emt ch 12

Question 1

the first element in a patient assessment ?

Answer 1

primary assessment

Question 2

when you are trying to discover and treat life threatening problems

Answer 2

primary assessment

Question 3

forming a general impression, assessing mental status, assessing airway, assessing breathing , assessing circulation, and determining the priority of the patient for treatment and transport

Answer 3

primary assessment

Question 4

someone who appears lifeless and has no pulse you would assess in what order?

Answer 4

c-a-b

Question 5

actions taken to correct or manage a patients problem

Answer 5

interventions

Question 6

impression of the patients condition that is formed on 1st approaching the patient ,based on the patients environment, chief complaint, and appearance

Answer 6

general impression

Question 7

if a patient is pulseless and unresponsive you should?

Answer 7

do cpr and apply AED or defibrillator

Question 8

if a patient is responsive you should stop bleeding and treat for _____

Answer 8

shock

Question 9

if a patient is _____ you would go at a slower pace, more detailed secondary assessment

Answer 9

stable

Question 10

if a patient is _____ you would expedite transport, fewer assessments and interventions on scene

Answer 10

potentially unstable

Question 11

if a patient is ____ you would rapid transport, only life saving assessment and interventions on scene

Answer 11

unstable

Question 12

emt’s use these to identify if someone is critical?

Answer 12

1.) patients who appear lifeless 2.) patients who have an obvious altered mental status 3.) patients who appear unusually anxious and those who appear pale and sweaty 4.) obvious trauma to the head , chest, abdomen, or pelvis 5.) specific positions indicate distress

Question 13

anxiety, pale, sweaty, rapid pulse and respiratory rates are signs of______

Answer 13

shock

Question 14

_____ is a sign that indicates significant chest pain or discomfort

Answer 14

levines sign

Question 15

when you see the tripod position or the levines position these indicate 2 things

Answer 15

1.) the level of chest discomfort or respiratory distress is severe 2.) the patients complaint are among the most serious medical complaints indicating a high priority

Question 16

in emergency medicine the reason ems was called usually in the patients own words

Answer 16

chief complaint

Question 17

you form a general impression by looking ____, and _______

Answer 17

listening and smelling

Question 18

judgment based on experience in observing and treating patients

Answer 18

clinical judgment

Question 19

level of responsiveness

Answer 19

mental status

Question 20

a memory aid for classifying a patients level of responsiveness or mental status

Answer 20

AVPU

Question 21

AVPU stand for what

Answer 21

a= alert, v= verbal response, p= painful response, u= unresponsive

Question 22

a patients mental status can be described by asking what 3 things?

Answer 22

person, place, event and time

Question 23

2 purposes of the primary assessment are

Answer 23

1.) identifying and correcting life threats with airway,breathing and circulation 2.) gather information that will help you later on in your assessment

Question 24

4 general situations that call for assistance with breathing are

Answer 24

1.) if the patient is in respiratory arrest with a pulse 2.) if the patient is not alert and his breathing is inadequate 3.) if the patient has some level of alertness and his breathing is inadequate 4.) if the patients breathing is adequate but there are signs or symptoms suggesting respiratory distress or hypoxia

Question 25

if the patient is not alert and his breathing is inadequate provide ______ventilations at _____% oxygen

Answer 25

positive pressure, 100

Question 26

if the patient has some level of alertness and his breathing is inadequate assist his ventilations with 100% oxygen and ventilate with the patients _____ so they are working together

Answer 26

own respirations

Question 27

multiple broken ribs is called a _____ chest

Answer 27

flail

Question 28

to evaluate circulation assess __, _____ and ____

Answer 28

pulse skin and bleeding

Question 29

if the skin is warm, pink and dry this indicates good ____

Answer 29

circulation

Question 30

if the skin is clammy and pale this indicates ____

Answer 30

shock

Question 31

during the primary assessment the 3 things you will be looking for in a pulse are?

Answer 31

is it within normal limits, unusually slow or unusually fast

Question 32

rapid pulse in the presence of trauma or a very slow pulse in a patient who has chest pain both indicate a ____ patient

Answer 32

unstable high priority patient

Question 33

the decision regarding the need for immediate transport of the patient versus further assessment and care at the scene

Answer 33

priority

Question 34

for a patient to be _____ he needs to have vital signs that are in the normal range or just slightly abnormal

Answer 34

stable

Question 35

what will rule out if a patient is stable r not

Answer 35

a threat to the airway, breathing or circulation

Question 36

many times you don’t know what the patients problem is if the patient does not have any immediate threats to life but you believe he may deteriorate because of the nature of the problem consider the patient to be _____

Answer 36

unstable

Question 37

high priority conditions include:

Answer 37

poor general impression, unresponsive, shock, chest pain with cardiac problems, severe pain anywhere, complicated child birth, difficulty breathing, responsive but not following commands, uncontrolled bleeding

Question 38

a systematic approach to quickly finding and treating immediate threats to life

Answer 38

the primary assessment