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EMR Last Test Flashcards

(127 cards)

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1
Q

The majority of findings on a trauma come from where ?

A

Physical examinations

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2
Q

How many decisions are there when it come to scene safety ?

A

5

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3
Q

What is the primary concern when approaching a scene

A

Scream safety

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4
Q

Mechanism of injury and determination of criticality

A

The force that cause the patient trauma

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5
Q

What is the foundation for the efficiency and success of the remainder of your call

A

Scene size up

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6
Q

What can you treat immediately on a trauma patient

A

ABC

Airway

Breathing

Circulation

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7
Q

What kind of exam is done to identify injuries

A

An head to toe exam

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8
Q

What signs of injury should you look for on a trauma patient

A

DOTS

Deformity

Open wounds

Tenderness

Swelling

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9
Q

Glasgow come scale

A

Helps EMS providers determine the severity of patients who have sustained injury

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10
Q

What is the maximum number that your can get in the Glasgow scale

A

15 max min 3

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11
Q

Perfusion

A

The consistent delivery of adequate oxygen to the cells

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12
Q

Hypoperfused

A

Inadequate delivery of oxygenated blood

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13
Q

Cellular hypoperfusion can lead to what

A

Cell death organ failures and eventually patient death

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14
Q

Compensated shock

A

When the body reacts to hypoperfusion and takes steps to stay alive

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15
Q

Decompensate

A

Stage where the body could no longer make up for increased lack of oxygen delivery to vital organs

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16
Q

Hypotension

A

Drop in blood pressure or low blood pressure

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17
Q

What is not the best indicator of shock

A

Blood pressure

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18
Q

Exsanguinating hemorrhage

A

Uncontrolled severe bleeding in massive volumes

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19
Q

Direct pressure

A

The application of pressure to a wound designed to stop bleeding or slow bleeding to aid the clotting of blood

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20
Q

How long should you apply pressure for ?

A

For a minimum of 5 min

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21
Q

What is normally a common mistake when applying pressure

A

Removing the dressing to check if the bleeding has stopped

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22
Q

Hemostatic agent

A

A substance that contains dry properties to help slow bleeding aid clotting

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23
Q

When should you use a tourniquet?

A

Only when you cannot control bleeding in an extremity

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24
Q

When you apply a tourniquet what should you do ?

A

Elevate the extremity above the heart

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25
Which muscles we use to draw and push air out of the the lungs
Diaphragm
26
Sucking chest wounds
When diaphragm drops and negative pressure is created
27
Pneumothorax
When air works it’s way in between the chest wall and the lung and cause the lungs to collapse
28
Occlusive dressing
Made up of plastic vaseline gauze or similar airtight materials
29
Tension pneumothorax
When the lung collapsed and put pressure on the heart
30
Spontaneous pneumothorax
Smokers that developed hole in their lungs l tissue that can collapse the lung in the same manner as trauma
31
Crepitus
The grating of bone ends up rubbing together when you palpate chest
32
Flail segment or flail chest
When two or more ribs are broken in two or more places and ribs has a free floating section
33
Paradoxical breathing
Decrease of air exhalation due to fail segment
34
Traumatic asphyxia
Occurs when massive blunt trauma is applied over large portion of the chest Blood is forced in opposite direction
35
Signs of traumatic asphyxia
Distended skin neck veins bulging eyes blue skin
36
When treating patient with abdominal trauma what should you use to deal wounds ?
Occlusive dressing the same way you would seal an open chest wound
37
Evisceration
When abdominal organs such as intestines protrude from an open wound
38
How should you secure impaled objects
By padding around the object with bulky dressing and tape
39
Gastrointestinal bleeding (GI)
When bleeding happen in the esophagus the stomach and or the intestines
40
Abdominal distinction
Bulging belly
41
What is the name for closed wounds ?
Blunt trauma
42
Ecchymosis
Occurs the force of a trauma breaks small blood vessels beneath the skin and result is blueish or black bruising
43
Hematoma
Blueish discolored lump
44
Abrasions
Scrape out the outermost layer of the skin
45
Laceration
A cut in the skin and or layers of the soft tissue beneath the skin cause by sharp object
46
Avulsion
When force tear large peace of tissue
47
Perfusion
Consistent delivery of adequate oxygen to the cells
48
Compensated shock
When the body reacts to hypoperfusion and takes steps to stay alive
49
Hypoxia
Inadequate oxygenation of the tissue
50
Decompensation
The failure of the body steps to compensate for insult or injury
51
What are the three categories of external bleeding ?
Arterial bleeding Venous bleeding Capillary bleeding
52
Diaphragm
Used to draw air into and push air out of the lungs
53
Sucking chest wound
When the diaphragm drops and negative pressure is created
54
Hemothorax
When leaking blood builds up and collapses the lung
55
A closed wound is called what
Blunt trauma
56
Contusion
Pain swelling etc around impact area
57
Ecchymosis
Occurred when the force brake open small blood vessels beneath the skin
58
Hematoma
Large amount of bleeding occurred beneath the skin enough to raise blueish bruising
59
Air embolism
Air bubble in blood stream
60
What’s the most common type of soft tissue injury
Burn
61
Cerebrospinal fluid
Liquid that surrounds the skull
62
Articulation
The movement of vertebrae
63
Posturing
Involuntary movement of limbs caused by pain
64
Foramen magnum
Hole at the base of the neck
65
Herniation
When brain squeezes and falls downward
66
Cushing triad
Decreasing pulse rate Increase blood pressure Abnormal respiratory patterns Posturing Changed to Pupil response
67
Incontinence
Loss of control of piss and shit
68
Open injuries signs
Bruising behind the ears Raccoon eyes
69
If foreign object cannot be removed from the eye you should use
Rigid eye shield
70
Orthopedic injury
Injury of the skeletal system
71
What is the core of the body protected by
Axial skeleton
72
Strain
When muscles and tendons are over worked
73
Sprain
When tendons that are connect to bone are stretched Beyond their normal range of motion
74
Fracture
When bone is cracked or actually broken
75
O P Q R S T
``` Onset Provocation Quality Region Severity Time ```
76
Traction splint
Mechanical device that when attached to an extremely provides gentle pulling
77
Three related medical conditions
Heat exhaustion Heat cramps Heat stroke
78
Cervix
Neck of the uterus that connects to the vagina
79
Bloody show
The expulsion of mucus plug
80
How much does the placenta normally weigh
About a pound
81
Amniotic sac
Filled up with fluids in which the fetus floats
82
Broth canal
Made up of the cervix and vagina
83
What happen to the cervix in the first and longest stage
It becomes dilated
84
How long does the first contraction normally last
10 to 20 min
85
Contraction last in which intervals
30 to 60 sec
86
For people that had babies before their contractions last how long
3-4 min 60 sec each
87
When the baby head appears it’s called ?
Crowning
88
Fontanels
The soft spot at the top of the baby head
89
Meconium staining
Greenish or brownish fluid means the baby has had a bowel movement
90
Rubbing the back of the baby or tapping the feet is called
Tactile stimulation
91
How long should you wait before cutting umbilical cord
1-3 min
92
If placenta is not delivered within what time frame you should take patient to the hospital
10 to 15 min
93
If a woman gives birth before how long the baby is considered premature
36 weeks Should not weigh less than 5/12 lbs
94
How much precent of pregnancy does preeclampsia affect ?
5-8 percent
95
Symptoms of preeclampsia
High bP Swelling of face extremities Headache Nausea or vomiting Abnormal weigh gain
96
Eclampsia
Possibly patient could go into shock
97
How many Fallopian tubes does a woman have ?
2
98
Exsangcate
Bleed to death
99
Ovum
Fertilized egg
100
Placenta previa
When placenta is positioned in the uterus in an abnormally low position
101
Abruptio placentae
Leading cause of fetal death after blunt trauma
102
PAT
Pediatric assessment triangle
103
PAT
Appearance Work of breathing Skin
104
Retractions
Drawing back
105
S A M P L E
Signs and symptoms Allergies Medication Past medical history Last oral intake Events that lead to the illness
106
What can be a late I indicator of shock
Falling blood pressure
107
Epiglottis
Caused by bacterial infection that inflamed the epiglottis
108
Febrile secures
Caused my rapid raise of body temperature usually resulting in high fever
109
When seizures are status epilepticus
It means they are non stop
110
What can also cause chick in children
Dehydration
111
Child abuse
Improper or excessive action as to injure or cause harm
112
Child neglect
Giving insufficient attention or respect to a child
113
In what cause you don’t do CPR on a child
Rigor Mortis
114
Dark pigment areas in adults are called
Age spots or liver spots
115
Deaphrosis
Excessive perspiration
116
What cause COPD
Long term smoking
117
Impatient in thinking
Dementia
118
Common illnesses in elderly people
Influenza
119
Alzheimer’s disease
Form of dementia Patient may become violent
120
Beta blockers
Taken for high blood pressure or heart problems
121
What a congenital disease
One that occurs at birth
122
Acquired disease
Occurred after birth
123
Palliative care
Comfort care Ex hospice
124
Living will
DNR
125
Tracheostomy
Opening in the neck into the trachea
126
Ventilator
A device that breath for a patient
127
Forms of abuse
Physical abuse Sexual abuse Emotional abuse Financial abuse Neglect

EMR (2 decks)

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