Special Challenges Emergencies Flashcards

Explore the Special Challenged patients and the prehospital emergencies that exist (24 cards)

1
Q

Define:

physical abuse

A

Intentional act such as:

  • striking
  • hitting
  • biting
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2
Q

Define:

sexual abuse

A

An inappropriate dressing or touching.

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3
Q

List a few signs/symptoms of neglect or abuse.

A
  • Child who does not become agitated.
  • Does not look for reassurance.
  • Excessive crying or none at all.
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4
Q

What are mongolian spots?

A

Benign bruises that appear after birth.

It can be mistaken for abuse.

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5
Q

True or false.

Coining and cupping are signs of abuse.

A

False

They are holistic interventions for pain relief.

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6
Q

Fill in the blank.

The first priority in managing abuse/neglect is _____ safety.

A

self

Second priority: provide optimal clinical care to the patient. Document the situation.

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7
Q

Who are the mandatory reporters?

A

EMS personnel

Mandatory reporters of abuse/neglect.

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8
Q

Define:

curative care

A

Aggressive medical care to prolong life.

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9
Q

Define:

palliative care

A

Improves the quality of life.

Otherwise known as “comfort care”.

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10
Q

What is a surrogate-decision maker?

A

Someone legally authorized to make decisions for the patient.

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11
Q

What is a Ventricular Assist Device?

(VAD)

A

A device that pumps blood from the ventricles to the body.

No heart beat will be present.

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12
Q

What type of patients typically have an apnea monitors?

A

Infants with high risk of SIDS.

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13
Q

If you check a BGL and it reveals a low level, what intervention should be made if the patient has an insulin pump?

A

Make sure that the pump is turned off.

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14
Q

Where is a tube feeder placed?

A

small intestine or stomach

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15
Q

What is the purpose of a urostomy bag?

A

Divert the urine through the anterior abdominal wall.

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16
Q

What type of patients needs a dialysis?

A

End Stage Renal Disease

17
Q

How do IABP’s work?

A

A balloon is inserted into the descending aorta:

  • Inflation: Diastole
  • Deflation: Systole

Increases coronary artery perfusion.

18
Q

Define:

Down Syndrome

A

A genetic disorder that causes delays and cognitive impairment.

19
Q

Define:

Mental Retardation

A

Intellectual disability and cognitive disorder.

20
Q

How should you manage a patient with autism?

A
  • Be mindful of actions.
  • Excessive stimuli can cause aggressive behavior.
21
Q

Define:

conversion disorder

A

When someone manifests blindness, paralysis.

Otherwise known as “Hysteria”.

22
Q

Define:

Dysarthria

A

Neural block that causes speech impairment.

23
Q

Define:

Autonomic Dysreflexia

A

When pressure builds within the bladder and is unable to urinate.

It can cause hypertension.

24
Q

Define:

Systemic Lupus Erythematosus

A

An autoimmune disorder that causes systemic and peripheral swelling.