Thursday, April 1, 2010

Back to High School: EMS Style

1 April, 2010. 1432.

I’m applying to Paramedic school!

Happy April, everyone. Yesterday, I did something kind of fantastic. I talked to a few classrooms of high schoolers about EMS. When I was in high school myself, I took the sports medicine class because I needed another gym credit and didn’t want to play dodgeball for another half-year. In the class, we learned basic anatomy, cranial nerves, GCS, basic treatment of minor injuries (RICES, etc), CPR, splinting, and about electrical stimulation therapy and massage therapy. We also watched a lot of Man vs. Wild and Survivorman and videos of people getting injured on YouTube. While we had a lot of fun, we actually did work—I recall writing a paper about bleeding disorders and sports and reviewing an article about hypothermia as a treatment for spinal injuries.

When I was in EMT school, I found that knowing basic anatomy was really helpful in the first few lessons—I didn’t need to focus on memorizing which was way prone and which was supine and what the anatomical position looked like. I emailed the teacher, Mr. Scott, over the summer to thank him, while I was still training.

The other day, maybe two weeks ago, I had the idea to ask if he would be interested in having me come to talk to his classes about EMS. He thought it was a great idea, I made a powerpoint, prepared a presentation, got props from Dan, and went to the High School yesterday.

For 7:30 and 9:50 in the morning, the students paid attention. The second class even asked me questions—some were about how we don’t transport, many were along the lines of “what’s the worst thing you’ve ever seen?” but it showed that they were paying attention. My wonderful brother and sister, Matt and Rae, went to my presentation, which made me really happy.

I explained how I got into EMS, explained our scope of practice and listed some key BLS skills, talked about the training process, levels of certification and ALS/BLS differences, where EMTs work, and what meds we can give. I talked about BEMCo as well, since that’s where my experience is—how we operate, roles of each member of the crew, showed the inside of the truck and the inside of my jump kit, and then walked through a mock call. The call was for difficulty breathing with urticaria and angioedema. I walked them through the process of responding to a call, importance of BSI, the initial assessment, administration of an Epi-pen, SAMPLE history, vitals, physical assessment, and transfer of care to medics. I felt it was comprehensive but not too detailed. I had a lot of fun writing the presentation, and I realized as I was writing it that I didn’t need to make presentation notes for me to look on with—I knew what I wanted to say for each slide, and there was no way I was reading off of the slides. For props, I had a copy of one of our run sheets, vomit bag, gloves, CPR shield and mask, my scope, and my watch (I realize my watch is not a prop, but I made the point that much of patient assessment can be done by listening to the patient, touching the patient, and getting some basic vitals.)

My presentation lasted about an hour, which was perfect, as it left 5 minutes for questions, which was just enough time to keep them interested. If I could have done anything differently, I would have taken a moment to stress that it is not all lights and sirens, that it’s not all about being the hero—I talked about working transfer, but I wish I had emphasized that even if we’re not doing intense treatment with CPR or Epi-pens or using the LSB, we’re still helping someone to feel better.

I really like teaching—it’s a challenge and it reminds me of what I know. I wasn’t asked any technical questions, but I felt that any question that a student could ask me, I would be able to answer. That’s a good feeling. When the teacher asked at the end of my presentation what I want to do when I graduate, though—I have no idea. I didn’t plan on falling in love with EMS.

If anyone wants to see the powerpoint I made and used, let me know and I can send it your way.

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