First Responder Flashcards
The First Responder should assume that…
All patients may be infected with some disease
As a First Responder, your most important consideration is
Ensuring your own safety
A DNR order is a written request to not
Attempt resuscitation in the event of cardiac arrest
Patient Assessment Sequence involves all of the following…
a. Primary assessment, secondary assessment, signs and symptoms
b. EXCEPT - Deciding which hospital to transport to
The patient is alert if…
They’re able to answer all questions accurately and appropriately
If several members of the same household are all found with a headache and nausea…
All of the Above // Remove them, notify the Fire Dept., Suspect Carbon Monoxide Poisoning
Documentation should be…
Clear, concise, accurate and reliable
The tearing away of an entire body part is…
Amputation
_______is something about the patient that you can see, whereas a _______ is something the patient tells you
Sign; symptom
Heat Exhaustion
is when a person is exposed to temperatures over 80 degrees and includes sweating, nausea, dizziness, low BP, lightheadedness.
Heat Stroke
is when a person is exposed to more heat than it can handle and includes the body being flushed and dry (no sweating), semi-consciousness, internal temps as high as 106 degrees
Standard Of Care
a. Must treat the patient to the best of your ability
b. Must provide care that a reasonable, prudent person with similar training would under similar circumstances
If someone is cold and pale what method can you use to warm them up?
Put their arms under their armpits
Insulin Shock
occurs if body has enough insulin but not enough glucose
Third Degree Burn
full thickness burn
a. Damage all layers of the skin
b. Pain is absent because the nerve endings are destroyed
c. Lose large quantities of body fluids, susceptible to shock and infection
Implied consent
Type of consent in which a patient who is unable to give consent is given treatment under the legal assumption that he or she would want treatment
Signs of Congestive Heart Failure
a. Breathing difficulty (major symptom)
b. Rapid, shallow breathing
c. Moist or gurgling respirations
d. Profuse sweating
e. Enlarged neck veins
f. Swollen ankles
g. Anxiety
Expressed Consent
A type of consent in which a patient gives verbal or non-verbal authorization for provision of care or transport
Duty to act
Render emergency medical care within the limits of your training
Good Samaritan Law (MGL C.112 s.12V)
Provides limited protection to someone who voluntarily chooses to provide first aid
A.V.P.U Scale
A - Awake + Alert
V - Verbal
P - Pain
U - Unresponsive
S.A.M.P.L.E
S - Signs or symptoms
A - Allergies
M - Medications
P - Pertinent past medical history
L - Last oral intake
E - Events leading up to the injury or illness
Negligence
Failure to act
Start care and leave person
Confidentiality
HIPPA Law
C.A.B
Circulation
Airway
Breathing
Respiration (Adult breaths per minute)
12 to 20 breaths per minute
Pulse (Adults)
In a normal adult, the resting pace is 60 to 100 beats per minute
Reassessment of patient
Stable patient
Every 15 mins
Unstable patient
Repeat reassessment every 5 mins
Corotid Pulse
Pulse located in the neck
Brachial pulse
The pulse felt in the upper arm, under the bicep
Radial Pulse
The pulse felt at the wrist, under the thumb
Massachusetts Stroke Scale (FAST-ED)
Facial droop
Arm drift
Speech
Time
Eye deviation
Denial/neglect (does not recognizeown hand)
What is the main goal of the recovery position?
Open airway
Prevent secretion
Factor that is NOT part of the patient assessment?
Deciding what hospital patient will be transported to
A sign is something that you can….
Observe in a patient
This may occur with heat stroke, but not with heat exhaustion…
A body temp as high as 106F (41C)
All patients with significant head injury must be presumed to have?
A cervical spine Injury as well
Documentation regarding patient care by Officer should be ….
Clear, concise, accurate and reliable
The most important aspect to monitor in a man who has an open chest wound while awaiting EMS?
Monitor if there is increased difficulty breathing
Superficial burn (1st degree)
Reddened and painful skin
The injury is confined to the outermost layers of the skin
The patient experiences minor to moderate pain
Partial thickness burn (2nd degree)
Do not damage the deepest layer of skin
Blistering
Fluid loss and moderate to severe pain usually healed within 2 to 3 weeks
