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Flashcards in EMR Last Test Deck (127):
1

The majority of findings on a trauma come from where ?

Physical examinations

2

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

5

3

What is the primary concern when approaching a scene

Scream safety

4

Mechanism of injury and determination of criticality

The force that cause the patient trauma

5

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

Scene size up

6

What can you treat immediately on a trauma patient

ABC

Airway

Breathing

Circulation

7

What kind of exam is done to identify injuries

An head to toe exam

8

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

DOTS

Deformity

Open wounds

Tenderness

Swelling

9

Glasgow come scale

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

10

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

15 max min 3

11

Perfusion

The consistent delivery of adequate oxygen to the cells

12

Hypoperfused

Inadequate delivery of oxygenated blood

13

Cellular hypoperfusion can lead to what

Cell death organ failures and eventually patient death

14

Compensated shock

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

15

Decompensate

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

16

Hypotension

Drop in blood pressure or low blood pressure

17

What is not the best indicator of shock

Blood pressure

18

Exsanguinating hemorrhage

Uncontrolled severe bleeding in massive volumes

19

Direct pressure

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

20

How long should you apply pressure for ?

For a minimum of 5 min

21

What is normally a common mistake when applying pressure

Removing the dressing to check if the bleeding has stopped

22

Hemostatic agent

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

23

When should you use a tourniquet?

Only when you cannot control bleeding in an extremity

24

When you apply a tourniquet what should you do ?

Elevate the extremity above the heart

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