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      <image:title>Community - Clinical Experience: EMT</image:title>
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      <image:title>Community - Clinical Experience: EMT - Supraglottic airway placement to help breathe for unconscious patients (see left)  Delivering a baby (and dealing with some of the basic complications that occur) Basic medication administration (here are a few examples): Aspirin for potential heart attacks to prevent further platelet aggregation Ondansetron (Zofran) to treat nausea (pretty new skill for EMTs in some Michigan counties) Albuterol to treat some conditions that involve difficulty breathing (Asthma, COPD, etc.) Epinephrine for severe allergic reactions Trauma injury stabilization (spinal stabilization, splinting, tourniquet) Basic cardiopulmonary resuscitation (CPR) for cardiac arrest</image:title>
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      <image:title>Community - Clinical Experience: EMT</image:title>
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      <image:title>Community - Clinical Experience: EMT</image:title>
      <image:caption>We don’t ask these questions just to be nice, they are essential to understanding if you could be having a serious issue. For example, if you hit your head, you could be experiencing bleeding in your brain that you are unaware of. This head injury can also manifest as an altered level of consciousness (i.e. acting strangely or being unaware of your surroundings). We want to know what medications you take because if you take a blood thinning medication (which prevents your blood from clotting to stop bleeding), any small injury could turn bad and fast. Lastly, we want to know why you fell to make sure we aren’t missing a medical issue that CAUSED the fall. Falls can be due to mechanical issues, like tripping or losing your balance, or they can be due to a medical issue, like a cardiac issue which made you pass out. We are looking for any loss of consciousness/memory before/during your fall here.  Now, let’s assume you convince your patient to go to the hospital because they can’t remember how they fell and they aren’t acting right. You have to figure out how to get your patient from the floor to the hospital. Your patient fell while they were trying to stand up after using the bathroom and landed in between the toilet and the shower (this is often referred to as the Bermuda triangle of EMS… see a picture right). Imagine trying to maneuver a heavy patient out of this small area. Your patient is overweight and is not able to get up on their own. You might use a tool like a patient mover (a glorified mat with handles - see below) to lift your patient off of the ground. There are several issues here. Your patient is too heavy to be lifted by you and your partner alone. Now you need some help from firefighters (who you probably should have asked your dispatcher for as soon as you walked in the door because they are 10 minutes away). Your patient didn’t just happen to fall on this mat. How will you get it under them? This is going to involve rolling the patient from side to side if they are in a very tight area (and maintaining spinal stabilization as they could have a spinal injury from their fall).</image:caption>
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      <image:title>Community - Clinical Experience: EMT - Sample EMT Call</image:title>
      <image:caption>I am going to further illustrate the role of an EMT (and why being an EMT is sometimes hard) by walking through a sample call. You are an EMT working on an ALS unit (with a paramedic who can provide ALS care). You are dispatched for an elderly woman who has fallen and can’t get up on her own. There are no apparent injuries. See right for some sample call notes that you might receive  First you have to drive to the scene! You turn on your lights and sirens and navigate through traffic, changing your siren pattern at every intersection, and eventually reverse your gigantic ambulance into someone’s small residential driveway (we always reverse into places for a quick exit). You walk into the house and find an elderly woman on the ground not in any apparent distress and no blood is visible on the floor. Immediately, you don’t find any obvious life threats (her airway, breathing, and circulation seem to be intact). There’s two ways this call can go. Most of the time it is simple, you can help the woman to her feet and get her back in bed after reviewing the risks of not going to the hospital after she assures you that she is not injured. It can also be complicated… When someone (especially at this age) falls we as EMTs want to know some important information (here are just a few of them): Did you hit your head? How did you fall? Are you in any head/chest/neck/back pain? What does your medical history look like/what medications do you take? Are you acting normally?</image:caption>
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      <image:title>Community - Clinical Experience: EMT</image:title>
      <image:caption>Instructions for a cricothyrotomy, an last-resort procedure when other methods of obtaining an airway for an unconscious patient fail.</image:caption>
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