Chapter 6-Integration Flashcards
(Types of heat loss) what’s radiation?
This is the primary way the body loses heat, it involves emission of infrared radiation, similar to how a fire emits radiation of heat. 🔥
Convection heat?
Heat is transferred from the body to surrounding air or water through movement of those fluids. Ex- sitting in front of a fan, moving air carries away the heat from your body. 🪭
Conduction is what?
Occurs when heat is transferred through direct contact between the body and another object. Sitting on a cold metal bench, heat will transfer from your body to the bench. 🥶
Evaporation?
Happens when water on the skin (like sweat💦) turns into vapor absorbing heat in the process. This is an effective way to cool the body especially during exercise or in hot weather 🌡️
Reasons to terminate CPR in a prehospital environment?
•Valid DNR is presented
•irreversible death signs are present
•Higher level of care is provided
•effective spontaneous circulation and ventilations are restored
Pain can be classified as?
Acute, chronic
The ____ nervous system is activated in the face of pain?
Sympathetic
Chronic pain is defined as?
Pain lasting longer than 6mo
Management of pain does what for patients?
Reduce energy consumption, allowing the body to rest + heal.
As an EMR you must assume
The role of health educator
Cardiopulmonary examination is what?
Lung sounds, jugular vein distension (JVD), pedal edema and EKG are included in this assessment 🚑
Obstetrics examination?
Check for crowning in a woman in labor
Neurological examination?
Assess Cincinnati stroke scale, cranial nerves, sensory and motor function of the extremities.
Rapid trauma examination?
Provided for trauma patients with significant MOI (method of injury) 🩸🤕
Physical examination
Provided for every patient on the ambulance 🚑❤️ 🩺
Detailed physical examination
Provided en route to hospital 🏥 typically a re assessment
Steps for a two responder CPR (adult)
1) open airway, use head tilt, chin lift or modified jaw thrusts
2)check for breathing 🫁
3) check carotid Pulse. max 10sec
4) one responder begins compressions, counting out loud
5) one responder gets AED and attaches it to patient for analyze
6) if shockable rhythm administer one shock
7) if non shockable rhythm immediately following shock, begin 5 cycles of 30 compression and 2 ventilations.
8) repeat 6,7&8 until rosc or ALS arrives. 🚑
What are the responsibilities of a code team leader?
EKG analysis
Give IV or IO medication
Help transition from BLS to ALS airway.
Reassessment after each CPR cycle
What’s gestational diabetes?
Increased maternal insulin production results in increased placental production. Which leads to an imbalance of mothers insulin and glucose production. 🤰
Pregnant women present with higher Pulse rate? 🫀
True!
When a pregnant woman goes into labor, the position she’s in stresses the cardiovascular system?
True
A BGL level of 4.2 mmol/L is within normal range?
True
If extensive resuscitation is needed for a neonate, optimally baby will transition to second ambulance 🚑 equipped with neonate transport incubator?
Correct
What IS NOT an inflammatory disorder of the heart?
Hypertension 🫀
Which of the following is an acute coronary syndrome of the cardiovascular system?
Angina 🫀🫀
Injuries to the chest in elderly people are much more likely to produce?
Rib fracture and flail chest 👵
What condition is more likely to cause incontinence?
Seizures 🤯
You’re first on scene, patient needs their leg splinted due to a fracture. After splinting you notice decreased pedal pulse, change of sensation and discomfort. Dispatch radios that your advanced medical care is still 45min away. What do you do???
Make a single attempt to straighten the limb with the patients willingness 🚑
What results when excess insoluble salts or uric acid crystallize in the urine?
Kidney stones 🪨😷
What’s caused by excess cortisol production by the adrenal glands or by excessive use of cortisol or similar steroid hormones?!
Cushing syndrome
What secretes digestive enzymes as well as the hormones glucagon and insulin which are responsible for regulation of blood glucose levels?
Pancreas
Chest pain or discomfort that occurs when the heart muscle doesn’t get enough oxygen rich blood often due to narrowed or blocked arteries and it’s a symptom of coronary heart disease.
Angina 🫀 😢
What is innervated by the phrenic nerve c3 c4, c5. 🦴 🩻
Diaphragm 🫁
Why trauma in elderly people may lead to unsuccessful recovery?
Reduced cardiac reserve, decreased respiratory function and impaired renal activity
3 risk factors for drowning and submersion?
Alcohol and drug use
Ineffective safety barriers (lock and gates)
Inadequate supervision
What’s cold diuresis?
Your body’s way of responding to cold temps by making you urinate more. Blood vessels constrict to push blood to your core organs . increased BP to regulate BP.kidneys filter more fluid from blood resulting in increased urine production and greater urge to urinate 🚽
2 most common gynecologic infection that affect women are UTI and vaginal yeast infection?
False. It’s BV and yeast infection
Most common cause of amenorrhea is pregnancy?
True 🤰👶
Exposure of disease means infection?
False
Vaccination against measles mumps and polio are natural immunity?
No. Vaccinations are acquired immunity 💉
When managing a violent patient, Stand to the side at 45 degree angle and maintain approx 2 arm lengths of safe zone
True
If a restraint patient is spitting one option is to put a oxygen mask on them?
True
Why should you monitor infants closely for apnea? 🍼
Infants have smaller functional residual capacity, fewer alveoli and metabolize oxygen more rapidly.
Limit suctioning of a stoma to?
10 seconds
You encounter an adult with severe facial trauma, breathing inadequately and has severe oropharyngeal bleeding. What’s the best treatment?
Suction the airway for 15seconds, provide positive pressure ventilation for 2mins
What are common injuries in motorcycle accidents 🏍️
Bilateral femur fractures and foot injuries 🤕
If a tourniquet is applied too loosely it’ll??
Increase bleeding, if it occludes the venous return without hampering with arterial flow.
How do you treat superficial burn to feet?
Soak in cool water 💦
What treatment is beyond your scope that’s needed for seizures??
Diazepam
What is the mainstay management of altitude sickness?
Oxygen, decent, evacuation. 🏔️
A child in mild respiratory distress will be?
Alert and awake ✨
What sound indicates your patient needs suctioning?
Gurgling
What step IS NOT a part of panic disorder management?
Do everything for the patient so they can focus on breathing 🫁
What’s an appropriate tool to use if a child is too small for a c collar?
Use rolled up towel and blankets
To cool the burn of a patient burned on 50% of the body’s surface area, paramedic should?
Apply cool water, cover the patient with sheets
A patient says they’re suicidal and depressed but has an expression less face, this is what condition?
Altered affect 😢
What statement about hyperthermia is most correct?
Respiratory depression and irregular heart rhythm,at present with an internal temp around 30 degrees celsius.
What’s psychosis??
Severe mental condition characterized by a loss of touch with reality 😜
What childhood condition isn’t contagious?
Prickly heat rash
What’s the best indication of death 💀☠️
Lividity and rigor mortis ⚰️💀
Most common cause of hypovolemic shock in children?
Dehydration
What’s not a major function of the blood?
Acts an isotonic volume expander
What acronym is used to assess patients neurological function is?
GCS Glasgow coma scale ⚖️
