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There is so much to learn about the heart, and how even though you might have chest pains does not mean it's a heart attack.

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Before this section, I had an idea of how crucial early stroke identification and action were, but I didn't have a great understanding of the subject initially. For example, I had no idea how many intense symptoms would present in these cases; I had known about the main ones, such as weakness and facial droop, etc., but I had not known that it could cause everything up to significant personality changes and a coma. Overall though, I think one of the biggest takeaways from this section for me was that there are many medical conditions and emergencies that we may be called to and that it might be challenging to differentiate in some cases; we often practice 'textbook' scenarios, but the reality of the situation may and will prove much more difficult.

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I think the easiest thing I've learned about cardiac emergencies would be that every second counts. If anything, time is working against you as you need to start the proper procedures such as CPR very quickly. Like how we know to check the pulse and breathing for no more than 10 seconds.

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Ensuring that we are thoroughly completing assessments as when coming on scene to a person with an altered mental status it can be easy to miss the reason why. With altered mental status being tied to many different issues we want to make sure we are properly treating to ensure that patient doesn't decline.

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A big thing I learned is that an altered mental status has the potential to show up with any one of these types of emergencies and more. It is important that we perform a detailed assessment of the patient so that we can figure out what is causing their altered state.

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One thing I have learned with cardiac emergencies is time. The sooner cpr is started is sometimes the difference between someone surviving or not. It is important to get to the patient asap with an aed and have enough help to rotate out to give the best care you can.

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One of the things I've learned about is all the extra tools you have with medication. As EMR's we aren't allowed to administer hardly anything. Getting used to the extra things that we can do will take some getting used to. I think it's really neat that the EMT's are getting slowly authorized to use the basic medications for cardiac and respiratory emergencies. It's gonna be neat to show up to a call and be able to provide more care than just stabilizing and prepping a patient for transport.

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High flow oxygen is your best friend. There are several different ways to administer oxygen. Remember to take a physical assessment and do not rely on PulseOx for every vital check. It's a tool not a replacement.