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NYS EMT-B Practical Exam ?s

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  • NYS EMT-B Practical Exam ?s

    Hi. I take my practical exam for my EMT-B tomorrow. I know how to get myself through the information in a classroom setting, but I am nervous that I will not be specific and end up failing. I get most of my points on every skill sheet, but medical and trauma are throwing me off. Do I have to verbally state "This is a ______ (cardiovascular) emergency and I will treat it as such" or would giving the patient Aspirin or Nitroglycerin suffice? This was debated last night in class but I never got a straight answer. I also ran into the problem with the 2nd general impression. Would asking the patient if the oxygen or medications were helping be appropriate, or are they looking for "The patients general impression seems to have improved/has not improved with my interventions".

    Thank you in advance for any help you can offer.

  • #2
    Say EVERYTHING out loud. If you'd otherwise make a mental note, say it out loud.

    Normally, working by yourself, you'd just make those mental notes. Say it out loud.

    To me, this is a disconnect between real life and the practical. On a real call, one can usually do the ABCs from the door - it's easy to see that they are conscious and alert and moving air well (patent airway), and have good color, indicating decent circulation. Or not. So you move on with your survey. During the practical, if you don't SAY it, it didn't happen, and you'll get gigged for it.

    Not to mention that during the practical you're either working with a mannequin or a healthy person who may or may not be doing a good job playing the role of a sick or injured person - so you're constantly having to get cues from the proctors.

    I resent that we can't take a PCR along for the practical - after all, once we get past the ABCs we're usually documenting as we go anyhow, except on a bad call where we do first, document later.

    Best of luck!


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