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EMT > Mid Term > Flashcards

Mid Term Flashcards

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1
Q

Soft collar is for people whose recovering
-hard ridged/ extraction collar
Used to keep chin from touching the neck

A
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2
Q

Backboard

A

Longboard 5-6ft
-farington round corners
and Ohio shaped like a coffin slight tapered at the foot
Make sure patient is secured to back board so they dont slide sideways up and down
Securing the patient is a Good strapping technique
Trauma strapping (figure 8 or trauma 8)
Miller board used for neurological
Someone who greater then
-250 can not use and children less then 25LBS

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3
Q

DNRO obtained from Bearu tally

A

Will be signed by pt or physician
Carnary yellow form or yellow paper
Should be kept at head or foot of bed or refrigerator
*worn around the neck and clip to key chain
The identification form do NOT need to be completed its a add on

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4
Q

Living wheel is a document of instruction what type of care a person wish to receive under certain circumstances

A
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5
Q

DNRO

A

Effective date
Witnessed used for identification
Physician
Name of pt or surrogate who signed
Attach to run report

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6
Q

Report written

A

Who
What
When
Where
Why
Do NOT delay in contacting the abuse hotline

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7
Q

2 basic rules for report writing

A

(If it wasn’t written down it wasn’t done )
(If it wasn’t done don’t write it)

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8
Q

Pulse point
Artery passes over a bone

A

Temporal
Carotid
Brachial
Radial -used to calculate rate rhythm and quality
Femoral
Popliteal
Posterior tiba
Dorsal pedis

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9
Q

Bsi
hand washing essential
Drop contaminated gloves into biohazard containers after removed

A

Body substance isolation

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10
Q

Stretcher

A

Stryker rugged manual
650LBS

Bariatric-
850LBS when raised
1600LBS when lowered

-Scoop scratcher
Lock halves first(head)

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11
Q

Stair chair
-ferno 500LB capacity
Need(3) operaters

A
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12
Q

NC
1-6lpm 24-44%concentration

Simple face mask
6-10LPM 28-60% concentration

Partial rebreather
6-10 LPM 35-60% breathes 1/3rd oxygen air

NRBFM has one way valve’s and reservoir bag must be inflated
10-15% 90%
High flow is 15%
BVM- 15LPM nearly 100

A
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13
Q

Venturi mask
Blue 24%
Yellow 28%
White 31%
Green 35%
Pink 40%
Orange 50%

A

Big Yasmin was giving pvssy out

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14
Q

Bvm 15LPM nearly 100
Adult 1200-1600
Peds 500-700
Neonate 150-240
Should be transparent to see vomit and fluids during Transport so proper actions can be taken

A
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15
Q

CPAP pg 155
Fixed oxygen concentration
-constant pressure
-Need a Oxygen sources capable of delivering 50psi
**Flow regulator delivers fixed or variable oxygen concentrations
7-10 (acceptable water)
-positive end expiratory pressure (Peep) is connected to exhalation port

A

Used for (respiratory distress ) And to by time
Copd get bronchodilator for treatment and Asthma patients
CHF get lasix and nitroglycerin

COPD increase Abutural for the lungs nitroglycerin decrease blood pressure

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16
Q

Suctions
Tonsil tip
-yankuer
Soft measures tip of nose angle of jaw (nasal)
(Oral) mouth to angle of jaw

A

Adults no more then 15
Peds 10-15
Infant no more then 5

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17
Q

Oxygen view chapter 11
Full at 2000-2200
Empty at 200 called safe residual pressure
Flow meter measure 02 and control flow
Regulator (reduce valve+ flow meter)
D,E are portable cylinders

A

Compensated flow meter affected by gravity kept up right found in hospital/ambulance

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18
Q

BGL

A

Insulin shock 40
Hypoglycemia 40-80
Normal 80-120
Hyperglycemia 120-400
DKA HNNC 400-800
Diabetic coma 800over

Jacksonville standard 50-300

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19
Q

Hipaa(health insurance probability act)
Act in 1996
The purpose was so you can take health insurance with you when you transfer jobs without losing coverage
Also protect the privacy of people health care information

A
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20
Q

12 leads

A

V1 4th intercostal space to the right of sternum
v2- 4th intercostal left of sternum
V3- between 2 and 4
V4- 5inter costal midclavicular line
V5-between 4 and 6
V6- 5 intercostal mid maxillary

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21
Q

4 lead

A

White is right
Right deltoid. Black left deltoid
Green right midalcalf. Red left

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22
Q

Kinematic trauma
Young adults and children
How injuries accrue and affect the body
Correct hospital
Allow emt to look at the scene to apply them to patients assessment

A

The physics of trauma
When the body is exposed

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23
Q

If CPR not started in 4-6 minutes brain cells begin to die

A
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24
Q

Combitube

A

Distal end of tube must be lubricated
Rotate laterally 45-90 degrees
Blue orientation touch corner of mouth

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25
Q

Stryker manual 650
Powered Stryker 700

A

Sked- used for helicopter
Storks basket - already on a back board
Reeves stretcher - narrow hallways

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26
Q

KED

A

My middle
Baby bottom
Look legs
Hot head
Tonight top

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27
Q

Adults
puberty or older

Child-1 years old to puberty

Infant -birth to 1yo

A
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28
Q

Cpr
Adults

A

30:2 ratio take 18 secs or less
-Hand placement lower half of sternum (breast bone )
-2inch depth
-rate 100-120
5 cycles

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29
Q

Pediatric cpr
1yrs old to puberty

A

Ratio 2 men 15:2
1men.30:2
1/3 (approximately 2inch)
Lower half of sternum

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30
Q

Infant
Newborn- 1yr old

A

1/3depth (approximately 1 1/2)
2 fingers intermammary nipple line

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31
Q

Combitube

A

1 .pharyngeal cuff 85-100cc
2 distal cuff 12-20cc

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32
Q

Ventilation rates
1 every 6

A
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33
Q

Each set of compression is 18 seconds for 30 compressions

A
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34
Q

Child rescue breathing
1breath every 2-3secs
12-20

A
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35
Q

D and E cylinders
0.16
0.28

A
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36
Q

Ventilate combitube
Through blue tube
Pharyngeal
Land mark for combitube 2 black lines

A

Used for cardio or pulmonary arrest

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37
Q

Cpap
50psi

A
38
Q

Rescue breathing
Adult/child 1men

A

1 breath 5-6 secs
For
10-12 min

Child
1 every 2-3secs
20-30breaths per minute

39
Q

Normal pulse ox

A

94-99%

40
Q

End tital co2
Capnometer

A

35-45

41
Q

Breath sounds

A

Midaxillary mid clavicular

42
Q

Regulator
Safe residual

A
43
Q

D cylinder

A

0.16

44
Q

E cylinder

A

0.28

45
Q

Carotid 60
Brachial 80
Radial 90
Femoral 70
Dorsalis pedis 90

A
46
Q

Mic LVL 1 (5-10)

A

ALS-4
Engines-2
Hospital-2

47
Q

MCI LVL 2(11-20)

A

ALS- 6
ENGINES-3
Hospitals-3

48
Q

MCI lvl 3 (21-100)

A

AlS- 8
Engines-4
HOSPITAL-4

49
Q

MCI LVL 4 (101-1000)

A

5MCI task forces
ALS strike team :2
Suppression strike:2
BLS units: 2
Busses: 2
10 hospitals
5 trauma

50
Q

MCI lvl 5 over 1000

A

MCI task forces :10
ALS strike team :4
Suppression strike:2
BLS units: 4
Busses: 4
20 hospitals
10 trauma

51
Q

Classes

A

1.explosives
2.gases
3.flammable and combustible liquid
4. Flammable solids
5.oxidizing substances and organic peroxide
6.toxic and infectious substances
7.radioactive material
8.corrosive materials
9.miscellaneous hazard material

52
Q

Stages of child birth

A
  1. Dilation of cervix
  2. Avulsion of infant
    3.delivery of placenta
53
Q

Imminent delivery

A

Crowning

54
Q

Bvm types
15mm or22mm connector

A

Adult 1200-1600
Peds-500-700
Infant 150-240

55
Q

Infant airway position

A

Neutral sniffing
Rolled towel under shoulders

56
Q

Peds resuscitation tape

A

Measure from head to toe
Red at the top
Where ever color the sole of the feet stop at is what type of dose airway adjuncts you would use to treat them
If the patient is falling a lil over the tap use next color

57
Q

Abuse

A

Neglect and abandonment
Don’t delay to call
Fax 914
TDD 453
Phone 962

58
Q

Report for abuse

A

Who
What
When
Where
Why

59
Q

Air transport

A

Fixed wings
Jets and prop turbo for a distance greater then 250miles

Rotary
Helicopter

60
Q

Helicopter landing zone

A

100x100
Hard or grassy surface
Weighted cones /headlights
Approach from downhill never duck under helicopter dont move patient unless told to do so
Make sure all equipment is tight

61
Q

Shipping papers and facility

A

Must itemize all hazard materials during any transport

62
Q

Shipping modes

A

Highway -vehicles arm reach of driver
On seat or door pocket when un attended

Rail-listening each car or vehicle
Water-wheelhouse tube or box barge
Air-possession of pilot
Pipeline-owner name 24hr contact info

63
Q

B.n.I.c.e

A

Biological
Nuclear
Incendiary
Chemical
Explosive weapons

64
Q

MCI lvl

A

Lvl 1,5-10
Lvl2 11-20
Lvl3 21-100
Lvl4 101-1000
Lvl5 1000

65
Q

TEAMCPR

A

Thermal/heat
Etiological/disease
Asphyxiation o2 deficiency
Mechanical/hazards
Chemical/toxic
Physiological fear
Radiological/exposure

66
Q

NFPA diamond

A

Blue-health
Red-flammable
Yellow-reaction
White- other
What ever has highest number indicates the greater effect

67
Q

Decontamination

A

Gross contamination begins at hotline
Specific decontamination warm zone

Brush dry contaminants as much before washing

Liquid remove clothes as fast as possible and wash with large amounts of water

Put clothes place in plastic bags

68
Q

Incident command system

A

Gross contamination begins at hotline
Specific decontamination warm zone

Brush dry contaminants as much before washing

Liquid remove clothes as fast as possible and wash 20mins with large amounts of water

Put clothes place in plastic bags

69
Q

Safe residual pressure

A

200psi

70
Q

Safety device for filling 02 cylinder

A

Pin index

71
Q

Adult rule of 9s

A

Head -9
Back-18
Torso -18
Arms-9
Legs18

72
Q

Pediatric rules of 9

A

Head-12
Torso-18
Arms-9
Legs- 16.5

73
Q

KED.

A

MY/middle
Baby /bottom
Looks/legs
Hot/head
Tonight /top

74
Q

Skin indicators

A

Pallor or paleness
Vasoconstriction blood loss,shock

Blue-gray,-inadequate,hypoxia

Red or flushed,heat exposure vasodilation carbon monoxide
Jaundice/ yellow,liver disease

75
Q

Traction splints

A

4 support straps
Secure ischem strap first

76
Q

Response to hazmat scene

A

Take defensive to prevent from spreading
And offense to control

Decrease time
Increase distance
Take shield

77
Q

Delivering a baby

A

Firm surface
Semi Fowler
Blanket under butt/hips
Blanket over both legs
And abdomen
Rotate head to left of thigh
Mover up then down

78
Q

Blow by o2

A

Hole in bottom of cup
2 inch from baby face

79
Q

ICS structure

A

Operation -triage
Planning -treatment
Logistics -transportation
Financial administration-staging

80
Q

MCI structure

A

TREATMENT
Triage
Transport
Staging

81
Q

Combitube

A

Pharyngeal cuff-85-100cc
Distal 12-20

82
Q

Apgar

A

Appearance
Pulse
Grimace
Activity
Respiration

83
Q

Pediatric assessment triangle

A

A.appearance
W.work of breathing
C .circulation

84
Q

Ferno pedi pac

A

28-54lnch
Between 20-90LBS

85
Q

LSp peds immobilizer

A

Peds and infants Up to 75LBS

86
Q

Approach helicopter from

A

9o clock and 3 o’clock
Downhill

87
Q

Landing zone from hazmat

A

Uphill and upwind

88
Q

Punishment

A

Move over act july,1 2002
118.50dollars and 3pts

89
Q

Aweeness lvl response goal

A

R recognition
Isolation
Protecting
Notice

90
Q

Level D

A

Firefighter

91
Q

1268 Apgar

A

EMT (29 decks)

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