NREMT part V Flashcards
SRS
Whats that?
Safety restraint system
indications for air medical
- extended extraction time
- distance from hospital over 20 miles
- no ALS providers available
- MCI
- delay of ground transport
poikilothermia
define
Inability to regulate core body temp
Perfusion triangle
Problem with the pump, pipes, or fluid
Cullens sign
Whats that
Bluish discoloration around the umbilicus indicitive of internal bleeding
Kerhs sign
Whats that
- pain reffered to the left sholder on palpation indicitive of ruptured spleen
Cardiogenic shock S/S
Hypotension, Chest pain, dyspnea, pulmonary edema, Altered LOC
Obstructive shock causes
- Cardiac tamponade
- Tension pneumo
- pulmonary embolism
Distributive shock s/s
- Severe hypotension
- wheezing
- respiratory failure
- hives
- edema
- angio edema
- fever
neurogenic shock cause
Spinal cord injury typical at C-1 - C-5
neurogenic shock special consideration
they will typically NOT present with Tachycardia, Pale/cool/clammy(below level of injury)
Psychogenic shock caused by
syncope caused by acute, temporary, widespread vasodilation
Transport position for certain MOI/NOI
Shock: Supine
Chest pain/respiratory distress: comfort(fowler/semi-fowler)
Pregnant: on left side
Contusion vs hematoma
Contusion: Bruise
Hematoma: collection of blood beneath the skin
RICES
define and whats it for
Closed soft tissue injuries
Rest
Ice
Compression dressing
Elevation
Splinting
5 P’s of compartment syndrome
and bonus P :)
Pain
Pallor
Paresthesia
Pulse
Paralysis
Poikilothermia
Define Paresthesia
Numbness
5 factors of burn severity
- Depth
- % of body burned
- Critical areas
- Associated trauma
- Age: <5 or >55
When to open airway and assist in ventilations during CPR
AHA guidelines
After initial 30 chest compressions during CPR
Kinetic energy formula
1/2 mass X velocity2
Low/medium/high velocity blunt trauma examples
low = knife,pancil,rebar
medium = most handguns
high = assault rifle
blast phase injuries
primary = pressure wave
secondary = flying deberis
tertiary = pt being thrown
Quaternary = burns, toxic fumes
Special population shock considerations
peds and gers
peds = vasoconstrict well, masks signs of shock. increased risk of hypovolemic shock due to dehydration
Ger = do not vasoconstrict well, limiting ability to compensate
Early shock s/s
- restless/anxious/irritable
- tachycardia
- palce/cool/clammy
- weak peripheral pulses
- tachypnea
- thirst
- possible delayed cap refill in peds