ch 15 Flashcards

(45 cards)

1
Q

What is the main focus in a medical patient

A

Nature of Illness (NOI)

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2
Q

What is the primary goal of the medical assessment

A

Identify life threats and provide appropriate care

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3
Q

What are common types of medical emergencies

A

Respiratory cardiovascular neurological gastrointestinal urological endocrine hematologic immunologic toxicologic psychiatric infectious gynecologic

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4
Q

What should guide your initial assessment of a medical patient

A

Scene size-up and the NOI

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5
Q

What is a common challenge in medical patients compared to trauma

A

Less visible signs of life threats

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6
Q

What should you assess for in medical scene size-up

A

Scene safety standard precautions NOI number of patients additional resources

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7
Q

What should be determined in the primary assessment

A

General impression responsiveness ABCs transport priority

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8
Q

What does SAMPLE history help identify

A

Signs/symptoms allergies meds past history last oral intake events leading up

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9
Q

What is OPQRST used for

A

Pain assessment (Onset Provocation Quality Region/Radiation Severity Time)

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10
Q

What is a focused assessment

A

Detailed exam targeting the system affected by the NOI

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11
Q

When should you perform a full-body scan on a medical patient

A

When the patient is unresponsive or has altered mental status

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12
Q

What is a major difference in assessing medical vs. trauma patients

A

Medical focuses more on history and symptoms and trauma more on physical injuries

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13
Q

What determines the need for ALS backup

A

Severity of the patient’s condition and need for interventions beyond BLS

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14
Q

Why is transport decision important early

A

Some conditions require rapid transport to a specialty center

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15
Q

What is the goal of secondary assessment in medical patients

A

To identify specific conditions and gather info to guide care

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16
Q

What should be done during reassessment

A

Recheck vitals interventions and reevaluate for changes

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17
Q

What’s the EMT’s role in diagnosis

A

EMTs do not diagnose; they rule out life threats and treat based on assessment findings

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18
Q

What is the significance of NOI

A

It helps guide your assessment and treatment approach

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19
Q

What kind of approach is typically used for responsive medical patients

A

Focused history and physical exam

20
Q

What kind of approach is typically used for unresponsive medical patients

A

Rapid assessment and full-body scan

21
Q

Why is documentation important in medical calls

A

It supports continuity of care and legal accountability

22
Q

What is the definition of a medical emergency

A

An illness or condition not caused by external force that requires EMS

23
Q

What is nature of illness (NOI)

A

The general type of illness a patient is experiencing

24
Q

How does NOI differ from MOI (mechanism of injury)

A

NOI refers to illness; MOI refers to physical trauma

25
What are signs of respiratory medical emergencies
Wheezing stridor cough dyspnea abnormal breath sounds
26
What are signs of cardiovascular medical emergencies
Chest pain palpitations shortness of breath diaphoresis
27
What are examples of neurologic emergencies
Seizure stroke altered mental status syncope
28
What are common gastrointestinal emergencies
Nausea vomiting diarrhea abdominal pain GI bleeding
29
What are signs of urologic emergencies
Flank pain difficulty urinating blood in urine
30
What are signs of endocrine emergencies
Hyperglycemia hypoglycemia changes in LOC fruity breath odor
31
What are hematologic emergencies
Issues related to blood disorders such as sickle cell or hemophilia
32
What are immunologic emergencies
Allergic reactions or anaphylaxis
33
What are examples of toxicologic emergencies
Overdose poisoning exposure to harmful substances
34
What are signs of psychiatric emergencies
Panic suicidal thoughts hallucinations abnormal behavior
35
What should you always consider when assessing a medical patient
Potential underlying conditions or medications
36
Why is medication history important in medical patients
It may reveal causes of symptoms or potential complications
37
What are examples of medical conditions requiring rapid transport
Stroke chest pain with hypotension altered mental status
38
What tools can help identify stroke
Cincinnati Prehospital Stroke Scale (CPSS) or FAST exam
39
What are some standard precautions needed for medical calls
Gloves mask eye protection gown depending on risk
40
When is it appropriate to call for ALS
Altered mental status respiratory distress severe hypotension seizures
41
What is important to ask during SAMPLE history in medical calls
Events leading up to symptoms and medication compliance
42
What are some critical interventions in medical emergencies
Oxygen airway positioning suction glucose epinephrine
43
Why is reassessment key in medical calls
Conditions can evolve rapidly especially in unstable patients
44
How often should you reassess unstable patients
Every 5 minutes
45
How often should you reassess stable patients
Every 15 minutes