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.

14/12/2025

❇️ Airway Management Devices: Indications and Clinical Use

Effective airway management is a cornerstone of anesthesia, emergency medicine, and critical care. This illustration highlights commonly used basic and supraglottic airway devices, focusing on their appropriate indications and clinical contexts.

Guedel (oropharyngeal) airway is used in unconscious patients without a gag reflex to prevent tongue-related airway obstruction.

Nasopharyngeal airway is suitable for conscious or semi-conscious patients with an intact gag reflex, providing airway patency while avoiding stimulation of vomiting.

Laryngeal Mask Airway (Classic LMA) is indicated for unconscious patients unable to maintain their airway and is widely used in anesthesia and airway rescue.

BASKA mask is a second-generation supraglottic airway designed for unconscious patients under general anesthesia, commonly in elective surgical settings.

LMA Supreme supports positive pressure ventilation in unconscious patients and includes a gastric drainage channel to reduce insufflation risk.

Laryngeal tube is an alternative supraglottic airway used for ventilation in unconscious patients, particularly in emergency and prehospital care.

None of these devices constitute a definitive airway, as they do not provide complete protection against aspiration. Correct device selection should always consider patient consciousness, gag reflex, ventilation requirements, and clinical setting.

12/12/2025

An Automated External Defibrillator (AED) is a portable medical device that analyzes heart rhythms and delivers an electric shock to restore normal heart function in cases of sudden cardiac arrest.

12/12/2025

❇️ Types of Catheters & Their Indications:

▶️ Foley catheter
Used for bladder drainage in urinary retention and for accurate urine output monitoring. The balloon anchors the catheter inside the bladder.

▶️ Central venous catheter (CVC)
Inserted commonly into the internal jugular vein. Used in ICU settings for central venous pressure monitoring, administration of vasopressors, total parenteral nutrition, and long-term intravenous medications.

▶️ Dialysis catheter
Placed preferably in the internal jugular vein for hemodialysis. Designed with large lumens to allow rapid blood flow during dialysis.

▶️ Ryle’s (nasogastric) tube
Passed through the nose into the stomach for enteral feeding, gastric decompression, or aspiration of gastric contents.

▶️ Arterial line
Usually inserted into the radial artery for continuous blood pressure monitoring and frequent arterial blood gas sampling.

▶️ Pigtail catheter
A small-bore drainage catheter placed into the pleural cavity to drain pleural effusions or air.

▶️ Suprapubic catheter
Inserted through the suprapubic region directly into the bladder for long-term urinary drainage when urethral catheterization is not suitable.

10/12/2025

First-Line Therapy in High-Risk Hypertension – 2025 Update
(ACC/AHA, ESC/ESH 2023–24, ADA 2024, KDIGO)

Target BP

10/12/2025

Asthma airways are inflamed, narrowed, and often filled with excess mucus, making breathing difficult, whereas normal airways are open, clear, and allow air to flow freely.

10/12/2025

Acting F.A.S.T. can change a life. When you spot one of these stroke warning signs, call 911 right away.

10/12/2025

Emergency Medications 🧐🩺👇👇👇












EMS 🚑 — Patient Transport ⚕️ SkedWith SkedcoThe Sked stretcher was developed as a solution for extricating people from c...
08/12/2025

EMS 🚑 — Patient Transport ⚕️ Sked
With Skedco
The Sked stretcher was developed as a solution for extricating people from confined spaces where traditional, rigid stretchers were too bulky to fit. While not specifically designed for submarine escape, its use became prevalent for the military and fire services, including use in ship compartments and other tight industrial spaces.
The challenge of moving an injured person through narrow, cramped areas—such as small hatches, stairways, and machinery-filled compartments—highlighted the need for a flexible and compact rescue system.
Key Aspects of the Sked Stretcher's Development and Use:
Origin: The Sked was invented by Bud Calkin in 1981, evolving from a game carrier designed by his sister for dragging deer.
Design: It is made from a durable, flexible polyethylene plastic that can be rolled into a compact cylinder for storage and transport. Once unrolled and a patient is secured, the stretcher becomes rigid, offering patient protection and full-body immobilization (though a backboard is recommended for suspected spinal injuries).
Versatility: Its ability to be carried, lifted vertically or horizontally, or towed has made it a go-to rescue tool for various demanding environments, including military, industrial, fire department, and wilderness rescue operations.
Confined Spaces: The Sked's primary advantage is its narrow profile, which allows rescuers to maneuver patients through areas where other stretchers would fail, a crucial capability in complex industrial settings or ship compartments.
While specific individual escape devices like the Momsen lung and Steinke hood were developed for actual escape from a sunken submarine, the Sked filled the gap for safely extricating an injured person in a non-emergency, tight-space rescue scenario.

Every step I take today is because someone before me stood long enough to TEACH ME how.
04/12/2025

Every step I take today is because someone before me stood long enough to TEACH ME how.

04/12/2025

Tracking aortic stenosis symptoms can help you and your health care team know if your condition is getting better or worse. Note if these symptoms occur never, occasionally, often or always and share with your doctor at your next appointment.



Emergency Situations: For a pr*****ed cord, the recommended position is knee-to-chest or Trendelenburg to relieve pressu...
04/12/2025

Emergency Situations: For a pr*****ed cord, the recommended position is knee-to-chest or Trendelenburg to relieve pressure. In the event of a seizure, the patient should be placed in a side-lying or recovery position to prevent aspiration. For a dislodged Central Venous Catheter (CVC), the left lateral Trendelenburg position is advised to prevent an air embolism.

Post-Procedural Care: After a liver biopsy, the patient must lie on their right side for at least 2 hours to apply pressure and prevent bleeding. Following a lumbar puncture, a supine position for 4-12 hours is recommended to prevent a post-dural headache. For a femoral cardiac catheterization, the patient should be in a low-Fowler's position (less than 30°) to prevent hip flexion and allow clot formation.

Specific Conditions: Autonomic dysreflexia requires a sitting or high-Fowler's position with legs dangling. Increased Intracranial Pressure (ICP) is managed by elevating the Head of the Bed (HOB) 30-45° and keeping the head in a neutral, midline position. For an infant with Spina Bifida, a prone position is necessary to protect the sac.

Therapeutic Procedures: During a paracentesis, a semi-Fowler's or tripod position is used. A thoracentesis requires a tripod position or lying on the unaffected side with the HOB elevated to Fowler's. For Nasogastric (NG) tube insertion, a high-Fowler's position with the head tilted forward helps prevent aspiration.

04/12/2025

Quick review about Hyperkalemia Signs and Symptoms🧐🩺👇


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