AEMT 15 Flashcards

1
Q

When should you think about PPE?

A

Initial approach to the scene

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2
Q

You collect information using what senses?

A

Sight, hearing, smell and touch.

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3
Q

information from what two steps help you care for your patient in the first few moments of an emergancy?

A

Scene size up and primary assessment

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4
Q

Kinetic energy can produce what?

A

Blunt or penetrating injuries

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5
Q

If the MOI could have produced injury to the cervical spine you must?

A

Take cervical spine precautions

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6
Q

If patient is unresponsive and there is a possible cervical spine injury first check the carotid pulse and if there is a pulse your next step is to?

A

Open the airway with modified jaw thrust.

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7
Q

When do you start the scene size up?

A

as you approach the scene

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8
Q

What kind of valuable information do you gather during the scene size up?

A

Presence of hazards, number of patients, and additional resourses needed.

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9
Q

When does the scene size up end?

A

It continues until you leave the scene

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10
Q

What is the purpose of the primary assessment?

A

To immedciately identify and correct conditions that can cause the patient’s death if not corrected at once.

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11
Q

What is perfusion?

A

The delivery of oxygenated blood to the cellular level.

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12
Q

What happens with out adequate perfusion?

A

Cell damage and death begin within minutes

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13
Q

If patient is alert and responding or unresponsive but breathing there is some degree of cellular perfusion taking place and you determine priority status by checkin life threats in what order?

A

ABC

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14
Q

Patient appers to be unresponsive and not breathing or breathing inefficiently, you check what before opening the airway?

A

Carotid pulse. The order is CAB

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15
Q

THe most important step in resesitation of a patient in cardiac arrest is?

A

Restoring Circulation

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16
Q

What is an indication that perfusion of the skin is decreased, perhaps from shock?

A

Pale skin color

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17
Q

What is a visible sign of hypoxia

A

Cyanosis in areas such as ears, lips or nail beds.

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18
Q

What indicates sever liver disease?

A

Jaundice. (yellowing of the skin)

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19
Q

In ABCD what order is D assessed?

A

First. (level of response AVPU)

20
Q

If the patients eyes are closed or he seems unaware of your pressence check his alertness with what?

A

Verbal stimuli

21
Q

Glasgow coma scale score should be determined with which patients?

A

Every patient but you should not delay any part of the primary assessment to do so.

22
Q

what does the GCS scale range from?

A

3-15

23
Q

If the cause of unresponsiveness is not immediately correctable what do you do?

A

do not delay insertine an appropriate airway, performing ventilation and xporting the patient.

24
Q

What is the chief complaint?

A

The reason the patient states, in his own words, that he needs medical assistance.

25
Q

If the patient does not have a pulse what do you do next

A

immediatly start compressions and apply and AED

26
Q

What is the most common cause of airway obstruction in a non responsive patient

A

epiglottis closes over the glottis and the tongue falls back into the posterior pharynx obstructing it.

27
Q

What snoring a sign of?

A

Partial airway obstruction

28
Q

Why would having no gag reflex in a patient with decreased level of responsiveness be a risk?

A

They could asperate and cause airway obstruction.

29
Q

Stridor sounds like?

A

High pitchd whistling indicating a partial upper airway ubstruction

30
Q

Gurgling indicates what?

A

Fluid in the upper airway, which must be removed by suctioning.

31
Q

What do you do if there is inadequate air movement?

A

ventilate the patient using a bag valve device.

32
Q

If you do not see adequate airmovement what two things could be wrong?

A

Either a partial airway obstruction or the patient is not breathing adequatly

33
Q

If you hear weezing or crackles that is an indication your patient is in?

A

Respitory Distress.

34
Q

Normal breathing is what?

A

Effortless and quiet.

35
Q

Apnea is what?

A

Respiratory arrest or the absence of breathing

36
Q

slow, shallow, gasping ineffective respirations are called

A

agonal resperations (dying)

37
Q

Healthy adulp patients breath at a regular rate of ?

A

12-20 breaths a minute

38
Q

what is the normal tidal volume for the average adult?

A

500ML

39
Q

What does weezing indicate

A

constriction of the bronchioles which interferes with movement of air in and out of the aveoli.

40
Q

After you have astablisthed an airway you do what?

A

Check the pulse and control bleeding

41
Q

A strong radial pulse in a healthy adult is what?

A

60-100 per minute

42
Q

You can tell there is good perfusion if the skin is?

A

Warm and dry

43
Q

For unresponsive patients what should be checked prior to checking for breathing?

A

Pulse

44
Q

If a pulse is present on an unresponsive patient procide with what?

A

ABC’s

45
Q

If your patient is responsive what do you do in your primary assessment?

A

Confirm level of responsiveness; check for problems with airway, breathing and circulation and determine cheif complaint.