1 Flashcards
What is a glucometer
Used to check a patients blood sugar
What is a pulse oximeter
Measures the percentage of oxygen the patient has in his/her blood (hemoglobin)
What are the rates for normal pulse oximeter
…
What does it mean when a patients pupils are unequal?
Indication of a serious head injury or stroke
What are the steps of a patient assessment plan?
Scene assessment, primary assessment, secondary assessment, patient history, ongoing assessment, hand-off report
What are included in the primary assessment?
General impression, LOC, ABC, EMS update
You arrive to a scene and it involves hazardous materials what is your next step?
You call for HazMat team
The first 60 minutes following an accident are know as the what,
“Golden hour”
The long bone of the forearm, on the thumb side is called
Radius
Outermost layer of the skin is
Epidermis
Which body systems produces hormones?
Endocrine system
What are the 2 main portions of the skull?
Cranium and face
The inferior most portion of the sternum is the
Xiphoid process
What is considered part of the lower extremity?
Femur…
How many lobes do the right and left have together?
5
The term that means nearest the torso is
Proximal
When determining the chief complaint of a conscious patient it’s better to do what first
Ask the patient and have him tell you in his own words
What mnemonics should be used for pain
OPQRST
What’s the normal response of the pupils when exposed to bright light
Constrict
When taking blood pressure the cuff should be inflated to what point
20-30 mmHg beyond the point where the pulse disappears
BSI term
Body substance isolation
What is the patella
Kneecap
Where is the femur
In thigh, bone
What do you use during primary assessment to LOC?
Use mnemonic AVPU(alert,verbal,painful, unconscious)
What to do:
If a patient is unconscious and after observing no breathing, gasping respiration’s
Skip airway and breathing assessment, go to pulse check and begin CPR.
Unless pulse is there follow primary assessment
What to do:
- When a patient is unconscious and no airway status what is the next step?
- Unconscious but signs of trauma what is the next step?
- Use head tilt chin lift
2. Use jaw thrust
What pulse point to use for a conscious patient?
Radial pulse
What pulse point to use for a unconscious patient and no radial pulse?
Carotid pulse
What consists of a secondary assessment?
(Head to toe)
Head, neck, chest, abdomen, pelvis, extremities, vital signs
Medical vs. Trauma patient examination %?
Trauma: 80% hands on, 20% questioning
Medical: 80% questioning, 20% hands on
What’s part of vital signs ?
Respiration, pulse, skin, pupils, blood pressure
Special masks or respiration’s help prevent the spread of?
Tuberculosis
An unconscious man is found in a ditch near a bar. You can smell alcohol on his breath and it is cold outside. The first thing you should do is:
Move him to a warm environment
You’ve done a scene survey and found it safe. You find a 62-year-old man unconscious non-breathing lying on the floor. After sending your partner for the AED what is the next thing that you should do?
Start chest compressions
Immediately after the AED has given the first shock you should?
Resume CPR
When suctioning the airway you should not suction for more than
15 seconds
Do you have a patient that is breathing at 34 shallow and laboured what is your next step
Delegate your partner to give the patient oxygen via NRB at 15 L/min
Your patient is sitting upright leaning forward with her hands resting on their knees. This position is called
Tripod position
You have a patient who has cool and clammy skin what are they suffering from?
Shock
The most important reason for controlling external brain is to
Prevent shock
What is AEIOUTIPS
Alcohol/acidosis Epilepsy/environment Insulin/ischemia Overdose Underdose/uremia Trauma Infection Psychological Shock/stroke
What does OPQRST?
Onset Provoke Quality Radiation Severity Time
Patient with chest pain looses his pulse, you start chest compressions and what else?
With supplemental oxygen with pocket face mask or BVM (bag value mask)
What are common forms of COPD?
COPD: chronic obstructive pulmonary disease
Forms, emphysema & chromic bronchitis
Infant orientation of the adult face mask is REVERSED
Narrow part to nose. And the broad chin part reversed
What pulse point to use for an infant?
Brachial pulse
What pulse point to use in a child?
Carotid pulse
What is included in a patient hand-off?
- age, sex of patient
- chief complaint
- LOC using AVPU
- airway and breathing status
- circulation status
- secondary assessment findings
- SAMPLE history
- treatment, interventions, patients response to them
What is a AAA medical emergency?
Abdominal aortic aneurysm
Signs/symptoms of an AAA medical emergency ?
Fast pulse, low BP, back pain (described as a tearing sensation)
Narcan/naloxone
What does ‘q’ mean in a pharmacology?
Every
Signs & symptoms of anaphylactic shock?
Acute respiratory obstruction, circulatory collapse
A man is in anaphylactic shock and breathing is adequate what is your next step?
Deliver oxygen by non-breather mask
Unless he needs artificial ventilation use BVM(bag-value mask)
In EMS the term ‘medical status’ refers to
The patients level of awareness of his surroundings
When auscultation blood pressure, you should first find the ___ artery to listen over
Radial or brachial
What are the 3 c’s and e?
Colour
Clarity
Concentration
Expiry date
What are the 6 rights?
Right PATIENT Right DRUG Right TIME/DATE Right DOSE Right ROUTE Right DOCUMENTATION
What are the 5 stages of grief?
Denial Anger Bargaining Depression Acceptance
2 main groups of “defence mechanism”?
Beneficial
Detrimental
What is an MVA
Motor vehicle accident
What is TIC? and DCAPBLS? When is it used?
Tenderness
Instability
Crepitus
Deformities Contusions Abrasions Penetrations Burns Lacerations Swelling
In head to toe exam
What do you do in a head to toe exam
…
A patient is grey and diaphoretic what is this a sign of?
Shock
Parenteral drug administration includes what routes?
Inhalation, intravenous, intramuscular, (non-oral)
Which route would a oral or rectal administration of a drug be?
Enteral route
Contraindications of ASA
Hypersensitivity and active ulcer disease, asthma
The dose for oral glucose is
25g
What substance will neutralize a poison or its effects is called a
Antidote
What occurs to blood vessels during anaphylactic shock?
Dilation
Croup sounds like what
Bark like cough
Placenta Previa
Is when the placenta is implanted over the opening of the cervix
What is the max per leg with a traction splint?
It’s 15lbs
And 10% of body weight
The blood pressure of the patient is 80/60. What type of shock results from internal and external bleeding?
Hypovolemic
During the Assessment of the chest to find a sucking chest wound. The next step you would take is?
Apply an occlusive dressing
A mid shaft femur fracture would be splinted with a
Traction splint
Coup injury is
The brain injury on the side of impact
For an open chest wound, leave one side of AN occlusive dressing un-taped to what?
Permit air to escape as the patient exhales
Are you dressing use the form an Airtight seal is called
Occlusive dressing
What is the most effective way to control external bleeding?
Apply direct pressure using a dressing
You arrive on scene to find an 18-year-old man who has been ejected from his vehicle. The first step in treating this patient is
Take C-spine control
Treatment for shock includes
Rapid transport, elevate the legs, keep patient warm
What describes the medical condition of shock?
Delayed capillary refill
What should be done before and after the application if every splint
Assess circulation distal to the injury
Which dressing would you apply to an abdominal evisceration?
A moist dressing that will not adhere to the wound
What is the dose of Naloxone (narcan)
2.0mg
Show Fowler’s position
(High)Angled 90, standard 60 angle, semi 30-45
What is the medical condition describing shock?
A state of inadequate tissue perfusion
Which organ secretes insulin after a person eats a large meal
Pancreas
What position to put for shock
Trendelenburg position