I'm a 22. Let me clarify, that it isn't my typical respiration rate. And it certainly isn't my current blood sugar reading. It's my typical quiz score. For three of the five quizzes I have taken. I don't really understand it myself, but it seems that no matter whether I study, how hard I study or whether I even show up to lecture, I get a 22 on my quizzes.
I would like to to think it's because I have absorbed so much by reading (and reading, and reading) JEMS over the years. The class is really just filling in the holes left from starting my EMS education at the JEMS level. And that is really the only good explanation for the fact that I get an 88% regardless of effort I put in.
It also doesn't say a lot about my level of effort.
But regardless of my level of effort, I think an interesting point is that I and a couple of the other students have noticed we do well when we just use our common sense.
What bothers me is when my common sense fails me. For example, last night's quiz had a question about what position an EMT would place a patient with chest pain who has had two nitros that didn't alleviate the pain. The answer was "Position of Comfort." The distracter was "Semi-Fowler's." I chose wrong. The instructor said those of us who chose wrong were missing the point of the question, which is to determine whether you know that position of comfort is always the position you place the patient in unless it's contraindicated. First of all, why didn't the book say it so plainly? Second, I chose "Semi-Fowler's" because it seems that usually IS the position of comfort and the question didn't say that the semi-Fowler's question made the pain worse. So common sense told me the answer was the position most often used on these calls.
I guess my common sense was wrong on that one.
After taking way too long discussing and debating the quiz answers, the instructor taught us about aletered mental status, seizures and diabetic emergencies. The first thing the instructor told us was that patients with AMS always get a blood glucose check. The book emphasizes this too. But it's not a BLS skill San Diego County. Meaning it's always an ALS call. Or you have to ask the family member to do the check for you.
One guy said, "I think I can do more as a human than I can as an EMT." I'm pretty sure I agree.