5 Flashcards
(500 cards)
1
Q
The paramedic should palpate the infants pulse by the
A
Brachial, Carotid, or Radial (depending on the childs size)
2
Q
The Pediatric Dose of Lidocaine
A
1 mg / kg
3
Q
The primary concern of a patient with a prolapsed cord is
A
Compromised Blood Supply
4
Q
The second stage of labor
A
Begins with full dilation of the cervix & Ends with delivery of baby
5
Q
The stage whose ending is marked by the delivery of placenta is the
A
Third Stage
6
Q
The statement that is Not True about febrile convulsions is
A
The patient does Not have to be transported
7
Q
The time during a pregnancy most likely to have seizures due to toxemia is
A
In the ninth month
8
Q
The upper area of the uterus
A
Fundus
9
Q
There is an asthmatic child with moderate distress. A physician orders 0.12 mL Adrenaline 1:1000 given. The appropriate route is
A
SQ
10
Q
Time prior to delivery of fetus
A
Antepartum
11
Q
To Avoid Supine Hypotensive Syndrome
A
Lay patient on her left side
12
Q
Toddler when experiencing seizures you do all of the following except
A
Wet sponge on forehead
13
Q
Toxemia most commonly occurs, When
A
Third Trimester
14
Q
Toxemia of Pregnancy
A
Magnesium Sulfate
15
Q
Transport a 3rd trimester patient in what position
A
Left lateral recumbent 10-15 degree
16
Q
Treatment for child with 104 deg. Temp
A
Tepid Bath
17
Q
Treatment for Prolapsed Cord
A
Insert Sterile Glove, Lift Up
18
Q
Treatment of a 5 yr. old child who is Dyspneic and Drooling are all, Except
A
Lay him flat
19
Q
Treatment of Eclampsia
A
Magnesium Sulfate
20
Q
Unresponsive baby with frantic mother
A
Never use restraints
21
Q
Using Epinephrine to treat respiratory ailments
A
A “Failure” Suggests Bronchiolitis and “Success” Suggests Asthma
22
Q
Waddells Triad includes
A
Left Femur, Spleen or Chest, and Right Sided Head Injury
23
Q
What do you do to facilitate intubations on a pediatric
A
Press on the Larynx
24
Q
What is the amount of fluid given to a neonate
A
10 - 20 cc / kg
25
What is the most common result of death in children over 1
Trauma (accidents)
26
What to be concerned about with a pregnant patient with toxemia
Elevated BP
27
When an arm or leg presentation occurs, you should
Transport Immediately
28
Uncuffed tube
Under 8 yrs. Old
29
When intubating a child under 8, you should use an
Uncuffed Tube
30
When opening the airway of an infant, do Not exaggerate the head tilt because this
May obstruct the breathing passages
31
When performing CPR on a infant, you should
Use fingertip compressions at a rate faster than on an adult
32
When rescue arrives, a woman is found to be in childbirth with a prolapsed cord. You should Not
Try to push the cord back inside
33
When the baby's head is delivered, the Paramedic should support the head by
Distributing his fingers evenly around head
34
When to Start Compression on an Infant
Heart Rate Less 60 / min
35
When to Start Positive Pressure Ventilations on Infant
Heart Rate Less 100 / min
36
Where do apply pressure when tubing a pediatric
Larynx
37
Where does needle go when doing an IO
The Tibial Tuberosity
38
Which one of the following Normally Decreases During Pregnancy
Blood Pressure
39
You are called at 3am to a female with pain in her lower abdomen, bloody urine and fever for 2 days. The physical exam reveals tenderness over the bladder and otherwise normal vitals, except for a temperature of 100 degree. She also states that she "may be pregnant" Due to the Sx / sx, you should suspect
Inflammation of the Bladder
40
You are transporting a multigravida whose last two childbirth were C sections. She appears near full term and has contractions every 3 - 4 min. apart. She complains of a tearing pain in her lower abdomen and she begins to go into shock. This suggests
Uterine Rupture
41
You clamped and cut cord & it continues to bleed, what do you do
Clamp it again
42
You have an emergency delivery and must separate the mother and baby, you need to do what
Tie the cord 8" from infant and again a couple of inches from the first tie, and cut in between
43
You suspect patient is suffering from Abruption Placenta, you would
High O2, Ringers, VS
44
A Baker Act can be initiated by a
Police officer
45
A Branch of Civil Law concerning Civil Wrongs between two parties
Tort Law
46
A patient has apparent injuries from a bar fight. The patient is also obviously drunk. He refuses treatment and signs a release. The release is Not valid because
The patient was intoxicated
47
A Pt. was left unattended by the paramedics at the ER to respond to another call. The pt. was unattended for 20 minutes. The paramedics are guilty of
Abandonment
48
A repeater in a telemetry system is also used for
Increasing the transmission range
49
A signed release is meaningless unless
All of the risks and benefits of treatment are explained (informed refusal)
50
A telemetry system in which voice and EKG can be transmitted from the field to the hospital at the same time is called a
Multiplex system
51
Administrative Law
Examinations, Licenses and Maintenance or Records
52
After attaching the patient to an EKG monitor, you note quite a bit of 60 cycle interference. The best way to remedy is to
Disconnect any electrical appliance that may be nearby
53
Agency that sets standards on safety & health
OSHA
54
All are True of Good Samaritan Laws, Except
Designed by local EMS
55
All could reduce radio transmission capabilities, Except
Holding the radio horizontal
56
All regarding PPE, Except
Eating and food in ambulance
57
Ambulance crashes what is the court going to try to prove
Lack of Due Regard
58
Ambulance in left lane
So traffic will move right in natural fashion
59
American with Disabilities Act protects those with
Communicable Diseases
60
An ambulance crashes, what is the court going to try to prove
Due regard, Negligence
61
An EKG can be transmitted to a hospital / facility via
Biotelemetry
62
Assault
Unlawfully placing patient in fear
63
At a Scene were Patient's Physician's Advises what to do, You
Listen to Physician
64
At a scene where patients doctor advises what to do
If physician assumes responsibility for patient, listen to physician
65
At scene who oversees medical treatment
Incident Command
66
BAND
Group of frequencies
67
Battery
Unlawfully touching patient
68
Best treatment for someone with Post Incident Stress
Give them a Specific Task to Complete
69
Best way to Stop Spread of Disease
Washing Hands
70
Between intervening PhD and on - line medical who is in charge
On - line PhD
71
Biotelemetry is sent using
UHF
72
BSI address what
That All Body Fluids are Contaminated
73
Cannot transmit & receive at the same time
Simplex System
74
Catching a disease from dirty linens
Indirect Contamination
75
Changes to Higher or a Different Frequency
Repeater
76
Child Hurt, No parent, type of Consent
Implied
77
Civil Wrong is
Tort
78
Color of DNR
Yellow
79
Common Law
Society's acceptance of customs or norms
80
Communication with online physician
Direct medical control
81
Court does Not have to Prove
Intent
82
Crime Scene
Police Wait
83
Crime Scene
Do Not Disturb Evidence
84
Direct Medical Control
Orders by Phone or Radio
85
Disability Act protects those with
Communicable Disease
86
DNR
Only to Suspend Life Resuscitation
87
Duplex system
Simultaneous transmission & Reception using 2 frequencies
88
Durable Power of Attorney
Another person makes health care decisions for you.
89
During transport you lose radio contact
Continue using Standard Protocols
90
ECG can be both transmitted and decoded on an
Oscilloscope
91
ECG can be transmitted to facility by
Biotelemetry
92
Empathy
Ability to view the world from another inner frame or reference point of view while remaining yourself.
93
Establish IV
By Medic Need
94
Ethics
Discipline relation to right and wrong standard for honorable behavior by a group.
95
Family learns you cannot defibrillate due to dead battery
Negligent
96
First Links Begin
When EMS is Activated
97
First Phase of Communication is
Notification of Dispatcher by the Public
98
Four needs required to prove negligence
Duty to act, Breach of Duty, Damages, Proximate Cause
99
Good Samaritan
Not implemented by local EMS
100
Good Samaritan Law Protects
Persons that assist at a scene with in training
101
Grieving Stages
Denial, Anger, Bargaining, Depression, Acceptance
102
Group of radio frequencies
Bands
103
Hand Wash
Prevent Infection
104
Have DNR Order
Comfort Measure
105
Having essential supplies and equipment at the scene can be insured by
Developing an inventory & replenish truck supplies after every run
106
High Risk for AIDS
Increased Exposure to Blood or Body Secretions (Unprotected sex)
107
If family member tells you they have DNR for patient but Can't find it
Begin CPR
108
If paramedic charged in lawsuit, he is
Defendant
109
If the ambulance crashes the court will try to prove
Lack of due regard
110
If you cannot Defibrillate due to dead battery, and family finds out you didn't check in the morning
Negligence
111
If you Can't Defibrillate Because Battery is Dead and Family finds out
Negligence
112
If you get a call and your life pack didn't work because you didn't check it out in the morning it is
Negligence on your part
113
If you lose radio contact with the hospital, you should
Follow protocols (standing orders)
114
In a patient with a myocardial infarction, the information the doctor can obtain over the radio is
Present complaints and history
115
In cases of malpractice, courts compare the actions of the defendant to that of the actions of his peers would have taken, under the same circumstances, This comparison
Standard of care
116
In order to prove Negligence must have 4 things
Duty to act, Breach of that duty, Damages, & Proximate cause
117
Information most likely to Help ER doctor Diagnose AMI over radio
"Pt. PHX", Description of Present Problem
118
Information to include on the patients report is
Concise report of the patients condition and interventions taken
119
Intent of Good Samaritan Law
Protect a person who stops at a scene from a lawsuit
120
Intervening Physician vs. On - line Medical Control
On - line control rules
121
Kid with no parent
Implied Consent
122
Legislative Law
City Councils, District Board, General Assembles, and Congress
123
Libel
Writing Malicious
124
Male in bar fight cannot refuse due to
ETOH
125
Malicious Writing
Libel (Slander Spoken)
126
Medical common frequencies
UHF, FM
127
Medical Control Provided over the Radio by Medic & Physician is
Direct Medical Control
128
Mini base stations for telemetry and communication
Repeaters
129
Moral
Social standard or customs dealing w/ what's right or wrong
130
Most effective method to fight disease or infection
Washing Hands
131
Most important information for ER Doctor
Chief Complaint (c/c), Patient's condition, Treatment
132
Multiplex
Talk & Listen send EKG
133
Needs to prove negligence
Duty to act, Breech of duty, Damages, Proximate cause
134
Not a part of Communications System
Graphic Equalizer
135
Not part of primary survey
Vital signs
136
Not part of the minimum data set in patient care report
Narrative
137
Not True regarding Portable Radios
Hold antenna horizontal for better reception
138
Offering support to distraught family member
Empathy
139
On-line radio contact between medic & medical control physician
Direct Medical Control
140
OSHA
Regulates Disease Control
141
OSHA mandates MSDS sheets be available on site for
any hazardous materials stored
142
Paramedic arrives at crime scene , What should you do
Medic should enter scene with creating the least disturbance
143
Paramedics that elect to help a patient and leaves without other help may be sued for
Abandonment
144
Patient has concerns
Tell Pt. to express concerns
145
Patient Refuses IV
Advise and let go
146
Patient refuses IV for " Religious Reasons"
Advise Pt. and let him go
147
Patients family states they have a DNR, but they can't find it, what do you do?
Begin CPR
148
Pediatric Patient without Supervision need ALS care
Based on Implied Consent
149
Physician can best prepare patient with what information
Chief Complaint and History
150
Problem Online Physician & Intervening Physician
Go Online Physician
151
Proper procedure on the radio is to
Speak clearly and keep the message brief
152
Providing care equal to, or that of similarly trained is
Standard of care
153
Purpose of Encoders and Decoders is
Transmit Tone Pulse & Receive Codes
154
Radio frequencies are measured in
Hertz
155
Recognizing comparable standards set forth by another agency
Reciprocity
156
Rescue Vehicles should be Parked
No closer than 100 feet
157
Rescuer found negligent, prove all except
Happened away from medical facility
158
Responsibility of the paramedic who is dispatched to the scene of a medical or trauma emergency is
The Duty to Act
159
Responsible for the coordination of all emergency, medical treatment activities within a city or region
EMS Agency
160
Retransmit frequency to higher or different frequency
Repeater
161
Ryan White AIDS Act
Notification of Emergency personnel of exposure to disease
162
Secondary Assessment includes all, Except
Determining life threatening injuries
163
Set Standards on Safety & Health
OSHA
164
Simplex
Talk or listen one frequency
165
Simultaneous Transmission Using Two Frequencies is
Duplex
166
Size up begins
When call is received
167
Slander
Verbally Lying
168
Standing Orders
IV, EKG, Medcon
169
Telemetry Frequencies
450 - 470 MHz
170
The 401 Emergency Medical Service Act - Providing legislature governing all Prehospital emergency medical services is known as
401
171
The agency responsible for licensing and policing radio frequencies
The FCC
172
The ambulance crashes, what will the court try to prove
Lack of Due Regard
173
The best description of a crisis intervention technique is that it is
Suitable for application in many situations faced by the medic
174
The best protection a paramedic has against legal involvement
Proper Training
175
The branch of civil law concerning wrongs between two parties
Tort Law
176
The final element that must be present for negligence to occur is
Proximal Damage
177
The Good Samaritan Law offers some protection to the paramedic
While off duty
178
The issue "Not" required for successful legal act of negligence to occur is
Intent
179
The less a paramedic uses a skill, the
Review of it should be more frequent
180
The organization that establishes the qualifications for emergency medical service personnel on a national basis is the
National Registry EMT's
181
The paramedic communicates all information to the doctor, except
The patients name
182
The paramedic should assume that a patient wishes to be treated even though the patient is not conscious or has an altered mental status
Implied Consent
183
The patient in the greatest chance of false imprisonment is the
Psychiatric Patient
184
The permission to provide care obtained from the patient after the nature and risk of care are explained to the patient is
Informed Consent
185
The phase of communication is
Notification of dispatcher by the public
186
The physician can best prepare for a patient with a MI with what info
Chief Complaint, Past History
187
The physician can best prepare for a patient with MI by what info
Complaint & History of Present Issue
188
The Physician with the Most Scene Authority is
The Online Physician
189
The rules, protocols, ideals, etc. by which paramedics function
Ethics
190
The system used to ensure that needed resources are available in neighboring areas in a time of mass casualties is called
Mutual Aid
191
To ensure safety as a paramedic / ambulance driver should
Abide by All traffic laws / regulations
192
To make changes to report
Draw single line through error and make notation at end of report
193
To use the Baker Act, you must first inform
Law enforcement
194
True of Good Samaritan Law, Except
Designed by Local EMS
195
Two types of frequencies used for medical communications are
UHF ( 450-470 MHz ) & VHF ( 150-170 MHz )
196
Type of consent, kid without parent
Implied
197
Unable to defibrillate. Because you failed to replace the battery
Negligence
198
Vital Signs
Part of second assessment
199
We are informed to start IV's under
Doctors written or verbal orders
200
What are rules, standards and code that govern a group or organization
Ethics
201
What color should the 1896 DNR be
Yellow
202
When a disagreement occurs between medic and an intervening doctor in charge
On Line Doctor
203
When a disagreement occurs between the medic and an intervening doctor, Who is in charge
On Line Doctor
204
When a paramedic is confronted with a patient who has a serious medical emergency and refuses to allow the paramedics to treat him, the paramedic should first
Try to explain to the patient the seriousness of his condition
205
When a person goes through Critical Incident Stress
Give Specific Task to Complete
206
When a problem occurs between the on line medic, and an intervening patients doctor on the scene. Who is in charge
On line doctor (unless patients doctor accompanies the patient to the hospital)
207
When a problem occurs between the online physician and an intervening physician on the scene what do you do
Go with medical direction (on line physician)
208
When confronted with a true emergency with a minor without parents and / or legal guardians present & cannot be contacted, you should
Consider consent for care to be implied and begin care
209
When does scene size up start
Upon dispatch
210
When person goes through critical incident stress
Give specific task to complete
211
When speaking to deaf persons
Look directly at them and speak slowly
212
When surveying the scene, initially you do not have to report the
Life threatening injuries
213
When the paramedic is on scene, what's the law that requires them to provide care
Duty to act
214
Which except is true about radio communication
Explain in detail
215
Which is Not true in regards to Portable Radios
Hold horizontal for better reception
216
Which of the following patients would not receive care under "implied consent" is
The severe asthmatic that refuses treatment. (Other choices: 14 year old male Aox3 who refuses, combative heads trauma, & cardiac patient whose friend says the patient has a DNR)
217
Who were Ethical Standards Developed for
The Patient
218
Writing something Derogatory
Libel
219
You are to only give meds. Per whose orders
Written Protocols, and Direct Online Direction
220
You begin the assessment of the call
As soon as you receive the dispatch
221
You cannot discriminate against an AIDS patient because of the
Americans with Disabilities Act
222
You suspect child abuse
Write down on report & report to proper authorities, Let social worker & hospital know
223
2 medics 1st on scene at an MCI find a 23 yr. old in Cardiac Arrest, back up is 20 minutes away. What do you do
Continue Triage
224
5000 lbs. Load HAZMAT
Red placard
225
6 injured in MVA. HWY Patrol Secured Scene, you should
Begin Triage
226
60 yr. Old male twisted ankle HR 54, BP 140/80, stable, what is TX?
Splint & transport
227
A 16 yr. old fell while playing basketball and has injured his right ankle. His skin is warm & dry, BP 110/80, P 50. The appropriate action would be all, Except
Giving 0.5 mg / kg Atropine
228
A 23 yr. old male with Sharp Chest Pain of Short Duration and Increasing Shortness of Breath is Suspected to Have
Spontaneous Pneumothorax
229
A 35 yr. old patient has a Sudden, Sharp, Severe Headache and Becomes Unconscious and Unresponsive. She is suspected to have
Subarachnoid Hemorrhage
230
A Car Accident Victim that has Pain and Deformity to Both Thighs May Suffer from
Hemorrhagic or Hypovolemic Shock
231
A Drug used to Decrease Intracranial Pressure is
Mannitol
232
A False Statement Referring to Burns is that
There is insignificant damage to underlying tissue
233
A finding that receives attention during the primary survey is an
Exsanguinations Hemorrhage
234
A Fracture in which a Break is Straight Across the Bone Shaft is Called a
Transverse Fracture
235
A Fractured Elbow Should be Immobilized
In Position Found
236
A one man carry, which is Not used a great deal because the patients entire weight is on the rescuer is the
Fireman's Carry
237
A Patient Found Unconscious at the Scene of a Fire Should Be Suspected to have
Carbon Monoxide Poisoning
238
A Patient has a P 40, BP 200/20. This Patient Most Likely has
ICP
239
A Patient has fallen from a 15' Roof. When Assessed, the Patient has Dyspnea, Flat Neck veins, and his Chest Dull to Percussion. This is Most Likely to Be
Hemothorax
240
A Patient has Spinal Injury and Intercoastal Retractions. The Site of the Injury is in
C Spine ( C3 and C4)
241
A patient in a motorcycle accident. He has lacerations to his head that is actively bleeding. His VS are BP 80/40, P 110, Treat him by giving
Lactated Ringers Wide Open
242
A Patient in an MVA has a Head Injury, BP 80/60, P 132, and is Suspected to be in
Hypovolemic Shock
243
A Patient is AOX3, has a 3" Scalp Wound, BP 80/50, P 120, The Best IV Choice Would be
Lactated Ringers (or NS) Wide Open
244
A Patient is Conscious, we Should Apply Traction (when indicated)
Until the Patient Feels Relief
245
A Patient with a Fractured Clavicle Typically Sits or Stands with
The injured Shoulder Forward
246
A Patient with a Head Injury Suddenly has a Left Pupil that is Fixed and Dilated which now Reacts Slowly to Light. This is Considered
Neurological Crisis
247
A Patient with a Long Bone Fracture may Suffer from a
Fat Embolism
248
A Patient with a Twisted Angle Leg, Vitals Low BP, High Pulse, Cool & Clammy
Hypovolemia
249
A Patient with ICP you would Expect
Increased BP & Decreased Pulse
250
A Sign that it is Not Associated with an Aortic Aneurism is
Groin Pain
251
A Situation that is Indicated for the use of MAST Suit is a
Ruptured, Abdominal Aortic Aneurysm
252
A Trauma Victim Who is Immediately Unconscious then Decreasing LOC Most Likely
Epidural Hematoma
253
A Two Rescuer Carry that can be Used to Move a Patient Through Narrow Spaces is the
Extremities Carry
254
A Victim is found in the Wreckage of a Burning Building. The Mechanism of Injury Indicated Possible Spinal Injury. The Paramedic is Alone with No Equipment and there is Sever Danger of the Fire Spreading and the Building Collapsing. You Should Remove the Victim by the
Clothes Drag
255
Abdominal Bleed Takes
2 - 3 hrs. to occur (others say can take up to several hrs)
256
Abdominal Muscle Flexion on Palpation
Guarding
257
Abdominal Rigidity Can Take Up to
2 - 4 hrs to show
258
Abduction
Away from Body
259
Adult Burn Patient with Burns to Anterior Chest and Abdomen and Anterior Upper Extremities, using Rule of Nines, What is the Burn Score
27
260
Adult with Twisted Ankle, BP Good, P 66, Stable
Splint & Transport
261
After C Spine, how to Open Airway
Jaw Thrust
262
After Stabilizing the Car, We Next Complete
The Patient Assessment
263
All are Ignition Sources at a Hydrocarbon Spill, Except
Sealed Flashlight
264
All are Part of the GLASGOW Scale , Except
Pupil Response (eye opening, movement,)
265
All are True in Burn Patients, Except
Electrical Burns Don't Effect Soft Tissue
266
All of the following Should Cause a Bulging Fontanel except a
Linear Skull Fracture
267
Amount of Ringers if you Lost 400 ml of Blood
1200 cc ( 3X the amount lost)
268
An ambulance is called to a house fire. Upon entering the burning house, a paramedic finds an unconscious woman. He decides to move her from the house using the fireman's drag. The first step would be to
Tie the patient's hands together
269
An athlete has fallen and injured his ankle, His BP 120/80, P 50, Skin warm & dry. Treatment is to
Splint the Ankle and Transport
270
An injury with Torn Ligament, Usually from motion forced beyond the normal range of the joints is called a
Sprain
271
An Opening Produced by Force that Pushes Body Tissue Laterally Away From Projectile
Cavitation
272
As we approach motor vehicle accidents, we need to
Insure scene safety first
273
Avulsions
Rip between Subcutaneous and Muscle Tissue
274
Babinski Reflex
Toes Go Up
275
Babinski's sign
Toe faced outward
276
Battle's sign
Basilar skull fracture
277
Best access to a patient
Door
278
Best Splint for Fractured Foot
Pillow
279
Blood loss replacement
3 X amount of loss
280
Burn patient concern with loss of
Plasma
281
Bus loads of kids, bus crashes into hazmat truck, what to do first
Scene survey
282
Car accident trauma to chest, Angulated leg
Hypovolemia
283
Cardiac Tamponade causes the following, Except
Flat Neck Veins. Other choices: (Normal pulse pressure, Decreased BP, and Muffle Heart Sounds)
284
Cavitation
Object penetration
285
Central Cord Syndrome
Spinal Cord Injury Sx / Sx Paralysis of the arms (usually extension)
286
Checking for Paralysis
Ask patient to wiggle toes
287
Clear fluids from nose
Basilar Skull Fracture
288
Complication of Elbow or Knee Fracture
Loss of Distal Circulation
289
Compound Fracture
Sterile Dress & Splint
290
Conservation of Energy Law
Energy cannot be created or destroyed only change form
291
Countercoup
Injury occurring at a site opposite the side of impact
292
Cribbing is used to
Stabilize the vehicle
293
Decerebrate Posturing
Damage in Brainstem (Decorticate Above)
294
Decerebrate Posturing
Extended extremities
295
Decontaminate patients
In the warm zone
296
Decontaminated patients have
Little or no threat to paramedics
297
Decorticate
Flexed Arms, Clenched Fist, Legs Extended
298
Decorticate Posturing occurs by
Lesion in the brain stem at or above upper brain stem
299
Define Guarding
Voluntary or in-voluntary contractions of the abdominal muscles in response to severe abdominal pain
300
Definition of mutual aid
Help is available when needed, agreements can be between neighboring departments, municipalities, systems & even states
301
Decerebrate Posturing
Extended Extremities
302
Disconjugated Gaze
Patient eye's don't move together
303
Dislocation of a joint
Subluxation
304
Do Not Stop Bleeding from Ears and Nose in Head Injury
Bleeding Relieves Pressure
305
Drowning victim you suspect they will be
Hypoxic & Acidotic
306
Ecchymosis over the Mastoid Bone (process) is known as
Battle Signs
307
Electrical Burn Path
Check for Entrance and Exit wounds
308
Electrical burns
Cause damage superficial and deep
309
Electrical Burns
Effect Soft Tissue
310
Explosive atmosphere, which is Not an Ignition source
Sealed Flashlight
311
Extrication is the
Removal of entrapments from victims, enabling a safe, controlled rescue.
312
Eye injury
Cover both eyes loosely
313
Eyes do not move simultaneously in the same direction
Dysconjugate Gaze
314
Firefighter down in fire
Clothes drag to bring him out
315
First person treated in MCI
Thirsty, Anxious, Agitated, Crying
316
First thing that happens in a blast injury
Compression of air filled organs
317
Flail chest
Free movement of segment, causing paradoxical chest wall motion
318
Fluid replacement of the Hypovolemic patient is
2000 cc to 3000 cc NS (or LR)
319
Football Player Guard Abdomen
Transport
320
Fracture on one side of Long bone
Greenstick
321
Fractured cheek bone - Patient is seeing double, What do you suspect
Acute Glaucoma, Retinal Detachment, Orbital Fracture
322
Front windshield glass is made of
Laminated Safety Glass
323
Frontal MVA with down and under, which is most common fracture
Ankle
324
Gaining Access to Rear Tempered Window of Car
Spring Loaded Center Punch To Corner Of The Window
325
Glasgow Coma Scale (GCS)
Eye opening, Verbal response, Motor response
326
Guy Crushed in Trench, Purple, Swollen head
Traumatic Asphyxia
327
Half Life
Time required for half of a radioactive substance to lose activity (radioactive decay)
328
HAZMAT call
1st thing you do, scene size up
329
Head Injury
Hyperventilate 20 - 40 times /min
330
Head Injury
Pinpoint Pupil / Dilated Pupil
331
Head Injury
Unlikely to get shock from head injury alone
332
Head injury with left pupil fixed & dilated, the right is slow to respond to light
Neuro Crisis
333
Head Trauma with signs of Shock
Shock is not due to head trauma. Look elsewhere
334
Highest level of protection of HAZMAT suits
Level A
335
How do you determine the route of passage for electrical burns
Entry and exit wounds
336
How much fluid do you give a patient that lost 750 cc of blood
.75 x 3 2500 cc
337
How to break a car window
Spring loaded center punch in lower corner
338
Hypovolemia Not Sx /Sx
Cyanosis / Diaphoresis (A)
339
Hypovolemic Shock Prehospital Fluid
2000 - 3000 ml
340
IC
Head of MCI
341
Immobilize shoulder injury with
Sling and Swath
342
In a Cricothyrotomy, the landmark used to determine the proper insertion Location
The Depression just Inferior to the Adam's Apple
343
In a fire coral injury you
Remove Nematocysts
344
In a Fracture you should access pulse
Distal
345
In a MCI who is the most critical
The patient with breathing problems ( ABC's )
346
In a multiple casualty vehicle, the patient with the lowest priority (this scenario) is the
Patient with paralysis from the waist down.
347
In spinal cord injury patients presents with vitals of
Low BP, Low HR
348
In the Hypovolemic patient, how much fluid replacement do you give
3 x blood lost,
349
Increased ICP
Decreased Pulse, Increased BP & Low LOC
350
Index of suspicion in trauma patient relates to the MOI to the presumption of
The Severity of the Injury
351
Initial emergency evaluation directs toward all of the following, Except
Significant Internal Hemorrhage
352
Injuries Associated with Large Body Surface Area due to Deceleration & Compression
Multi System Trauma
353
Injury to the Opposite Side if Impact is
Countercoup
354
It contraindicated in elbow fractures to
Attempt One time to straighten the elbow
355
It is not appropriate for a rape victim to
Clean her perineum with sterile saline
356
Jaw thrust
C -Spine in trauma patient
357
JVD with Clear Lungs, Narrow Pulse Pressure
Cardiac Tamponade
358
Kid in Pool Unresponsive, holding C - Spine after
Jaw Thrust
359
Know Projection vs. Trajectory vs. Cavitation
(Pg. 860 - 861)
360
Lactated ringers
Replacement of plasma (Hypovolemia)
361
Large Surface Area Trauma
Blunt Trauma
362
Largest # of preventable injuries to person over 75 are
Falls
363
Last person treated in MCI
Spinal Injury
364
Legs and Arms Extended
Decerebrate Posturing
365
Let CSF Leak out
Possibly Relieve an Increasing ICP
366
Loss of Body Fluid High Blood Volume with Burn
Shift Fluid Interstitial
367
Maximum amount of (Crystalloid) given to Adult Trauma patient
2000 - 3000 ml
368
MCI - Most critical patient
Patient walking around aimlessly repeating things over and over again has AMS
369
MCI - R>30, Cap refill > 2 seconds, AMS - unresponsive / responds top painful for verbal stimuli / Alert but disoriented are all for
Critical, immediate patients
370
MCI first priority
Thirsty & Anxious
371
MCI last to go
Spinal injury
372
MCI, do what
Prioritize Casualties
373
Most common type of rural MVA
Frontal
374
Most critical concern to a patient with chest trauma
Hypoxia
375
Most critical patient in a multi casualty incident
Patient asking for water, Breathing deep, Pulse 114 thready
376
Most critical patient pt at MCI
Amnesia, Crying, Altered LOC
377
Most desirable Fluid Replacement for Hemorrhagic Shock
Ringers
378
Most fatalities among rescuers occur in
Confined spaces
379
Multi system trauma & compression injuries
Blunt Trauma
380
Multiple Vehicle MVA, FHP secured scene, first thing to do
Begin Triage
381
Muscle to Bone
Tendon
382
MVA C - Spine
Modified Jaw Thrust
383
MVA patient with dec. Lung Sounds on Left Side, Bruising, and Pain Left Axillary Region. All Except
Needle Decompression Right Side
384
MVA patient with HR 120, BP 40/Palp. Patient has?
Hypovolemic Shock
385
MVA, air bag did not deploy, what do you do first
Disconnect both battery cables
386
MVA, fractured cheek bone, patient seeing double
Orbital Fracture
387
Newton's 1st Law
Object at motion / rest will remain, until outside force act upon it
388
Newton's 2nd Law
Force equals Mass X Acceleration or Deceleration
389
Not Common Trauma to Hollow Organs in Abdomen
Gastroenteritis
390
Of the following chemicals, the ones that would cause the most burns are
Oven cleaners and Drano ( Alkaline)
391
One eye ruptured socket fractured, Treatment
Cover both eyes, Bandage loosely
392
One of the indications for the MAST Suit is
A Pelvis Fracture
393
Open wound which goes through skin and separated fascia
Avulsion
394
Palpating abdomen
Palpate quadrant that hurts last
395
Paradoxical Respirations are a result of a
Flail Chest
396
Paralysis below umbilical
T 10
397
Paralyzed from the Nipple Down
T - 4
398
Paramedic affected by MCI
Assign a different task
399
Partial dislocation of a joint remains in place but is deformed
Subluxation
400
Patient Exposed to Mass amount of Radiation, Patient taken away
Minimum to no risk to Paramedic
401
Patient exposed to radiation, fully Decon's in Warm Zone. Do they pose a threat to the medics now treating / transporting them
Little to No treat
402
Patient fell from a 3' floor, Right Lung Sounds Absent, Legs Fractured. After Opening Airway, you
C-Spine, BVM O2, Decompress Right Side, PASG to Splint Legs, Transport with 2 Large Bore IV's LR
403
Patient fell through a glass door and has a piece of glass stuck in the neck - What do you do?
C - Spine, Airway, Occlusive dressing, Stabilize the glass, Transport.
404
Patient in MVA frontal impact suffering down / under injury, you would suspect
Femur Fracture
405
Patient in MVA one pupil dilated other sluggish
Neuro Crisis
406
Patient in MVA with air hunger, confusion, JVD, inc. pulse, decrease BP, most likely suffering from
Pericardial Tamponade
407
Patient involved in MVA, down & under injuries, which bone most likely to fx
Femur
408
Patient is Exposed to Radiation, Fully Decon'd in Warm Zone, do they Pose a Threat to Medics now treating / transporting them
Little to No Threat
409
Patient loses 750 cc, how much blood do you give them
2250cc
410
Patient presents with Distant Heart Sounds, JVD, SOB
Pericardial Tamponade
411
Patient taking Coumadin, (trauma) which would you expect
Decrease in clotting factors
412
Patient that has Cervical Fracture
Quadriplegic
413
Patient Unconscious Not Responding to Verbal, Painful Stimuli or Eye Movement, What is the GCS
3 Points
414
Patient with 3rd degree burns over 20% BSA, Concern is for
Hypovolemia
415
Patient with a break in the midshaft bone has a diagonal break
An Oblique Break
416
Patient with apparent flail chest, You should
Assist ventilations with BVM
417
Patient with blood loss 750 ml
2250 ml replacement
418
Patient with Intracranial Pressure, first treatment should be
Hyperventilation
419
Patient with one eye injured
Cover both loosely
420
Patients eyes do Not move together
Dysconjugate gaze
421
Patients who are decontaminated in the warm zone
Have little or no threat to the paramedic
422
Pelvic Fracture
Stabilize & Transport with 2 IV's
423
Penetrating Wound to Abdomen
Cover with Wet Sterile Occlusive dressing
424
Place for Decompression
2nd or 3rd Intercoastal, Midclavicular
425
Position patient with Abdominal pain in
Lateral Recumbent
426
Primary blast injury causes
Compression of hollow organs & eardrum troubles
427
Primary concern for burn patient
Hypovolemia Shock NO Septic
428
Primary concerns with Near Drowning
Hypoxia, Acidosis, (must transport 24 hour PE)
429
Proper procedure for disabling a vehicle battery is to
Disconnect ( Not cut ) the Negative Cable
430
Question about 4 car MVA 6 patients. Secured scene what should medic do
Begin Triage
431
Radioactive Particles that Decrease in Activity and Strength by Degradation Exemplify
Half Life
432
Red
Dangerous placard 5000 lbs. (hazmat)
433
Responded to MVA & notice deformity to steering wheel, what do you suspect
Severe chest trauma
434
Responsibility for Paramedic at MCI
Prioritize Casualties
435
Rigid Abdomen (how long does it take) Internal Hemorrhage in the
a.) Abdominal Cavity (how long does it take)
436
Rip from Sub - Q and muscle tissue
Avulsion
437
Rule of 9. Patient with (Adult) chest (18), Abdomen (Part of Chest) and Anterior of both Upper Extremities (4.5 Each)
18% + 4.5% + 4.5% 27% (Exact)
438
Rule of thumb for HAZMAT
To keep a safe distance
439
Scenario; MVC patient with diminished lung sound on left side and no sounds on right side
Immediate Decompression
440
Severed C - 4 causes
Respiratory Paralysis
441
Severing the Spinal Cord at C - 4 causes
Total paralysis, and unable to breathe on own
442
Short lower extremity
Fractured hip
443
Sling and Swathe most useful for what injury
Shoulder
444
Soft Tissue Injury Involving SQ & Fascia & Tends to have A Lot of Blood Loss
Avulsion
445
Some SX / SX of Shock
Dizziness, Thirst, Cool skin, Agitation
446
Splinting a compound fracture
Dress wound prior to splinting
447
Sprain
Torn ligament
448
START
60 sec. Assessment that focuses on the patient's ability to Walk, Resp., Pulse / Perfusion, Neurological Status (Walking Wounded - Delayed, Breathing Absent - Dead / Dying, Rate less than 10 or more than 30 p / m - Critical, No Pulse Dead / Dying Carotid Pulse and a absent Radial Pulse - Critical
449
START System
Respiratory, Neurological, Circulation
450
Strain
Muscles over stretching
451
Talking or Asking about pain
OPQRST
452
Technical Rescue
Decide upon arrival
453
Tendons Connect
Muscles to Bone
454
The best tool for exposing a car door lock is an
Air chisel
455
The best way to break a windshield is a
Fire Axe
456
The device especially useful for removing patients from heights or over rough terrain or rubble is the
Stokes Basket
457
The first step in extrication is
Gaining access to the patient
458
The first step in immobilizing a patient on a short spine board is to
Maintain manual stabilization of patients C spine
459
The first thing that happens in a blast injury is
Compression of air filled organs (Hollow organs i.e.Stomach, Liver)
460
The first thing to do when called to MVA is to
Triage the patients and find the extent of the injuries
461
The key to effective management in a disaster situation is the
Communications system
462
The mechanism of injury can tell the medic about the patients condition. If the steering column is collapsed, the patient is most likely to have a
Flail Segment
463
The most common organ injured in blunt trauma to the RUQ is the
Liver
464
The most important thing about an angulated fracture is that it may
Cause the pinching or cutting of nerves & blood vessels
465
The most major complication of a joint injury is
Blood Vessel Damage. (Not nerve damage if both answers appear)
466
The order in which a primary survey is conducted to search for immediate life threatening emergencies is to check
A - B - C's ( Breathing - Pulse - Bleeding )
467
The order of access routes during a motor vehicle accident is
Door - Window Body
468
The process that sorts patients is called
Triage
469
The safest way to enter a car wreck is
The door
470
The shortening of an extremity (leg) could be caused by an injury to the
Hip
471
The system used to ensure that needed resources are available in neighboring area in a time of mass casualties is called
Mutual Aid
472
The technique that should be used with a Spine Board in Narrow Places as an Alternative to the Four Man Log Roll is
The Four Man Straddle Slide
473
The tool Not used to pull or roll a dashboard is
A Pry Bar
474
The Triage Officer is Responsible for all, Except
Run Rescue Tools
475
To Open Airway of Trauma Patient
Modified Jaw Thrust
476
Tourniquet restricts
Venous flow
477
Trauma patient fell from roof has JVD, no lung sounds on right side
Assist ventilations, Decompress, Immobilize, Transport, 2 large bore IV's
478
Trauma patient what drip
2 large bore IV's - L Ringers
479
Trauma patient with tension Pneumothorax
BVM, Decompress, IV enroute
480
Trauma victim who immediately, unconscious that has decreasing LOC
Epidural Hematoma
481
Trauma victims of a plane crash are: 1) Arterial Hemorrhage, 2) Suspected femur fracture, 3) Conscious victim with head injury, 4) Partially obstructed airway
The order of treatment 4 - 1 - 3 2
482
Traumatic Asphyxia is caused by a
Crush injury to the chest or abdomen
483
Traumatic chest injury that allows air to enter
Sucking chest wound
484
Treatment of a patient who presents with open fracture
Dress wound first then bandage
485
Triage Most Important
Secure Chest Wound
486
Triage nurse responsible for
Sorting patient in ER
487
Truck transporting mixed goods, has
Dangerous placard
488
Two Medics at a MCI. Back up will be there in 20 minutes away (metro area), What do the medics do
Continue Triage
489
Umbilicus Down
T - 10 and Nipple, Line T - 4
490
Unconscious patient with head injury, eyes don't move in Unison, this is called
Disconjugated Gaze
491
Unequal Pupils suggest
CNS Injury (Neurological Crisis)
492
Unlikely to develop shock from
Head Injury alone
493
Upon arrival of a disaster scene, the patient which should receive the lowest priority (of the following) is
3rd degree burns over 80 % of the body (Pt. will die soon anyway), (Mid sternal chest pain, 2nd degree burn over 20 - 30 %, Penetrating Chest Wound
494
Used to open airway of trauma patient.
Modified Jaw Thrust
495
Usual MAST deflation sequence is
Abdomen, Right Leg, Left Leg, (Inflation is Left Leg, Right Leg, Abdomen)
496
What do you Not do when Triaging
Primary & Secondary Surveys
497
What Fluid Loss from Body during Burn
Plasma
498
What is Not a normal emotion for a patient at a MCI
Paranoia
499
What is the key to effective management in a disaster situation
Coordination of all activities
500
What is your primary concerns for burn patients
Hypovolemic shock, Not Septic
