Mid Term Flashcards
Soft collar is for people whose recovering
-hard ridged/ extraction collar
Used to keep chin from touching the neck
Backboard
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
DNRO obtained from Bearu tally
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
Living wheel is a document of instruction what type of care a person wish to receive under certain circumstances
DNRO
Effective date
Witnessed used for identification
Physician
Name of pt or surrogate who signed
Attach to run report
Report written
Who
What
When
Where
Why
Do NOT delay in contacting the abuse hotline
2 basic rules for report writing
(If it wasn’t written down it wasn’t done )
(If it wasn’t done don’t write it)
Pulse point
Artery passes over a bone
Temporal
Carotid
Brachial
Radial -used to calculate rate rhythm and quality
Femoral
Popliteal
Posterior tiba
Dorsal pedis
Bsi
hand washing essential
Drop contaminated gloves into biohazard containers after removed
Body substance isolation
Stretcher
Stryker rugged manual
650LBS
Bariatric-
850LBS when raised
1600LBS when lowered
-Scoop scratcher
Lock halves first(head)
Stair chair
-ferno 500LB capacity
Need(3) operaters
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
Venturi mask
Blue 24%
Yellow 28%
White 31%
Green 35%
Pink 40%
Orange 50%
Big Yasmin was giving pvssy out
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
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
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
Suctions
Tonsil tip
-yankuer
Soft measures tip of nose angle of jaw (nasal)
(Oral) mouth to angle of jaw
Adults no more then 15
Peds 10-15
Infant no more then 5
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
Compensated flow meter affected by gravity kept up right found in hospital/ambulance
BGL
Insulin shock 40
Hypoglycemia 40-80
Normal 80-120
Hyperglycemia 120-400
DKA HNNC 400-800
Diabetic coma 800over
Jacksonville standard 50-300
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
12 leads
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
4 lead
White is right
Right deltoid. Black left deltoid
Green right midalcalf. Red left
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
The physics of trauma
When the body is exposed
If CPR not started in 4-6 minutes brain cells begin to die
Combitube
Distal end of tube must be lubricated
Rotate laterally 45-90 degrees
Blue orientation touch corner of mouth
Stryker manual 650
Powered Stryker 700
Sked- used for helicopter
Storks basket - already on a back board
Reeves stretcher - narrow hallways
KED
My middle
Baby bottom
Look legs
Hot head
Tonight top
Adults
puberty or older
Child-1 years old to puberty
Infant -birth to 1yo
Cpr
Adults
30:2 ratio take 18 secs or less
-Hand placement lower half of sternum (breast bone )
-2inch depth
-rate 100-120
5 cycles
Pediatric cpr
1yrs old to puberty
Ratio 2 men 15:2
1men.30:2
1/3 (approximately 2inch)
Lower half of sternum
Infant
Newborn- 1yr old
1/3depth (approximately 1 1/2)
2 fingers intermammary nipple line
Combitube
1 .pharyngeal cuff 85-100cc
2 distal cuff 12-20cc
Ventilation rates
1 every 6
Each set of compression is 18 seconds for 30 compressions
Child rescue breathing
1breath every 2-3secs
12-20
D and E cylinders
0.16
0.28
Ventilate combitube
Through blue tube
Pharyngeal
Land mark for combitube 2 black lines
Used for cardio or pulmonary arrest
Cpap
50psi
Rescue breathing
Adult/child 1men
1 breath 5-6 secs
For
10-12 min
Child
1 every 2-3secs
20-30breaths per minute
Normal pulse ox
94-99%
End tital co2
Capnometer
35-45
Breath sounds
Midaxillary mid clavicular
Regulator
Safe residual
D cylinder
0.16
E cylinder
0.28
Carotid 60
Brachial 80
Radial 90
Femoral 70
Dorsalis pedis 90
Mic LVL 1 (5-10)
ALS-4
Engines-2
Hospital-2
MCI LVL 2(11-20)
ALS- 6
ENGINES-3
Hospitals-3
MCI lvl 3 (21-100)
AlS- 8
Engines-4
HOSPITAL-4
MCI LVL 4 (101-1000)
5MCI task forces
ALS strike team :2
Suppression strike:2
BLS units: 2
Busses: 2
10 hospitals
5 trauma
MCI lvl 5 over 1000
MCI task forces :10
ALS strike team :4
Suppression strike:2
BLS units: 4
Busses: 4
20 hospitals
10 trauma
Classes
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
Stages of child birth
- Dilation of cervix
- Avulsion of infant
3.delivery of placenta
Imminent delivery
Crowning
Bvm types
15mm or22mm connector
Adult 1200-1600
Peds-500-700
Infant 150-240
Infant airway position
Neutral sniffing
Rolled towel under shoulders
Peds resuscitation tape
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
Abuse
Neglect and abandonment
Don’t delay to call
Fax 914
TDD 453
Phone 962
Report for abuse
Who
What
When
Where
Why
Air transport
Fixed wings
Jets and prop turbo for a distance greater then 250miles
Rotary
Helicopter
Helicopter landing zone
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
Shipping papers and facility
Must itemize all hazard materials during any transport
Shipping modes
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
B.n.I.c.e
Biological
Nuclear
Incendiary
Chemical
Explosive weapons
MCI lvl
Lvl 1,5-10
Lvl2 11-20
Lvl3 21-100
Lvl4 101-1000
Lvl5 1000
TEAMCPR
Thermal/heat
Etiological/disease
Asphyxiation o2 deficiency
Mechanical/hazards
Chemical/toxic
Physiological fear
Radiological/exposure
NFPA diamond
Blue-health
Red-flammable
Yellow-reaction
White- other
What ever has highest number indicates the greater effect
Decontamination
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
Incident command system
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
Safe residual pressure
200psi
Safety device for filling 02 cylinder
Pin index
Adult rule of 9s
Head -9
Back-18
Torso -18
Arms-9
Legs18
Pediatric rules of 9
Head-12
Torso-18
Arms-9
Legs- 16.5
KED.
MY/middle
Baby /bottom
Looks/legs
Hot/head
Tonight /top
Skin indicators
Pallor or paleness
Vasoconstriction blood loss,shock
Blue-gray,-inadequate,hypoxia
Red or flushed,heat exposure vasodilation carbon monoxide
Jaundice/ yellow,liver disease
Traction splints
4 support straps
Secure ischem strap first
Response to hazmat scene
Take defensive to prevent from spreading
And offense to control
Decrease time
Increase distance
Take shield
Delivering a baby
Firm surface
Semi Fowler
Blanket under butt/hips
Blanket over both legs
And abdomen
Rotate head to left of thigh
Mover up then down
Blow by o2
Hole in bottom of cup
2 inch from baby face
ICS structure
Operation -triage
Planning -treatment
Logistics -transportation
Financial administration-staging
MCI structure
TREATMENT
Triage
Transport
Staging
Combitube
Pharyngeal cuff-85-100cc
Distal 12-20
Apgar
Appearance
Pulse
Grimace
Activity
Respiration
Pediatric assessment triangle
A.appearance
W.work of breathing
C .circulation
Ferno pedi pac
28-54lnch
Between 20-90LBS
LSp peds immobilizer
Peds and infants Up to 75LBS
Approach helicopter from
9o clock and 3 o’clock
Downhill
Landing zone from hazmat
Uphill and upwind
Punishment
Move over act july,1 2002
118.50dollars and 3pts
Aweeness lvl response goal
R recognition
Isolation
Protecting
Notice
Level D
Firefighter
1268 Apgar
