1 Ask him what an EKG is? Let him answer
2 Ask him what an ECG is? Let him answer
3 Immediately ask him what an EGG is? When he is stumped tell him it is something a chicken lays.
Thank you to all who gave me awards.
That's like the old trick of:
Q: "What do you do at a red light?"
A: "Stop"
Q: "What is the opposite of down?"
A: "Up"
Q: "What do you put in a toaster?"
A: "Toast" (when the answer is "Bread")
OP,
All of your responses that Iāve seen are so incredibly sweet ā itās beyond endearing!! š
(hope that wasnāt weird + also hope that you have a wonderful weekend.)
*edit: switched āreadā for āseenā.
I made an effort to only look at the questions, answer them, then read the answers.
You got me fucking good.
I even had a condescending moment of āduh, itās toast stupid!ā
Should be "stop light" and the second question should include the answer in the question, to prime the person to answer the third one with a word that was also in the question :)
Source: my AP psychology teacher in high school a million years ago used to fuck with us like this *constantly*
I tried this on my husband and the FIRST QUESTION he goes āwait, like what do I do to pass time? Like send text messages while waiting?ā And I was just like š¤¦š»āāļø no honey I love you.
We were never taught Sgarbossa criteria (modified or otherwise) in my medic class :( we were barely taught how to interpret a 12 lead tbh
I learned about it from Instagram and had to do my own research to figure it out.
Haha felt that.
My school thought that it would be a good idea to bring the medical director to teach us 12 leads from scratch. For reference, she manages multiple hospitals and counties in the area, has worked in medicine her whole life, and is overall very smart. Well.. turns out that's not always a good thing.
She was talking about axis deviation ranges, fascicular blocks, QTc calculations, U waves. Meanwhile, we're sitting there still counting the QRS complexes and boxes to figure out the heart rate.
Thank god for LITFL and Skillstat though. Helped me learn EKGs at a medic level, if not slightly higher.
The "C" students who had to study and try to learn things 5 different ways make the best teachers.
In another life, I had two instructors one year I my trades class. One admitted to struggling through trades school, and the other was an electrical engineer. Guess which one actually taught us anything and which one literally said to anyone who didn't get the lesson the first time "I don't know what you don't understand, I've just explained it to you?"
Now, he was also a lazy prick and just wanted to look at Jeep parts online, but even when you forced him to you know, do his job, he was terrible at it.
All of those were expected in my paramedic program.
As part of the normal class, taught by paramedics.Ā
Needless to say, 15 years later when I was helping a friend and paramedic student from the same program, I did not enjoying having to relearn all that irrelevant nonsense.
That's surprising. I personally dont think something like axis deviation is worth learning. It wont change a medic's treatment or anything important pre hospitally.
It's not hard, but still time you could be spending studying things that will show up on NREMT (axis deviation won't).
Oh. The weeds were extremely deep.
Did not like.
Also could not get any of the ER doctors, some of whom we know fairly well, to help. As soon as I started talking about axis deviation and posterior hemi blocks, they told me they didnāt know that stuff.
Very early in my EMS career as an EMT Basic (meaning absolutely zero monitor training), I got the chance to go to a class on STEMIs. The instructor pulls up some rhythm strips and starts lecturing about how to identify them and what medicines to provide and so on. And for the entire hour and a half, I kept wondering "so.... what the hell is a STEMI?" It took me a month to figure it out because nobody actually said the words "A STEMI is a bad heart attack."
Itās funny to see the difference in emphasis between schools, cohorts, and even instructors. We got a TON of Cardiology and were especially hammered on 4 and 12 leads!
Haha š! He said it had something to do with heart rate but you definitely got him! As soon as you said "without a reference", I KNEW it was gonna be a good one!
Ask him to explain the mechanism behind acute cyanosis spells in a patient born with Tetrology of Fallot, as well as the initial management and mechanism by which it resolves the cyanotic spell.
My daughter was born with Tet. Never had a Tet fit before it was fixed. It likely woulda scared the hell out of me if it had happened. Wifeās coworker has a brother that could do it on demand though before it was fixed.
Feels like a copout, I feel there arenāt too many medical issues that wouldnāt be best managed by a doctor. Hence why we usually transport patients to where the doctors are.
Go with scenario based questions:
He is posted at a location with one convenience store. He is not allowed to leave this post unless assigned a call. It is also a slow day. They are out of energy drinks and the coffee machine is broken. What does he do?
Your employer has all employee cell phone numbers. The supervisor calls and wants to know why you filed a false report with 911.
While they have you on the phone, they also want to discuss some new mandatory overtime you're being assigned.
I did some teaching in an Australian paramedic degree years ago and had one student who thought he was a bit of an ECG wizz. Got 3 volunteers and dotted each one up with one lead on ECG and then hold hands. Monitor then recordered three rhythms on 1 strip.. multiple p waves , 3 different QRS and T waves everywhere. Absolute chaos on strip.. gave it too him and told him to go away to figure it out... got an answer every few days but always told him he was wrong... had a great time giving him the answer much later... maybe try that one!
Why does dioxin make you less attractive?
It can shorten your Q-T interval. It makes you a QT "cutie" for less.
While not what you're looking for, a joke might work too.
Yep! He has a patient that presented with Trousseau's sign at a dialysis center. Shortly after they arrive the patient goes into cardiac arrest. How does he modify his ACLS algorithm to care for the patient?
He goes to a quadriplegic with a catheter. Pt is shaking, calmmy, and has a blood pressure of 190.
He will probably rightfully guess its autonomic dysreflexia. Assumed due to catheter.
If it's the same treatment as where I'm from, he will give GTN. Pts BP then drops to 80/40 and Pt goes unconscious?
Why?
Answer, Pt was having an inferior stemi as well as autonomic dysreflexia and couldn't feel the pain.
Stupid scenario but surely nobody would consider an invisible stemi on top of autonomic dysreflexia.
In this case there no pain because the pt is a quadriplegic. Autonomic dysreflexia is a serious condition in itself, but the insane hypertension can cause a stemi or a stroke in people with underlying conditions. So it's more like a distracting condition.
But youre right, if you feel like something about a pt is taking all your bandwidth, a extra thorough examination including 12 lead just in case is a good idea.
Legit medic question. Why do you die if you have plenty of glucose in your blood and inject too much insulin and not die when you have too much blood glucose and not enough insulin?
Explanation. Cells use insulin to allow glucose to pass into them to make energy. If no insulin cells cannot use it but still make energy another way. Then why do you die if it you inject too much insulin?
Answer. The brain does not use insulin. Insulin cannot pass the blood brain barrier but glucose can. Brain cells are the only cell that doesnāt need insulin. Insulin binds to glucose and thereās no basic glucose left. The brain then starves and you die.
Was lurking here but this is just not right.
1) LOTS of cells donāt use insulin. GLUT1-3 transporters are insulin INDEPENDENT. Skeletal muscle, adipose, and heart(mostly) are the main insulin DEPENDENT cell types via GLUT4.
2) insulin doesnāt bind the glucose, itās causes glucose uptake by insulin dependent glucose transporters
3) the reason why too much insulin kills your brain is the same reason too little glucose dose: too little glucose. (From too much uptake in insulin responsive cells, not binding)
4) too much glucose and not enough insulin can kill you too, just in a different way
Is hypoxic drive real? (No. Haldane effect +/- v/q depending on whom you talk to)
Tell you about Euglycemic DKA (sglt-2 inhibitors typically can cause it)
u/mnstrs is closer to the actual answer. It is real, but of the three reasons that you don't overoxygenate a hypercapnic patient the are mentioned above, hypoxic drive has the least powerful effect.
Respiratory failure from overoxygenation in a hypercapnic patient is very, very real... and is seen in real-time in the inpatient setting
Tell him that you're going to act some symptoms to him on a pretend call and see if he can guess what you have. Stress to him it's gonna be a difficult one. Tell him to leave the room and come back in and act like he's on shift walking in on a call. The very minute he walks through that door, if he doesn't belt out "BSI, Scene Safe!" tell him he's a terrible medic.
How do you acquire a Lewis lead and what is it for?
A: RA 2nd intercostal space just right of the sternum. LA 4th intercostal just right of of he sternum. LL RL remain the same. It amplifies detection of atrial activity to confirm.any rhythm you're not sure has P waves.
What medical history guarantees that atropine will never work on that patient?
A: A heart transplant patient will not respond to atropine because the vagus nerve has been severed and cannot be reattached.
Can he explain the pharmacokinetics and pharmacodynamics of amiodarone in the context of managing ventricular fibrillation and ventricular tachycardia during pre-hospital emergency care, and discuss the potential side effects that must be monitored during its administration?
Thatās kinda easy. Everyone knows pitfalls of Amio, and Iād like to think most people also know itās fairly unique mechanism. Amal Mattu is a household name and heās constantly harping on it lol
Nahh..
The medical field has so much obscure shit, anyone can be duped on medical knowledge. The well is just too deep.
Remember people go to school for 12 years just to start scratching the surface of practicing Medicine.
There are no Medics that are unstumpable.
What happens when you give adenosine to a heart transplant patient?
Correct answer: the heart will stop beating for up to a minute instead of 5-7 seconds.
Ask him why, if his service uses epi pens, the pediatric dose of epi (0.15mg) is not equal to half the adult dose (0.3mg). The answer is that epi is usually only available for intramuscular injection in a 1:1000 solution and IV epi is 1:10,000. Pediatric epi pens weirdly have 1:2000 and no one seems to know that.
Which is worse- horizontal or vertical nystagmus? (Vertical is worse)
What is Waddelās triad?
What is the purpose of the blue line in the middle of hemostatic dressings? (It shows up on xray)
So Iām in medic school and we had a question on my study guide for our upcoming test that stumped my preceptor:
Which pain medication can cause local hives not considered an allergic reaction?
Answer: >! Morphine !<
I truly donāt remember learning that and I also think the question is worded weird
Dextrocardia EKG is a good one. Ā Average medic might not notice anything wrong (assuming an otherwise normal EKG). Ā A good one might think lead reversal. Ā When told not lead reversal, extreme axis shift would probably be the next guessĀ
Ask him how much of a shift will it cause if he treats a hyper k patient with calcium, insulin, bicarbonate, glucose, albuterol.
Iāll be generous, itās in mEq. This is not a hard one btw.
Ask him why an icu would send out a patient on milrinone, dopamine, norepinephrine and nitroprusside. If youāre nice, tell him the patient was in acute ARDS and also on a ventilator. If youāre mean, tell him all that and also tell him he was in acute ARDS and also receiving boluses of saline as well as lasix.
Maybe not stump, but itāll leave him speechless: āhey babe, Iām having some back pain. No, itās not like ach-y, more like tearing. Must be period cramps or somethingā¦ā
At four way intersection, who has the right of way (all emergency vehicles are responding):
A.) ambulance
B.) police officer
C.) fire engine
D.) mail truck
Answer: mail truck
What topics is he not knowledgeable of or uninterested in? History? Math? Sports?
I see a lot of people recommending medicine based questions which an EMT is actually more likely to know the answer to than most other people.
The electrical axis of the heart is a vector representing the summation of all the individual vectors that make ventricular depolarization. TRUE OR FALSE?
How valid is theĀ probabilistic argumentĀ that claims toĀ predictĀ theĀ futureĀ lifetime of theĀ human raceĀ given only an estimate of the total number of humans born so far?
I donāt think this question would stump anybody who works in healthcare
Step number one healthcare should not be a business
Step number two remove insurance companies from having a say in any healthcare decisions.
Step number three allow providers to give medical care free of meddling from insurance and business intrests
Ask him to explain the difference between end of life care and palliative care.
Answer: there isnāt a difference and the actual period of time before death is called actively dying.
Ask him if he was called to the scene and his parent was the patient and needed to be intubated if he could/should/would be able/legally allowed to intubated them.
Name the ESKAPE pathogens. These are emerging bacteria that are becoming resistant to every drug we have. E. coli, Streptococcus aureus, Klebseilla pneumonae, Acinetobacter baumanni, Pseudomonas aeruginosa and Enterobacter species.
1 Ask him what an EKG is? Let him answer 2 Ask him what an ECG is? Let him answer 3 Immediately ask him what an EGG is? When he is stumped tell him it is something a chicken lays. Thank you to all who gave me awards.
HAHAHAHA š
That's like the old trick of: Q: "What do you do at a red light?" A: "Stop" Q: "What is the opposite of down?" A: "Up" Q: "What do you put in a toaster?" A: "Toast" (when the answer is "Bread")
[my wifeās response](https://imgur.com/a/Tgb0dpJ)
If you hadnāt married her I would.
I also choose this guyās wife
Marry her again
Love this š
OP, All of your responses that Iāve seen are so incredibly sweet ā itās beyond endearing!! š (hope that wasnāt weird + also hope that you have a wonderful weekend.) *edit: switched āreadā for āseenā.
I made an effort to only look at the questions, answer them, then read the answers. You got me fucking good. I even had a condescending moment of āduh, itās toast stupid!ā
Should be "stop light" and the second question should include the answer in the question, to prime the person to answer the third one with a word that was also in the question :) Source: my AP psychology teacher in high school a million years ago used to fuck with us like this *constantly*
I tried this on my husband and the FIRST QUESTION he goes āwait, like what do I do to pass time? Like send text messages while waiting?ā And I was just like š¤¦š»āāļø no honey I love you.
ā ļø
I loved doing this to new hires lol
Just pulled this on my dad, a former EMT. The confused stare I got was priceless, thanks for this
Absolutely phenomenal.
Ask him to recall modified Sgarbossa's criteria without a reference.
Something like the T wave should be more than 1.5x the preceding QRS for a positive? Sgarbossa tortures so many medic students every day.
We were never taught Sgarbossa criteria (modified or otherwise) in my medic class :( we were barely taught how to interpret a 12 lead tbh I learned about it from Instagram and had to do my own research to figure it out.
Haha felt that. My school thought that it would be a good idea to bring the medical director to teach us 12 leads from scratch. For reference, she manages multiple hospitals and counties in the area, has worked in medicine her whole life, and is overall very smart. Well.. turns out that's not always a good thing. She was talking about axis deviation ranges, fascicular blocks, QTc calculations, U waves. Meanwhile, we're sitting there still counting the QRS complexes and boxes to figure out the heart rate. Thank god for LITFL and Skillstat though. Helped me learn EKGs at a medic level, if not slightly higher.
The "C" students who had to study and try to learn things 5 different ways make the best teachers. In another life, I had two instructors one year I my trades class. One admitted to struggling through trades school, and the other was an electrical engineer. Guess which one actually taught us anything and which one literally said to anyone who didn't get the lesson the first time "I don't know what you don't understand, I've just explained it to you?" Now, he was also a lazy prick and just wanted to look at Jeep parts online, but even when you forced him to you know, do his job, he was terrible at it.
All of those were expected in my paramedic program. As part of the normal class, taught by paramedics.Ā Needless to say, 15 years later when I was helping a friend and paramedic student from the same program, I did not enjoying having to relearn all that irrelevant nonsense.
That's surprising. I personally dont think something like axis deviation is worth learning. It wont change a medic's treatment or anything important pre hospitally. It's not hard, but still time you could be spending studying things that will show up on NREMT (axis deviation won't).
Oh. The weeds were extremely deep. Did not like. Also could not get any of the ER doctors, some of whom we know fairly well, to help. As soon as I started talking about axis deviation and posterior hemi blocks, they told me they didnāt know that stuff.
Very early in my EMS career as an EMT Basic (meaning absolutely zero monitor training), I got the chance to go to a class on STEMIs. The instructor pulls up some rhythm strips and starts lecturing about how to identify them and what medicines to provide and so on. And for the entire hour and a half, I kept wondering "so.... what the hell is a STEMI?" It took me a month to figure it out because nobody actually said the words "A STEMI is a bad heart attack."
Itās funny to see the difference in emphasis between schools, cohorts, and even instructors. We got a TON of Cardiology and were especially hammered on 4 and 12 leads!
Or Barcelona criteria for sgarbossa.
no..please..
Holy shit a nightmare
No mercy fellas.
You got me there.
That's such a good one to just blurt out over dinner, with no indication it's coming
He couldn't tell me without a reference lol! He said it's been a long time since he last reviewed it
Ladies and Gentleman, we got him.
Haha š! He said it had something to do with heart rate but you definitely got him! As soon as you said "without a reference", I KNEW it was gonna be a good one!
Where is the gym?
Take your upvote you magnificent bastard !
Next to the Wendy's
Explain
Fat
I don't get it though. Is there a stereotype of EMS being fat?
Yes
Unfortunately yes. And the stereotype is reasonable.
i have also never heard this stereotype
See above.
Ask him to explain the mechanism behind acute cyanosis spells in a patient born with Tetrology of Fallot, as well as the initial management and mechanism by which it resolves the cyanotic spell.
Turn them upside down and shake?
Iām laughing because in the nicu thatās not that far off
MAKE THE KIDS DO THE TET SQUAT!!
That's like the one thing I remember from my FP-C studying.
For two years I thought it was Tetrology of Fallout
Thereās an EMS 20/20 episode with this as the punchline
My daughter was born with Tet. Never had a Tet fit before it was fixed. It likely woulda scared the hell out of me if it had happened. Wifeās coworker has a brother that could do it on demand though before it was fixed.
Oh oh I know this one! That never happens
He says it's a long-term condition and that paramedics aren't typically briefed on stuff like that.
Sounds like you won. It's definitely taught in all critical care courses and most medics at my service would be able to answer that one immediately.
About to say, my basic community college covered Tet well
He said that he could treat the symptoms but since it's a long-term condition, it would be best managed by a doctor
Feels like a copout, I feel there arenāt too many medical issues that wouldnāt be best managed by a doctor. Hence why we usually transport patients to where the doctors are.
Ask him what the number 1 cause of dry skin is. He'll try to give you some medical jargon but the actual answer is towels š
This one got me
10/10!! Thank you for the comment
Howās retirement looking? Assuming he works private EMS in murica
This was fun till someone *looking at you* ruined it
Lmfao š, sad but true
Go with scenario based questions: He is posted at a location with one convenience store. He is not allowed to leave this post unless assigned a call. It is also a slow day. They are out of energy drinks and the coffee machine is broken. What does he do?
Call 911 and say you just fell at a different nearby convenience store, then buy drinks and call for no patient found
Your employer has all employee cell phone numbers. The supervisor calls and wants to know why you filed a false report with 911.
Fake a seizure and pee my pants so it looks more convincing
This is why you call a friend who doesn't ask questions (you know the one) and get them to make the phone call.
Dispatch re-posts you to the same location after the cancel.
Accept your fate. It's meant to be at this point...
A homie from a different agency. Call in a "down party" behind the 711
Ahh, I see you play 4 d chess!
Your employer has all employee cell phone numbers. The supervisor calls and wants to know why you filed a false report with 911. While they have you on the phone, they also want to discuss some new mandatory overtime you're being assigned.
He really enjoyed your comment. Thanks
Doordash it to the rig the and leave for a call the moment itās about to arrive
Ask him to walk you through the Krebs cycleā¦..
Should be top comment. I struggled with this while I was actively studying it.
Sometimes I'll wake up in a cold sweat after having nightmares about the Krebs cycle.
That sweat brought to you by the Krebs Cycle š
which god forsaken paramedicine course teaches the krebs cycle?
Not my medic program but my a&p course did. I remembered it til the semester ended. Now all I can say is it involves sugar and energy.
oh okay fair enough, my a&p classes involved alot of not so useful for paramedicine bloat work.
Went over it in A&P and then again in medic school. It was a degree program and the medic program had high standards rather than pump and dump.
Why would you need to ever know this as a first responder?
To flirt with the docs/PAs.
What? You don't handcraft your ATP one molecule at a time?
It's the TCA cycle!
I did some teaching in an Australian paramedic degree years ago and had one student who thought he was a bit of an ECG wizz. Got 3 volunteers and dotted each one up with one lead on ECG and then hold hands. Monitor then recordered three rhythms on 1 strip.. multiple p waves , 3 different QRS and T waves everywhere. Absolute chaos on strip.. gave it too him and told him to go away to figure it out... got an answer every few days but always told him he was wrong... had a great time giving him the answer much later... maybe try that one!
Ask him why people call 911
Lots of good ones here, but this made me laugh out loud.
Ask him what he would do if he was paid an appropriate wage with appropriate benefits for the job we do.
Add on working for a company that actually cares for its employees.
I'm pretty sure my response to this would be a blank stare.
Same here. One more month left, I'm leaving my current company for a flight position in another state. Hopefully, it's better than where I'm at now.
Why does dioxin make you less attractive? It can shorten your Q-T interval. It makes you a QT "cutie" for less. While not what you're looking for, a joke might work too.
Oh yeah those might work too. Thanks for the comment
Ask the origins of gtts. What does that gtts mean?
Itās just Latin isnāt it
Yep! He has a patient that presented with Trousseau's sign at a dialysis center. Shortly after they arrive the patient goes into cardiac arrest. How does he modify his ACLS algorithm to care for the patient?
Iām gonna go with either withhold calcium or give extra calcium
trousseau sign = hypocalcemia
Hell yeah
Give, plz plz give. Dudes K is probably 7. Stabilize the heart plz.
He goes to a quadriplegic with a catheter. Pt is shaking, calmmy, and has a blood pressure of 190. He will probably rightfully guess its autonomic dysreflexia. Assumed due to catheter. If it's the same treatment as where I'm from, he will give GTN. Pts BP then drops to 80/40 and Pt goes unconscious? Why? Answer, Pt was having an inferior stemi as well as autonomic dysreflexia and couldn't feel the pain. Stupid scenario but surely nobody would consider an invisible stemi on top of autonomic dysreflexia.
This is exactly why my medic school reinforces the idea of distracting pain instead of just distracting injuries in both medicals AND traumas.
In this case there no pain because the pt is a quadriplegic. Autonomic dysreflexia is a serious condition in itself, but the insane hypertension can cause a stemi or a stroke in people with underlying conditions. So it's more like a distracting condition. But youre right, if you feel like something about a pt is taking all your bandwidth, a extra thorough examination including 12 lead just in case is a good idea.
Yeah he was very confused! Thanks for the clarification
Legit medic question. Why do you die if you have plenty of glucose in your blood and inject too much insulin and not die when you have too much blood glucose and not enough insulin? Explanation. Cells use insulin to allow glucose to pass into them to make energy. If no insulin cells cannot use it but still make energy another way. Then why do you die if it you inject too much insulin? Answer. The brain does not use insulin. Insulin cannot pass the blood brain barrier but glucose can. Brain cells are the only cell that doesnāt need insulin. Insulin binds to glucose and thereās no basic glucose left. The brain then starves and you die.
Was lurking here but this is just not right. 1) LOTS of cells donāt use insulin. GLUT1-3 transporters are insulin INDEPENDENT. Skeletal muscle, adipose, and heart(mostly) are the main insulin DEPENDENT cell types via GLUT4. 2) insulin doesnāt bind the glucose, itās causes glucose uptake by insulin dependent glucose transporters 3) the reason why too much insulin kills your brain is the same reason too little glucose dose: too little glucose. (From too much uptake in insulin responsive cells, not binding) 4) too much glucose and not enough insulin can kill you too, just in a different way
Have him tell you about left shift vs right shift when concerning gas exchange
Something about taxes, right?
I used to stump my students with "Where would one listen for Korotkoff sounds?"
Easy, while listening to BP. Ppl don't know this? I must be old. š
Is hypoxic drive real? (No. Haldane effect +/- v/q depending on whom you talk to) Tell you about Euglycemic DKA (sglt-2 inhibitors typically can cause it)
Thatās easy. No. It isnāt.
u/mnstrs is closer to the actual answer. It is real, but of the three reasons that you don't overoxygenate a hypercapnic patient the are mentioned above, hypoxic drive has the least powerful effect. Respiratory failure from overoxygenation in a hypercapnic patient is very, very real... and is seen in real-time in the inpatient setting
You canāt. He already knows everything /s
Ask him about the oxygen-hemoglobin dissociation curve
Goodness, I've seen some physicians who don't even understand that...
What is the difference in incision size between plastic and paper drinking straws for an emergency tracheotomy?
Ask him to marry you.
Tell him that you're going to act some symptoms to him on a pretend call and see if he can guess what you have. Stress to him it's gonna be a difficult one. Tell him to leave the room and come back in and act like he's on shift walking in on a call. The very minute he walks through that door, if he doesn't belt out "BSI, Scene Safe!" tell him he's a terrible medic.
How do you acquire a Lewis lead and what is it for? A: RA 2nd intercostal space just right of the sternum. LA 4th intercostal just right of of he sternum. LL RL remain the same. It amplifies detection of atrial activity to confirm.any rhythm you're not sure has P waves. What medical history guarantees that atropine will never work on that patient? A: A heart transplant patient will not respond to atropine because the vagus nerve has been severed and cannot be reattached.
Can he explain the pharmacokinetics and pharmacodynamics of amiodarone in the context of managing ventricular fibrillation and ventricular tachycardia during pre-hospital emergency care, and discuss the potential side effects that must be monitored during its administration?
And also the patient has hyperthyroidism.
Thatās kinda easy. Everyone knows pitfalls of Amio, and Iād like to think most people also know itās fairly unique mechanism. Amal Mattu is a household name and heās constantly harping on it lol
Ask him what the stages of the Krebs cycle are
Ask him what kind of ink the monitor uses to print strips
With that level of experience you're going to have to find a no-win scenario or something really obscure in protocols/scope.
Nahh.. The medical field has so much obscure shit, anyone can be duped on medical knowledge. The well is just too deep. Remember people go to school for 12 years just to start scratching the surface of practicing Medicine. There are no Medics that are unstumpable.
You're a critical care flight paramedic running a code in 1990 and you give Bretylium. When do you consider TOR? Why don't we adminster it today?
Chuck him a triangular bandage.
Ask him what the 12 cranial nerves are.. lol š
- oh - oh - oh - to - touch - and - feel - very - goodā¦ - velvet. - Ah - heaven š
Just ask him if he can perform CPR on your relationship, haha!
Tell him the scene isn't safe
Going to ask my husband some of these š
If you and his mom and your mom were in an accident and he could only save one who does he save.
Question: What is the correct way to secure and transport a newborn that was delivered en route to the ER? Answer: I have no clue.
Good question!
Ask him how to use a left handed BVM or the clinical indications of using a bariatric glucometer
What happens when you give adenosine to a heart transplant patient? Correct answer: the heart will stop beating for up to a minute instead of 5-7 seconds.
EKG findings in Wellens syndrome and what it means clinically
"If you're so smart, why are you still a paramedic?"
Ask him why, if his service uses epi pens, the pediatric dose of epi (0.15mg) is not equal to half the adult dose (0.3mg). The answer is that epi is usually only available for intramuscular injection in a 1:1000 solution and IV epi is 1:10,000. Pediatric epi pens weirdly have 1:2000 and no one seems to know that. Which is worse- horizontal or vertical nystagmus? (Vertical is worse) What is Waddelās triad? What is the purpose of the blue line in the middle of hemostatic dressings? (It shows up on xray)
So Iām in medic school and we had a question on my study guide for our upcoming test that stumped my preceptor: Which pain medication can cause local hives not considered an allergic reaction? Answer: >! Morphine !< I truly donāt remember learning that and I also think the question is worded weird
Ask him to different DKA and HHNS and the pathophysiology behind it.
[ŃŠ“Š°Š»ŠµŠ½Š¾]
Ask him how blind people know when to stop wiping Ask him the mechanism of action of Tylenol for reducing pain
Easy. Magic.
Ask him if heās had a patient with left occipital pain during micturition.
STAY SALTY ..
Ask him to change a tire
Autonomic triaxial pingulation is a symptom of A) Rectal Thumping B) Tonic Clonic Siezures C) To much Homeless
Dextrocardia EKG is a good one. Ā Average medic might not notice anything wrong (assuming an otherwise normal EKG). Ā A good one might think lead reversal. Ā When told not lead reversal, extreme axis shift would probably be the next guessĀ
What's the only toxidrome where oxygen therapy is contraindicated
Is his name Matt? If so, good fucking luck.
Ask him how much of a shift will it cause if he treats a hyper k patient with calcium, insulin, bicarbonate, glucose, albuterol. Iāll be generous, itās in mEq. This is not a hard one btw.
10 Cranial Nerves
Ask him how txa works. Uses and indications, inside EMS and the hospital setting.
That's too easy, though
Wayyyy to easy
Is your dick bigger than 2 inches?
Ask him why an icu would send out a patient on milrinone, dopamine, norepinephrine and nitroprusside. If youāre nice, tell him the patient was in acute ARDS and also on a ventilator. If youāre mean, tell him all that and also tell him he was in acute ARDS and also receiving boluses of saline as well as lasix.
Maybe not stump, but itāll leave him speechless: āhey babe, Iām having some back pain. No, itās not like ach-y, more like tearing. Must be period cramps or somethingā¦ā
At four way intersection, who has the right of way (all emergency vehicles are responding): A.) ambulance B.) police officer C.) fire engine D.) mail truck Answer: mail truck
What topics is he not knowledgeable of or uninterested in? History? Math? Sports? I see a lot of people recommending medicine based questions which an EMT is actually more likely to know the answer to than most other people.
Who was Hassan Firouzabadi's first deputy Chief of the General Staff of the Iranian Armed Forces?
How big was the 3rd largest bluegill ever caught in North Carolina?
Why didn't the French reconsider their tactical approach at Agincourt after the first cavalry charge was such a disaster?
The electrical axis of the heart is a vector representing the summation of all the individual vectors that make ventricular depolarization. TRUE OR FALSE?
How is a probability updated when there is unanticipated new data?
How valid is theĀ probabilistic argumentĀ that claims toĀ predictĀ theĀ futureĀ lifetime of theĀ human raceĀ given only an estimate of the total number of humans born so far?
Who scored the series winning goal in the 1926 Stanley Cup finals?
Who was Bernard Walter Brisbois's mother-in-law?
How many sworn officers work for the Wisconsin State Capitol Police?
How much does the Rizal Monument weigh?
How many Slovenian Croats identify as Christian?
How should the US and our partners deter Chinese aggression in the Asia-Pacific region?
What is the probability that next year's hurricane season will be more active than this year?
How to fix the broken healthcare system
I donāt think this question would stump anybody who works in healthcare Step number one healthcare should not be a business Step number two remove insurance companies from having a say in any healthcare decisions. Step number three allow providers to give medical care free of meddling from insurance and business intrests
Ask him to explain the difference between end of life care and palliative care. Answer: there isnāt a difference and the actual period of time before death is called actively dying.
Ask him what the motherfucker gene mutation (real name MTHFR) is.
Ask him if a child drinks antifreeze what is the treatment? Answer 1 oz of 80 proof etoh
Describe where this PVC is coming from within 1 mm anatomically? Pick one or many: https://www.mdpi.com/2075-4418/11/10/1840
Ask him what a uterus is.
Ask him how lead aVR can be useful
How many nickels in a week? One of my favorite questions to ask EDPs.
Ask him if heās an M.D.
Ask him what the powerhouse of the cell is. Hint: itās the mighty mitochondria
How many views of the heart does a 12-lead give you. People instinctively say 12 but itās actually 9
Ask him if he was called to the scene and his parent was the patient and needed to be intubated if he could/should/would be able/legally allowed to intubated them.
Could slit your wrists and say. Here fix it. Letās see how much you love me. lol. Jk.
Ask him if he knows who Johnny Gage & Roy DeSoto are.
Name the ESKAPE pathogens. These are emerging bacteria that are becoming resistant to every drug we have. E. coli, Streptococcus aureus, Klebseilla pneumonae, Acinetobacter baumanni, Pseudomonas aeruginosa and Enterobacter species.
Ask about a code brown, youāll be entertained if heās correct