Special Challenges Emergencies Flashcards Preview

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Flashcards in Special Challenges Emergencies Deck (61)
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1

Physical Abuse

Defined as intentional act such as striking, hitting, or biting a child that results in injury

2

Neglect

Four times more common than physical abuse

3

Sexual Abuse

Inappropriate dressing, touching to disabled patients

4

Emotional Abuse

Children, dependent elderly, and other vulnerable people
Causes substantial emotional response in behavior in children

5

Recognizing Neglect or Abuse

Child who does not become agitated
Who does not look for parent reassurance
May cry excessively or not at all
-80% of head injuries in patients younger than 2 years is a result of abuse

6

Mongolian Spots

Lesions that resemble bruises typically on buttocks or back that present at birth

7

Benign Injuries

Coining and Cupping
-rubbing hot coins
-warm cups on skin pull out illness

8

Management of Abuse/Neglect

First priority: self safety
Second priority: provide optimal clinical care to patient
Don't make hasty assumptions
Document situation!

9

Mandatory Reporters

EMS is mandatory reporters of child abuse and neglect

10

APS

Adult Protective Services
-for neglected or abused children

11

Terminal Illness

Disease that is expected to cause death within 6 months

12

Curative Care

Continuous aggressive medical care that attempts to prolong life

13

Palliative Care

"Comfort Care"
Focus on improving the quality of the time that the patient has left

14

Hospice

Program that provides social and emotional support
May receive at home, hospital and long term care facilities

15

Surrogate-Decision Maker

Legally authorized to make health care decisions for that patient when patient is not able to to make them for them self

16

Communicable Diseases

Medical conditions that can be passed from one person to another by variety of modes
-gloves and eye wear mandatory

17

Tracheostomy Tubes

Long term replacement for ET tubes
-passes below the thyroid cartilage into the trachea
-needs humidified and warmed air
-Obturator: rounded tip that extends out the bottom end of the trachea
-follow DOPE acronym for trouble shooting trach tubes
-have patient that deep breath or preoxygenate before entering suction into tube

18

Fenestrated

Teach tube that has holes present in outer and inner canulas

19

False Lumen

If suction catheter meets resistance outside of cannula it may be displaced

20

Stoma

Incision from which a trach tube has been insrted

21

Diaphragm/Phrenic Nerve stimulators

New technology that stimulates the process of breathing for a patient without an external device

22

Asynchrony

May occur when breathing is stimulated and is being ventilated by EMS

23

VAD's

Ventricular Assist Device
-receive devices while awaiting a heart transplant
-connected to either both or right or left ventricles

24

Apnea Monitors

Infants with high risk of SIDS have one
-usually have ECG tracings

25

Long Term Vascular Access Device

May have central lines in place
-many are maintained with chemical heparin
-obtain med control before using one
-remove 10ml of blood before flushing to remove heparin

26

Insulin pump

Titration insluin into the body for diabetics

27

Tube Feeding

Placed into small intestine or into stomach

28

Colostomy

Directs large intestine out through an opening in the wall called a stoma
-stool and intestinal liquid is drained from the intestines

29

Urostomy

Part of urinary system is diverted through an opening in the anterior abdominal wall, called a stoma

30

Urinary Catheterization

Not able to void urine on their own
-mask, goggles and gloves
-keep catheter very sterile!
-coat catheter with gel substance
-hold penis at ninety degree angle
-when urine present, insert 1cm more or until it reaches Y of tubing
-Inflate ballon and gently pull back until feeling resistance