving decent employees, Goldstone says.

    MedPAC's pastime in EMS is pushed by means of an order from Congress that changed into a part of the center class Tax reduction and Job creation Act of 2012, which requires the advisory neighborhood to analysis whether the Medicare ambulance fee time table—which produced fees of $5.2 billion in 2010—should be reformed within the long run and for shorter-term concerns concerning rural Medicare add-on charges that were applied in 2008 to are attempting to alleviate some reimbursement problems.

    MedPAC contributors predict to get at the least an initial draft of a report from staff members before the add-on charges expire at 12 months-end, even though the last document isn't due except June 15, 2013, according to a transcript of an April MedPAC assembly.

    And just remaining week, a gaggle of industry stakeholders convened via the NASEMSO changed into set to satisfy to circulate forward with the NHTSA-funded undertaking titled EMS personnel Planning and building instructions for State Adoption.

    The aim is to supply “an informative document to put together state EMS places of work to competently collect and combination EMS-specific workforce records in a manner regarded applicable by using the group of workers development planning business, and provide the state EMS officials with sufficient depth and literacy to be enabled to engage their state branch of labor, state body of workers building commission, or others to initiate a sector-based strategy for personnel planning and building,” according to the meeting invitation.

    Already being confirmed in urban and rural settings is the conception of group paramedicine. The conception is in line with giving especially proficient paramedics the capability to work as simple caregivers in chosen instances and settings. The circulation goals to attract on latest expertise and practice them in new approaches, presenting well being care or performing follow-up visits for sufferers who could benefit from guidance in the home however can also now not require a traditional domestic fitness consult with. ( See story from Aug. 22, 2011: "medical professional 911: Rural areas seek improved roles for paramedics.")

    The strategy requires a greater severe remodeling of reimbursement. Minnesota has approved a variety of that type of care for rural Medicaid contributors and verify tasks are in location in a few other elements of the country.

    Some providers have taken it into their personal fingers to increase EMS care. In elements of Kentucky and Tennessee, an Ascension health-owned chest-pain community has informed EMS personnel to try to enhance outcomes within the regions it serves, says Ranee Curtis, director of regional community capabilities for Nashville-based mostly St. Thomas health, which runs the St. Thomas Chest ache network.

    In setting up the network, St. Thomas found that there have been loads of protocols and methods in place amongst a variety of EMS providers, whereas supplies and education have been missing. in consequence, the community created practising programs for EMS employees and different caregivers to are attempting to standardize care inside the community, Curtis says.

    St. Thomas networks have expert about 1,200 EMTs and paramedics in critical care, ventilation transport and other styles of pre-hospital care, a spokeswoman says. The network additionally has developed the primary state-authorized crucial-care paramedic path, according to St. Thomas. EMS performed an quintessential role, Curtis says. “We need EMS to be a value to the community.”

    TAKEAWAY: Emergency clinical capabilities compensation is at its core a damaged equipment, and the trade has begun efforts to repair it.




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    EMT-Basic

    To be eligible to take the EMT-basic exam, candidates must have completed a state-approved EMT-basic course within the last two years and hold a current CPR credential. The cognitive and psychomotor sections of the EMT-basic test cover topics like assessment of trauma patients, bleeding control, shock management, upper airway management and ventilation with supplemental oxygen. Candidates are allowed two hours to complete the cognitive exam.

    EMT-Intermediate/85

    Candidates for the intermediate/85 level EMT test have to have completed a state-approved EMT-intermediate/85 course within the last two years and hold a current CPR credential. Both the cognitive and practical parts of the exam cover more invasive life-support techniques, including IV therapy, the use of airway devices and drug administration. NREMT allows candidates two hours and fifteen minutes to complete the EMT-Intermediate/85 Test.

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    The EMT-intermediate/99 test is very similar to the EMT-intermediate/85 test. However, there is a slight variation in subject matter since EMT-intermediate/99 certificants can use additional techniques and drugs. These include endotracheal intubations, needle-decompression of tension pneumothorax, administration of drugs to control arrhythmias and ECG monitoring.

    EMT-Paramedic

    The EMT-paramedic test consists of the same cognitive and practical sections, but candidates are allowed two and a half hours to finish. The test builds on the previous two exams, including advanced techniques for pharmacology and drug administration, airway and breathing management, pediatric life-support, cardiac life-support and interpretation of lab tests.


    Naked EMT instruction: How to deliver powerful presentations | killexams.com real questions and Pass4sure dumps

    This article, originally published May 14, 2013, has been updated. 

    I had an opportunity to submit proposals a state's annual EMS symposium. It gave me an opportunity to present the concept of "Naked EMT Teaching." The idea was inspired by "The Naked Presenter: Delivering Powerful Presentations With or Without Slides" by Garr Reynolds [1].

    I wanted to convey the idea that we are too wedded to PowerPoint presentations and rigid curriculum, which keeps us from doing the best job we can in teaching students our trade. To improve our abilities as educators, we need to develop and embed new concepts in our teaching practice.

    Related articles Related feature Medical critical thinking

    The physician model for critical thinking is a three-part activity [2]:

  • Medical inquiry – history, physical exam and diagnostic testing
  • Clinical decision-making – a cognitive process that evaluates information to diagnose or manage a patient's condition
  • Clinical reasoning – combining medical inquiry with clinical decision making and physician knowledge
  • Dan Limmer, Joe Miscovitch and William Krost wrote about critical thinking for EMTs in a two-part article published in "EMS World Magazine" [3, 4]. Phrases found in the article include:

  • "Differential diagnosis,"
  • "Active, inquisitive, aggressive assessment" and
  • "Develop strategic and dynamic care plans".
  • These concepts were not part of the 1994 EMT-Basic National Standard Curriculum (NSC).

    The take-home concept is that EMTs should function as clinicians not technicians. "An EMT who is a thinking clinician is able to identify patients who are stable or unstable and require prompt transport. The EMT clinician also makes decisions such as when to call for advanced life support or air-medical evacuation, when to perform rapid extrication and when to immobilize the patient before removing him from the vehicle." [3]

    Effective clinical learning

    Critical thinking is evaluating patient assessment results against past patient encounters and the caregiver's knowledge of the disease process. Application of pathophysiology is a new element in the Educational Standards. Teaching pathophysiology and using it as part of a critical thinking process are new learning outcomes.

    These learning outcomes change the role of instructors from vocational trainers to clinical educators. How can dedicated, experienced vocational trainers become clinical educators? It requires a combination of knowledge and teaching techniques beyond an updated PowerPoint presentation.

    Pathophysiology resources

    There are two EMT transition textbooks that provide essential anatomy, physiology and pathophysiology of the knowledge areas covered in an Education Standard program [5, 6]. Publishers have textbooks to support community college paramedic anatomy, physiology and pathophysiology courses [7, 8, 9].

    It would be great if EMT instructors could attend a course providing ems-focused anatomy, physiology and pathophysiology that would include teaching techniques and examples. Lacking that, here are two concepts that may help experienced EMT instructors.

    Embrace ambiguity

    Two summers ago I taught our first Educational Standard course with a brand-new edition of a popular EMT textbook. I provided this feedback to the editor:

    "A frustration is the vagueness of some numbers. For example on page xxx, Table xx-x 'Vital Signs'. Need to read through two paragraphs to parse out what would qualify as a blood pressure reading that would be hypertensive or hypotensive."

    I was channeling my vocational instructor need to have the "right" number to define a "normal" blood pressure. In medicine, there is no absolutely correct number for blood pressure determination.

    Clinicians appreciate that no patient presents like a textbook case. The goal is to determine what assessment and clinical findings are important to develop a patient care plan and determine transport priority. This requires a willingness on the instructor's part to teach more of the "grey" and less of the "black and white." Yes, it will take longer, and may be more frustrating to students. But the result will be a student who is more willing to look at the big picture, rather than just a number.

    Case-based learning through concept mapping

    Richard Beebe teaches this technique in his paramedic textbook to get the students to visualize the patient's problem [10]:

    "Concept Maps offer a way for instructors to help students conceptualize ideas in the classroom and help them develop the critical-thinking skills necessary for determining a field diagnosis. Each Concept Map, utilizing a typical emergency scenario, walks students through the critical thinking steps used during an EMS response."

    A concept map starts with boxes, each representing a component of the patient's condition. Each box needs a:

  • Sign
  • Symptom
  • Associated positive and pertinent negative
  • General EMT impression
  • Other data
  • The concept map will have six to twenty boxes [11].

    Consider how the boxes are related to each other and make connections between each box. Use descriptions, such as FEELING LIGHTHEADED "may be due to" BLOOD PRESSURE 86/52. This process facilitates differential diagnosis and can guide inquisitive assessment, identifying areas for focused assessment. Once all of the concept map boxes are connected, the student has a better understanding of what is happening to the patient and can develop a strategic and dynamic care plan.

    References

    1. Reynolds, G. (2010) The Naked Presenter: Delivering Powerful Presentations With or Without Slides. New Riders. ISBN 978-0-321-70445-0.

    2. Marx, J (ed), et al. (2009) Rosen's Emergency Medicine – Concepts and Clinical Practice, 7th edition. Mosby. ISBN 978-0323054720

    3. Limmer, D. D., et al. (2008) Beyond the basics, the art of critical thinking, Part 1. EMS Magazine 37(4) p. 87.

    4. Limmer, D. D., et al. (2008) Beyond the basics, the art of critical thinking, Part 2. EMS Magazine 37(5) p. 76.

    5. American Academy of Orthopaedic Surgeons (AAOS). (2013) Emergency Medical Technician Transition Manual: Bridging the Gap to the National EMS Standards. Jones and Bartlett, ISBN 978-1-4496-0915-3.

    6. Limmer, D. D. and J. J. Miscovitch (2011) Transition Series: Topics for the EMT. Pearson Education/Brady, ISBN 978-0-13-511351-6.

    7. Bledsoe, B. E., et al. (2007) Anatomy & Physiology for Emergency Care, 2nd edition. Prentice Hall. ISBN 978-0132342988

    8. Elling, B., el al. (2006) Paramedic: Pathophysiology. American Academy of Orthopaedic Surgeons/Jones and Bartlett, ISBN 978-0763737658.

    9. Elling, B., el al. (2005) Anatomy & Physiology Paramedic. American Academy of Orthopaedic Surgeons/Jones and Bartlett, ISBN 978-076373925.

    10. Beebe, R. and J. Myers. (2011) Professional Paramedic, Volume III: Trauma Care & EMS Operations. Cengage Learning. ISBN 978-1428323483.

    11. Cañas, A. J. and J. D. Novak (2009) Constructing your First Concept Map. Institute for Human and Machine Cognition. Accesses May 14, 2013 from: http://cmap.ihmc.us/docs/ConstructingAConceptMap.html

    About the author

    Michael J. Ward, BS, MGA, MIFireE, NREMT-Basic, spent 12 years as an academic, ending as Assistant Professor of Emergency Medicine at George Washington University in 2012. He treated patients as an EMT (commercial, volunteer and seasonal) and paid firefighter/paramedic and, during a 25-year career with Fairfax County (Va.) Fire and Rescue, worked in every division of the department, retiring as the acting EMS division administrator. Ward is also a textbook author and conference presenter.


    SWGTC EMT students have 100 percent pass rate | killexams.com real questions and Pass4sure dumps

    Southwest Georgia Technical College’s (SWGTC) Emergency Medical Technology (EMT) students recently had 100 percent passage rate on their National Registry of Emergency Medical Technicians — EMT Basic (NREMT EMT-B) exam.

    The students in this class, all of which passed the exam, included Bradley Books, Scott Burgess, Clint Chastain, Jon Conner, Lee Davis, John Harper, Daniel Powers, Nathan Powers, Michael Redding, and Corey Thompson.

    “This was my first time teaching in a structured college environment. The group of guys I had for my first class were awesome and the only thing that could have made it better was them passing their NREMT-Basic on their first attempt, and they did. I am very proud of my first class of students for doing such a great job,” Chuck Lester, advanced EMT instructor.

    The 10 students from this program that took the NREMT EMT-B exam passed the first time, when the national average for first time pass rate is about 70 percent. Since this group of students has passed this exam, their next step is to take another semester of classes for the Advanced EMT curriculum and then take the NREMT EMT — Advanced Exam to become certified as an Advanced EMT from the National Registry of Emergency Medical Technicians.

    “SWGTC hopes the public will never need the expertise of the graduates of our Emergency Medical Technician-Basic program, but in an emergency situation, the public can be confident in the skills of the graduates responding to the emergency. It is comforting to know that the first persons to render care to you are competent, experienced and skilled. Student successes like this can be attributed to the qualified, credentialed instruction from Chuck Lester. We are proud of our students and Mr. Lester,”Dr. Annie McElroy, Vice President of Academic Affairs.

    The EMT certificate program at SWGTC prepares students to provide basic emergency medical care and transportation for critical and emergent patients. Graduates of this program will possess basic knowledge of CPR, bleeding control and wound treatment, how to deliver a baby in the field, and how to manage the following: heart attack patient, severe allergic reactions, diabetics, strokes, and all aspects of trauma victims.

    Students can complete this program in one semester if taking the full 16 credit hours required for graduation.

    SWGTC offers more than 80 certificate, diploma, and degree programs. Many of these programs provide training for some of the nation’s fastest-growing career fields including Nursing, Automotive Technology, Veterinary Technology, and Criminal Justice Technology.

    More information may be obtained by calling 229-225-4096 or by logging onto www.southwestgatech.edu.

    Southwest Georgia Technical College is a unit of the Technical College System of Georgia.



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