I just wanted to let you know that I took my NREMT this morning and I just found out that I passed. Thank you again for your help. The videos that you do are amazing and really helped me to get through.
My book and lectures say not to remove anything from the chest/ heart area you have to take it out. Another question says you can leave stuff in the cheek if they’re breathing isn’t labored. You can give them a suction cath and let them suction their own mouth. This is right from the 12th edition book
While there may be some differences between books, a few principles apply to patients in general. You can remove an impaled object from the cheek-but you don’t have to. If there is bleeding and the patient can suction themselves reliably, good. But when the bleeding is voluminous, the patient can’t or won’t cooperate, or if ventilation is required, removing it is likely the best option. This is done here and not in most other places in the body because we can access both sides of the object-and ultimately provide pressure to stop bleeding on both sides of the wound. Objects in the chest are usually left in place. An exception may be when the object interferes with CPR-but in the case of an impaled object in a pulseless patient, the outlook is quite beak to begin with, and we must do the best we can with what we have.
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I just wanted to let you know that I took my NREMT this morning and I just found out that I passed.
Thank you again for your help.
The videos that you do are amazing and really helped me to get through.
Congratulations!! Thank you so much for participating in jeopardy and for letting us know you passed! Best of luck to you in your EMS career.
My book and lectures say not to remove anything from the chest/ heart area you have to take it out. Another question says you can leave stuff in the cheek if they’re breathing isn’t labored. You can give them a suction cath and let them suction their own mouth.
This is right from the 12th edition book
While there may be some differences between books, a few principles apply to patients in general. You can remove an impaled object from the cheek-but you don’t have to. If there is bleeding and the patient can suction themselves reliably, good. But when the bleeding is voluminous, the patient can’t or won’t cooperate, or if ventilation is required, removing it is likely the best option. This is done here and not in most other places in the body because we can access both sides of the object-and ultimately provide pressure to stop bleeding on both sides of the wound. Objects in the chest are usually left in place. An exception may be when the object interferes with CPR-but in the case of an impaled object in a pulseless patient, the outlook is quite beak to begin with, and we must do the best we can with what we have.
Q16 - compartment syndrom?
Q8 - Ulcer from alcohol abuse (Esophageal varices)
Q15- - Decompensated hypovolemic Stage 3
Q18 - Cardiac output
Q9 - cardiogenic (Obstructive)
Spot on .
Q10 - Subdural Hematoma (Epidural)
Q5 - Muffeled lub dub (irregular respirations)
Q1 - 25%
Q11 - Visceral
Q14 - JVD
Q6 - No Ideaa
Q4 - Tension Pneumo Thorax
Q3 - Mid shaft Femer
Q12 - pedal
Q17 - Heel? foot
Q13 - no clue
Q7 - cheek
Q2 - Distriubitive