Epinephrine is one of the cornerstones of emergency medications. It has a variety of uses in EMS. I would venture to say Epinephrine in EMS is one the most widely used EMS medications used by EMTs, AEMTs, and Paramedics. Video Study Course: www.prepareforems.com
I have had 2 episodes when I chock on own silava/water and for some reason my airway constricts and I can't breath- have been very scared and was wondering if I could use an EpiPen to relax my airway and allow me to breath. I can't breath and start to panic and gasp for air.. I will go see a doctor but just wanted to ask here as well
Here in NC, at the BLS/EMT level, we can assist a PT with their prescribed Epi-Pen. If they have no prescription, we can administer 0.3 Epinephrine 1:1,00 from an ampule via IM injection with permission from Medical Control.
A good way I was taught to remember these is Beta 1 affects the heart (you have one ❤) Beta 2 affects the lungs (you have 2 🫁). The constriction that's occurring is technically also occurring in the beta 2 cells of the lungs, but because of the way that tissue is comprised, the constriction creates broncodilation.
Hey coach! I passed my NREMT-B second time because of you! Had i found you sooner I’m sure i would have passed the first time! And the advice and acronyms you give i use in real life on calls! Thank you, THANK YOU!
Yes, inside the Video Study Course, head to the on the job tips section of both EMT and Paramedic you'll find some there. Congrats on passing!! You're welcome my friend, you put in the work follow the plan get the results!
OK so I'm an EMT student about 5 weeks into a 10 week program and I use your videos to help learn but I'm on a shift right now in the back of an ALS truck I just left the hospital cause 4 minutes into watching this video I was dispatched on a call about a severe allergic reaction we get there and she had no pulse and this is the first time in my life I've ever seen a human body without a pulse I've never even been to a funeral but I have to say thanks to your videos I went on that call I stepped up and did what was needed I didn't freeze or not know what to do and I bagged her the entire trip once we had done everything possible in the field while the amazing paramedic I'm with pushed epi into the OI and the IV in her neck while the Lucas device did compressions and not once did I panic or freeze or do something wrong even though she had no pulse for 8 minutes before we got to her and the 15 minutes we spent on scene and the 15 minute drive... the hospital was able to get a pulse and I would have been a huge sack of uselessness if I had never found you or your videos I've watched nearly all of them and I'm no longer scared when I'm in route to a call so I want to thank you oh so very much I'm grateful that you take the time to post these videos and I'm so excited to get the rest of your videos but I am a student and a mom so I'm just about broke lol but I will figure it out I have zero doubts about taking the NREMT since I found your channel and I will happily say I think your videos should be a requirement of any EMS level testing. Again thank you
Just have to tell you again, that youʼre a great instructor!!!!! You save lives in the truck, but you also save lives thru each of us that you teach. And you break down concepts in a way that makes it easier to understand. You impact lives in an amazing way!
Tidbit of information: when using Lidocaine as an antiarrhythmic double-check to make sure it is Lidocaine WITHOUT epinephrine. They make Lidocaine compounded with epinephrine 1:100,000 in the same solution which is used for local and regional anesthesia, particularly when suturing lacerations and in surgical applications when it becomes advantageous to exploit the vasoconstrictive properties of epinephrine as to reduce the need for suction at a surgical site and to give a much better visualization of internal anatomical structures, though there are applications where lidocaine with epinephrine cannot be used.
Starting out as Inventory tech to learn everything inside and out of the Ambulances, get too know the EMT's and Medic's..doing prerequisites for Paramedic because courses were full for EMT this last August. really excited for my EMT course start in January. Learning a lot well before i start.
In Canada we seem to have a slightly different EMS system. We dont have EMT and Paramedic. We have Primary Care and Advanced care Paramedics. Advanced care is the equivalent to a Paramedic in the US, but I think a PCP has a slightly higher scope than an EMT. Our PCP's draw up their own IM epi and can administer nebulized epi as well.
Here in the U.S. the term PCP means Primary Care Physician- which is a full eight-year M.D. or D.O. program (4 years if you test out of Pre-med and sit for ACLS certification in college) plus a 2-year residency program with a subspecialty in family medicine. Even then, PCPs in the U.S. are not particularly well suited to emergency medicine. In that regard, you'd much rather have the Paramedic. That said, IM epinephrine for anaphylaxis is an EMT-Basic skill in many states in the United States.
Oh, the memories.....of going out of county to get a transfer, that only has a D5Wtko, only when we get there, there are 3 pumps, 2 containing drugs we were never taught, and we didn't bring pumps with us, cause "You won't be needing them"....
Hey Lexi, thanks for the kind words here! If you are looking for even more content head to my Video Study Course, I have an entire section on EMS Medications & More. www.prepareforems.com Be Great! Evan, The Paramedic Coach
Hey Sasquatch Experience, thanks for the comment here; the Video Study Course includes EMT Cognitive Exam Prep: You can get lifetime access right here: www.prepareforems.com This is the exact resource I give to those preparing for NREMT
Epinephrine is one of the cornerstones of emergency medications. It has a variety of uses in EMS. I would venture to say Epinephrine in EMS is one the most widely used EMS medications used by EMTs, AEMTs, and Paramedics. Video Study Course: www.prepareforems.com
My only question, is it not national standard for basics to give Epi 1:1000 IM? In Indiana we can
I have had 2 episodes when I chock on own silava/water and for some reason my airway constricts and I can't breath- have been very scared and was wondering if I could use an EpiPen to relax my airway and allow me to breath.
I can't breath and start to panic and gasp for air..
I will go see a doctor but just wanted to ask here as well
This is incorrect in that Haloperidol exists as two compounds - Decanoate and lactate. Haloperidol lactate may be given IV, while deconoate may not.
Here in NC, at the BLS/EMT level, we can assist a PT with their prescribed Epi-Pen. If they have no prescription, we can administer 0.3 Epinephrine 1:1,00 from an ampule via IM injection with permission from Medical Control.
Nice Andrew! Thanks for watching!
A good way I was taught to remember these is Beta 1 affects the heart (you have one ❤) Beta 2 affects the lungs (you have 2 🫁). The constriction that's occurring is technically also occurring in the beta 2 cells of the lungs, but because of the way that tissue is comprised, the constriction creates broncodilation.
Hey coach! I passed my NREMT-B second time because of you! Had i found you sooner I’m sure i would have passed the first time! And the advice and acronyms you give i use in real life on calls! Thank you, THANK YOU!
Yes, inside the Video Study Course, head to the on the job tips section of both EMT and Paramedic you'll find some there. Congrats on passing!!
You're welcome my friend, you put in the work follow the plan get the results!
The only way I can figure failing NREMT-B would require being a complete idiot. It's really not rocket science.
OK so I'm an EMT student about 5 weeks into a 10 week program and I use your videos to help learn but I'm on a shift right now in the back of an ALS truck I just left the hospital cause 4 minutes into watching this video I was dispatched on a call about a severe allergic reaction we get there and she had no pulse and this is the first time in my life I've ever seen a human body without a pulse I've never even been to a funeral but I have to say thanks to your videos I went on that call I stepped up and did what was needed I didn't freeze or not know what to do and I bagged her the entire trip once we had done everything possible in the field while the amazing paramedic I'm with pushed epi into the OI and the IV in her neck while the Lucas device did compressions and not once did I panic or freeze or do something wrong even though she had no pulse for 8 minutes before we got to her and the 15 minutes we spent on scene and the 15 minute drive... the hospital was able to get a pulse and I would have been a huge sack of uselessness if I had never found you or your videos I've watched nearly all of them and I'm no longer scared when I'm in route to a call so I want to thank you oh so very much I'm grateful that you take the time to post these videos and I'm so excited to get the rest of your videos but I am a student and a mom so I'm just about broke lol but I will figure it out I have zero doubts about taking the NREMT since I found your channel and I will happily say I think your videos should be a requirement of any EMS level testing. Again thank you
Just have to tell you again, that youʼre a great instructor!!!!! You save lives in the truck, but you also save lives thru each of us that you teach. And you break down concepts in a way that makes it easier to understand. You impact lives in an amazing way!
Tidbit of information: when using Lidocaine as an antiarrhythmic double-check to make sure it is Lidocaine WITHOUT epinephrine. They make Lidocaine compounded with epinephrine 1:100,000 in the same solution which is used for local and regional anesthesia, particularly when suturing lacerations and in surgical applications when it becomes advantageous to exploit the vasoconstrictive properties of epinephrine as to reduce the need for suction at a surgical site and to give a much better visualization of internal anatomical structures, though there are applications where lidocaine with epinephrine cannot be used.
My friend, you are one hell of a teacher. Just amazing content.
I appreciate that!
Great breakdowns and use of visual aids, appreciate the videos 😁🤙
Starting out as Inventory tech to learn everything inside and out of the Ambulances, get too know the EMT's and Medic's..doing prerequisites for Paramedic because courses were full for EMT this last August. really excited for my EMT course start in January. Learning a lot well before i start.
Great game plan!
Great video! I’ve been using your program for EMT school, very helpful!
Welcome to the course Mason! Happy to hear of your success.
We discussed this in my EMT class today and watching this helps lock it in. So glad I purchased your program!
Welcome Aboard, happy you are enjoying the Video Study Course!
Great review by you. You rock! I still need some study on epi doses
Thank you for making all the videos and keep up the good work
Thanks Mike!
In Canada we seem to have a slightly different EMS system. We dont have EMT and Paramedic. We have Primary Care and Advanced care Paramedics. Advanced care is the equivalent to a Paramedic in the US, but I think a PCP has a slightly higher scope than an EMT. Our PCP's draw up their own IM epi and can administer nebulized epi as well.
Here in the U.S. the term PCP means Primary Care Physician- which is a full eight-year M.D. or D.O. program (4 years if you test out of Pre-med and sit for ACLS certification in college) plus a 2-year residency program with a subspecialty in family medicine. Even then, PCPs in the U.S. are not particularly well suited to emergency medicine. In that regard, you'd much rather have the Paramedic. That said, IM epinephrine for anaphylaxis is an EMT-Basic skill in many states in the United States.
Oh, the memories.....of going out of county to get a transfer, that only has a D5Wtko, only when we get there, there are 3 pumps, 2 containing drugs we were never taught, and we didn't bring pumps with us, cause "You won't be needing them"....
Came here to learn how to use an epipen and stayed for the rest. Great video.
Thanks for watching!
Thank you! Good information
In Massachusetts emts use epi IM in the vile for severe asthmatics in adults and pediatrics as well.
This is the best explanation ever
Thank you!
Thanks for the lecture great stuff
Glad you liked it!
Always watching your video.. keep it up mate. From philippines
Awesome thank you!
Let’s get it! Great content, Coach!
Welcome back to the channel, Stephen!
Thank you Evan
Welcome back to the channel, Samantha!
Great job!
Thank you! Cheers!
Here in NY, bls carry epi. Have to draw up, can also be used for severe wheezing/respiratory distress
That's awesome!
#emslife
Enjoyed this video, explained concept perfectly!
Hey paramedic coach can you do a video were you list the medication that bls providers can administer
i love ur channel so fu****g much!! could you do more videos on emt pharmacology?
Hey Lexi, thanks for the kind words here! If you are looking for even more content head to my Video Study Course, I have an entire section on EMS Medications & More. www.prepareforems.com
Be Great!
Evan, The Paramedic Coach
Lexi, you should totally get Paramedic coach program! I start EMT in September and I feel really prepared! #Letsgetit
Great!!!
Thanks for tuning in! Welcome to the channel!
Do you have any video to see how to deal with over doses?
“Click”-My brain
Thsnks
Awesome!
How do you treat a decompression simdrome during transport to hospital? Is it just O2 or are there other procedures?
Very informative! I learned a lot!
Glad it was helpful!
Can you nebulize Epi 1:1000 to replace racemic Epi in treatment of Laryngitis/Croup?
Evan I got a question, the step of treatment is given an aspirin, Nitro, Oxygen and EKG. Oxygen is third?
#emtschool #paramedicschool #nremt
#nremt #emt #paramedic
No audio?
Hi Paramedic Coach. Is there any way I can just purchase Cognitive Prep for EMT Or would all of your content help with that?
Hey Sasquatch Experience, thanks for the comment here; the Video Study Course includes EMT Cognitive Exam Prep: You can get lifetime access right here: www.prepareforems.com
This is the exact resource I give to those preparing for NREMT
Can someone please explain Cardiac Arrest Epi?
Lizzy, Epinephrine 1:10,000 is used every 3-5 mins at a Cardiac Arrest the dose is 1mg, IV/IO or for pediatrics 0.01mg/kg IV/IO.
Epi 0.3mg IM 1:1000
Epipinephrine.