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EMT > Mid Term > Flashcards

Mid Term Flashcards

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1
Q

Soft collar is for people whose recovering
-hard ridged/ extraction collar
Used to keep chin from touching the neck

A
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2
Q

Backboard

A

Longboard 5-6ft
-farington round corners
and Ohio shaped like a coffin slight tapered at the foot
Make sure patient is secured to back board so they dont slide sideways up and down
Securing the patient is a Good strapping technique
Trauma strapping (figure 8 or trauma 8)
Miller board used for neurological
Someone who greater then
-250 can not use and children less then 25LBS

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3
Q

DNRO obtained from Bearu tally

A

Will be signed by pt or physician
Carnary yellow form or yellow paper
Should be kept at head or foot of bed or refrigerator
*worn around the neck and clip to key chain
The identification form do NOT need to be completed its a add on

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4
Q

Living wheel is a document of instruction what type of care a person wish to receive under certain circumstances

A
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5
Q

DNRO

A

Effective date
Witnessed used for identification
Physician
Name of pt or surrogate who signed
Attach to run report

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6
Q

Report written

A

Who
What
When
Where
Why
Do NOT delay in contacting the abuse hotline

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7
Q

2 basic rules for report writing

A

(If it wasn’t written down it wasn’t done )
(If it wasn’t done don’t write it)

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8
Q

Pulse point
Artery passes over a bone

A

Temporal
Carotid
Brachial
Radial -used to calculate rate rhythm and quality
Femoral
Popliteal
Posterior tiba
Dorsal pedis

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9
Q

Bsi
hand washing essential
Drop contaminated gloves into biohazard containers after removed

A

Body substance isolation

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10
Q

Stretcher

A

Stryker rugged manual
650LBS

Bariatric-
850LBS when raised
1600LBS when lowered

-Scoop scratcher
Lock halves first(head)

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11
Q

Stair chair
-ferno 500LB capacity
Need(3) operaters

A
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12
Q

NC
1-6lpm 24-44%concentration

Simple face mask
6-10LPM 28-60% concentration

Partial rebreather
6-10 LPM 35-60% breathes 1/3rd oxygen air

NRBFM has one way valve’s and reservoir bag must be inflated
10-15% 90%
High flow is 15%
BVM- 15LPM nearly 100

A
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13
Q

Venturi mask
Blue 24%
Yellow 28%
White 31%
Green 35%
Pink 40%
Orange 50%

A

Big Yasmin was giving pvssy out

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14
Q

Bvm 15LPM nearly 100
Adult 1200-1600
Peds 500-700
Neonate 150-240
Should be transparent to see vomit and fluids during Transport so proper actions can be taken

A
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15
Q

CPAP pg 155
Fixed oxygen concentration
-constant pressure
-Need a Oxygen sources capable of delivering 50psi
**Flow regulator delivers fixed or variable oxygen concentrations
7-10 (acceptable water)
-positive end expiratory pressure (Peep) is connected to exhalation port

A

Used for (respiratory distress ) And to by time
Copd get bronchodilator for treatment and Asthma patients
CHF get lasix and nitroglycerin

COPD increase Abutural for the lungs nitroglycerin decrease blood pressure

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16
Q

Suctions
Tonsil tip
-yankuer
Soft measures tip of nose angle of jaw (nasal)
(Oral) mouth to angle of jaw

A

Adults no more then 15
Peds 10-15
Infant no more then 5

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17
Q

Oxygen view chapter 11
Full at 2000-2200
Empty at 200 called safe residual pressure
Flow meter measure 02 and control flow
Regulator (reduce valve+ flow meter)
D,E are portable cylinders

A

Compensated flow meter affected by gravity kept up right found in hospital/ambulance

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18
Q

BGL

A

Insulin shock 40
Hypoglycemia 40-80
Normal 80-120
Hyperglycemia 120-400
DKA HNNC 400-800
Diabetic coma 800over

Jacksonville standard 50-300

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19
Q

Hipaa(health insurance probability act)
Act in 1996
The purpose was so you can take health insurance with you when you transfer jobs without losing coverage
Also protect the privacy of people health care information

A
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20
Q

12 leads

A

V1 4th intercostal space to the right of sternum
v2- 4th intercostal left of sternum
V3- between 2 and 4
V4- 5inter costal midclavicular line
V5-between 4 and 6
V6- 5 intercostal mid maxillary

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21
Q

4 lead

A

White is right
Right deltoid. Black left deltoid
Green right midalcalf. Red left

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22
Q

Kinematic trauma
Young adults and children
How injuries accrue and affect the body
Correct hospital
Allow emt to look at the scene to apply them to patients assessment

A

The physics of trauma
When the body is exposed

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23
Q

If CPR not started in 4-6 minutes brain cells begin to die

A
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24
Q

Combitube

A

Distal end of tube must be lubricated
Rotate laterally 45-90 degrees
Blue orientation touch corner of mouth

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25
Stryker manual 650 Powered Stryker 700
Sked- used for helicopter Storks basket - already on a back board Reeves stretcher - narrow hallways
26
KED
My middle Baby bottom Look legs Hot head Tonight top
27
Adults puberty or older Child-1 years old to puberty Infant -birth to 1yo
28
Cpr Adults
30:2 ratio take 18 secs or less -Hand placement lower half of sternum (breast bone ) -2inch depth -rate 100-120 5 cycles
29
Pediatric cpr 1yrs old to puberty
Ratio 2 men 15:2 1men.30:2 1/3 (approximately 2inch) Lower half of sternum
30
Infant Newborn- 1yr old
1/3depth (approximately 1 1/2) 2 fingers intermammary nipple line
31
Combitube
1 .pharyngeal cuff 85-100cc 2 distal cuff 12-20cc
32
Ventilation rates 1 every 6
33
Each set of compression is 18 seconds for 30 compressions
34
Child rescue breathing 1breath every 2-3secs 12-20
35
D and E cylinders 0.16 0.28
36
Ventilate combitube Through blue tube Pharyngeal Land mark for combitube 2 black lines
Used for cardio or pulmonary arrest
37
Cpap 50psi
38
Rescue breathing Adult/child 1men
1 breath 5-6 secs For 10-12 min Child 1 every 2-3secs 20-30breaths per minute
39
Normal pulse ox
94-99%
40
End tital co2 Capnometer
35-45
41
Breath sounds
Midaxillary mid clavicular
42
Regulator Safe residual
43
D cylinder
0.16
44
E cylinder
0.28
45
Carotid 60 Brachial 80 Radial 90 Femoral 70 Dorsalis pedis 90
46
Mic LVL 1 (5-10)
ALS-4 Engines-2 Hospital-2
47
MCI LVL 2(11-20)
ALS- 6 ENGINES-3 Hospitals-3
48
MCI lvl 3 (21-100)
AlS- 8 Engines-4 HOSPITAL-4
49
MCI LVL 4 (101-1000)
5MCI task forces ALS strike team :2 Suppression strike:2 BLS units: 2 Busses: 2 10 hospitals 5 trauma
50
MCI lvl 5 over 1000
MCI task forces :10 ALS strike team :4 Suppression strike:2 BLS units: 4 Busses: 4 20 hospitals 10 trauma
51
Classes
1.explosives 2.gases 3.flammable and combustible liquid 4. Flammable solids 5.oxidizing substances and organic peroxide 6.toxic and infectious substances 7.radioactive material 8.corrosive materials 9.miscellaneous hazard material
52
Stages of child birth
1. Dilation of cervix 2. Avulsion of infant 3.delivery of placenta
53
Imminent delivery
Crowning
54
Bvm types 15mm or22mm connector
Adult 1200-1600 Peds-500-700 Infant 150-240
55
Infant airway position
Neutral sniffing Rolled towel under shoulders
56
Peds resuscitation tape
Measure from head to toe Red at the top Where ever color the sole of the feet stop at is what type of dose airway adjuncts you would use to treat them If the patient is falling a lil over the tap use next color
57
Abuse
Neglect and abandonment Don’t delay to call Fax 914 TDD 453 Phone 962
58
Report for abuse
Who What When Where Why
59
Air transport
Fixed wings Jets and prop turbo for a distance greater then 250miles Rotary Helicopter
60
Helicopter landing zone
100x100 Hard or grassy surface Weighted cones /headlights Approach from downhill never duck under helicopter dont move patient unless told to do so Make sure all equipment is tight
61
Shipping papers and facility
Must itemize all hazard materials during any transport
62
Shipping modes
Highway -vehicles arm reach of driver On seat or door pocket when un attended Rail-listening each car or vehicle Water-wheelhouse tube or box barge Air-possession of pilot Pipeline-owner name 24hr contact info
63
B.n.I.c.e
Biological Nuclear Incendiary Chemical Explosive weapons
64
MCI lvl
Lvl 1,5-10 Lvl2 11-20 Lvl3 21-100 Lvl4 101-1000 Lvl5 1000
65
TEAMCPR
Thermal/heat Etiological/disease Asphyxiation o2 deficiency Mechanical/hazards Chemical/toxic Physiological fear Radiological/exposure
66
NFPA diamond
Blue-health Red-flammable Yellow-reaction White- other What ever has highest number indicates the greater effect
67
Decontamination
Gross contamination begins at hotline Specific decontamination warm zone Brush dry contaminants as much before washing Liquid remove clothes as fast as possible and wash with large amounts of water Put clothes place in plastic bags
68
Incident command system
Gross contamination begins at hotline Specific decontamination warm zone Brush dry contaminants as much before washing Liquid remove clothes as fast as possible and wash 20mins with large amounts of water Put clothes place in plastic bags
69
Safe residual pressure
200psi
70
Safety device for filling 02 cylinder
Pin index
71
Adult rule of 9s
Head -9 Back-18 Torso -18 Arms-9 Legs18
72
Pediatric rules of 9
Head-12 Torso-18 Arms-9 Legs- 16.5
73
KED.
MY/middle Baby /bottom Looks/legs Hot/head Tonight /top
74
Skin indicators
Pallor or paleness Vasoconstriction blood loss,shock Blue-gray,-inadequate,hypoxia Red or flushed,heat exposure vasodilation carbon monoxide Jaundice/ yellow,liver disease
75
Traction splints
4 support straps Secure ischem strap first
76
Response to hazmat scene
Take defensive to prevent from spreading And offense to control Decrease time Increase distance Take shield
77
Delivering a baby
Firm surface Semi Fowler Blanket under butt/hips Blanket over both legs And abdomen Rotate head to left of thigh Mover up then down
78
Blow by o2
Hole in bottom of cup 2 inch from baby face
79
ICS structure
Operation -triage Planning -treatment Logistics -transportation Financial administration-staging
80
MCI structure
TREATMENT Triage Transport Staging
81
Combitube
Pharyngeal cuff-85-100cc Distal 12-20
82
Apgar
Appearance Pulse Grimace Activity Respiration
83
Pediatric assessment triangle
A.appearance W.work of breathing C .circulation
84
Ferno pedi pac
28-54lnch Between 20-90LBS
85
LSp peds immobilizer
Peds and infants Up to 75LBS
86
Approach helicopter from
9o clock and 3 o’clock Downhill
87
Landing zone from hazmat
Uphill and upwind
88
Punishment
Move over act july,1 2002 118.50dollars and 3pts
89
Aweeness lvl response goal
R recognition Isolation Protecting Notice
90
Level D
Firefighter
91
1268 Apgar

EMT (29 decks)

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