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Final Week > EMSITE practice 1 > Flashcards

EMSITE practice 1 Flashcards

1
Q

Knock down gas

A

Hydrogen sulfide - causes rapid loss of consciousness

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2
Q

How does hydrogen sulfide work

A

Inhibits cellular aerobic respiration

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3
Q

Most common cause of death in crush syndrome

A

Hypotension and cardiovascular collapse upon extrication

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4
Q

Time vs distance in radiation exposure

A

Time - linearly cumulative
Distance - exposure reduced by square of distance

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5
Q

When does transmission of viral hemorrhagic fever occur

A

Later stages of illness when patient suffers vomiting, diarrhea, shock and bleeding

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6
Q

Time for 70-80% chance of conversion in v fib if shocked

A

Within 3 minutes

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7
Q

When to initiate care in hot zone

A

When medical care can be accomplished without risk to rescuer
Only tourniquets and life threatening hemorrhage

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8
Q

Order of management for bleeding

A
  1. Direct pressure
  2. Tourniquet application
  3. Wound packing
    if in safe area and ample resources
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9
Q

When to initiate PEP for meningitis exposure

A
  1. If medic was within 3 feet of patient for extended period of time (8 hours)
  2. Aersolization like intubation
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10
Q

Local governments pass what

A

Ordinances

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11
Q

Waddels triad

A
  1. Femur fx
  2. Traumatic injury to chest or abdomen
  3. Injuries to opposite side of the head
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12
Q

Public utility model

A
  1. Designates single ambulance service for response
  2. Government unit does the billing and owns capital equipment
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13
Q

Defamation vs Antitrust in CQI lawsuit

A

Defamation - claims against provider damages reputation and ability to get job
Antitrust - directly block jobs in future

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14
Q

Nitrous oxide contraindicated in who

A

patients with bowel obstruction, pneumothorax, intoxication, altered mental status, decompression sickness, COPD or pregnancy (except in active labor)

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15
Q

Where to transport patient in MVC with intrusion greater than 18 inches

A

Nearest trauma capable hospital, does not need to be highest level

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16
Q

LAPSS looks at

A

age >45, no history of seizures, symptoms less than 24 hours, baseline function is not bedridden or confined to a wheelchair, and blood glucose between 60 and 400
In addition for unilateral findings

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17
Q

Fishbone diagram also known as

A

Cause and affect diagram

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18
Q

What is driver diagram used for

A

Identify possible areas for change that may result in performance improvement

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19
Q

Decontamination for gas or vapor

A

Removal from the area

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20
Q

Empiric glucose to all patients harmful in what ways

A
  1. Exogenous dextrose may result in skin necrosis after inadvertent extravasation or subcutaneous infiltration
  2. variable elevations in serums glucose level
  3. hyperosmolality, hyperkalemia
  4. potentially a worsened neurologic outcome in patients with focal or global cerebral or myocardial ischemia
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21
Q

If in 12 hours a large number of people have sudden onset of high fever and hemoptysis, think what?
Tx for exposed EMS?

A

Think pneumonic plague
7 days of surveillance and doxy

22
Q

PEP for Ebola

A

3 weeks of BID temp checks, no meds

23
Q

Hx in agitated patients for medical cause of agitation

A

94% sensitivity and the physical exam has a 54% sensitivity of detecting medical causes of the agitation

24
Q

Medical branch in ICS

A

Operations section - manages the operational medical resources responding to and mitigating the situation (e.g. EMS group, treatment group)

25
Q

Medical Unity in ICS

A

Logistics section - have specific responsibility for providing medical support to the responders themselves

26
Q

Six sigma goal

A

attainment of less than 3.4 mistakes/adverse events per 1,000,000 processes

27
Q

Guidelines for highest level of trauma care

A

Physiologic guidlines: Glasgow Coma Scale score of ≤ 13, respiratory rate <10 or > 29 breaths per minute, or systolic blood pressure < 90 mm Hg

28
Q

Nausea and vomiting: Radiation dose by timing

A

100-200: 3-6 hours
200-600: 2-4 hours
600-800: 1-2 hours
800-3000: less than one hour
>3000: within minutes

29
Q

Potential tx for chlorine exposure

A

Nebulized NaHCO3

30
Q

Most common trace issue in kids

A

Obstruction

31
Q

Paramedic centric focuses on

A

Perfomance on a personnel level

32
Q

Who is ultimately responsible for ensuring that a medical plan is in place to support a tactical police raid

A

The tactical commander

33
Q

Dimercaprol also called

A

British Anti-Lewisite

34
Q

Decontamination order by anatomy

A

airway, open wounds, followed by the front of their body and then the back of their body

35
Q

Nasotracheal intubation only possible in what patients

A

Those with intact respiratory efforts

36
Q

Largest single paying system to EMS

A

Medicare

37
Q

Transdermal CO poisoning from

A

Methylene chloride - paint stripper

38
Q

Examples of policy development

A

laws, engineering, education, enforcement, and regulations

39
Q

Pediatric cervical spine fulcrum

A

Higher than adults (C1/C2)C

40
Q

Ecological fallacy

A

potential pitfall that arises from applying results of large correlational studies to individuals

41
Q

Pediatric abuse injury pneumonic

A

TEN – 4 which stands for bruising on torso, ears, neck in a child < 4 years old or any bruising in child <4 months

42
Q

Do what if only head left in breach presentation

A

place the fingers on the maxilla to gently flex the neck to facilitate passage of the head

43
Q

What needs to be met to transport child without parental consent

A
  1. legal guardian is unavailable or unable to provide consent
  2. the child is suffering from an emergency condition that places him/her in danger
    3.treatment/transport cannot be delayed until consent is obtained
  3. only treatment for the emergency condition is provided by EMS
44
Q

First thing that happens after event emergency action plan activated

A

Notification of command center

45
Q

2nd party caller

A

Someone familiar with patient and current condition

46
Q

3rd party caller

A

Not with patient and does not know patient

47
Q

4th party caller

A

Professional person who calls for transfer request for EMS

48
Q

CLIA waved tests

A

POC glucose
Fecal occult blood testing
Pregnancy testing

49
Q

Driver diagram used for

A

to organize solutions and are informed by fishbone diagrams.

50
Q

Best diagram to asses for cause of crash

A

Haddon matrix

Final Week (8 decks)

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