EMS Chapters Flashcards

You may prefer our related Brainscape-certified flashcards:
1
Q

Airway - The passage by which air enters and leaves the body. Structures of the airway are the nose, mouth, pharynx, larynx, trachea, bronchi, and lungs.

A

Chapter 8 - Airway Management

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Bronchoconstriction - the contractions of smooth muscle that lines the bronchial passages that results in a decreased internal diameter of the airway increased resistance to airflow.

A

Chapter 8 - Airway Management

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Stridor - A high pitch sound generated from a partially obstructed airflow the upper airway.

A

Chapter 8 - Airway Management

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

The main structures of the airway are the nose, mouth, pharynx., larynx, trachea, bronchi, and lungs.

A

Chapter 8 - Airway Management

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Alveolar Ventilation - the amount of air that reaches the Alveoli.

A

Chapter 8 - Airway Management

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Artificial Ventilation - Forcing air or oxygen into the lungs when a patient has stopped breathing or has inadequate breathing. Also call Positive Pressure Ventilation.

A

Chapter 8 - Airway Management

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Cellular Respiration - The Exchange of oxygen and carbon dioxide between cells and circulating blood.

A

Chapter 8 - Airway Management

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Cyanosis– A Blue or gray color resulting from lack of oxygen in the body.

A

Chapter 8 - Airway Management

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Diffusion – A process by which the molecules move from an area of high concentration to an area of low concentration.

A

Chapter 8 - Airway Management

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Hypoxia –An insufficiency of oxygen in the body’s tissues.

A

Chapter 8 - Airway Management

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Pulmonary Respiration–the exchange of oxygen and carbon dioxide between the alveoli and the circulating blood in the pulmonary capillaries.

A

Chapter 8 - Airway Management

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Respiration – The Exchange of oxygen and carbon dioxide between the alveoli and the blood (Pulmonary Respiration) in between the blood and the cells (Cellular Respiration). Also used to mean simply BREATHING.

A

Chapter 8 - Airway Management

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Ventilation – Breathing in and out (inhalation and exhalation), or artificial provision of breaths.

A

Chapter 8 - Airway Management

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Breathing Rates:
Adult 12-20 /min
Child 15-30 /min
infant 25-50 /min

A

Chapter 8 - Airway Management

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Ventilation Rates:
Adult 12-20 /min
Child 20 /min
infant 20 /min

A

Chapter 8 - Airway Management

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

BVM

  • System must have a non-jam valve that allows an Oxygen inlet flow of 15 LPM
  • The valve should be nonrebreathing and not subject to freezing in cold temperatures.
  • Most systems have standard 15/22 respiratory fitting to ensure a proper fit with other respiratory equipment, face masks, and endotracheal tubes.
  • BVM systems without a reservoir deliver approximately 50% oxygen.
  • BVM Systems with a reservoir provide 100% oxygen.
  • The bag itself will hold anywhere from 1002 1600 mL of air.
A

Chapter 8 - Airway Management

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Oxygen cylinders:

When full pressure will be equal to 2000 to 2200 psi.

A

Chapter 8 - Airway Management

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q
The following cylinders are common use care:
D cylinder–350 L of O2
E cylinder–625 L of O2
Fixed systems on ambulances:
M cylinder - 3000 L of O2
G cylinder–5300 L of O2
H cylinder–6900 L of O2
A

Chapter 8 - Airway Management

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q
BVM WITH Reservoir = 100% Concentration
BVM W/O Reservoir = 50% Concentration
Non-Rebreather = 80-90% @ 12-15 LPM
Nasal Cannula = 24-44% @ 1-6 LPM
Partial Rebreather = 40-60% @ up to 15 LPM
Tracheostemy Mask = 8-10 LPM
A

Chapter 8 - Airway Management

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

When performing mouth to mask ventilation on adult patient ventilations should be delivered over 1 second.

A

Chapter 8 - Airway Management

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

When fully pressurized, and oxygen tank should have approximately 2000 PSI on the gauge.

A

Chapter 8 - Airway Management

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

The portable oxygen cylinder that will last the longest in the field, of the choices listed is the E tank. An M tank is not a portable tank.

A

Chapter 8 - Airway Management

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Prior to connecting the regulator to the oxygen supply tank, the EMT should remove the protective seal and open the valve.

A

Chapter 8 - Airway Management

24
Q

The most important part of the patient assessment is the chief complaint.

A

Chapter 12 - Vital Signs and Monitoring Devices

25
Q

Auscultation–– Listening. A stethoscope is used to auscultate for characteristic sounds

A

Chapter 12 - Vital Signs and Monitoring Devices

26
Q

Brachial Artery– The major artery in the arm.

A

Chapter 12 - Vital Signs and Monitoring Devices

27
Q

Brachial Pulse– The pulse felt in the upper arm.

A

Chapter 12 - Vital Signs and Monitoring Devices

28
Q

Bradycardia– A slow pulse; any pulse rate below 60 bpm.

A

Chapter 12 - Vital Signs and Monitoring Devices

29
Q

Carotid Pulse– The pulse felt along the large carotid artery on either side of the neck.

A

Chapter 12 - Vital Signs and Monitoring Devices

30
Q

Diastolic Blood Pressure– The pressure remaining in the artery when the left ventricle of the heart is relaxed and refilling.

A

Chapter 12 - Vital Signs and Monitoring Devices

31
Q

Radial Pulse - Pulse felt at the wrist.

A

Chapter 12 - Vital Signs and Monitoring Devices

32
Q

Systolic Blood Pressure - The pressure created when the heart contracts enforces blood out into the arteries.

A

Chapter 12 - Vital Signs and Monitoring Devices

33
Q

Tachycardia– A rapid pulse rate; any pulse rate above 100 bpm.

A

Chapter 12 - Vital Signs and Monitoring Devices

34
Q

Vital Signs– Outward signs of what is going on inside the body, including respiration; skin color, temperature, and condition (plus capillary refill in infants and children) pupils, and blood pressure.

A

Chapter 12 - Vital Signs and Monitoring Devices

35
Q

Oxygen saturation is NOT considered to be a vital sign, though many EMS providers included with their consideration of the vital signs.

A

Chapter 12 - Vital Signs and Monitoring Devices

36
Q

When taking a patient pulse, you’re concerned with two factors: Rate and Quality

A

Chapter 12 - Vital Signs and Monitoring Devices

37
Q
Normal Pulse Rates:
Adult –60 to 100
Adolescent (11-14) 60 to 105
School Age (6 - 10) 70 to 110
Preschool (3-5) 80 to 120
Toddler (1-3) 80 to 130
Infant (6 - 12 mo.) 80 to 140
Infant (0 -5 mo.) 90 to 140
Newborn 120 to 160
A

Chapter 12 - Vital Signs and Monitoring Devices

38
Q

Pulse Rate:
The normal rate for an adult at rest is between 60 and 80 bpm.
Any pulse rate above 100bpm is rapid (Tachycardia)
Any pulse rate below 60bpm is slow (Bradycardia)

A

Chapter 12 - Vital Signs and Monitoring Devices

39
Q

Respiration - The act of breathing IN and OUT.

Concerning factors include RATE and QUALITY.

A

Chapter 12 - Vital Signs and Monitoring Devices

40
Q

The best places to assess skin color in adults are the nail beds, inside the cheeks, and inside of the lower eyelids.

In infants and Children the best place is to look are the palms of the hands and the soles of the feet.

A

Chapter 12 - Vital Signs and Monitoring Devices

41
Q

SYSTOLIC <— This is THE TOP NUMBER

A

Chapter 12 - Vital Signs and Monitoring Devices

42
Q

Serious low blood pressure is generally considered to exist when the SYSTOLIC PRESSURE (TOP NUMBER) falls below 90.

A

Chapter 12 - Vital Signs and Monitoring Devices

43
Q

In general, a healthy, normal person will have a temperature greater than 96 F and less than 100 F.

A

Chapter 12 - Vital Signs and Monitoring Devices

44
Q

Oxygen Saturation:
O2 Saturation is NOT considered a vital sign.
O2 Saturation is typically 96 to 100% in a normal healthy person.
91% to 95% indicates mild hypoxia.
86% to 90% indicates significant or moderate hypoxia.
85% or less indicates severe hypoxia.

A

Chapter 12 - Vital Signs and Monitoring Devices

45
Q

The pulse oximeter will produce falsely high readings in patients with carbon monoxide and certain other uncommon toes of poisoning.

A

Chapter 12 - Vital Signs and Monitoring Devices

46
Q

Blood Glucose Meters:

A normal blood glucose level is usually at least 60 to 80 mg/dl and no more than 120 or 140.

A

Chapter 12 - Vital Signs and Monitoring Devices

47
Q

The quality of the pulse includes determining the RYTHEM AND FORCE.

A

Chapter 12 - Vital Signs and Monitoring Devices

48
Q

Palpating the blood pressure will read the SYSTOLIC only.

A

Chapter 12 - Vital Signs and Monitoring Devices

49
Q

One of the most important factors that determine the normal range of vitals is AGE.

A

Chapter 12 - Vital Signs and Monitoring Devices

50
Q

How often you repeat the vital signs will depend on the patient’s condition:

1) At least every 15 min. for stable patients.
2) At least every 5 min. for unstable patients.

A

Chapter 12 - Vital Signs and Monitoring Devices

51
Q
SAMPLE
Signs and Symptoms
Allergies
Medications
Pertinant Past History
Last Oral Intake
Events leading up to the injury or illness
A

Chapter 13 - Assessment of the Trauma Patient

52
Q

Although it is important to consider Mechanism of Injury, a better and more accurate way to look at this is to consider Mechanism OR Injury. This is because not just the Mechanism of injury must be assessed, but also actual injuries to the patients must be assessed in form in a complete evaluation of the severity or potential severity of the patient’s condition.

A

Chapter 13 - Assessment of the Trauma Patient

53
Q

No Significant Mechanism of Injury:
AFTER SCENE SIZE-UP AND PRIMARY ASSESSMENT
1.) Determine Chief Complaint and elicit information about how the patient was injured. (History of present illness).
2.) Perform Secondary Assessment badeas on the chief complaint and the mechanism of injury.
3.) Assess baseline vital signs.
4.) Obtain a past medical history.

A

Chapter 13 - Assessment of the Trauma Patient

54
Q

Significant Mechanism of Injury:
AFTER SCENE SIZE-UP AND PRIMARY ASSESSMENT
1.) Determine the chief complaint and rapidly elicit information about how the patient was injured (History of the Present Illness).
2.)Continue manual stabilization of the head and neck.
3.) Consider requesting advanced life support personnel.
4.) Perform rapid trauma assessment.
5.) Assess baseline vital signs.
6.) Obtain a past medical history.

A

Chapter 13 - Assessment of the Trauma Patient

55
Q
DCAPBTLS
Deformities
Contusions
Abrasions
Punctures
Burns
Tenderness
Lacerations
Swelling
A

Chapter 13 - Assessment of the Trauma Patient

56
Q

Signs and Symptoms -

SIGN is OBJECTIVE - Something you see, hear, feel, and smell when examining the patient.

A

Chapter 13 - Assessment of the Trauma Patient

57
Q

Signs and Symptoms -

SYMPTOM is SUBJECTIVE - an indication you cannot observe but that the patient feels and tells you about.

A

Chapter 13 - Assessment of the Trauma Patient`