EMT COURSE FINAL Flashcards

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1
Q

Patients that are apneic and weak pulses that are pulled from the cold water with unknown submersion time..

A

Should be provided rescue breathing, remove his wet clothing, immobilize his entire spine, keep him warm and transport carefully.

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2
Q

Patients that are hypotensive and had bilateral femur fractures;

A

Their legs should be bounded together on a backboard, kept warm, and transported immediately.

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3
Q

Patients that are kicked or punched in the abdomen, have stable vitals, and do not have any c spine injuries..

A

Should be bound together on a backboard, kept warm and transported in the position you found them, immediately.

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4
Q

How long must you suction the oropharynx for adult, child and infant?

A

15, 10, and 5 seconds max

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5
Q

What do you do when one eye is injured ?

A

Cover both eyes to minimize movement and damage to the injured eye.

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6
Q

Treating a PT win anaphylactic shock

A

Should administer a does of epinephrine with and auto injector, record the time, and transport immediately

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7
Q

When a PT becomes pulses, unresponsive, and apneic during transport..

A

Stop the ambulance, begin CPR, and attach the AED asap

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8
Q

If a metal object such a a bike kickstand impales a PT..

A

It would be best to unbolt the kickstand from the bike from and stabilize it with bulky dressings.

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9
Q

The palm of a PTs hand is..

A

Equal to his or her total BSA when estimating a PTs burns.

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10
Q

After birth,

A

It is important to warm and dry the newborn

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11
Q

You should access for breathing and a pulse after,

A

Establishing that an adult PT is unresponsive

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12
Q

According to HIPAA

A

All info recorded on a PCR is confidential

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13
Q

Aneurysm

A

Is an area of swelling or enlargement in a weakened arterial wall

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14
Q

An effective team leader

A

Should help accomplish goals

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15
Q

Patients with Down syndrome

A

Have heart conditions

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16
Q

The most likely cause of a depressed skull fracture of a patient who suffered a blast injury

A

Would be the stationary object they hit when thrown

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17
Q

Respiration

A

The process of gas exchange

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18
Q

Ventilation

A

The movement of air between the lungs and the environment. Another example of ventilation could be using a BVM.

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19
Q

Patients that are partially immune to a particular disease may develop illness from germs that lie dormant from the initial infection

A

Example TB if not treated can come back again in the patient when the immune system is weak however if in contact with another human who has it they will not receive the illness

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20
Q

Two pieces of equipment to take with you in addition to your red bag

A

AED portable suction unit

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21
Q

Hyperglycemia

A

Can only be corrected in the hospital setting

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22
Q

Activated charcoal

A

Is administered based on a patient’s weight 2.2 divided by the patient’s weight

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23
Q

Ovarian abscess and a topic pregnancy

A

Can be life-threatening consequences of pelvic inflammatory disease

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24
Q

Ectopic pregnancy

A

Pregnancy that develops outside the uterus in the fallopian tube

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25
Q

Ovarian abscess

A

Late complication of P ID if the abscess ruptures and creates sepsis it consist of an encapsulated or confined pocket of pus forms an infection of the fallopian tube and ovary

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26
Q

Rough handling of hypovolemic patients

A

Can cause ventricular fibrillation

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27
Q

Air is escaping into the chest wall for my damaged long can cause

A

Subcutaneous emphysema

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28
Q

The pediatric assessment triangle PAT includes

A

Appearance, work of breathing and skin circulation

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29
Q

A dislocation

A

Is the description of a joint in which the bone ends are no longer in contact

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30
Q

Bradycardia is an omnious sign of impeding _______ in children and infants

A

Cardiopulmonary arrest

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31
Q

Diarrhea is the principal symptom in both

A

Infectious and noninfectious gastroenteritis

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32
Q

Supraventricular tachycardia SVT

A

Is a fast heart rate that originates from above the ventricles

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33
Q

Patients may lose sensation below the level of injury with

A

Severe spinal injury

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34
Q

When documenting reports during sexual assaults

A

Remain concise and record only what the patient stated in their own words

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35
Q

Rescue teams provide

A

Safe entry and access to patients

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36
Q

Schizophrenia

A

Is an example of functional behavioral disorder

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37
Q

Dirty bombs

A

Could injure victims with both radioactive material and the explosive material used to deliver it

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38
Q

Not a normal part of aging process

A

Decreased LOC

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39
Q

The absence of abdominal pain

A

Does not rule out intra-abdominal bleeding

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40
Q

Older patients have difficulty understanding

A

When they are stressed

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41
Q

As we get olderblood vessels become stiff and

A

Must work harder to move blood

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42
Q

When contractions are approximately three minutes and childbirth seems imminent..

A

Checking for crowning, should be part of your assessment

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43
Q

When a patient is refusing care you should

A

Always explain the risks and consequences of refusing medical care

44
Q

Deep and rapid breathing can be associated with

A

Diabetes and a patient with an ALOC

45
Q

OPQRST

A

ONSET: what happen to you, PROVOCATION- what makes the pain better or worse QUALITY- what does your pain feel like? RADIATING- Where does your pain go from there? SEVERITY- on a scale of 1-10, 10 being the worst what would you rate it? TIME-when did the pain start?

46
Q

SAMPLE

A

SIGNS AND SYMPTOMS, ALLERGIES, MEDS, PAST PERTINENT HISTORY, LAST ORAL INTAKE AND EVENTS LEADING UP TO PRESENT ILLNESS OR INJURY

47
Q

Septic shock can be a result of

A

And infection and a complication of the surgery

48
Q

When should you perform oral pharyngeal suctioning on patients w and ALOC

A

have vomit on their face or in their mouth

49
Q

Contra indications of nitroglycerin

A

Patients that have taken erectile dysfunction drugs within the last 48 to 72 hours

50
Q

Perform abdominal for us on a conscious child or adult until

A

He or she loses consciousness

51
Q

A petit mal seizure

A

Is also known as an absence seizure

52
Q

Not a sign of an allergic reaction

A

Drying of the eyes

53
Q

Hepatomagaly

A

Enlargement of the liver

54
Q

Nephritis

A

Inflammation of the kidneys

55
Q

The erosion of the protective layer of the stomach

A

An ulcer

56
Q

Appendicitis

A

Inflammation of the appendix

57
Q

Cholecystitis

A

Inflammation of the gallbladder

58
Q

Transfer care of the patient to another EMS provider when you have been exposed to

A

The patient’s blood or body fluids

59
Q

The rib cage of an infant is less rigid and the ribs sit horizontally therefore causing them to use abdominal muscles more,

A

To help them breathe

60
Q

General impression of the patient includes

A

Things you see, which or signs

61
Q

Excess glucose in the blood is excreted by the kidneys and causes patients to urinate frequently

A

Polyuria

62
Q

Suspected AMI patients require

A

Rapid transport and may need thrombolytic therapy, “clot busters”

63
Q

Anatomy differences between adult and child airway

A

Child airway is smaller and are more prone to choking

64
Q

Five areas of the spinal column

A

Cervical, thoracic , lumbar, sacral, and coccyx

65
Q

Blood pumped into the aorta and systemic circulation comes from the ______ ventricle

A

LEFT

66
Q

How to calculate minute volume of respiration

A

Minute volume equals title volume in ML multiplied by respirations per minute

MV= TV* RR

67
Q

Age related changes in the cardiovascular system may make the patient less able to compensate for

A

Decreased perfusion

68
Q

When auscultating lung sounds for pulmonary edema start at the lower lung fields

A

Then determine at which level you start hearing clear breath sounds

69
Q

Common prescription medications for heart conditions and hypertension

A

Nitroglycerin, Digoxin, lasix, isordil, HCTZ

70
Q

Common over the counter medications for heart burn

A

Nexium Zantac Prilosec

71
Q

Common prescription medications for diabetes

A

Insulin, diabanese, Humulin

72
Q

Using your legs keeping your back straight and using a power grip palms up

A

Power left

73
Q

Used and immediate life threat such as a LOC, inadequate breathing, or shock. When to do it

A

Urgent mode

74
Q

A move which the PT is dried or pulled from and dangerous seen before assessment and care or provided( the type of move)

A

Emergency move

75
Q

Wheezing hives swelling hypotension or stridor signs and symptoms of

A

Anaphylactic shock

76
Q

The left side of the heart cannot remove blood from the long as fast as the right side delivers it. As a result fluid builds up within the alveoli in the lung tissue between the alveoli and the pulmonary capillaries. This accumulation of fluid is referred to as and it is usually a result of congestive heart failure

A

Acute Pulmonary edema

77
Q

Cardiac monitoring and 12 lead EKG and interpretations are

A

Both ALS skills

78
Q

Medications that have the slowest rate of absorption are

A

Taken orally

79
Q

All levels of prehospital care providers are trained in the use of

A

An AED

80
Q

Can only be transmitted by a patient who has an acute infection

A

Hepatitis A

81
Q

Kills more healthcare workers every year than HIV or AIDS

A

hepatitis B

82
Q

Consist of direction given over the phone or radio directly from the medical director or designated position

A

Online medical control or direction

83
Q

Consists of standing orders, training and supervision authorized by the medical director

A

Off-line medical direction

84
Q

And EMT works under the direction of the

A

Medical director

85
Q

And EMTs scope of practice may be expanded by the __________ after proper training and state approval

A

Medical director

86
Q

Results in the absence of forward blood flow

A

Ventricular fibrillation

87
Q

Do not lift patients by the _____ or their ______ when moving them

A

Belt or clothing

88
Q

When administering _____ to a patient, confirm that the patient is not allergic to it, give him the appropriate dose of it and document the time and dose given

A

Aspirin

89
Q

During long term MCI consider requesting a_____ team to provide on scene peer support

A

CISM- Critical incident stress management

90
Q

Ambulances can carry at least two patients one in the supine position, one on the wheeled the gurney and one on

A

The bench seat

91
Q

Your protection against illegal liability when the patient refuses EMS care and transport is to

A

Thoroughly documented the entire event

92
Q

Patients with rapid and shallow breathing and copious bloody secreations in their mouth should be,

A

Suctioned for 15 seconds and then ventilated for two minutes

93
Q

When suctioning the oropharynx

A

Only suction on the way out

94
Q

Oxygen cylinders should be refilled when the pressure falls below

A

500 psi

95
Q

If the patients dentures or other dental appliances are secure in place and are not causing and are not causing an airway obstruction they should be

A

Left in place

96
Q

Patients with an automatic implanted cardiac defibrillator AICD That are in cardiac arrest should still be______ if the AED advises it is indicated

A

Shocked

97
Q

Is only for use on patients with a Chief complaint of chest pain

A

Nitroglycerin

98
Q

After administering nitroglycerin, a patient’s blood pressure should be reassessed within

A

Five minutes

99
Q

Patients that are prescribed nitroglycerin are instructed to take up to

A

Three doses before calling 911

100
Q

Open chest wound with a small amount of blood bubbling

A

Should be treated with an occlusive dressing

101
Q

Tuberculosis patients pose the greatest risk to us when

A

They cough

102
Q

A seizure patients______ period Can last between five and 30 minutes before the regain full consciousness

A

Postictal state

103
Q

Stroke patients with a paralyzed extremity should be transported in the

A

Recumbent position with the paralyzed side down

104
Q

An indication of abdominal aortic aneurysm AAA can be,

A

A tearing sensation in the lower back

105
Q

assists in the field ration of blood serves as a blood reservoir and produces antibodies

A

The spleen

106
Q

When transporting pregnant patients in their second or third trimester place them in left lateral position to prevent

A

Positional hypotension