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EMR > Ch 1-.. > Flashcards

Ch 1-.. Flashcards

1
Q

Who normally gets on the Sean first ?

A

EMR

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2
Q

Who is the first part of the EMS system

A

EMR

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3
Q

How does the EMS system begin ?

A

With a call from patient,family member ,friend or bystander

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4
Q

Where are EMS calls answered ?

A

Public safety answering point

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5
Q

People at the dispatch center are trained as what?

A

Emergency medical dispatchers

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6
Q

How many levels of EMS are there ?

A

4

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7
Q

What are the levels of EMS ?

A

EMR

EMT

Advance EMT

PARAMEDIC

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8
Q

What is an advance EMT JOB consist of ?

A

Is fluid some medications advance airway assessment techniques

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9
Q

Many EMS system provide what kind of system ?

A

Tiered system

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10
Q

What are the different type of specialty hospitals?

A

Trina center

Pediatric center

Burn center

Cardiovascular care center

Stroke center

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11
Q

How many classic components of the EMS system are there ?

A

10

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12
Q

Which states have or has a system that oversees EMS within that state ?

A

ALL states

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13
Q

Who is involved in quality improvement and the development of protocols

A

Medical director

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14
Q

How should EMS providers treat people ?

A

How they would expect people to treat them

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15
Q

What are EMR providers required to do ?

A

Obtain ongoing or continuing education (CE)

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16
Q

Quality improvement committee composed of who ?

A

Members of an organization both administrative and field staff medical director and others

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17
Q

How to prevent errors?

A

Double check important facts and decision
Use pocket reference
Question assumptions
Ask for help or assistance
Debrief calls afterwards and look for ways to improve

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18
Q

What should you do every-time?

A

Make sure he scene is safe

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19
Q

What are the four basic procedures that are used when you encounter danger

A

Cover
Concealment
Distraction
Retreat

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20
Q

What are some hazards that you should look out for on a scene ??

A

Signs of hazardous materials

Signs of wires down in an area

Unstable vehicles

Patients that are in a dangerous place

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21
Q

What are standard precautions?

A

Practices to prevent exposure to disease during patient contact

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22
Q

How could diseases be transferred to EMS providers ?

A

Body fluids

Airborne droplets

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23
Q

How can disease enter the body ?

A

Open wound
Mucous membranes including eye nose or mouth

Or accidental needle stick

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24
Q

What most employers have in place to help prevent exposure to disease long before potential contact occurs

A

Strategic controls

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25
Q

When should you wash hands

A

After any patient contact and anytime gloves are removed

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26
Q

What is the most common PPE used at emergency scene

A

Protective Gloves

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27
Q

Anatomical position

A

A standard used when referring to the location of your patient

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28
Q

Supine

A

Patient laying on her back facing up

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29
Q

Prone

A

A patient laying on her stomach

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30
Q

Right lateral recumbent

A

Patient laying on her right side or (recovery position )

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31
Q

Left lateral recumbent

A

Patient laying on her left side in the recovery position

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32
Q

Medial

A

Towards the midline

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33
Q

Lateral

A

Away from the midline ( ex your thumb is in the lateral side of your hand

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34
Q

Superior

A

Towards the head

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35
Q

Inferior

A

Towards the feet

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36
Q

Distal

A

Farther from the point of attachment

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37
Q

Proximal

A

Closer to the point of attachment the elbow is proximal to the wrist

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38
Q

Anterior/ventral

A

Toward the front ( ex the chest is anterior

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39
Q

Posterior/dorsal

A

Towards the back

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40
Q

Superficial

A

Towards the surface (ex a scrape of your knee)

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41
Q

Deep

A

Farther from the surface

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42
Q

Internal

A

Inside

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43
Q

External

A

Outside (ex burn to palm of hand)

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44
Q

Cranial cavity

A

Cavity that contain the brain (skull)

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45
Q

Thoracic (chest) cavity

A

Cavity that contains the lungs heart great vessels trachea and esophagus

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46
Q

Abdominal cavity

A

This cavity contains the stomach intestines liver gallbladder pancreas spleen appendix and kidney

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47
Q

Pelvic cavity

A

Contains the bladder recriminations and internal female reproductive organs

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48
Q

Anatomy

A

The study of structure of how the body part look

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49
Q

Topographic anatomy

A

Look at the external surfaces and the shapes giving by underlining structures

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50
Q

Gross anAtomy

A

Structures visible to the naked eye such as muscles bone and body organs

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51
Q

Physiology

A

The study of biological functions or how body part works

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52
Q

Homeostasis

A

The body state of balance between all processes

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53
Q

How many systems are in the body’s

A

11

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54
Q

What protects vital organs

A

Then skeleton

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55
Q

How many bones are in a adult skeleton

A

206

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56
Q

Bones are attached to each other by what ?

A

Ligaments

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57
Q

Muscles are connected to bones by what ?

A

Bone tendons

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58
Q

The spinal cord are made up of how many bones

A

33

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59
Q

Cervical spine

A

7 vertebrae support head and neck

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60
Q

Thoracic spine

A

Consist of 12 vertebrae form upper back

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61
Q

Lumbar spine

A

Consist of 5 vertebrae that from the Lower back

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62
Q

Sacrum

A

Consist of 5 fused vertebrae part of the pelvic girdle

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63
Q

Coccyx

A

Tail bone 4 fused vertebrae

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64
Q

Thorax

A

Commonly called rib cage consist of 12 pairs of ribs

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65
Q

What are the first pair of ten ribs attached to ?

A

Sternum

66
Q

Xiphoid process

A

Peace of cartilage

67
Q

Immovable joints

A

Bones at joints are fused together (ex bones in the skull )

68
Q

Slightly movable joints

A

Has a limited range of motion (bones that make up spinal cord )

69
Q

Freely movable joints

A

Has a great range of motion ex (fingers toes elbo and knee… etc

70
Q

Voluntary muscles

A

Skeletal or striated muscles

Move under voluntary control

71
Q

Involuntary muscles

A

Found in airway Respiratory system the digestive track and the blood vessel

72
Q

Where are cardiac muscles found

A

Only found in the heart

73
Q

Ventilation

A

Process of moving air in and out of the body

74
Q

Desperation

A

Exchange of gases in the cells

75
Q

Inspiration

A

Also called inhalation when you breath in air

76
Q

Expiration

A

Also called exhaustion

77
Q

Larynx

A

Superior end of the trachea

78
Q

What are smaller bronchi called

A

Bronchioles

79
Q

Alveoli

A

Located at the end of the bronchioles like a cluster of grapes

80
Q

What is the arteries job

A

Carry blood away from the heart

81
Q

What are capillaries

A

Are very thin blood vessels where where the exchange of gases nutrients and waster between blood and cells occurs

82
Q

Red blood cells

A

Carry oxygen to cells

83
Q

White blood cells

A

Fight infections

84
Q

Platelets

A

Help blood clotting

85
Q

What is the central nervous system consist of ?

A

Brain and spinal cord

86
Q

Peripheral nervous system

A

Contains all nerves that transfer message to and from central nervous system

87
Q

Somatic nervous system

A

Responsible for all aspects that you have control over such as body movement

88
Q

Automatic nervous system

A

Systems such as heart rate respiratory and digestive system

89
Q

What is the body first line of defense ?

A

Then skin

90
Q

The outmost later of the skin is called?

A

Epidermis

91
Q

Area that contains the blood vessels hair follicles and sweat glands oil glands and sensory nerves

A

Dermis

92
Q

What is the inner most layer of the skin called ?

A

Subcutaneous layer

93
Q

What two processes does the digestive system use ?

A

Mechanical and chemical

94
Q

What is the responsibility of the unitary system ?

A

Filtration for the blood removing water salts materials and other waste products

95
Q

What is the kidney purpose

A

Filtration

96
Q

Purpose of the lymphatic immune system

A

Helps defend the body against infection and disease and returns tissue fluids back to the bloodstream

97
Q

What is the purpose of hormones ?

A

Help regulate various system and processes

98
Q

Atmospheric air contains how much oxygen ?

A

21 percent

99
Q

What is the heart rate of and infant ?

A

120-160

100
Q

Respiratory rate of infant

A

30-60

101
Q

Heart rate of a toddler

A

80-130

102
Q

Respiratory rate for a toddler

A

20-30

103
Q

Heart rate for preschool

A

80-120

104
Q

Respiratory rate for preschool

A

20-30

105
Q

Heart rate for school age

A

70-110

106
Q

Respiratory rate for school

A

20-30

107
Q

Adolescent heart rate

A

55-105

108
Q

Respiratory rate for adolescent

A

12/20

109
Q

Cyanosis

A

Blue color

110
Q

Paradoxical motion

A

Broken rips moves in opposite direction or remainder of the chest

111
Q

Oxygenation

A

Refers to the amount of oxygen in the blood that will be carried to the body

112
Q

What is the most common airway obstruction ?

A

The tongue

113
Q

How can the tongue be removed from the back of the throat ?

A

By tilting the head back

114
Q

What device is used to measure how many hemoglobin is actually carrying oxygen at any given time ?

A

Pulse oximeter

115
Q

What other gas doe hemoglobin also carry

A

Carbon dioxide

116
Q

FBAO

A

Foreign Body Airway Obstruction

117
Q

The heart is divided into two upper chambers and two lower chambers called

A

Atria and ventricles

118
Q

When does cardiac arrest happen

A

When the heart stops beating

119
Q

Brain cells begin to die after how long

A

4-6 minutes

120
Q

Irreversible brain damage

A

8-10 minutes

121
Q

Apnea

A

No breathing

122
Q

If an infant is in cardiac arrest where should you check the pulse ?

A

Brachial artery

123
Q

What is the electric rhythm in the heart called ?

A

Arrhythmia

124
Q

What are the two different types of AEDs

A

Fully automated and semi automated

125
Q

PAD

A

Public access difibrillation

126
Q

What is the first part of patient assessment

A

Scene size up

127
Q

What are the 5 major components of scene size up ?

A 
Scene safety
 standard precautions determination 
Resources determination
Number of patients 
Mechanism of injury nature of illness
128
Q

You should begin observation as you approach look for

A

Any signs of fighting
Signs of alcohol or drugs
Unusual silence

129
Q

What can you use to update incoming units of violence

A

Cell phone and radio

130
Q

Mechanism of injury

A

They physical force that cause patient injury

131
Q

General rule for mechanism of injury

A

Then faster the speed involved in the injury or greater the high the more Injury

132
Q

Why is mechanism of injury important

A

Patient only focus on on injury at a time

133
Q

MCI

A

Mass casualty incident

134
Q

Chief complaint

A

Documented in patient own words

135
Q

AVPU

A

Alert

Verbal

Pain

Unresponsive

136
Q

For widely accepted levels or responsiveness

A

AVPU

137
Q

Angola breathing

A

Inadequate breathing

138
Q

When is disability check used ?

A

In trauma patients

Designed to test central nervous system (brain and spinal cord )

139
Q

What kind of questions require patients to give answers better than a yes or no

A

Open ended questions

140
Q

Symptoms

A

What a patient tells you are complains about

141
Q

Sign

A

Something you observe or measure

142
Q 
S
A
M
P
L
E
A

Signs

Allergies

Medications

Past medical history

L last oral intake

E events

143
Q

Taking multiple set of vitals over time is known as what ?

A

Trending

144
Q

A palpable pressure is called what ?

A

Pulse

145
Q

Capillary refill

A

The length of time it takes to refill capillary beds of the skin after pressure force blood out of them

146
Q

Systolic

A

Squees

147
Q

Diastolic

A

Relaxation of the heart

148
Q

Asculatating

A

Listing with your ears or with stethoscope

149
Q

Palpitating

A

Feeling with your hands

150
Q

D

O

T

S

A

Deformity

Open injuries

Tenderness (or pain)

Swelling

151
Q

What can hinder your abilities to find injuries

A

Heavy clothing

152
Q

One set of vitals is called what ?

A

Baseline

153
Q

How often should you take vitals for unstable patient ?

A

Every 5 min

154
Q

How often should you take vitals for patients who appears stable

A

At least every 15 minutes

155
Q

You should continue to monitor patient until what happen

A

Until EMT strive

156
Q

A
B
C

A

Airway

Breathing

Circulation

157
Q

Personal space

A

An area about 3 feet

158
Q

What kind of questions can be answered with one word?

A

Open ended question

159
Q

Run data

A

Administration information

160
Q

Patient data

A

Information gained during your assessment such as physical findings

161
Q

What could be subpoenaed I court

A

Prehospital care report

EMR (2 decks)

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