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EMT - CIEMT > Geriatrics and ALS Assist > Flashcards

Geriatrics and ALS Assist Flashcards

1
Q

Nasogratric Tube and Orogastric Tube contraindication

A

head, facial, spinal trauma
Poison that can be resolved using activated charcoal

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2
Q

Sellick Maneuver

A

Pressure on the cricoid cartilage to block the esophogus

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3
Q

Indication for endotracheal tube

A

need to create/maintain airway in an unresponsive patient with no gag reflex

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4
Q

Laryngoscope

A

Metal blade to get tongue out of the way for endotracheal insertion

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5
Q

Types of Laryngoscope blade

A

Macintosh (Curved) and Miller (Straight blade)

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6
Q

What is the EMT’s job before ALS endotracheal tube insertion?

A

Preoxygenate patient with 5 BMV ventilations

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7
Q

Complications of Endo tube

A

Tube goes into esophogus
aggravating spinal injury
taking too long (hypoxia)
vomiting
Soft tissue injury caused by insertion
tube failure
stimulation of vagus nerve through gagging (decrease HR)

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8
Q

Contraindication for multimumen airway

A

patient under 5’

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9
Q

BEMAGIC

A

BMV, Evaluate the airway, Manipulate the patient (head tilt), attempt first pass, GI, Confirm successful intubation

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10
Q

How to confirm successful intibation

A
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11
Q

How to confirm successful intubation

A

Equal rise and fall of the chest

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12
Q

King Airway contraindication

A

patient under 4’, conscious, gag reflex

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13
Q

Indication to use CPAP

A

Alert, able to follow commands, COPD or CHF

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14
Q

BIPAP

A

Bilevel positive airway pressure - Saves O2, delivers pressure during inhalation and exhalation

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15
Q

Air pressure handheld nebulizer

A

4-6 L/min

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16
Q

EKG set up (3-4 lead)

A

White on right. Smoke over fire. Clouds over grass

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17
Q

EKG White placement

A

Left mid-clavicular 2nd intercostal space

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18
Q

EKG Black placement

A

Right Mid-clavicular 2nd intercostal space

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19
Q

EKG Red Placement

A

Right Mid clavicular 7th intercostal space

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20
Q

EKG Green placement

A

Left Mid Clavicular 7th intercostal Space

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21
Q

12 Lead (First 4)

A

first 4 spread out

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22
Q

V1 12 lead EKG

A

Sternal Boarder 4th intercostal space

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23
Q

V2

A
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24
Q

V1 12 lead EKG

A

Right Sternal Boarder 4th intercostal space

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25
Q

V2 12 Lead EKG

26
Q

V4 12 Lead EKG

A

Mid Clavicular 5th intercostal

27
Q

V6 12 Lead EKG

A

Mid Axillary 6th intercostal

28
Q

V3 and V5

29
Q

V6 Lead EKG

A

Mid Axillary 6th intercostal

30
Q

V3 and V5 Lead EKG

30
Q

V3 and V5 Lead EKG

31
Q

V6 12 Lead EKG

A

Mid Axillary 6th intercostal

32
Q

V3 and V5 12 Lead EKG

A

Connect the dots

33
Q

STEMI

A

ST elevation myocardium infarction

35
Q

STEMI

A

ST elevation myocardium infarction. Left ventricle MI

36
Q

Who is most at risk for silent MI

A

Diabetic Elderly Women

37
Q

Who is most at risk for silent MI and what’s the symptom?

A

Diabetic Elderly Women. Fatigue

38
Q

Bolus

A

Large amount of fluid administered in a short time

40
Q

What is 250ml saline used for?

A

Administer medications

41
Q

Who benefits from a bolus

A

Metabolic hypovolemic shock

42
Q

Who benefits from a bolus

A

Metabolic hypovolemic shock

43
Q

GEMS Diamond (Geriatrics>65y/o)

A

Geriatric, environmental, medical, social

44
Q

Modifications to SAMPLE for geriatrics

A

Ask about any medication changes, get list of medications

45
Q

Who benefits from a bolus

A

Metabolic hypovolemic shock

45
Q

Who benefits from a bolus

A

Metabolic hypovolemic shock

46
Q

BADPRLS

A

Birth control, A fib, deep vein thrombosis, prolonged immobilization, recent surgery, long bone fracture, sickle cell anemia

47
Q

BADPRLS (Risk of pulmonary embolism)

A

Birth control, A fib, deep vein thrombosis, prolonged immobilization, recent surgery, long bone fracture, sickle cell anemia

48
Q

Common causes of pneumonia in geriatrics

A

Institutionalization, COPD, immunocompromised, chronic lung damange

49
Q

Hypertrophic Cardiac Myopathy

A

Walls of heart get thicker over time, HTN can make worse

50
Q

Hypertrophic Cardiac Myopathy

A

Walls of heart get thicker over time, HTN can make worse

51
Q

Hypertrophic Cardiac Myopathy

A

Walls of heart get thicker over time, HTN can make worse

52
Q

Hypertrophic Cardiac Myopathy

A

Walls of heart get thicker over time, HTN can make worse

53
Q

Common causes of pneumonia in geriatrics

A

Institutionalization, COPD, immunocompromised, chronic lung damage

54
Q

Who benefits from a bolus

A

Metabolic hypovolemic shock

55
Q

Common causes of pneumonia in geriatrics

A

Institutionalization, COPD, immunocompromised, chronic lung damage

56
Q

How to test for orthostatic hypotension

A

Take vitals supine, standing, seated

57
Q

Common causes of pneumonia in geriatrics

A

Institutionalization, COPD, immunocompromised, chronic lung damage

57
Q

Who benefits from a bolus

A

Metabolic hypovolemic shock

EMT - CIEMT (11 decks)

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