The EMT Tutor Podcast: NREMT exam prep for EMTs and Paramedics by Forrest Munden — 21-Year Firefighter Paramedic & NREMT Tutor. Listen right here, or open an episode for full show notes and a transcript.
STEMI & Reciprocal Changes — ALS Guidelines
Paramedic (ALS) · 21:51 · Nov 3, 2026
This podcast is written by Forrest Munden and sponsored by Munden Interactive. I train paramedics and EMTs to pass the National Registry. A paramedic-level episode on STEMI and reciprocal changes for the National Registry exam. It covers what counts as real ST elevation under the Fifth Universal Definition of Myocardial Infarction and the 2025 AHA/ACC acute coronary syndromes guideline (J-point, two contiguous leads, 1 mm in most leads, and the V2–V3 numbers by age and sex), how Einthoven's triangle and the augmented and chest leads tell you which wall each lead is looking at, why reciprocal ST depression shows up in the leads pointing the opposite way, posterior and right-sided leads, STEMI equivalents, and prehospital care: the 12-lead within 10 minutes, PCI destination, aspirin, oxygen, and nitroglycerin cautions, with local protocol where the sources differ. For a written study guide, see EMS Notes, an EMT and paramedic study guide at emsnotes.com, also written by Forrest Munden. Education, not medical direction; follow your local protocols.
Bundle Branch Blocks, Sgarbossa & STEMI Mimics — ALS Guidelines
Paramedic (ALS) · 13:44 · Nov 3, 2026
This podcast is written by Forrest Munden and sponsored by Munden Interactive. I train paramedics and EMTs to pass the National Registry. A paramedic-level episode on bundle branch blocks, the Sgarbossa criteria, and STEMI mimics for the National Registry exam. It covers when a QRS is wide, the AHA ECG-standard criteria for right versus left bundle branch block, memory aids like WiLLiaM MaRRoW, why a left bundle branch block hides a STEMI, the original Sgarbossa criteria (5-3-2, and you need 3) and Smith's modified rule, why a new LBBB alone is not a STEMI equivalent under the 2025 AHA/ACC guideline, paced rhythms, the patterns that fake a STEMI (pericarditis, LVH, early repolarization, Brugada, high potassium, takotsubo), and the warning patterns that hide one (Wellens and de Winter). For a written study guide, see EMS Notes, an EMT and paramedic study guide at emsnotes.com, also written by Forrest Munden. Education, not medical direction; follow your local protocols.
Top 10 Questions That Frequently Stump Paramedics on the National Registry Exam
Paramedic (ALS) · 11:33 · Nov 2, 2026
A paramedic-level episode from EMT Tutor on ten concept areas that candidates and instructors commonly report as stumbling points on the National Registry paramedic exam (not official NREMT data): stable versus unstable tachycardia, BLS before ALS, compensated shock and pediatric hypotension, the right ventricular infarct, Beck's versus Cushing's triad and tension pneumothorax, acid-base and ROME, hyperkalemia on the ECG, drug contraindications hiding in the history, waveform capnography, and START triage. Each one is explained with the reasoning behind the right answer, based on the 2025 AHA guidelines. Education, not medical direction; follow your local protocols.
Knowing Your Dosages — Top 10 Most Common Dosages You Absolutely Have to Know on the National Registry Exam, Plus 3 Frequently Forgotten Dosages
Paramedic (ALS) · 10:41 · Nov 2, 2026
A paramedic-level episode from EMT Tutor on the ten dosages you have to know for the National Registry exam, plus three that people frequently forget. The 2025 AHA ACLS and PALS guidelines are the primary source: arrest epinephrine, amiodarone, adenosine, atropine, aspirin, nitroglycerin, oral glucose, and pediatric arrest doses and energies, plus lidocaine, pediatric adenosine, and the bradycardia infusions as the forgotten three. Where the AHA doesn't print a dose (IM epinephrine for anaphylaxis, IV dextrose, naloxone), it falls back on the National Model EMS Clinical Guidelines and common protocol practice, and says so. Education, not medical direction; follow your local protocols.
Abdominal Pain in Adults — Paramedic Side
Paramedic (ALS) · 12:18 · Nov 2, 2026
A paramedic-level episode from EMT Tutor on adult abdominal pain, BLS before ALS: scene safety and BSI, airway with vomiting, shock recognition, position of comfort, then IV, monitor, 12-lead, glucose, fluids, and pain and nausea care per protocol. It covers cholecystitis (Murphy's sign, right shoulder and between-the-scapulae referred pain, fatty-meal trigger), Kehr's sign (left shoulder pain from blood under the diaphragm), pancreatitis, ectopic pregnancy, Crohn's disease, Cullen's and Grey Turner's signs, kidney stones and the AAA mimic, hepatitis, peptic ulcers, and diverticulitis. Education, not medical direction; follow your local protocols.
Abdominal Pain in Adults — EMT Side
EMT (BLS) · 8:48 · Nov 2, 2026
An EMT-level episode from EMT Tutor on adult abdominal pain, strictly BLS: scene safety and BSI, reading how the patient is lying, visual signs like pale clammy skin, distension, bruising, and coffee-ground vomit, airway protection and aspiration risk with vomiting, recognizing and treating shock, position of comfort, nothing by mouth, dehydration from vomiting and diarrhea, infection control, pain management within EMT scope (no medications), and rapid transport. Includes a Registry-style ectopic pregnancy scenario. Education, not medical direction; follow your local protocols.
Education, not medical direction. Follow your local protocols.
Learn more at https://emttutor.com
© 2026 Forrest Munden. All rights reserved.