EMT COURSE FINAL Flashcards by julissa diaz

Patients that are apneic and weak pulses that are pulled from the cold water with unknown submersion time..

Should be provided rescue breathing, remove his wet clothing, immobilize his entire spine, keep him warm and transport carefully.

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Patients that are hypotensive and had bilateral femur fractures;

Their legs should be bounded together on a backboard, kept warm, and transported immediately.

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Patients that are kicked or punched in the abdomen, have stable vitals, and do not have any c spine injuries..

Should be bound together on a backboard, kept warm and transported in the position you found them, immediately.

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How long must you suction the oropharynx for adult, child and infant?

15, 10, and 5 seconds max

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What do you do when one eye is injured ?

Cover both eyes to minimize movement and damage to the injured eye.

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Treating a PT win anaphylactic shock

Should administer a does of epinephrine with and auto injector, record the time, and transport immediately

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When a PT becomes pulses, unresponsive, and apneic during transport..

Stop the ambulance, begin CPR, and attach the AED asap

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If a metal object such a a bike kickstand impales a PT..

It would be best to unbolt the kickstand from the bike from and stabilize it with bulky dressings.

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The palm of a PTs hand is..

Equal to his or her total BSA when estimating a PTs burns.

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After birth,

It is important to warm and dry the newborn

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You should access for breathing and a pulse after,

Establishing that an adult PT is unresponsive

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According to HIPAA

All info recorded on a PCR is confidential

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Aneurysm

Is an area of swelling or enlargement in a weakened arterial wall

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An effective team leader

Should help accomplish goals

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Patients with Down syndrome

Have heart conditions

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The most likely cause of a depressed skull fracture of a patient who suffered a blast injury

Would be the stationary object they hit when thrown

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Respiration

The process of gas exchange

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Ventilation

The movement of air between the lungs and the environment. Another example of ventilation could be using a BVM.

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Patients that are partially immune to a particular disease may develop illness from germs that lie dormant from the initial infection

Example TB if not treated can come back again in the patient when the immune system is weak however if in contact with another human who has it they will not receive the illness

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Two pieces of equipment to take with you in addition to your red bag

AED portable suction unit

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Hyperglycemia

Can only be corrected in the hospital setting

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Activated charcoal

Is administered based on a patient’s weight 2.2 divided by the patient’s weight

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Ovarian abscess and a topic pregnancy

Can be life-threatening consequences of pelvic inflammatory disease

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Ectopic pregnancy

Pregnancy that develops outside the uterus in the fallopian tube

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Ovarian abscess

Late complication of P ID if the abscess ruptures and creates sepsis it consist of an encapsulated or confined pocket of pus forms an infection of the fallopian tube and ovary

Rough handling of hypovolemic patients

Can cause ventricular fibrillation

Air is escaping into the chest wall for my damaged long can cause

Subcutaneous emphysema

The pediatric assessment triangle PAT includes

Appearance, work of breathing and skin circulation

A dislocation

Is the description of a joint in which the bone ends are no longer in contact

Bradycardia is an omnious sign of impeding _______ in children and infants

Cardiopulmonary arrest

Diarrhea is the principal symptom in both

Infectious and noninfectious gastroenteritis

Supraventricular tachycardia SVT

Is a fast heart rate that originates from above the ventricles

Patients may lose sensation below the level of injury with

Severe spinal injury

When documenting reports during sexual assaults

Remain concise and record only what the patient stated in their own words

Rescue teams provide

Safe entry and access to patients

Schizophrenia

Is an example of functional behavioral disorder

Dirty bombs

Could injure victims with both radioactive material and the explosive material used to deliver it

Not a normal part of aging process

Decreased LOC

The absence of abdominal pain

Does not rule out intra-abdominal bleeding

Older patients have difficulty understanding

When they are stressed

As we get olderblood vessels become stiff and

Must work harder to move blood

When contractions are approximately three minutes and childbirth seems imminent..

Checking for crowning, should be part of your assessment

When a patient is refusing care you should

Always explain the risks and consequences of refusing medical care

Deep and rapid breathing can be associated with

Diabetes and a patient with an ALOC

OPQRST

ONSET: what happen to you, PROVOCATION- what makes the pain better or worse QUALITY- what does your pain feel like? RADIATING- Where does your pain go from there? SEVERITY- on a scale of 1-10, 10 being the worst what would you rate it? TIME-when did the pain start?

SAMPLE

SIGNS AND SYMPTOMS, ALLERGIES, MEDS, PAST PERTINENT HISTORY, LAST ORAL INTAKE AND EVENTS LEADING UP TO PRESENT ILLNESS OR INJURY

Septic shock can be a result of

And infection and a complication of the surgery

When should you perform oral pharyngeal suctioning on patients w and ALOC

have vomit on their face or in their mouth

Contra indications of nitroglycerin

Patients that have taken erectile dysfunction drugs within the last 48 to 72 hours

Perform abdominal for us on a conscious child or adult until

He or she loses consciousness

A petit mal seizure

Is also known as an absence seizure

Not a sign of an allergic reaction

Drying of the eyes

Hepatomagaly

Enlargement of the liver

Nephritis

Inflammation of the kidneys

The erosion of the protective layer of the stomach

An ulcer

Appendicitis

Inflammation of the appendix

Cholecystitis

Inflammation of the gallbladder

Transfer care of the patient to another EMS provider when you have been exposed to

The patient's blood or body fluids

The rib cage of an infant is less rigid and the ribs sit horizontally therefore causing them to use abdominal muscles more,

To help them breathe

General impression of the patient includes

Things you see, which or signs

Excess glucose in the blood is excreted by the kidneys and causes patients to urinate frequently

Polyuria

Suspected AMI patients require

Rapid transport and may need thrombolytic therapy, "clot busters"

Anatomy differences between adult and child airway

Child airway is smaller and are more prone to choking

Five areas of the spinal column

Cervical, thoracic , lumbar, sacral, and coccyx

Blood pumped into the aorta and systemic circulation comes from the ______ ventricle

LEFT

How to calculate minute volume of respiration

Minute volume equals title volume in ML multiplied by respirations per minute MV= TV* RR

Age related changes in the cardiovascular system may make the patient less able to compensate for

Decreased perfusion

When auscultating lung sounds for pulmonary edema start at the lower lung fields

Then determine at which level you start hearing clear breath sounds

Common prescription medications for heart conditions and hypertension

Nitroglycerin, Digoxin, lasix, isordil, HCTZ

Common over the counter medications for heart burn

Nexium Zantac Prilosec

Common prescription medications for diabetes

Insulin, diabanese, Humulin

Using your legs keeping your back straight and using a power grip palms up

Power left

Used and immediate life threat such as a LOC, inadequate breathing, or shock. When to do it

Urgent mode

A move which the PT is dried or pulled from and dangerous seen before assessment and care or provided( the type of move)

Emergency move

Wheezing hives swelling hypotension or stridor signs and symptoms of

Anaphylactic shock

The left side of the heart cannot remove blood from the long as fast as the right side delivers it. As a result fluid builds up within the alveoli in the lung tissue between the alveoli and the pulmonary capillaries. This accumulation of fluid is referred to as and it is usually a result of congestive heart failure

Acute Pulmonary edema

Cardiac monitoring and 12 lead EKG and interpretations are

Both ALS skills

Medications that have the slowest rate of absorption are

Taken orally

All levels of prehospital care providers are trained in the use of

An AED

Can only be transmitted by a patient who has an acute infection

Hepatitis A

Kills more healthcare workers every year than HIV or AIDS

hepatitis B

Consist of direction given over the phone or radio directly from the medical director or designated position

Online medical control or direction

Consists of standing orders, training and supervision authorized by the medical director

Off-line medical direction

And EMT works under the direction of the

Medical director

And EMTs scope of practice may be expanded by the __________ after proper training and state approval

Medical director

Results in the absence of forward blood flow

Ventricular fibrillation

Do not lift patients by the _____ or their ______ when moving them

Belt or clothing

When administering _____ to a patient, confirm that the patient is not allergic to it, give him the appropriate dose of it and document the time and dose given

Aspirin

During long term MCI consider requesting a_____ team to provide on scene peer support

CISM- Critical incident stress management

Ambulances can carry at least two patients one in the supine position, one on the wheeled the gurney and one on

The bench seat

Your protection against illegal liability when the patient refuses EMS care and transport is to

Thoroughly documented the entire event

Patients with rapid and shallow breathing and copious bloody secreations in their mouth should be,

Suctioned for 15 seconds and then ventilated for two minutes

When suctioning the oropharynx

Only suction on the way out

Oxygen cylinders should be refilled when the pressure falls below

500 psi

If the patients dentures or other dental appliances are secure in place and are not causing and are not causing an airway obstruction they should be

Left in place

Patients with an automatic implanted cardiac defibrillator AICD That are in cardiac arrest should still be______ if the AED advises it is indicated

Shocked

Is only for use on patients with a Chief complaint of chest pain

Nitroglycerin

After administering nitroglycerin, a patient's blood pressure should be reassessed within

Five minutes

Patients that are prescribed nitroglycerin are instructed to take up to

Three doses before calling 911

Open chest wound with a small amount of blood bubbling

Should be treated with an occlusive dressing

Tuberculosis patients pose the greatest risk to us when

They cough

A seizure patients______ period Can last between five and 30 minutes before the regain full consciousness

Postictal state

Stroke patients with a paralyzed extremity should be transported in the

Recumbent position with the paralyzed side down

An indication of abdominal aortic aneurysm AAA can be,

A tearing sensation in the lower back

assists in the field ration of blood serves as a blood reservoir and produces antibodies

The spleen

When transporting pregnant patients in their second or third trimester place them in left lateral position to prevent

Positional hypotension

EMT COURSE FINAL Flashcards

(106 cards)