6 Flashcards
When checking Lower Extremities for Paralysis; Paramedics should ask the patient to
Wiggle their Toes
When doing a halo test; what are you looking for
CSF
When moving a patient by the Four Man Log Roll; the First step of the paramedic should be to
Stabilize C – Spine
When Palpating the Abdomen
Palpate Quadrant that Hurts Last
When starting a tourniquet; it is applied so
It occludes Venous return but allows arterial flow
When Triaging; the highest priority is
Sucking chest wound
When using a chair to carry the patient down the stairs; you must first
Test the chair to make sure it is strong
When ventilating a patient with a head injury; the ventilation rate should be
20 - 24 BPM
Which Drowning causes Hemodilution
Fresh Water
Which is Not a normal emotion for a patient at a MCI
Paranoia
Which of the following is the responsibility of the paramedic when Triaging MCI
Prioritizing Casualties
Which of the following would you expect Fattened Neck Veins
Hypovolemia
Which one of the following is the Responsibility of the Paramedic when Triaging Mass Casualty
Prioritizing Casualties
Which soft tissue injury causes the most bleeding
Avulsion
Which would you treat last
Spinal; Arterial hemorrhaging; Airway Obstruction; Sucking Chest Wound?
While on site of a plane crash with multiple casualties; the person that would Not receive a high priority is the person in
Cardiac Arrest
Who would be the one in charge of a medical MCI scene
Incident Commander
Why does spinal injury cause No Diaphoresis
Because it lost its stimulation of sympathetic
Worst critical patient at MCI
Amnesia; Crying; LOC
You find clear fluid coming out of patients ears; you suspect
Basilar Fracture
You have a patient with head trauma and signs of shock
You look elsewhere; Shock is Not due to head trauma
You have arrived on the scene of a building collapse involving at least 30 patients. One patient in cardiac arrest. The first paramedic on the scene should classify the patient as
Lowest Priority
You should Palpating the Abdomen
Area that hurts goes last
Your index of suspicion is based on mechanism of injury in regards to what
Extent of patient injuries
Your Job in Triage
To Prioritize patients
Re-entry may cause premature beats or Tachydysrhythmias
(PACs)
CHF
left ventricle damage
Drug that is a positive inotrope
increases the force of cardiac contractions; contractility
Maternal blood volume increases
0.4
On-line radio contact between medic and medical control DOC
direct medical control
Major complication of thrombolytic therapy
bleeding out
Pulmonary ventilation to remove excess CO2
normal balance
Hemoglobin
iron containing compound; transport O2
Civil wrong
tort
Epidural hematoma
LOC; regains consciousness then fades away towards AMS
Drugs go through a
mini-drip set
Syncope is associated with
heart blocks
P waves get wider until QRS drops
Mobitz II; wenkebach
GCS
eye opening4; verbal response5; motor response
Palpate ABD quadrant with
pain; injury last
Clear fluids from nose
poss. basilar skull fracture
Anaerobic
lactic acid
Chemical mediator for parasympathetic
acetylcholine
Near drowning
manage hypoxia/acidosis
Eyes don’t move in unison
dysconjugate gaze
Increased ICP
decreasesed pulse; increasesed BP; decreasesed respirations; Cushing’s reflex
Prolonged P-R interval
1st degree block
Reciprocity
agency recognizes certification/comparable standards from another agency
Burn victims lose
plasma; fluid
Adrenal glands secrete
EPI and NorEpi
Visceral pleura covers
the lungs
Acetycholine and oxytocin are secreted by the
pituitary gland
Elavil and Tofranil are two common
tricyclic antidepressants
Duplex system
simultaneous transmission and reception
Encourage coughing with a
partial airway obstruction in adults
Abruptio placenta
premature separation of the placenta from the uterine wall
Cerebrum controls
Thought; personality; speech; motor control; learning; posture; memory
Glucagon releases/breaks down glycogen from the
liver
Droplets spread
measles; mumps; chicken pox
Excretory function of the blood is to remove
waste; lactic acid; from the cells
Pull EOA out when
the ET is in placed with the cuff inflated
Decerebrate posturing
extended extremities
Blood loss replacement
3 times the volume lost
Half-life
time it takes for half of a radioactive substance to lose its radioactivity
PaCO2 regulates
respiration (Partial pressure of CO2 in the blood)
Spontaneous pneumothorax S/S
sudden pain of short duration and SOB
Concussion
brief LOC followed by complete return of function
Do not stop bleeding from ears/nose due to head injury
because the bleeding relieves pressure
MVC patient with HR 120; BP 40 palp
hypovolemic shock
Frequent urination is NOT a sign of
kidney stones (UTI sign)
Deep regular respirations are NOT a sign of
shock
If you lose 300 mL of blood replace with
900mL or ringers
Abdominal muscle flexion on palp
guarding
IV complications
phlebitis and emboli
Contraindications for Verapamil
PE; Cardiogenic shock
Homeostasis
body’s tendency to stay constant
For an adult having an asthma attack the treatment is to
stop bronchial spasms
On-line DOC in charge unless on-scene DOC agrees to
accompany the patient
Seizure patient is a priority if
they do not respond between seizures
Adenosine is used for
PSVT
Durable power of attorney
someone else can make decisions for you
Patient in PE; IV started next you administer
0.4mg of nitroglycerine
Asthma is NOT a contraindication for
Verapamil
MCI first to go
thirsty and anxious
MCI last to go
spinal injury
Ascites
fluid in the abdomen
The Good Samaritan Law protects the
Paramedic off-duty
Responsibility of a paramedic is the
Duty to Act
Intent NOT required to prove
negligence
Elements of negligence
duty; breech; cause; and damage
Pulse is the quickest way to check
circulation
Kussmauls respirations
rapid deep gasping breathing associated with DKA
Battle’s signs
Ecchymosis over the mastoid process
Cerebral hypoxia SX
bilateral dilated pupils
Central venous pressure
right arterial pressure
Baby delivers in a “bag of water”
puncture the bag with your fingers and uncover the baby’s face
Fluid bolus for a neonate
10-20mL per kg
COPD patient with hypoxia drive’s breathing is triggered by
decreasing O2 in the blood
2nd stage of labor begins with
the dilation of the cervix and ends with delivery of the fetus
Immobilize a shoulder injury with
a sling and swath
Patient left unattended at the ER to respond to another call
abandonment
Emphysema SX
pink puffer
AAA treatment
2 big IV’s
Disadvantages of thrombolytic therapy
cost and uncontrollable bleeding
Flattened neck veins
possible hypovolemia
MVC; airbag did not deploy
disconnect battery cables
Patient with rales; SOB; no pedal edema
pulmonary edema
Hypercarbia
increasesed CO2 in the blood
Carotid artery perfuses
the head
Nasal Cannula delivers
28% O2
BP decreases during
pregnancy
C1 vertebrae is known as
the atlas
The upper area of the uterus is the
fundus
Where to cut the cord
8 inches from navel; then 2 inches
Anaerobic metabolism is caused by
lack of O2
Heat cramps SX
cramps; hot; sweaty; normal BP; tachy
Heat exhaustion SX
cool; clammy; nausea; vomiting; orthostatic BP
Heat stroke SX
dry skin; syncope; weak pulse; hypotension
Patient is tachy and talking fast suspect
amphetamines
Pink puffers
emphysema
Blue bloaters
Chronic bronchitis
Both pink puffer and blue bloaters
COPD
ASA overdose SX
tinnitus; headache; hyperventilation; agitation; confusion; lethargy; diarrhea; sweating
Boy held dry ice for 5 minutes; treatment
immerse in warm water (100-105)
Medic gives med’s per who’s orders
written protocols or on-line direction
The incident commander is in charge of
an MCI
Index of suspicion is based on
mechanism of injury (MOI) in relation to the extent of patient injuries
Adult male sitting at a 45 degree angle with distended neck veins
possible right heart failure
Beta 2 stimulation
increased respirations/Bronchodilation
The glottic opening is the narrowest part of the
adult airway
Ventilate a head injury
20-24 times a minute
Grava
number of pregnancies
Para
number of births
EPI does not increase
myocardial O2 demand
Amenorrhea (absent of menstruation) is an early sign of
pregnancy
Atropine can cause
blurred vision
Tendons connect
muscle to bone
Dialysis is the removal of
toxins through a semi-permeable membrane
Hemotoxin
toxin in the blood
White pallor to skin color
peripheral vascular constriction
Atelectasis
collapse of alveoli
Adenosine slows conduction where
in the AV node
Wide bizarre QRS in monitor
V-Tach
Saltwater drowning can cause
PE and CO2 retention
Sympathetic stimulation
vasoconstriction and increased HR
Effusion
the escape of fluids into a cavity
DT’s time frame is
24-48 hours
Bicarb is the body’s
principle buffer
Death generally occurs
1 hour after MI (maybe 2-3)
OSHA regulates
disease control
In PED’s start the assessment from
Toe to Head
PH above 7.45
alkalosis
The most common type of rural MVC is
frontal
The alveoli are kept open by
surfactant
Toxemia of pregnancy treatment
Mag sulfate
Transport of a scuba diver
in the left lateral recumbent position
Restrain a patient prone
one arm overhead; one by the side and ankles together
Braxton-hicks or false labor cannot be determine where
in the field
TB SX
weakness; night sweats; fever; rapid weight loss; cough w/blood
To check for paralysis ask patient to
wiggle toes
Karposi’s sarcoma
purplish/blue lesions associated with HIV
The triage nurse is responsible for
sorting patients in the ER
Psychotic patients are not in touch with
reality
NPA inserted rapidly
bypasses tongue; used with gag reflex NOT with basilar skull FX
If a medic affected by an MCI
assign him a different single simple task
Decon patients in the
warm zone
Delivery imminent if
contractions are 1-2 mins apart
Primapara
1st delivered child
Ectopic pregnancy
implantation of a fertilized ovum outside the uterus. SX…….shoulder pain
Placenta previa
attachment of the placenta low in the uterus so it covers the internal cervical opening
Mania is a mood characterized by
great excitement/activity
Subluxation
dislocation of a joint
Cerebellum
motor control; balance; coordination
Medulla oblongata
pulse rate; respiration; BP
Narcan reverses the respiratory depression of
darvon
Arm muscle for IM injection
deltoid
Head injury with left pupil dilated; right pupil slow to respond to light
neuro crisis
Use the jaw thrust to open the airway of a
trauma/C-Spine patient
Epiglotitis SX
rapid onset; no bark; drooling; painful swallow; high grade fever; bacterial
Croup (Laryngotracheobronchitis) SX
slow onset; barking cough; low fever; viral
Newborn treatment
position; suction; stimulation (Do What Seems Sensible—Dry; Warm; Suction; Stimulate)
Gel for paddles
decrease resistance
Babies double birth weight in
6 months
SIDS most prevalent from
1-12 months
Gestational diabetes
diabetic problems during pregnancy
Antepartum
prior to delivery
Diffusion
substance from high to low
Osmosis
fluid from low to high
SQ injection goes into the
fatty tissue
Flail chest
free movement of a segment of ribs
SX respiratory distress
nasal flaring; tracheal tugging
Contrecoup injury occurs
opposite the side of impact
Parenteral route of med administration
SQ; IM; IV; IO; ET
A thrombus from deep in the leg veins could migrate to the
lungs. DVT; P embolus
Diving air embolism SX
joint pain; tingling in the legs; abdominal pain
Organophosphate poisoning SX
SLUDGEM
