/r/NewToEMS

Photograph via snooOG

This subreddit's mission is to provide resources, support, feedback, and a community for those interested in emergency medical services. Discuss, ask, and answer questions about EMS education, certifications, licensure, jobs, physical & mental health, etc.


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What is /r/NewToEMS?

This subreddit's mission is to provide resources, support, advice, and a community for those interested in emergency medical services (EMS). Discuss, ask, and answer questions about EMS education, certifications, licensure, jobs, physical & mental health, etc.

For general EMS discussion, head over to /r/EMS and the official r/EMS Discord server.


Posting Rules

You are required to follow our rules and failing to do so may result in your posts removed and account banned.

1. All top-level comments should contain helpful content or contribute to the discussion in a meaningful way. Follow-up questions are allowed in top-level comments. Trolling, memes, sarcasm, or other content that does not contribute to the discussion are not allowed in top-level comments. Comments such as "I would like to know this too" will be removed.

2. Posts or comments containing spam, hate speech, bigotry, racism, off-topic, overtly explicit, distasteful, vulgar, indecent or inappropriate content are not allowed.

General EMS-related discussions, links, images, and/or videos should be posted over in /r/EMS.

Memes, image macros, reaction gifs, rage comics, cringe shirts, 'look at this truck', and 'office' type submissions are not allowed in /r/NewToEMS. Post these in /r/EMS on Mondays (0000-2359 EST) or in non-top-level comments only.

3. Do not ask for or provide medical or legal advice.

If you believe you are experiencing a medical emergency, dial your local emergency telephone number.

For legal advice, consider posting to /r/legaladvice or consulting a local attorney.

4. No posts relating to or advocating intentional self-harm or suicide, unless strictly as part of a clinical discussion.

If you are having thoughts of self-harm, the national suicide prevention hotline can be reached for free at 1-800-273-8255, or call your local emergency number.

5. The National Registry exams are copyrighted tests, and as such, it is illegal to post or discuss questions directly from the NREMT exams. Any such posts will be removed and the poster may be banned.

6. New certifications and licenses may only be posted in our weekly thread, Triumphant Thursday.

7. All posts and comments that contain surveys, solicitations, or self-promotion must be approved by moderation team prior to posting.

Please message the mods for permission prior to posting.


Verified Flairs

Get a Verified Flair

We have elected to only flair users who have verified their certification level to the moderator team. All EMS, public safety, and medical professionals (e.g. paramedics, law enforcement, registered nurses, etc.) are eligible, and we would especially like for all EMTs and Paramedics to verify their flairs. This ensures users are receiving responses from real EMS, public safety, and medical professionals.

If you are an EMS, public safety, or medical professional, click here to submit a flair verification request form to the moderator team. Thank you!

Students may select an unverified student flair by clicking "Community Options" on the side-bar and then clicking the Edit button next to "User Flair Preview". You do not need to submit a form. All other users will be automatically assigned an "Unverified User" flair.


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/r/NewToEMS

55,288 Subscribers

1

how to prepare for midterm?

Hi guys i’m a higschool senior currently inrolled in an EMT course, and we had a midterm coming up soon. I’m a notoriously bad tester and would say my average grade for tests in this class is a 75 if i’m being generous.

How should i study? he gave us a brief review guide, i’m planning to look over all the chapters we’ve gone over this year but that might take a LONG time. anyone have any tips on studying or preparing?

0 Comments
2024/12/03
19:46 UTC

1

I feel incompetent, and don't know what to do.

About four months ago I was finally hired as an EMT for a local county of mine. This had been a dream of mine for about a year and a half. I had volunteered with a different county for about a year previous to getting hired here, but always in the capacity of a ride-along, I just helped take vitals, move the patient, and never gave the nurse a report or "led" a call. From my time volunteering, I thought EMS would be a perfect part-time job to do while I went to college, because of the down-time inbetween calls allowing for me to study while getting paid and being able to work flexible times.

When I got hired on, they knew that I wasn't really an experienced EMT, and they still kind of rushed me through the on-boarding process, only having me act as a ride-along for my first month or so, and then they cut me loose to just have me and a partner work together. I had only driven emergent probably less than 10 times at this point, and they hadn't really done a good job of even completing the new employee checklist. I'm not particurally blaming them for this, because they were kind of understaffed and desperate for someone to take shifts so other employees could go to paramedic class, etc. and I could have said that I just wasn't ready. But, I knew that I wasn't really getting better acting as a ride-along, and I knew that I knew enough to do a mediocre job as an EMT, I relied on my partner heavily during tricky calls, and still do, because I just don't work very much (cuz college) so I can't build the muscle memory that the job really requires.

I ask my partners for feedback after calls, and am continuing to work on my driving skills, because I know that I'm not a great driver, as evidenced in this next part.

After around my third month with the county, I got an email asking me to meet with my boss/supervisor, and I had no idea what it was about. Turns out, people that I had been working with had been sending emails about every mistake I made or time that they took over doing something for me because they thought I was taking too long, and mainly about my driving. I took a two day EVOC course, and never drove an ambulance when I volunteered, so when I started with this county I was a brand-new driver and wasn't familiar with the area I was working in so I didn't really know about curves, where lights are, etc. People had been complaining that I had been taking curves too fast, and hitting curbs (which really mainly happened one day that was a really off day in which the next day I woke up with a high fever, so I'm guessing that affected my driving). Since then I haven't hit any curbs, and nobody has complained about my driving, and I always ask if there is any way that I can drive differently. Honestly most people have just told me that now I almost drive too slow, which is better I guess. I understand the importance of safe driving, ESPECIALLY with a patient and provider in the back of the ambulance. I have never made a mistake that has impacted a patient negatively, but my mistakes happen almost every shift and it's stupid things that feel completely avoidable, but my lack of confidence and my inexperience screws me over every time I'm on shift.

After the meeting with my supervisor, I've just been left with ZERO confidence in any of my abilities, driving, patient care, and now I feel like I'm incapable of even giving a patient care report to a nurse, if anything I feel like I've just become a worse provider since beginning to work for this county, and I want to improve, I just don't know how to besides asking questions and practicing more, but that just hasn't seemed to have worked. At this point I'm just thinking of quitting before I do make a mistake that impacts a patient negatively or my stress becomes too much to handle anymore. I'm going on Christmas break soon and I'd rather be at school because I don't want to work more.

1 Comment
2024/12/03
17:13 UTC

4

Clinical Documentation is 11 days late

Before yall come at me for being stupid, I gave my preceptor the form as a pdf. while I was standing right in front of him, then told him I needed it filled out within 5 days. He said he would but then by the 5 days mark I have no response. Between then and now I have emailed him 3 separate times to remind him to fill it out and I haven’t gotten any response. I even tried calling the emergency department he worked at and asking to speak with him but they said they couldn’t give out personal information and that my school would have to call him.

The program director has emailed me and told me he is going to talk to the clinical director but my class today was cancelled because of bad weather. At this point I dont know what to do. My class ends December 12th and if I don’t have the documentation I’m pretty sure I fail. I dont know if they can make exceptions for something like this. Plus, I’m taking my exam this month after I turn 18, so that I can go to the paramedic program in January and have my high-school pay for some of it. My family does not have a lot of money so getting into the paramedic program through CCP is huge for us and idk what to do to ensure that happens. And I’m not gonna lie, I found the guy’s facebook and he posts like every other day but I thinks it’s highly inappropriate to message him like that. I’m afraid I might be cooked.

3 Comments
2024/12/03
18:17 UTC

1

Medic ambulance service Sacramento

Does anyone know what the physical agility test entails? Got a job offer and have to take next week!

0 Comments
2024/12/03
16:31 UTC

1

Emt-b jobs in the metro Detroit area

I was hoping some one local could give me the names of some good companies out that way. My wife is in the air force and we're leaving the D.C. region for Detroit. I currently make $25/hour but I know I will not make anything like that in the midwest.

Any advice or suggestions would be greatly appreciated. Just want to find a job to get my bearings. I have used indeed to get an idea but hearing from real people on the ground is much preferred. Thank you in advance!

0 Comments
2024/12/03
11:25 UTC

1

How much assessment do you do for a convalescent call such as a doctor’s appointment?

3 Comments
2024/12/03
13:32 UTC

1

Interview Tips

Hello! I'm attempting to get into EMS. I live in Indianapolis, and am trying to get into IEMS' training program. Basically, the county EMS service puts you through an accelerated, paid, training program, full time hours. Get NREMT and state cert, do some FTO, then they put you on shift. I've applied and made it to the interview stage twice before, I've now applied a third time, but clearly the interview is a stumbling block for me. They're not asking anything wild (how would you go about navigating the city without GPS, tell me about a time you had conflict with a coworker, why do you want to be an EMT, etc). I feel like my answers are at minimum reasonable, and I know I need to work on my confidence in delivery, but I'm looking for any additional tips I might be missing to interview well, especially anything specific to EMS. Bonus points if work for/have worked for IEMS and might be familiar with specific things they might be looking for.

3 Comments
2024/12/03
14:08 UTC

2

Truck or ER?

Current Tx Paramedic looking to move to the Phoenix area. Been applying to a few agencies. Wondering if working as an ER paramedic would be a good decision. Anyone have experience working in the ER?

1 Comment
2024/12/03
11:50 UTC

0

Failed my NREMT - B

Failed the nremt b last week. I took the course at a community college in the summer but didn’t attend class / copied all the exams. But I passed the in person clinicals. Studied hard for 4-5 days and gave the exam last week. I did pocket prep 800 questions average 78%.

I am an international pre-med student and most of my exams take 4 days to a week max to prepare but this was something else. This is my second time failing after preparing for 1 day my first attempt using only paramedic coach and some Reddit notes (Scored 754). My second attempt I actually opened the textbook and also discovered pocket prep.

Who was going to tell me that “pass” doesn’t mean get 65%+ questions correct but instead get 95-100% of them right? Anyways I plan to retake and study for a minimum of 2 weeks completely grinding out the textbook. Some advice from the community on how to approach learning? I have been second guessing my career at this point haha.

12 Comments
2024/12/03
08:49 UTC

1

Anyone here taken the Sacramento State EMS program? How was it? Were you able to pass NREMT with what you learned?

Basically what I’m asking is if the 9 weeks accelerated course is good enough to pass

7 Comments
2024/12/03
06:07 UTC

3

EMT student needing help with assessments

I'm taking an EMT class and patient assessments are very hard for me, everytime i get up in front of the class i just get awkward and quiet, and i'm usually not like that at all, i forget and skip over steps and can't seem to strike up a conversation with the "patient" like my instructor wants me to do, everything feels robotic to me when he wants it the opposite, but for the life of me i can't get any of it down. does anyone have any tips or a good step by step i can follow to get through this? I would appreciate any help or tips.

1 Comment
2024/12/03
05:55 UTC

0

What details about meds are important?

Sorry if the title sounds confusing. I recently got my first EMT job at an IFT company and have been learning a lot of new medications, so I made a chart to try and familiarize myself with them. Right now, I have type (antibiotic, antiviral, etc.), purpose (why a provider would give the med), and side effects-are there any other good-to-know details I should add?

2 Comments
2024/12/03
05:43 UTC

13

ER paramedic

Hey guys, I'm an ER paramedic (er technician) that hasn't started on an ambulance. I do my job very well and I thrive. I got really lucky and I got hired. Is it mandatory that all paramedics work or start on the ambulance?

EDIT: sometimes I think of myself as a fake paramedic because I don't work on an ambulance

20 Comments
2024/12/03
05:18 UTC

1

Advice on getting my Medic

To start off, Ive been volunteering with my local rescue squad since August. Started EMT class in October and we have our midterm next week. I currently have a 90 overall, haven't missed a day, continuing to build rapport on calls. I also was recently hired with another agency as a "EMT trainee". Im loving what I do, it keeps me busy and in check. But, I also have a family, going to be working soon, on a daycare waitlist, housing is iffy. I can say this has been a very challenging few months, but my ADHD seems to feed off it lol. Im really wanting to apply for the Medic program. I know for sure I want to go for the associates. It will start in September, i'll be EMT certified by then. Id like to hear what I can expect, words of wisdom, advice, study resources etc. Bonus points if you got your medic while balancing a family and working 🥲 I guess this is my fear, is that Im going to put too much on my plate. But it seems like since its 2 years, it will be more paced? And I come out with a degree. That will be huge for me.

3 Comments
2024/12/03
04:04 UTC

1

Moving to metro Detroit

I was hoping some one local could give me the names of some good companies out that way. My wife is in the air force and we're leaving the D.C. region for Detroit. I currently make $25/hour but I know I will not make anything like that in the midwest.

Anyone advice or suggestions would be greatly appreciated. Just want to find a job to get my bearings. I have used indeed to get an idea but hearing from real people on the ground is much preferred. Thank you in advance!

0 Comments
2024/12/03
01:59 UTC

1

Moving to metro detroit

I was hoping some one local could give me the names of some good companies out that way. My wife is in the air force and we're leaving the D.C. region for Detroit. I currently make $25/hour but I know I will not make anything like that in the midwest.

Anyone advice or suggestions would be greatly appreciated. Just want to find a job to get my bearings. I have used indeed to get an idea but hearing from real people on the ground is much preferred. Thank you in advance!

0 Comments
2024/12/03
01:58 UTC

0

Should I be an EMT or paramedic

I know it depends but basically a similar but obviously different B. I’ve always had an interest in doing both and see. I wanna know at least basic medical stuff for myself, friends family, and obviously for a job. And if for some reason, things don’t work out with a job, maybe I’ll get some useful skills from it still but I don’t know what to pick if I decide to become an EMT or paramedic at all. Because I could be wrong, but I’m pretty sure EMT school is like 3 to 6 months versus paramedic which is like a year and a half to two years.

33 Comments
2024/12/03
01:25 UTC

1

FISDAP for finals

Hi! I am a senior in High School taking an EMSP class as a dual credit class. We’re going to have our finals for EMT in FISDAP with 200 questions in 4 hours but our class hasn’t taken a quiz or test in them cause we just usually do them in EMSTesting. Unfortunately, if we fail our finals, we fail the whole course, which is really bad since half of our class is failing already.

Do you guys have any tips? What part should I study/memorize hard on? I heard that it’s way harder than EMSTesting and I’ve been doing ok on them, usually B’s, and A’s on rare occasions. If you guys have past notes on them, it would be very much appreciated. Thank you! 💖

1 Comment
2024/12/02
23:27 UTC

5

Day In The Life as a Paramedic / Firefighter for 96 hours straight

Hey everyone, I made a video going over a 96 hour shift, at the department I work at we do 48 hours on 96 hours off, but I picked up overtime to make it a straight 96 hours, it's really manageable with the type of department I'm in. If anyone's interested here's the link! https://www.youtube.com/watch?v=9ko6Vii2k8U

I think it was a lot of fun!

3 Comments
2024/12/02
23:18 UTC

2

Gallbladder referred pain

The book says:

"When the gallbladder is injured or inflamed, the patient may report having pain just under the margin of the ribs on the right side or pain between the shoulder blades."

But I've heard from other posts here that pain will show in the right shoulder as well. So, is that right? Pain coming from the gallbladder can refer to the right shoulder, under the ribs on the right side, or pain in between the shoulder blades? Or is there something I'm missing?

6 Comments
2024/12/02
22:31 UTC

2

EMT refresher course?

My EMT lapsed this year while I was in RN school and while I know it sounds silly to want that cert back, I worked so hard to have NREMT on my resume. Is there anywhere that I can do free or very cheap refresher coursework?

3 Comments
2024/12/02
21:42 UTC

2

Thoughts on Foamfrat

So asking if yall think it’s worth buying Foamfrat as a EMT-B. I see they have a lot of paramedic stuff but it’s out of my scope of practice. I just wanna know if they have a good amount for EMT-B resources to help me keep up on my skills. Asking this since it’s $96 bucks instead of $170.

0 Comments
2024/12/02
21:31 UTC

4

What's the margin of error on the Heimlich maneuver?

So I'm about to finish my EMT course (I do my psychomotor exam tomorrow), and feeling pretty confident in most skills. I was able to do a handful during clinicals (getting a good BVM seal, a billion sets of vitals, etc), and the ones I didn't (like CPR) feel pretty straight forward for the most part. The one exception is the Heimlich, where i'm not confident I could execute it perfectly since I havent even tried it on a manikin, let alone a real person.

I know the steps (half way between the xyphoid process and the belly button, squeeze with your hands in a J motion), but how hard is it to actually do on a real person? What is the margin of error for not making the "perfect" J motion? How hard is it to do correctly when you have a conscious patient with a complete obstruction and minutes matter?

6 Comments
2024/12/02
21:14 UTC

1

What is “App Id” on the remedial training submission form?

I can’t figure out for the life of me what they mean by App Id. Is it my NREMT EMS id without the dashes?

2 Comments
2024/12/02
20:58 UTC

1

JBL Access Code

Have a spare JBL access code for the navigate essentials book of Emergency Care and Transportation of the Sick and Injured Twelfth Edition. First come first serve!

1 Comment
2024/12/02
20:58 UTC

120

Failed my NREMT for emt-b

My results came in today and I failed...However even though it's disappointing, I want to say I went to a 14 day accelerated EMT-B academy with absolutely 0 prior medical experience. Those 14 days also included 3 days of clinicals. So technically I got 11 days of class work. I studied using pocket prep and paramedic coach. I was cut of on the nremt at 75 questions and received a final score of 856. Even tho I did not pass, I feel as though with the small ammount of traning I got I did pretty well (however I did get cut off at question 75 so I guess I failed pretty bad.) Any words of advice or encouragement are welcomed.

73 Comments
2024/12/02
20:50 UTC

4

Where to even start

I’ve never made a post onto reddit always just lurked. I’ve just started my associates degree with a field completely unrelated to medicine or ems and I just don’t enjoy it.

I’ve also said that if the path i’m currently on doesn’t work then I want to become an emt. The problem is In just don’t know if this is the right choice and I get into my head too much about “big changes”.

There is a program close to me and I can apply to and go for free in the next year, but I guess I just want advice from strangers, already in the field, as to if I should really go for it, or just what gave you the push for it.

4 Comments
2024/12/02
19:53 UTC

6

Graduated with BS in Psych, now what?

I need advice. Desperately. I'm 23 and just graduated this May with a Bachelor's in Psychology because I wanted to become a Psychologist. However, I realized that Clinical Therapy is not for me.

I am thinking about going into the medical field and work my way up to be a PA.

I currently live in Atlanta, and working a job in marketing. I have no previous medical experience/hours such as working in a hospital or being a scribe. Im probably missing some important pre-reqs too.

I was thinking of this: quit my current job and get a role working in the service industry (i was making bank as a server and a lot of servers I know were also juggling serving and school). I'm thinking of doing this while I get certified to become an EMT. After certification, I would like to apply to work at a hospital or medical center while taking my remaining pre-reqs at a community college or online.

Are there credible EMT online/hybrid programs I can sign up for or any notable ones in Atlanta Metro area? How long do I need to work as an EMT before I can apply for a PA program? Is this an awful idea? Any tips, thoughts, advice, or suggestions are ALL welcomed.

22 Comments
2024/12/02
19:06 UTC

3

Taking my NREMT-P next week

Hey yall, taking my NREMT-P next week. Using pocket prep to study... has anyone used it and passed this new registry?? Any help would be appreciated!

5 Comments
2024/12/02
18:44 UTC

2

What occlusive dressing is used for abdominal pads?

Say in the case of evisceration or something like that, you put an absorbent abdominal pad wet with saline, and then you put an occlusive dressing to protect it from infection and prevent it from drying out. What occlusive dressing is that big?

5 Comments
2024/12/02
17:46 UTC

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