EMSITE 2 Flashcards

1
Q

Things to prevent cold weather illness

A

Avoid caffeine and alcohol
Maintaining hydration
Layering clothing
Staying dry

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2
Q

Recommended decontamination

A

Clothing removal prior to showering

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3
Q

SALT interventions

A

Control major hemorrhage
Open airway
Chest decompression
Use of autoinjectors

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4
Q

Nicotinic effects

A

Muscle fasiculation
Tachycardia
Hypertension
Paralysis

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5
Q

Medical reserve corps

A

national network of local groups of volunteers that include medical and public health professionals and others who are identified, screened, trained, and organized to improve the preparedness and response capabilities of their local jurisdiction

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6
Q

FEMA USAR teams expected to be able to operate self sufficiently for how long

A

72 hours

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7
Q

Radiation decreases by what in distance

A

Square of the distance from the source

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8
Q

5 Stages of disaster

A

Prevention
Planning
Mitigation
Response
Recovery

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9
Q

What is the posse comitatus act

A

Prevents military from being directly involved in law enforcement activities
Coast guard and national guard exempt

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10
Q

Sports drink recs

A

Contain less than 15 grams of simple carbs per 8 oz
Solutions should not exceed 350 mOsm/liter

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11
Q

Lewisite smell

A

Geraniums

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12
Q

How does Pralidoxime (2-Pam) work

A

reactivates acetylcholinesterase

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13
Q

Airborne pathogen must be smaller than what size

A

5 microns

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14
Q

What CN antidote causes methemoglobinemia

A

Amyl nitrite

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15
Q

Most important risks to consider when asking for waiver of informed consent

A
  1. Medical
  2. Confidentiality
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16
Q

3 levels of protection in the common rule

A

Federal - Institutional assurance of compliance
Institutional - IRB
Investigator - informed consent

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17
Q

Type II error usually caused by

A

inadequate sample size

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18
Q

What is required when records are linked without patient identifiers

A

Probabilistic linkage - links two or more de-identified data sources using data elements

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19
Q

Analytical studies involve

A

analyzing sample data for the purpose of understanding a causal formation of the population

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20
Q

Benchmarking

A

Preferred process used to identify and understand elements or indicate of superior performance in a particular process

21
Q

Prevalence effect on PPV

A

Increases with increased prevalence
But NPV decreases

22
Q

Do immunity statutes prevent a lawsuit from being filed against result of QI?

A

No, but they increase chances of the case being dropped

23
Q

Echelon 1 of military care

A

Self/Buddy Aid, Combat Lifesavers, Combat Medics, and the Battalion Aid Station

24
Q

Most medical helicopters fly at what altitude

A

1000-2000 ft

25
Q

When can you transfer an unstable patient

A
  1. the patient requests the transfer, after being fully informed about the risks and benefits of the transfer
  2. the sending hospital is unable to provide a service that the patient urgently needs
  3. the hospital has found another hospital that can provide the needed care and explicitly agrees to accept the patient
26
Q

3 disruptive adult learners

A
  1. Sturdy battler - challenges leadership role of the teacher
  2. Friendly helper - attempts to have all the answers
  3. Rigorous thinker - can force class into unnecessary depths of understanding
27
Q

Practice level that provides an option for high benefit, low risk advanced skills

A

AEMT

28
Q

Value quotient

A

Quality / Cost

29
Q

What can employers due that does not violate pregnancy disability act

A

Employers can conduct an individualized assessment of the employee’s ability to do essential job tasks, conduct an independent medical examination of the employee’s medical fitness, or use engineering controls and personal protective equipment to limit exposures

30
Q

HBsAg tests for

A

current presence of infection

31
Q

HBsAb or anti-HBs tests for

A

demonstrates immunity (following infection or vaccination)

32
Q

Anti-HBc tests

A

Shows you have been infected with Hep B in the past or are currently infected

33
Q

Hep B known non responders should have what

A

Repeat of 3 dose vaccine series

34
Q

How to perform corkscrew maneuver

A

rotate the shoulders while suprapubic pressure is being applied

35
Q

3 scary things not transmitted thru human to human contact

A

Bubonic plague
Botulism
Anthrax

36
Q

Most common presentation of Variola

A

Ordinary
Variola is smallpox

37
Q

Why would vasopressin be bad in an LVAD patient

A

Increases after load, worsening pump flow

38
Q

Why is fentanyl best pain med in snake bites

A

No histamine release - won’t confuse for envenomation

39
Q

Most sexual assault evidence collection goes up to

A

72 hours

40
Q

Most common traumatic indecent affecting pregnant patients

A

MVCs

41
Q

Pretreatment against nerve agent exposure

A

Pyridostigmine

42
Q

Axillary nerve motor and sensation

A

Motor: Deltoid
Sensory: Lateral shoulder

43
Q

Impedance threshold device

A

One way valve that permits exhalation during downstroke of chest compression but prevents passive inhalation in upstroke

44
Q

Txa inhibits what

A

Conversion of plasminogen to plasmin
Preventing clot breakdown

45
Q

Advantages to unipolar splint

A

Avoids compression of sciatic nerve
Provides better alignment
More compact

46
Q

Acetazolamide effect for prevents of AMS

A

Metabolic acidosis by stimulating kidneys to excrete bicarb into urine, leads to a compensatory respiratory alkalosis

47
Q

What does phosgene form when combining with water

A

Hydrochloric acid

48
Q

UOP goal in burns

A

30-50 ml/hr in adults
1 mg/kg in children

49
Q
A