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fisdap trauma > fisdap opterations > Flashcards

fisdap opterations Flashcards

1
Q

When using PCR for research or quality assurance. What should you delete?
Pt’s name/ emt’s name/ response times/ treatments rendered

A

Pt’s name

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2
Q

6 yo child fell at the park. No adult around. Type of consent?
Implied/ legal/ expressed/ pediatric

A

Implied

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3
Q

First to arrive. Using START, you should identify pts who?

Ambulatory/ deceased/ unresponsive/ breathing

A

Ambulatory

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4
Q

Partner comes to work dirty and leaves trash. Best describe these actions?
Unethical/ unprofessional/ dangerous/ negligent

A

Unprofessional

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5
Q

Verbal consent to treatment is called?

Expressed/ implied/ defined/ legalized

A

Expressed

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6
Q

Elderly pt cut her hand, bleeding is controlled. She answers questions slowly and often pauses. Vitals are BP 110/80, 64, 14. What should you do?
Allow adequate time unless condition worsens/ yes or no ?/ document altered mental/ direct questions to someone else

A

Allow adequate time

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7
Q

MCI, pt asks for help. Disoriented and R 32. According to START, you should?

A

Immediate

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8
Q

MCI, how should report info to trans ambulance?

Neuro status and vitals/ medical and SAMPLE/ pt’s hospital pref/ MOI and who was at fault

A

Neural status and vitals

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9
Q

Pt cond should be corrected during Pri survey?
12 yo dyspnea from allergic reaction/ 28 yo rapid pulse stung by several bees/ 22 yo ab pain baseball bat/ 45 yo mod chest pain, no palp BP

A

12 yo dyspnea from allergic reaction

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10
Q

58 yo heavy chest pressure. Ask you what is cause. You should?
Hospital staff will explain/ heart not getting enough O2/ acute MI/ can’t explain bc HIPAA

A

Hospital staff will explain

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11
Q

Legal case against you. What is your best defense in court?

Complete and thorough report/ dispatch records/ partner’s supporting testimony/ immediate recollection of events

A

Complete and thorough report

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12
Q

Alert 67 yo refuses care and requests to release form? What should you do?
Explain risks/ restrain and trans/ provide supportive care and allow refusal/ ask PD to place in protective custody

A

Explain risk

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13
Q

Pt shot in head no signs of life. Brain matter on floor. You should?
Cover pt and contact coroner/ leave scene untouched and contact PD/ resus measures and tran/ permit fam to view and emotional support

A

Leave scene untouched and contact PD

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14
Q

Most effective way to stop spread of infectious diseases?

Gloves all pts/ good hand washing/ avoid bodily fluids/ face shield all calls

A

Good hand washing

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15
Q

START, open airway, he begins breathing and is unresponsive. This pt should be classified?

A

Immediate

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16
Q

Finalizing PCR, notice incorrect pulse reading. What should you do?

A

Single horizontal line, correct, initial

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17
Q

Arrive large fight, pointed to stab victim. You should?

Drive away and stage/ quickly load and tran/ treat and request ALS/ treat and request police

A

Drive away and stage

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18
Q

Pt dead when you arrive. Rigor mortis already set in. you should?
Direct fam to contact coroner and leave scene/ *tell bad news and emotional supp/ pt dead nothing you can do/ fam sign refusal and clear scene

A

tell bad news and emotional supp

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19
Q

Honor DNR when?

Given appropriate paperwork/ fam requests/ confirm with physician/ pt’s cond is irreversible

A

Given appropriate paperwork

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20
Q

Upon entering home elderly called 911 for chest pain you should?
Gen impress/ check BP/ collect meds/ load and go

A

Gen impression

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21
Q

A medical director issues permanent written orders that allow you to treat patients under certain circumstances. This is known as:
Standing order/ online medical direction/ advance directive/ designated agent

A

Standing order

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22
Q

When approaching unsafe scene, you should:
Park ambulance so that you can easily make a quick retreat/ wear Kevlar vest to reduce threat of gunshot wound or stabbing/ leave on lights and sirens to scare off perpetrators/ stand clear view so that you can be identified as medical personal

A

Park ambulance so that you can easily make a quick retreat

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23
Q

Suspect a chemical of mass destruction?
75 people become sick with sudden onset of vomiting and diarrhea at parade/ you smell an unfamiliar bitter odor at scene of multi vehicle collision/ 20 ppl complain of abdominal cramping at triathlon/ 100 people evacuated with nausea from office building with a new furnace

A

75 people become sick with sudden onset of vomiting and diarrhea at parade

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24
Q

Pt’s wife called for medical emergency. On arrival, pt is upset and refusing care. He wants to go back to bed. You should:
Evaluate mental status/ treat pt according to wife wishes/ advise that you need his permission to treat/ let police handle patient

A

Evaluate mental status

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25
Q

Pt has several open sores on arm. The pt states that they haven’t healed despite taking antibiotics.
Have pt wear surgical mask/ admin o2 via nasal/ apply a sterile dressing or bandage/ don gloves and gown immediately

A

Don gloves and gown immediately

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26
Q

Upon arrival for shift, what would you do?

Check ambulance supplies/ repair broken equipment/ decontaminate ambulance/ copy previous crew checklist

A

Check ambulance supplies

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27
Q

2 yo F with flu like symptoms. She is in care of a babysitter and her parents can’t be reached by phone. What should you do?
Treat and release with babysitters consent/ contact law enforcement for temporary custody/ stay on scene until parents can be contacted/ trans under implied consent

A

trans under implied consent

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28
Q

You need pts agreement in order to share treatment info when you are?
Giving condition info to pts roommate/ speaking to reporting agency about victim of elder abuse/ providing info to hospital for treatment purposes/ notifying family member of pt location

A

Giving condition info to pts roommate/

29
Q

14 yo shooting victim is pulseless and apneic. Pupils are fixed and lividity is present. What should you do?
Protect against scene intrusion/ CPR/ search for pt identification/ search for other victims

A

Protect against scene intrusion

30
Q

Cpr in progress and family member state’s pt didn’t wish to be revived. You should?
Continue with resuscitation/ call pts physician/ cease resus effort/ contact medical control

A

Continue with resuscitation

31
Q

Pt trapped in vehicle upside down and showing signs of hypoperfusion. You can only access left arm and head. Medical treatment should begin after?
Scene safety/ get pt GCS/ rapid trauma survey/ *pt is freed from vehicle

A

pt is freed from vehicle

32
Q

2 days after a call you realize you forgot to document that you checked a pts blood glucose prior to him refusing trans and signing refusal form. You should?
Add an addendum to report with correct info, current date and initials/ disregard the mistake since the pt was not transported to hospital and medical director knew about reading/ inform supervisor of error and let him know that it won’t happen again/ complete now refusal and return to pt residence to have him resign

A

Add an addendum to report with correct info, current date and initials

33
Q

What criteria does the START triage system use to determine pt priority
Pulse rate, respiratory rate, mental status/ mental status, pulse rate, blood pressure/ bp, mental status, peripheral pulse/ pulse rate, respiratory rate, bp

A

Pulse rate, respiratory rate, mental status

34
Q

Organization best suited to deal with a downed power line

Electric company/ ambulance crew/ construction company/ fire department

A

Electric company

35
Q

Pt with leukemia and obviously near death. A valid DNR is present. You should:
Provide o2 and any other supportive care/ ask family if they are sure about DNR order/ attempt resuscitation if pt appears to be viable/ clear scene and explain nothing can be done

A

Provide o2 and any other supportive care

36
Q

While responding to a call with lights and sirens, you approach a school bus that is displaying warning flashers. You should:
Wait until the warning flashers are turned off and the bus pulls to the side of the road/ change the tone of the siren and drive around the bus with extreme caution/ turn off your siren temporarily and proceed past the bus before activating again/ announce on the PA speaker that you are going to pass the bus and then proceed carefully

A

Wait until the warning flashers are turned off and the bus pulls to the side of the road

37
Q

Trauma pt with history of hepatitis. You should wear gloves and?
Goggle and mask/ n95 mask and level b suit/ gown and mask/ n95 and Tyvek suit

A

Goggle and mask

38
Q

You are beginning to assess a 35 yo man with a cut to his wrist. He is reluctant to reveal his past medical history. You should?
Take bsi precautions/ continue assess/ take VS and wait for ALS to arrive/ refuse to handle the pt until he answers your question

A

Take BSI precautions

39
Q

When does scene size up start?

En route to the call/ arrive on scene/ see the pt/ receive the call

A

Arrive on scene

40
Q

Considering scene safety, priorities from most to least?
You, your crew, other rescuers, bystanders, the pt/ your crew, the pt, equipment, other rescuers/ the pt, your partner, you, bystanders

A

You, your crew, other rescuers, bystanders, the pt

41
Q

Which pt would benefit most from a helicopter transport:
30 yo male pulseless and apneic with history of asthma/ 15 yo F in a motor vehicle crash victim still trapped bp 78 over 42/ 28 year old F in labor crowning; hospital 45 minutes away/ 38 year old male burn pt with first degree burns to 55% of body

A

15 yo F in a motor vehicle crash victim still trapped bp 78 over 42

42
Q

Valid pt refusal should be:
Signed by a legally and mentally competent pt/ signed by everyone on scene/ signed by pt and notarized by a witness/ cosigned by 1 care physician

A

Signed by a legally and mentally competent pt

43
Q

You are the 1st ambulance at a 2 vehicle collision. What should you do?
Scene safety/ count # of injured/ determine MOI/ request additional resources

A

Scene safety

44
Q

26 yo pt complains of chest pain, productive cough, and not feeling well over last 2 days. “he just flew back from Africa last week.” You should?
Put on n95 mask on yourself/ listen to lung sounds/ take vitals/ HEPA mask on pt

A

Put on n95 mask

45
Q

You have just reported for duty with your ambulance company. You should?
Do inventory and equipment check/ assign call duties with your partner/ do an inspection of the vehicle/ notify dispatch that you are in service

A

Do inventory and equipment check

46
Q

18 yo pt has gunshot wound in the arm during a fight. Become increasingly anxious and pushes hands away during primary assessment. What would you do?
Verify with law that pt has been searched/ obtain vitals and trans immediately/ reassess scene for additional pts/ continue with pri assess away from the police

A

Verify with law that pt has been searched

47
Q

You are resus a pt following cardiac arrest when a family member asks you to stop your efforts. You should:
Continue resus per protocol and ask to see the physician signed DNR order/ ask a team member to call online med director for permission to stop/ immediately stop CPR and turn off AED/ delay trans of pt while family searches for the advanced directive

A

Continue resus per protocol and ask to see the physician signed DNR order

48
Q

School bus crashed into tree. 15 children are unharmed, 10 have abrasions and minor lacerations, and 2 children are unconscious. What should you do?
Relocate unharmed children to safe location/ contact the school/ call for additional ambulance/ question bus driver about crash

A

call for additional ambulance

49
Q

Technique to comm with a deaf pt?

Write questions on paper/ face pt and speak loudly/ speak slowly with exaggerate lip movement/ request interpreter

A

Write questions on paper

50
Q

How should an epipen be discarded?

Sharp container/ red biohazard bag/ return to pt for disposal/ trash can on scene

A

Sharps container

51
Q

Pt coughing up bright red blood every time he yells or coughs and is spitting up secretions. What should you wear?
Face shield/ goggles/ protective gown/ HEPA mask

A

Face shield

52
Q

While returning to lunch a women flags you down, she found a young child on the roadside who appears to be hit by a car she is not sure if the child is breathing. What should you do?
Alert dispatch that you have been flagged for a possible emergency/ grab necessary equipment and have woman show you the locations/ have dispatch call for ALS backup and move to safety while waiting/ calmly explain that you are currently off duty and call 911

A

Alert dispatch that you have been flagged for a possible emergency

53
Q

Appropriate method to obtain pts medical history?
Remain at eye level and ask open ended questions/ multitask while gathering info/ stand over the pt and maintain authoritative appearance/ provide choices following each question

A

Remain at eye level and ask open ended questions

54
Q

Following a motor vehicle collision, which pt requires emergency moves?
50 yo who cannot be assessed in position found/ 53 yo with severe neck pain/ 24 yo with numbness in extremities/ 64 yo with previous back injuries

A

50 yo who cannot be assessed in position found

55
Q

23 yo F sudden onset of diff breathing while gardening. BP 90/ 60, P 144, R 26 and labored, wheezing in all lung fields. She has a prescribed epinephrine auto injector. What should you do?
Admin o2 and contact medical control/ admin o2 via nasal cannula and reassess/ ask if she knows what insect stung her/ assist with metered dose inhaler

A

Admin o2 and contact medical control/

56
Q

You need to access unconscious patient inside vehicle via rear passenger window?
Place spring loaded window punch to the corner of window/ take axe and work around edges/ hydraulic cutting tool to remove rear door/ use a halligan tool to pull off window

A

Place spring loaded window punch to the corner of window

57
Q

Triage upon opening airway he is breathing and unresponsive?

Immediate/ deceased/ delayed/ minor

A

Immediate

58
Q

When is it acceptable to disturb evidence at a crime scene
When it is necessary for proper patient care/ when the investigator states it is permissible/ when entering and exiting the crime scene/ when police have cleared the scene for safety

A

When it is necessary for proper patient care

59
Q

The process by which an agency in one state grants automatic certification to an EMT from another state?
Reciprocity/ reexamination/ transfer/ professional courtesy

A

Reciprocity

60
Q

Process in which teams of professional and peer counselors provide emotional and psychological support?
Critical incident stress management/ peer psychiatric counseling/ post traumatic incident review/ quality improvement of conference

A

Critical incident stress management

61
Q

80 yo Spanish speaking patient not responding to questions alert and choking?
Simple hand gestures/ find interpreter/ speak louder/ check for hearing aids

A

Simple hand gestures

62
Q

Example of definitive care (when you’re doing something to fix somebody)
Trauma pt going to surgery to repair a lacerated liver/ hypovolemic pt receiving IV fluid therapy en route to the hospital/ geriatric receiving o2 for respiration difficulty/ pediatric pt receiving x ray for possible femur fracture

A

Trauma pt going to surgery to repair a lacerated liver

63
Q

After assess you determine pt is dead. Police suspect foul play. What should you do?
Avoid disturbing the scene/ leave area immediately/ document time of death/ take pics for documentation

A

Avoid disturbing the scene

64
Q

20 yo pt is reluctant to answer questions pertaining to abdominal discomfort?
Reassure her that you are there to help her/ ask family for her medical history/ repeat question in firm but pleasant tone/ advise that she needs to be truthful

A

Reassure her that you are there to help her

65
Q

BSI procedures?
Are the responsibility of each individual/ only required when blood is visible/ are not required in the care of children/ does not include the wearing of a mask

A

Are the responsibility of each individual

66
Q

A dying pt has signed a DNR, you should?
Contact medical control before providing care/ clear the scene once the order has been verified/ treat the pt since the DNR orders only apply to hospital care/ provide emotional support to the pt and fam members

A

provide emotional support to the pt and fam members

67
Q

Unconscious pt is sitting in driver’s seat in a vehicle that has just been involved in a motor vehicle collision. The doors are locked and you have a simple tool kit and the rescue truck is 20 min away. You should:
Use hammer to break the rear passenger window/ prepare equipment while waiting for rescue truck/ use screwdriver and hammer to pry open the driver’s side door/ use hammer to break driver’s side window

A

Use hammer to break the rear passenger window

68
Q

Defamation in writing

A

Libel

fisdap trauma (5 decks)

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