Final Exam Review Flashcards

(72 cards)

1
Q

Emergency action steps

A

Check, Call, Care

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What to check in an emergency

A

-safety of scene
-obtain consent
-are the responsive
-life threatening emergency?
-LOOK, LISTEN, FEEL

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

How to care for a patient in emergency

A

Give care consistent with your knowledge and training

Help person rest in comfortable position

Keep them from getting chilled or overheated

Continue to watch for changes in person’s condition

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Legal Issues

A

-Getting consent
-Confidentiality
-Good Samaritan Laws
-Abandonment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

When is consent implied?

A

if the patient is unresponsive and/or parent/guardian is not present

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Who can you get consent from?

A

Adults (18+) who are sober and clear minded
Legal guardian of a minor
Unaccompanied minor

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

If you are not medical professional, you are considered to be acting in good faith and are therefore protected from being found liable

A

Good Samaritan Laws

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Who can you share confidentiality with?

A

People directly involved in the person’s care such as family members and EMS people

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

When you turn over care to someone who cannot manage the patient

A

Abandonment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Reasons to hesitate

A

-Bystander effect
-trauma/freeze
-fear
-getting sued
-lack of confidence
-fear of infection

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

when you see something, but you assume someone else with more training will take care of the situation

A

Bystander effect

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Ways to protect yourself from infection

A

-breathing barrier
-wear gloves
-wash your hands with soap and water

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Airway emergencies

A

-Choking
-Anaphylaxis (severe allergic reaction)
-Demographic infants and children
-Demographic elderly people

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Causes of airway emergencies

A

eating too fast, not chewing food well, talking/laughing while eating

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Signs and Symptoms of airway emergencies

A

hands around the throat, unable to speak

any kind of skin color change

coughing or gasping for air

confused or anxious expression

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Treatment for airway emergencies

A

Give five back blows and five abdominal thrusts; if unresponsive, start CPR

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Circulation Emergencies

A

heart attack
major bleeding
blood clots

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Signs and Symptoms of heart attack

A

chest pain
pain that radiates in one or both arms
pain in lower back
heavy chest
pain radiates to the neck or jaw
presents upper stomach pain or indigestion
shortness of breath
inconsistent fatigue
skin color

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Heart is no longer beating
Unable to respond
Brain tissue damage starts in 4-5 minutes

A

Cardiac Arrest

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

One CPR cycle

A

32 chest compressions and two rescue breaths
Patient needs to be on a firm flat surface
Unresponsive, check to see if they are breathing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

High quality CPR

A

Depth of 2 inches
Open the airway using head tilt/chin lift
Firm flat surface
Responders kneel next to patient
Check scene safety
Chest compressions on the center of the chest
Minimize interruptions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

What if you have two trained CPR responders present?

A

Switch every 5 cycles (about 2 minutes)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

What if you give a breath and don’t see the chest rise?

A

Retilt the head
Check your seal
Give your second breath
Check airway to see if foreign object is stuck

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

What do you do if patient vomits during CPR?

A

Put them in the recovery position

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
When do you stop performing CPR?
When there is a sign of life EMS arrives If scene becomes unsafe If you are too exhausted to continue
25
Located in high traffic/highly visible areas OR places where they are most likely to be needed
AEDs (Automated External Defibrillator)
26
If a patient is in the water and you need to use an AED?
Get them out of the water and dry them off so the pad will stick
27
When can it get tricky to assist someone who has an emergency?
-Under the influence -Have certain religious beliefs -Are not of sound mind -Speak a different language
28
SAM interview parts
Signs and Symptoms Allergies Medications and medical conditions
29
What do you do for an initial check?
Protect their dignity and give them privacy (as much as possible) Get their name and age Conduct SAM interview Ask what happened to get to the point of emergency
30
Normal heart rate
60-100 BPM rhythm (regular), quality (strong)
31
Responsive rate (RR)
12-20 breaths per minute, assess depth (deep) and effort (unlabored)
32
How to take heart rate
Count for 15 seconds, multiply the number you get by 4
33
How to take responsive rate
Count it for a full minute, as it is a lower number
34
Scale used to test level of responsiveness
AVPU
35
What does the A stand for the AVPU scale?
eyes are open, they are awake
36
What does the V stand for the AVPU scale?
if they respond to your voice
37
What does the P stand for the AVPU scale?
If they respond to pain
38
What does the U stand for the AVPU scale?
they are not responding
39
What does SCTM stand for when doing a skin test?
skin, color, temperature, moisture
40
Life threatening condition where the circulatory system fails to deliver enough oxygen-rich blood to tissues and organs
shock
41
life threatening blood loss, severe allergy reaction (anaphylaxis), severe infection, dehydration, heart issues, any serious illness or injury
causes for shock
42
shock signs and symptoms
Elevated heart rate Elevated respiratory rate Skin is pale, cool, and clammy Altered mental status (anxious, restless, irritable)
43
treatment for shock
Call 911 Treat the cause Get them to a position of comfort Regulate their body temperature Keep monitoring until EMS arrives
44
Low blood sugar, affects brain function, is sudden; below 80
hypoglycemic
45
high blood sugar, gradual onset, not immediate life threat
hyperglycemic
46
hyperglycemia symptoms
Fruity and sweet smell to their breath Excessive urination Excessive thirst
47
Shock symptoms and signs
Shaky/weak/fatigued/feeling faint Altered mental status Shock Elevated heart rate and respiratory rate Appears generally ill
48
If someone is responsive and has low blood sugar, what do you do?
give them 15-20 grams of sugar; even if they don't know, give them sugar
49
Mild allergic reaction symptoms
Localized hives, rash, redness, swelling Stuffy nose Itchy, watery eyes Sore throat Abdominal pain and cramping
50
Severe allergic reaction symptoms
Systemic redness, swelling, hives, rash all over the body Blocked airway Swelling to face, lips, tongue, neck Severe abdominal pain and cramping Signs and symptoms of shock
51
mild allergy treatment
remove source of allergen, monitor for facial swelling and airway compromise
52
severe allergy treatment
Call 911, EPI pen (inject in outside thigh muscle, hold for 10 seconds, the rub the area), monitor until EMS arrives
53
How is life threatening bleeding assessed?
volume (half a soda can) and flow (spurting, running, gushing, etc.)
54
Is for life threatening bleeding only Place 2-3 inches above the wound OR between the wound and the heart DO NOT place it directly on the wound OR over a joint Note the time of use for EMS Working when bleeding stops
Tourniquets
55
When to seek care for minor bleeding
Possibility of infection or it is already infected Bleeding will not stop Deeper or wider than half an inch Not healing after a couple of days Puncture wounds Contaminated wounds Comes in contact with rusty metal and not up to date on their tetanus shot Animal bites
56
Only involve top layer of skin
minor burn
57
Involves top and deeper layers of skin, including blood vessels, hair follicles, and glands
moderate burn
58
Penetrate both layers of skin and involves subcutaneous tissue (muscle, fat, bone)
severe/thick burn
59
Burn treatment
Remove the source of the burn Remove clothing and jewelry from burn site Cool the burn using clean, cool running water for 10-20 minutes Leave it uncovered, unless you are in a remote location Monitor for shock
60
Burns serious for 911
Any full thickness burn Burns covering more than one body part/large amount of the total body surface area (TBSA) Burns that compromise airways Burns that impair any function Burns caused by chemicals, explosions, electricity, and radiation Children and older people, as infection could be worse Circumferential burns
61
damage to foligaments
Sprain
62
damage to a bone (cracked, fully broken, chipped
Fracture
63
when a bone moves out of its natural position in the joint
Dislocation
64
damage to a muscle or a tendon (which attaches muscle to bone)
strain
65
Musculoskeletal signs and symptoms
Open fracture (bones coming through the skin) Swelling Popping, snapping, grating sounds Pain, varying from mild to severe Significant bruising Abnormal bump, ridge or hallow formedly displaced Obvious deformity Changes in circulation and sensation below the injury site
66
What does CSM stand for?
circulation, sensation, movement
67
Signs and symptoms of head injury
Light sensitivity Vision becomes blurry Double vision Seeing stars Headache Confusion Dizziness Memory loss Unresponsiveness Nausea and vomiting Noise sensitivity
68
Severe signs and symptoms of head injuries
Fluid leaking from their ears/nose Seizures Altered mental status (DICU) Disoriented Irritable Combative Unresponsive Behavioral changes Raccoon eyes/battle sign
69
Severe head injuries to call 911
Concussion Traumatic brain injury Life threatening brain injury Skull fracture Intracranial pressure
70
Spine injury signs and symptoms
Visual deformity Patient says they have pain Men can have abnormal sensations (like erections) Loss of movement in extremities
71
spine injury treatment
Call 911 Approach them from the front and encourage them not to move Manage other conditions Leave in position found, unless CPR is needed Keep them comfortable Regulate their body temperature (generally meaning to keep them warm) Leave helmets in place