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MedicNate Training Academy

18 members • Free

Rescue Academy

362 members • $15/m

6 contributions to Rescue Academy
Prep TODAY on NREMTP
Here's a video on today's prep. Hope it helps! Good topics to review before sitting for your exam.
0 likes • 4d
Cpt question...I understand that a LBBB can mimick a Stemi but can Angina not also mimic a Stemi?
Who else needs National help?!
Cranial Nerve for Tongue/Speech CN XII (Hypoglossal Nerve) = motor control of the tongueAlso know: - CN X (Vagus): speech/swallowing - CN IX (Glossopharyngeal): gag reflex, taste Patient Already Triaged “Red” Becomes Unresponsive Answer: Immediate BLS or ALS resuscitation→ Priority transport 🧠 Triage is dynamic. You always reassess. Don’t leave a red patient dying just because triage is "complete." 💔 Aortic Dissection Clue: Unequal BP in arms + tearing chest/back pain Other signs: - Pulse deficits - New murmur - Neurologic symptoms Transport to surgical center. Avoid excessive fluid bolus if hypertensive. 💢 Epidural vs Subdural Hematoma Epidural: - Arterial bleed - Lucid interval - Rapid decline - Temporal fracture → middle meningeal artery Subdural: - Venous bleed - Gradual onset - Elderly, alcoholics, falls 🧠 Lucid interval = Epidural 📈 Inferior Wall of LV – Which Lead? Correct: Lead II, III, and aVF 🧠 You chose aVF — that is correct. All three monitor inferior wall supplied by RCA. 🦠 What Kills C. difficile? Correct: Chlorine-based disinfectantsAlcohol-based sanitizers do not kill spores. Use: - Bleach - EPA-registered sporicidal agents ☠️ Cushing Reflex Classic triad (↑ ICP): 1. Hypertension 2. Bradycardia 3. Irregular respirations 🧠 This = brainstem herniation risk. Needs rapid airway, ventilation, and hospital intervention. Left-Sided vs Right-Sided Heart Failure Left-Sided Heart Failure Failure of the left ventricle → blood backs up into lungs. Signs/Symptoms - Dyspnea - Orthopnea - Crackles - Pulmonary edema - Pink frothy sputum Key Mechanism↓ Cardiac output → ↑ pulmonary pressure Right-Sided Heart Failure Failure of right ventricle → blood backs up into systemic circulation. Signs/Symptoms - JVD - Peripheral edema - Hepatomegaly - Ascites Often caused by: - Left-sided failure - Pulmonary hypertension - COPD (cor pulmonale) Pulse Pressure Pulse pressure = Systolic − Diastolic
Who else needs National help?!
0 likes • 5d
Great info 💪 the for posting
Cardiac arrest
wanted to share a call this morning (on shift) came in as respiratory distress at gym...notes said Pt was on the treadmill then got off...then he collapsed...upgraded to cardiac arrest (im on the Ladder today -truckie for life) lol..we get there right after the rescue along with an EMS Cpt...was in V-fib..shocked..continued conpress..applied the Lucas...2nd check was Vib shocked again. (Dual sequential) went through 3 Epi and 2 Amiodarone..then an Ami drip..got rosc,12 lead..the hospital tubed him and last I checked his pressure was stable and hes breathing on his own...keep yall posted on the outcome
Cardiac arrest
1 like • 12d
@Mike B were still waiting for the final outcome...we think they took him to the cath lab
Paramedic head start
I just passed the NREMT exam today and even though Paramedic school starts in the spring, I want to get a head start on it. What would you recommend I start memorizing or learning to get a solid base? Thanks in advance.
1 like • Jan 6
Yes definitely start with anatomy and physiology and medical terminology...a good book i found useful and still use is on Amazon..recommend by one of my paramedic instructors
Some 12 lead action
Which of the following ECG changes BEST localizes an infarct to the lateral wall?
Poll
20 members have voted
Some 12 lead action
1 like • Jan 4
Had this my last shift, was negative on V4R..we always do a 12 and a 15..pretty sure this was the 12..but we did give Nitro and fentanyl, called a stemi alert sent the info to the receiving facility and they confirmed it
1-6 of 6
Thomas Bradley
2
12points to level up
@thomas-bradley-2037
im a Firefighter/EMT for a large department in south florida, currently in a paramedic program

Active 4d ago
Joined Dec 30, 2025
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