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Flashcards in Ch 1-.. Deck (161):
1

Who normally gets on the Sean first ?

EMR

2

Who is the first part of the EMS system

EMR

3

How does the EMS system begin ?

With a call from patient,family member ,friend or bystander

4

Where are EMS calls answered ?

Public safety answering point

5

People at the dispatch center are trained as what?

Emergency medical dispatchers

6

How many levels of EMS are there ?

4

7

What are the levels of EMS ?

EMR

EMT

Advance EMT

PARAMEDIC

8

What is an advance EMT JOB consist of ?

Is fluid some medications advance airway assessment techniques

9

Many EMS system provide what kind of system ?

Tiered system

10

What are the different type of specialty hospitals?

Trina center

Pediatric center

Burn center

Cardiovascular care center

Stroke center

11

How many classic components of the EMS system are there ?

10

12

Which states have or has a system that oversees EMS within that state ?

ALL states

13

Who is involved in quality improvement and the development of protocols

Medical director

14

How should EMS providers treat people ?

How they would expect people to treat them

15

What are EMR providers required to do ?

Obtain ongoing or continuing education (CE)

16

Quality improvement committee composed of who ?

Members of an organization both administrative and field staff medical director and others

17

How to prevent errors?

Double check important facts and decision
Use pocket reference
Question assumptions
Ask for help or assistance
Debrief calls afterwards and look for ways to improve

18

What should you do every-time?

Make sure he scene is safe

19

What are the four basic procedures that are used when you encounter danger

Cover
Concealment
Distraction
Retreat

20

What are some hazards that you should look out for on a scene ??

Signs of hazardous materials

Signs of wires down in an area

Unstable vehicles

Patients that are in a dangerous place

21

What are standard precautions?

Practices to prevent exposure to disease during patient contact

22

How could diseases be transferred to EMS providers ?

Body fluids
Airborne droplets

23

How can disease enter the body ?

Open wound
Mucous membranes including eye nose or mouth

Or accidental needle stick

24

What most employers have in place to help prevent exposure to disease long before potential contact occurs

Strategic controls

25

When should you wash hands

After any patient contact and anytime gloves are removed

26

What is the most common PPE used at emergency scene

Protective Gloves

27

Anatomical position

A standard used when referring to the location of your patient

28

Supine

Patient laying on her back facing up

29

Prone

A patient laying on her stomach

30

Right lateral recumbent

Patient laying on her right side or (recovery position )

31

Left lateral recumbent

Patient laying on her left side in the recovery position

32

Medial

Towards the midline

33

Lateral

Away from the midline ( ex your thumb is in the lateral side of your hand

34

Superior

Towards the head

35

Inferior

Towards the feet

36

Distal

Farther from the point of attachment

37

Proximal

Closer to the point of attachment the elbow is proximal to the wrist

38

Anterior/ventral

Toward the front ( ex the chest is anterior

39

Posterior/dorsal

Towards the back

40

Superficial

Towards the surface (ex a scrape of your knee)

41

Deep

Farther from the surface

42

Internal

Inside

43

External

Outside (ex burn to palm of hand)

44

Cranial cavity

Cavity that contain the brain (skull)

45

Thoracic (chest) cavity

Cavity that contains the lungs heart great vessels trachea and esophagus

46

Abdominal cavity

This cavity contains the stomach intestines liver gallbladder pancreas spleen appendix and kidney

47

Pelvic cavity

Contains the bladder recriminations and internal female reproductive organs

48

Anatomy

The study of structure of how the body part look

49

Topographic anatomy

Look at the external surfaces and the shapes giving by underlining structures

50

Gross anAtomy

Structures visible to the naked eye such as muscles bone and body organs

51

Physiology

The study of biological functions or how body part works

52

Homeostasis

The body state of balance between all processes

53

How many systems are in the body’s

11

54

What protects vital organs

Then skeleton

55

How many bones are in a adult skeleton

206

56

Bones are attached to each other by what ?

Ligaments

57

Muscles are connected to bones by what ?

Bone tendons

58

The spinal cord are made up of how many bones

33

59

Cervical spine

7 vertebrae support head and neck

60

Thoracic spine

Consist of 12 vertebrae form upper back

61

Lumbar spine

Consist of 5 vertebrae that from the Lower back

62

Sacrum

Consist of 5 fused vertebrae part of the pelvic girdle

63

Coccyx

Tail bone 4 fused vertebrae

64

Thorax

Commonly called rib cage consist of 12 pairs of ribs

65

What are the first pair of ten ribs attached to ?

Sternum

66

Xiphoid process

Peace of cartilage

67

Immovable joints

Bones at joints are fused together (ex bones in the skull )

68

Slightly movable joints

Has a limited range of motion (bones that make up spinal cord )

69

Freely movable joints

Has a great range of motion ex (fingers toes elbo and knee... etc

70

Voluntary muscles

Skeletal or striated muscles

Move under voluntary control

71

Involuntary muscles

Found in airway Respiratory system the digestive track and the blood vessel

72

Where are cardiac muscles found

Only found in the heart

73

Ventilation

Process of moving air in and out of the body

74

Desperation

Exchange of gases in the cells

75

Inspiration

Also called inhalation when you breath in air

76

Expiration

Also called exhaustion

77

Larynx

Superior end of the trachea

78

What are smaller bronchi called

Bronchioles

79

Alveoli

Located at the end of the bronchioles like a cluster of grapes

80

What is the arteries job

Carry blood away from the heart

81

What are capillaries

Are very thin blood vessels where where the exchange of gases nutrients and waster between blood and cells occurs

82

Red blood cells

Carry oxygen to cells

83

White blood cells

Fight infections

84

Platelets

Help blood clotting

85

What is the central nervous system consist of ?

Brain and spinal cord

86

Peripheral nervous system

Contains all nerves that transfer message to and from central nervous system

87

Somatic nervous system

Responsible for all aspects that you have control over such as body movement

88

Automatic nervous system

Systems such as heart rate respiratory and digestive system

89

What is the body first line of defense ?

Then skin

90

The outmost later of the skin is called?

Epidermis

91

Area that contains the blood vessels hair follicles and sweat glands oil glands and sensory nerves

Dermis

92

What is the inner most layer of the skin called ?

Subcutaneous layer

93

What two processes does the digestive system use ?

Mechanical and chemical

94

What is the responsibility of the unitary system ?

Filtration for the blood removing water salts materials and other waste products

95

What is the kidney purpose

Filtration

96

Purpose of the lymphatic immune system

Helps defend the body against infection and disease and returns tissue fluids back to the bloodstream

97

What is the purpose of hormones ?

Help regulate various system and processes

98

Atmospheric air contains how much oxygen ?

21 percent

99

What is the heart rate of and infant ?

120-160

100

Respiratory rate of infant

30-60

101

Heart rate of a toddler

80-130

102

Respiratory rate for a toddler

20-30

103

Heart rate for preschool

80-120

104

Respiratory rate for preschool

20-30

105

Heart rate for school age

70-110

106

Respiratory rate for school

20-30

107

Adolescent heart rate

55-105

108

Respiratory rate for adolescent

12/20

109

Cyanosis

Blue color

110

Paradoxical motion

Broken rips moves in opposite direction or remainder of the chest

111

Oxygenation

Refers to the amount of oxygen in the blood that will be carried to the body

112

What is the most common airway obstruction ?

The tongue

113

How can the tongue be removed from the back of the throat ?

By tilting the head back

114

What device is used to measure how many hemoglobin is actually carrying oxygen at any given time ?

Pulse oximeter

115

What other gas doe hemoglobin also carry

Carbon dioxide

116

FBAO

Foreign Body Airway Obstruction

117

The heart is divided into two upper chambers and two lower chambers called

Atria and ventricles

118

When does cardiac arrest happen

When the heart stops beating

119

Brain cells begin to die after how long

4-6 minutes

120

Irreversible brain damage

8-10 minutes

121

Apnea

No breathing

122

If an infant is in cardiac arrest where should you check the pulse ?

Brachial artery

123

What is the electric rhythm in the heart called ?

Arrhythmia

124

What are the two different types of AEDs

Fully automated and semi automated

125

PAD

Public access difibrillation

126

What is the first part of patient assessment

Scene size up

127

What are the 5 major components of scene size up ?

Scene safety
standard precautions determination
Resources determination
Number of patients
Mechanism of injury nature of illness

128

You should begin observation as you approach look for

Any signs of fighting
Signs of alcohol or drugs
Unusual silence

129

What can you use to update incoming units of violence

Cell phone and radio

130

Mechanism of injury

They physical force that cause patient injury

131

General rule for mechanism of injury

Then faster the speed involved in the injury or greater the high the more Injury

132

Why is mechanism of injury important

Patient only focus on on injury at a time

133

MCI

Mass casualty incident

134

Chief complaint

Documented in patient own words

135

AVPU

Alert

Verbal

Pain

Unresponsive

136

For widely accepted levels or responsiveness

AVPU

137

Angola breathing

Inadequate breathing

138

When is disability check used ?

In trauma patients

Designed to test central nervous system (brain and spinal cord )

139

What kind of questions require patients to give answers better than a yes or no

Open ended questions

140

Symptoms

What a patient tells you are complains about

141

Sign

Something you observe or measure

142

S
A
M
P
L
E

Signs

Allergies

Medications

Past medical history

L last oral intake

E events

143

Taking multiple set of vitals over time is known as what ?

Trending

144

A palpable pressure is called what ?

Pulse

145

Capillary refill

The length of time it takes to refill capillary beds of the skin after pressure force blood out of them

146

Systolic

Squees

147

Diastolic

Relaxation of the heart

148

Asculatating

Listing with your ears or with stethoscope

149

Palpitating

Feeling with your hands

150

D

O

T

S

Deformity

Open injuries

Tenderness (or pain)

Swelling

151

What can hinder your abilities to find injuries

Heavy clothing

152

One set of vitals is called what ?

Baseline

153

How often should you take vitals for unstable patient ?

Every 5 min

154

How often should you take vitals for patients who appears stable

At least every 15 minutes

155

You should continue to monitor patient until what happen

Until EMT strive

156

A
B
C

Airway

Breathing

Circulation

157

Personal space

An area about 3 feet

158

What kind of questions can be answered with one word?

Open ended question

159

Run data

Administration information

160

Patient data

Information gained during your assessment such as physical findings

161

What could be subpoenaed I court

Prehospital care report