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What was the hardest part of training to be an EMT?

both physically and mentally

Thank you comment icon For me there were two components which really gave me a hard time for EMT training. First of all when learning to intubate patients, I really struggled to push it into the esophagus of the dummy. It was hard to learn to do something so important to life saving situations without getting to visually make sure if it was going in correctly. Additionally, it was also difficult for me at times to get chest compressions as deep as necessary for as long as required. It becomes very exhausting very quickly. Shannon
Thank you comment icon Hi Shannon C, where are you an EMT that they allow you to intubate? Intubation is typically reserved for paramedics in most states. Also, intubation requires the ET tube to be inserted into the trachea, not the esophagus. This is why it is referred to as an ET (EndoTracheal) tube. I just didn’t want any readers to get confused. Thanks!!! Kelly Burke
Thank you comment icon oh, so EMTs and paramedics are different? which training is the most complex? andrea
Thank you comment icon Andrea, EMTs are taught to do non-invasive stuff, like bandaging, splinting, CPR, etc., whereas Paramedics are taught the invasive stuff, like medications, IV, intubation, etc. In EMT school, you're building all of this information from scratch. You're basically learning this whole new language and system. In paramedic school, it's a LOT of information, and it's difficult as it is, but it's all being built on the basis of knowledge you learned as an EMT. As an EMT student, with it being non-invasive, you need less than 50 hours of hands-on clinical rotations as part of the class. As a Paramedic student, by the end of it all, you'll have logged between 1200-1800 hours of clinical rotations. Brittany Gilleland
Thank you comment icon My understanding of titles is EMT-B. , EMT-I. and. EMT-P. from when they would come into ER Marie Enos MSN, BSN, RN-NIC

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Ryan’s Answer

Hello again Andrea,

Great question! Different aspects of EMT training are easier, or more difficult, depending on your own strengths and weaknesses.

The sheer academic challenges are what I see the most students struggle with. You are learning A LOT of information in a very short period of time, and much of the information is not taught in middle and high school, so you don't even have a foundation to start from. Anatomy, physiology, and pharmacology tend to be some of the most difficult subjects. You can prepare by studying hard in Health / Biology class, taking a college level anatomy and physiology class before enrolling in EMT, and by just developing good fundamental study habits (reading, making study guides or flash cards, highlighting, etc.). The Khan Academy of Medicine on YouTube is a great study resource!

I'm fortunate that I'm a pretty good student, so I managed to actually get an "A" in my EMT class. Not so fortunately, I've never been a big fan of blood and guts! So, one of the challenging parts for me was overcoming my discomfort in this area. Lots of EMTs, and Paramedics, have "that one thing" that grosses them out - maybe injuries to the eyeball(s), vomit, certain smells, etc. So maybe your biggest challenge will be overcoming something you find physically repulsive!

Another major challenge area is bridging the gap between simulations and real life. Closely related is the concept of having what we call a "good bed-side manor". Especially if you work as an EMT in a rural area, you may be with a patient for an hour or two while you assess their condition, stabilize them, and drive them to their hospital of choice. That's a long time to carry on a conversation with a complete stranger! Combine that with the fact that, as a new EMT, you're trying to remember all the steps you're supposed to take, questions you're supposed to ask, etc. It's like trying to do a math worksheet and carry on a conversation simultaneously! You either end up with wrong answers or your conversation is awkward, robotic, and disjointed. The best EMT students are the ones that quickly figure out that their patients are human beings, and talk to them as if its a friend of yours, and you're just concerned about their well-being - not like a robot trying to pump information out of them.

The last most difficult thing about being an EMT student is that EMT class does little or nothing to prepare you for what you will see "on the street". You will see innocent people seriously injured, permanently disfigured, and killed, and then see others commit acts of evil and walk away without a scratch. For many, it will only be a matter of time before you respond to the serious injury or death of a coworker, close friend, or family member. These things deter many from becoming EMTs, and force many out of the career. The best thing you can do to prepare is to be aware that it is coming. Prepare yourself by taking care of yourself - eat healthy, workout, sleep well, maintain friendships, use counseling services, take vacations, avoid burnout, share your feelings, avoid drugs and alcohol, spend time in nature, and celebrate the times you assist with births, get pulses back, effect a rescue, or "get the save" because that's the 5% of the job that makes dealing with the other 95% worth it.

It really is a great career. Good luck! Let me know if I can answer anymore questions.
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Todd D.’s Answer

For me, the most difficult was making it to class after 12 hour work days. Academically, I had no issue. Same with skills.

All you need to do is pass the class. Most of the real learning starts once you get hired.
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Joshua’s Answer

For me the hardest part was integrating the clinical skills and knowledge with real life scenarios. I was required to quickly assess pretend patients, correctly, make a “prehospital impression” or diagnosis, and treat/transport in under 5-10 minutes. Doing this accurately and in the proper time frame took me a lot of time and effort.
Thank you comment icon Thank you for sharing your perspective. andrea
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Kelly’s Answer

The whole class is the hardest part. I went into EMT class knowing absolutely nothing about medicine, other than what I had learned in the prerequisite CPR class. Everything was difficult because it was all completely new information and concepts for me. Fortunately I really enjoyed everything we learned and really wanted to be an EMT. This made passing the practical exams much easier. I also made a friend in the class which helped when it came time to study for the exams.
Thank you comment icon thank you. andrea
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