EMS Care EMT Chapter 24-MCIT-F3-2117 | Neurological Emergencies

EMS Care EMT Chapter 24-MCIT-F3-2117 | Neurological Emergencies  starts with an introduction to this critical topic. This chapter deals with how EMTs should deal with Neurological emergencies, with a deep dive into specific emergencies like stroke, seizures, status epilepticus, altered mental status, coma, and injuries related to head and spinal cord along with special considerations.

The lessons included are

  • Lesson 1:  Introduction to Neurological Emergencies
  • Lesson 2:  Assessment of Neurological Emergencies
  • Lesson 3:  Stroke: Recognition and Management
  • Lesson 4: Seizures and Status Epilepticus
  • Lesson 5: Altered Mental Status and Coma
  • Lesson 6: Head and Spinal Cord Injuries
  • Lesson 7: Special Considerations in Neurological Emergencies

Excerpt from EMS Care EMT Chapter 24-MCIT-F3-2117 | Neurological Emergencies

EMT management of stroke patients focuses on rapid assessment and supportive care. Use the stroke scales we discussed earlier for quick assessment. Manage ABCs as always. Administer oxygen to maintain Saturation of peripheral oxygen above 94%.  If within your scope of practice, establish I V access. Always check blood glucose, as hypoglycemia can mimic stroke symptoms. Keep the patient NPO or nothing by mouth in case emergency surgery is needed. Position the patient with their head elevated about 30 degrees to help reduce intracranial pressure. Reassess the patient frequently, as stroke symptoms can evolve or resolve rapidly. Finally, rapid transport should be provided to an appropriate stroke-capable facility.

Core Concepts & Takeaways

  • Demonstrate proficiency in performing comprehensive neurological assessments using standardized tools, including the Glasgow Coma Scale, FAST exam, and pupillary assessment.
  • Accurately identify and differentiate between types of strokes (ischemic and hemorrhagic), implementing appropriate emergency care protocols within the critical time window.
  • Recognize and respond appropriately to various seizure types and status epilepticus, including proper patient care during and after seizure activity.
  • Assess and manage patients with altered mental status using the A E I O U-TIPS mnemonic while demonstrating an understanding of various causes and appropriate interventions.
  • Evaluate and implement appropriate care for head and spinal cord injuries, including proper spinal motion restriction techniques and concussion assessment.

Important Notes:

To get credit for this course, you must watch all the lessons in their entirety, the course review, and pass the quiz at the end with a score of 75% or better.

This Chapter falls under the Patient Treatment and Transport section of the NREMT Test

Course Curriculum

EMS Care EMT Chapter 24-MCIT-F3-2117 | Neurological Emergencies

  • Lesson 0 – Chapter Introduction
    02:25
  • Lesson 1 – Introduction to Neurological Emergencies
    04:20
  • Lesson 2 – Assessment of Neurological Emergencies
    08:24
  • Lesson 3 – Stroke: Recognition and Management
    06:02
  • Lesson 4 – Seizures and Status Epilepticus
    07:50
  • Lesson 5 – Altered Mental Status and Coma
    08:22
  • Lesson 6 – Head and Spinal Cord Injuries
    06:52
  • Lesson 7 – Special Considerations in Neurological Emergencies
    07:11
  • Lesson 8 – Chapter Review
    04:52
  • EMS Care EMT Chapter 24-MCIT-F3-2117 | Neurological Emergencies | QUIZ
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