EMT Glossary page 1341 Flashcards
Crowning
The stage in delivery when the fetal head presents at the vagina.
Crush injury
An open or closed injury in which high-pressure forces cause serious damage to underlying soft tissues with internal bleeding, resulting in possible hemorrhagic shock.
Culture
The thoughts, communications, actions, and values of a racial, ethnic, religious, or social group.
Cushing reflex
A protective reflex by the body to maintain perfusion of the brain in a head-injured patient with increased intracranial pressure. The systolic blood pressure increases, heart rate decreases, and the respiratory pattern changes. This syndrome indicates sever head injury.
Cyanide
A rapid-acting agent that disrupts the ability of the cell to use oxygen, leading to severe cellular hypoxia and eventual death.
Cyanosis
A blue-gray color of the mucous membranes and/or skin, which indicates inadequate oxygenation or poor perfusion.
Dead air space (Vd)
Anatomical areas in the respiratory tract (outside the alveoli) where air collects during inhalation but no gas exchange occurs.
Decerebrate posturing
See extension posturing.
Decoder
Device that recognizes and responds to only certain codes imposed on radio broadcasts.
Decoding
Process by which a received message is translated and interpreted.
Decompensated respiratory failure
When the respiratory compensatory mechanisms have begun to fail and respiration becomes inadequate.
Decompensatory shock
An advanced stage of shock in which the body’s compensatory mechanisms are no longer able to maintain a blood pressure and perfusion of the vital organs. Also called decompensated shock or progressive shock.
Decorticate posturing
See flexion posturing.
Defamation
An intentional false communication that injures another person’s reputation or good name.
Defense mechanisms
Psychological coping strategies individuals use to protect themselves from unwanted feelings or thoughts.
Defibrillation
Electrical shock or current delivered to the heart through the patient’s chest wall or internally from an implanted device to help the heart restore a normal rhythm.
Defusing
A session held prior to a critical incident stress debriefing (CISD) for emergency service personnel most directly involved to provide an opportunity to vent emotions and get information before the CISD.
Delirium
Sudden-onset altered mental status that may involve illusions, disjointed though processes, incoherent speech, and increased or decreased psychomotor activity.
Dementia
Chronic condition resulting in the malfunctioning of normal cerebral processes.
Deoxygenated
Containing low amounts of oxygen, as with venous blood.
Deoxyhemoglobin
Hemoglobin that does not have any oxygen molecules attached to it.
Depression
One of the most common psychiatric conditions, one characterized by deep feelings of sadness, worthlessness, and discouragement that often do not seem connected to the actual circumstances of the patient’s life.
Dermis
The second layer of the skin; see also epidermis, subcutaneous layer.
Diabetes mellitus (DM)
A disease in which the normal relationship between glucose and insulin is altered. See also type 1 diabetes and type 2 diabetes.
Diabetic ketoacidosis (DKA)
A condition typically found in type 1 diabetics where the blood glucose level is excessively elevated and insulin level is extremely low to absent, which causes glucose to be excreted in the urine, dehydrating the patient, and causes the body to metabolize fat for energy, producing ketones and creating an acidic environment.
Diabetic retinopathy
Damage to the small blood vessels of the eye from the long-term effects of diabetes mellitus.
Dialysate
A special fluid used for dialysis.
Dialysis
An artificial process used to remove water and waste substances from the blood when the kidneys fail to function properly.