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First Page True Stories

Truth really can be stranger than fiction.

First Page - Now launched! All the stories are true, or based on real events. Unlimited reading for $4.99 / month. No downloads. Read on your phone, tablet or computer.

La verdad puede ser más extraña que la ficción.

First Page - ¡Ya está en marcha! Todas las historias son verídicas, o están basadas en hechos reales. Lectura ilimitada por $4.99 / mes. No hay que descargar nada. Lea en su teléfono, tableta u ordenador.

Manna Minutes Christian Podcast

Manna Minutes Podcast: Eye-opening Bible study in less than five minutes! Access all episodes here.

Podcast cristiano Manna Minutes

El podcast Manna Minutes: ¡Estudio bíblico que nos hace abrir los ojos en menos de cinco minutos! Acceda a todos los episodios aquí.

Manna Minutes Christian Podcast

Manna Minutes Podcast Auf Deutsch: Augenöffnendes Bibelstudium in weniger als fünf Minuten! Alle Episoden finden Sie hier.

Is The Covid-19 Vaccine Mandate Of God? Or Is It Evil?

Did you know the Word of God (the Christian Bible) speaks directly against what governments are doing with Covid-19 vaccine mandates? Get the facts here

¿Viene de Dios el mandato de vacuna contra el Covid-19? O ¿acaso es malo?

¿Sabía que la Palabra de Dios (la Biblia cristiana) condena de manera directa lo que los gobiernos están haciendo a través de los mandatos de vacuna contra el Covid-19? Obtenga los hechos aquí.


The Third Man by Angela Sheffield

Was There A Curse On Helen's Romantic Life?

The Third Man by Angela Sheffield is based on a true story. Read chapter one now!

Should A Christian Practice Yoga Or Pilates? The Shocking Truth

Perhaps you practice yoga for health reasons, or to reduce stress. But, do you really know the diabolical goal of any form or style of yoga, including pilates? Get your answers here

La verdad espeluznante sobre el yoga revelada por la Biblia cristiana

Quizás practiques yoga por motivos de salud o para reducir el estrés. Pero, ¿realmente conoces el objetivo diabólico de cualquier forma o estilo de yoga, incluido el pilates? Obten tus respuestas aquí.

Communicating With The Dead: Learn The Shocking Truth

The spirit you think is mom, dad, or some other loved one from beyond the grave is NOT your loved one. But, what about the "proof" that the living can indeed talk to the dead? Let God's Word open your eyes to a deception that is pure evil. Read Spirits Of The Deceased

Comunicarse con los muertos: La impactante verdad

El espíritu que parece ser tu madre, padre o algún otro ser querido tuyo desde el más allá NO es tu ser querido. Pero, ¿qué hay de "la prueba" de que los vivos pueden comunicarse con los muertos? Permite que la Palabra de Dios te abra los ojos para que veas el engaño que es de la maldad pura. Te invitamos a leer ¿Están los muertos entre los vivos?

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Capital Punishment Is Sanctioned By The Bible

Christians and believers in the Bible, the Word of God calls for the death penalty for first degree murder, rape, and other acts of violence. The Bible tells us to behold the goodness AND the severity of God whose Word--including in the New Testament--does NOT speak against capital punishment Read the scriptural proof now.

La Biblia sanciona la pena capital

Cristianos y creyentes en la Biblia, la Palabra de Dios pide la pena de muerte para el asesinato en primer grado, la violación y otros actos de violencia. La Biblia nos dice que contemplemos la bondad Y la severidad de Dios, cuya Palabra -incluso en el Nuevo Testamento- NO habla en contra de la pena capital. Lea ahora la prueba bíblica.

traducciones inglés español

Teofila Gottfried book

¿Qué tiene que ver conmigo? por Teófila Gottfried

Lo que leemos en la Biblia tiene que ver con todos los seres humanos, sean cristianos o judíos, ateos o agnósticos, budistas, musulmanes o adherentes a alguna de las filosofías o nuevas religiones que surgen en el mundo. ¿Por qué? Ver mayor información sobre este interesante libro.

EMT Practicals Preparation: The Medical Patient


The Medical Patient

As you read this preparatory guide to help you to pass your advanced EMT practicals, please keep in mind that the author is an AEMT who practices in the state of Iowa, and that the information is current as of the year 2012.

Following are the steps necessary to take to pass the exam. Make sure to VERBALIZE to the examiner all of the steps.

1. Always start by verbalizing to the examiner that you have taken body substance isolation (BSI) precautions. This simply involves putting on gloves, and showing the examiner that your hands are gloved.

2. Ask if your scene or situation is safe. This is ensuring scene safety.

3. If you're not told, ask for the nature of illness (NOI).

4. Confirm the number of patients you have. (You can say out loud, "I see that I have one patient.")

5. Verbalize whether you will need to call for additional help. That additional help could be the fire department, the electrical power company, or paramedic back-up.

6. Verbalize whether you will or will not take/hold C-spine (cervical spine).

7. State your general impression of your patient. For example, you can say, "My general impression is of a female in her late 60s with difficulty breathing.

8. Using AVPU or the Glascow coma scale, determine your patient's level of consciousness/responsiveness.

9. Determine your patient's chief complaint while looking for any apparent life threats. You can ask the patient, "So, what's going on today, Mr. Smith?"

10. Assess breathing. If your patient is unresponsive, open the airway to assess. Determine if your patient is breathing at the proper rate for his age, and if there's proper tidal volume. Have your real or imaginary assistant record this vital sign. It's okay to ask the examiner what your patient's breathing rate is. If your patient is apneic, you should immediately intervene by inserting an airway adjunct and proceeding with ventilations with room air and then attaching high flow oxygen at 12 -15 lpm. If there are no threats to the airway and if breathing is adequate, you should initiate oxygen therapy (12-15 lpm of oxygen by non-rebreather or 2-4lpm by nasal cannula if the patient won't tolerate a mask). During EMT practicals, assume the use of the non-rebreather mask.

11. Assess the circulation. What is the color, temperature, and condition of the patient's skin? What is the pulse? How is the pulse (weak, thready, etc.)? State that your assistant is recording this vital sign. Look for any hemorrhage that needs to be controlled and initiate shock management if early signs of shock are found.

12. You should now have enough information to make a transport decision. Is your patient a high priority? Remember to VERBALIZE everything to the examiner so that he/she knows what you are doing and thinking. This is the very purpose of your advanced EMT practicals.

13. At this point, it would be a good idea to verbalize that your assistant is getting a blood pressure and an oxygen saturation reading, as well as a SAMPLE history. You should be very familiar with what SAMPLE is. Remember to use the EMS mnemonic OPQRST to gather information needed about the signs and symptoms part of SAMPLE (S).

14. Be sure to ask questions that are appropriate for the chief complaint. For example, if the complaint is chest pain, you don't need to ask how long the person was exposed to the cold--a question that would be appropriate when assessing a local cold injury.

15. Perform your physical examination such as noting not only the rate of the pulse, but also the "quality" of it if the patient reports chest pain. You can even listen for irregular heart beats. You might want to verbalize an application of an EKG monitor in cases of dyspnea and/or chest pain, if local protocols call for it.

16. State your field impression of the patient, the plan of treatment, that you're going to evaluate the patient's response to the treatment, and that you're going to repeat your assessment and the taking of vitals en route to the emergency department (ED).

Memorization and lots of practice with these steps will help to ensure that you have the best chance at passing your advanced EMT practicals.

Related Articles

What Is a Glasgow Coma Scale Score?

EMT Clinicals Experience for Newbies

How an EMT Uses OPQRST for Medical Patient Assessment

Christian Paramedics and Emergency Medical Technicians: The Challenges Faced

The Third Man by Angela Sheffield Based on true events, The Third Man by Angela Sheffield, brings the Bible up close and personal as the characters face real issues of life: Betrayal, deceit, romance, bitterness, anger against God, hopelessness, will power, perplexity, triumph, unforgiveness, mental illness, and the "Alcohol made me do it" excuse. Read chapter one FREE now.

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