Paramedic Megacode

by admin on Mar.09, 2010, under How to


This is a training video for how to run a megacode station for a state EMT-Paramedic test. I live in Utah, so make necessary adjustments for your state or school, etc. This is for training only. Any constructive-criticism type comments are appreciated to make this better for others. We have some old Lifepack 10’s in our school, so I have to use the paddles for shocking. Thanks for looking.

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25 Comments for this entry

  • thehook04

    this guy did awesome! i wish we had the heart to simulate cpr without having to actually do it in megacodes

  • lupresio

    One word… Awesome….

  • polarjack

    Wipe it, Pinch it, Poke it, Push it!

  • egobot323chris

    very good job im extremely impressed!

  • pabel61

    no you don’t need to be a fireman to be a paramedic, but you do need to be an EMT Basic first
    some states you need to become an EMT-I first

  • monkeyfeet69

    This guy just tore it up! Incredible job!

  • emsavpl

    the lidocaine could be giving beacause he was in vtach and most likely reading around 200 on the monitor so that would lower the heart rate.

  • gmh2115

    good stuff, what was the purpose of the lidocaine??

  • nitroushog2005

    Very nice, here in AZ we are taught to never extibate a Pt. We are told to sedate them just enough to get them to hspt. Funny how every state is different

  • blackflagredstar

    No..but a lot of fire departments require a paramedic license to even start your application process…especially here in LA county. EMT-P is highly recommended to be a firefighter considering 90% of calls are medical. This guy did a flipping awesome job.

  • bigdaddyquey

    I learn a lot from this post. Thank you.
    Question: Do you need to be a fireman to become a paramedic?

  • noeleater

    excellent response, v impressed, learned alot from this tape

  • noeleater

    this guy is fuckin good, im dreading my osce exams next month, ill never be able to keep up with that rate, thats what i call rapid response

  • Adam6689

    Great Job!!!

  • renzoasity

    I want to become a Paramedic… It seems very scary that I may have to see some gruesome things in my job, although I know that it comes with the job.

  • CountryDave84

    Incrediable work! Thank you very much for this video

  • jasonwassom

    thank you

  • jasonwassom

    Thank you!

  • jasonwassom

    Well, we Never diagnose anything, we only treat symptoms. Dr’s diagnose…paramedics provide treatments. Also, this was a scenario to pass a state test. In reality, more questions would have been asked to the relatives, but there was a 10 minutes time limit on this and that is why we went with the original information as a simulation of patient history. Thanks for your comments

  • Jeffreydfrancisco

    I say, “Wipe it, pinch it, poke it, push it, flush it, elevate it,” now. I’ve tried to find flaws in it too, but it’s all just semantics at this point. Yours megacode is, hands down, the best example.

  • h0ktar

    That thing which does the CPR for you is so awesome ;) We have to do the CPR manually. I want one of those ;)

    Don’t you have to name one main diagnosis for the patient in america?
    On the other hand this is useless anyway cause that’s really so hard to tell sometimes. like in this case, it could have been pretty mouch anything.

    Btw, IMHO he forgot to ask the relatives several important questions like all the “lasts” (like what was the last thing he did or stuff like that).. and other stuff.

  • TheIrishbassist

    Sir, I’ll have you know my paramedic practical is in 4 months and I’ve been watching this religiously lol.

  • DrSkawman

    @jason Sure, field intubation is more difficult, therefore, it should be postponed during a code.

    ¿Medication @ the ETT? AHA’s guidelines no longer recomend ETT for this, because administration, absorption and efects of the medication is very (very very) erratic. We should preffer I.V. or I.O. for ACLS meds

  • jasonwassom

    @DrSkawman THis is true, and we should always weight the need for an advanced airway…however, in the field an intubation is much more difficult than it is in the stable environment of the Hospital with great lighting and nice elevated beds and more hands to help. THis is just the reality. Having a tube is always a great second means of medication administration as well as protecting the airway from aspiration.

  • jasonwassom

    @TheIrishbassist Thanks!

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