EMT basic/ drugs Flashcards
What branch of government started EMS?
Department of transportation via the national highway safety act
Name 5 categories the NHTSA sets standards for
Policy
Resource management
HR and training
Transportation
Facilities
Communications
Public information
Medical direction
Trauma
Name 5 specialty hospitals
Trauma
Burn centers
Pediatric centers
Cardiac centers
Stroke centers
Poison control centers
What are the 4 levels of EMS training
1- First responder
2- EMT basic
3- EMT advanced
4- Paramedics (ALS)
What are the 5 roles an EMT plays in quality improvement
1- Keeping carefully written documentation
2- Becoming involved in the quality process
3- Receiving feedback from hospital staff
4- Maintaining equipment
5- Continuing education
When should you use acetaminophen and how much?
Use during fevers and minor pain
600-1000 mg for adults once
15mg/kg for pediatric once
When should you use albuterol and how much?
Used to help asthma and during allergic reactions
For both adult and pediatrics:
2.5mg diluted in 3 mL NS nebulized q (every) 10 minutes until symptoms approved
When should you use asprin and how much?
Use during chest pain as an anti platelet
Use 325mg chewed for adults
DO NOT use for pediatrics unless ordered by OLMC
When should you use atropine (duodote) and how much?
Use during organophosphate or nerve agent toxin exposure
Use 1-2 kits with for moderate cases, and 3 kits for severe exposure for adults
Contact OLMC for pediatric
When should you use epinephrine and how much?
Use during anaphylaxis
Use 0.3 auto injector for adults
Use 0.15 auto injector for pediatrics
When should you use ibuprofuen and how much?
As an anti inflammatory drug or for mild pain
Use 600mg one time for adults
Use 10mg/kg one time for children above 6 months
When should you use naloxone and how much?
Use in response to opioid overdose
Use 0.4 to 2mg IN/IM as often as necessary for adults
Use 0.1mg/kg IN/IM as often as necessary for pediatrics
When should you use nitroglycerin and how much?
Use for chest pain of cardiac origin
Use 0.4 mg SL every 5 minutes until you hit 3 doses or symptoms relax for adults
DO NOT USE for pediatrics
When should you use oral glucose and how much?
Use in hypoglycemic patients
Use 15g PO repeated every 15 minutes as needed for adults
Use 7.5g PO repeated every 15 minutes as needed for pediatrics
If you accidentally stick yourself with a contaminated lancet after checking blood glucose level, what should you do?
Report the incident to your supervisor after the call
If during an auto incident you see broken power lines laying across a vehicle, what should you do?
Mark of the area as a danger zone
Define general adaption syndrome
An alarm response, reaction and resistance, and recovery
Which type of protective equipment should always be worn?
Gloves
But more specifically, any PPE that will make you feel safer during the ordeal
What type of sexual harassment is quid pro quo?
The kind where someone requests sexual favors in exchange for something else
What should your first priority be in any situation?
Your own personal safety (using the proper PPE included)
What is the first step when arriving to a vehicle crash?
Put on high visibility safety vests
What is a vector borne illness?
One that gets spread through animals or insects
What is an indirect contact illness?
One that gets spread without human to human contact
When dealing with a scared patient, what is the best way to take care of them?
Acknowledge their feelings and let them know you will do everything you can to take care of them
What is expressed consent?
Made by a conscious, mentally competent adult
What is implied consent?
Automatically assumed if a patient is unresponsive or not mentally competent
What kind of communications equipment functions as a radio receiver and searches across several frequencies?
scanner
What are the 3 things you test for a GCS score?
eye opening, motor ability, and verbal response
How many points do each of the 3 GCS categories have?
Eyes- 4
Verbal- 5
Motor- 6
Total- 15
What do the scores mean for eye opening in during a GCS rating?
4- spontaneous eye opening
3- opens eyes to verbal stimuli
2- opens eyes to painful stimuli
1- unresponsive
What do the scores mean for verbal response during a GCS rating?
5- alert and oriented
4- confused
3- inappropriate words
2- sounds, not words
1- unresponsive
What do the scores mean for motor ability during GCS rating?
6- obeys commands
5- localizes pain
4- withdraws from pain
3- abnormal flexion
2- abnormal extension
1- unresponsive
