Global Emergency Medical Technicians Registry

Global Emergency Medical Technicians Registry Global Emergency Medical Technicians Registry (GEMTR) Inc. Is non-profit. EMR/EMT/EMT-A/Paramedic

To provides Certification process to access the Examination, Psychomotor assessments skills and knowledge required for competent practice by EMS.

14 Pains You Should Never Ignore and Why
28/01/2026

14 Pains You Should Never Ignore and Why

Potential causes of chest pain following a myocardial infarction (MI).
28/01/2026

Potential causes of chest pain following a myocardial infarction (MI).

Cardiovascular Surgical Interventions: Advancements, Techniques, and Clinical Applications1. CABG: Bypasses occluded art...
28/01/2026

Cardiovascular Surgical Interventions: Advancements, Techniques, and Clinical Applications
1. CABG: Bypasses occluded arteries to restore myocardial perfusion.
2. Valve Replacement: Prosthetic valve implantation to correct hemodynamic dysfunction.
3. Angioplasty & Stent: Endovascular lumen restoration with scaffold support.
4. Pacemaker: Electronic cardiac rhythm regulation.
5. Aortic Aneurysm Repair: Graft reinforcement to prevent rupture.
6. Cardiac Ablation: Targeted elimination of arrhythmogenic foci.
7. VAD: Mechanical circulatory support for advanced heart failure.
8. TAVR: Transcatheter, minimally invasive aortic valve implantation.
9. ASD Closure: Percutaneous septal defect occlusion.

πŸ«€ Chest Pain Localization β€” Clinical Patterns & Differential DiagnosisChest pain must always be approached systematicall...
28/01/2026

πŸ«€ Chest Pain Localization β€” Clinical Patterns & Differential Diagnosis

Chest pain must always be approached systematically because several causes are life-threatening.

πŸ”΄ Acute Myocardial Infarction (AMI)

Pain character
β†’ Crushing, pressure-like, retrosternal

Radiation
β†’ Left arm
β†’ Neck / jaw
β†’ Sometimes epigastrium or back

Associated features
β†’ Diaphoresis
β†’ Nausea / vomiting
β†’ Dyspnea
β†’ Anxiety

Mechanism
β†’ Myocardial ischemia due to coronary artery occlusion

Exam pearl
β†’ Pain NOT relieved by position or respiration

⭐ Always treat as emergency.

🫁 Pulmonary Embolism (PE)

Pain character
β†’ Sharp, pleuritic (worse on inspiration)

Location
β†’ Usually lateral or posterior chest

Associated features
β†’ Sudden dyspnea
β†’ Tachycardia
β†’ Hypoxia
β†’ Β± Hemoptysis

Mechanism
β†’ Pulmonary arterial obstruction β†’ lung infarction

Exam pearl
β†’ Pleuritic pain + tachycardia + dyspnea = think PE.

πŸ’œ Pericarditis

Pain character
β†’ Sharp, central chest pain

Radiation
β†’ Trapezius ridge / upper back

Positional changes
β†’ Worse supine
β†’ Relieved by sitting forward

Mechanism
β†’ Inflammation of pericardium

Exam pearl
β†’ Pain improves leaning forward (unique feature).

🟧 Pneumothorax

Pain character
β†’ Sudden unilateral pleuritic pain

Associated features
β†’ Dyspnea
β†’ Reduced breath sounds on affected side

Mechanism
β†’ Air in pleural space β†’ lung collapse

Exam pearl
β†’ Sudden chest pain + breathlessness in young patient β†’ suspect pneumothorax.

🟨 Esophageal Pain (GERD / Spasm)

Pain character
β†’ Burning or squeezing retrosternal pain

Radiation
β†’ Mid-back

Triggers
β†’ Swallowing
β†’ Reflux
β†’ Lying flat

Mechanism
β†’ Acid reflux or esophageal spasm

Exam pearl
β†’ Can mimic MI β€” differentiate by relation to meals.

🟩 Musculoskeletal / Thoracic Radiculopathy

Pain character
β†’ Localized chest wall pain

Key feature
β†’ Reproducible with movement or palpation

Distribution
β†’ Dermatomal pattern possible

Mechanism
β†’ Muscle strain or nerve root irritation

Exam pearl
β†’ Reproducible pain = usually non-cardiac.

🚨 Red-Flag Chest Pain (Always Rule Out First)

β†’ Myocardial infarction
β†’ Pulmonary embolism
β†’ Pneumothorax
β†’ Aortic dissection (not shown but critical)

100 medications and their uses πŸ’ŠπŸ’Šβœ…πŸ’ŒπŸ©Έ
28/01/2026

100 medications and their uses πŸ’ŠπŸ’Šβœ…πŸ’ŒπŸ©Έ

High blood pressure affects millions silently- learn the stages, check risks, and take control today. Monitor, manage, l...
13/01/2026

High blood pressure affects millions silently- learn the stages, check risks, and take control today. Monitor, manage, live longer!

25 years Frontline Experience Becoming a specialist Paramedic γ‚šviralγ‚·fypγ‚·γ‚šviralγ‚·alγ‚·
09/01/2026

25 years Frontline Experience
Becoming a specialist Paramedic
γ‚šviralγ‚·fypγ‚·γ‚šviralγ‚·alγ‚·

08/01/2026

I got over 500 reactions on one of my posts last week! Thanks everyone for your support! πŸŽ‰

Airway management devicesNote educational purposes only
08/01/2026

Airway management devices
Note educational purposes only

Emergency Medications
02/01/2026

Emergency Medications

Types of oxygen masks Note educational purposes only
27/12/2025

Types of oxygen masks
Note educational purposes only

Rule of Nines For Burns (Adult)
27/12/2025

Rule of Nines
For Burns (Adult)

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