NREMT part V Flashcards

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1
Q

SRS

Whats that?

A

Safety restraint system

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2
Q

indications for air medical

A
  • extended extraction time
  • distance from hospital over 20 miles
  • no ALS providers available
  • MCI
  • delay of ground transport
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3
Q

poikilothermia

define

A

Inability to regulate core body temp

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4
Q

Perfusion triangle

A

Problem with the pump, pipes, or fluid

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5
Q

Cullens sign

Whats that

A

Bluish discoloration around the umbilicus indicitive of internal bleeding

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6
Q

Kerhs sign

Whats that

A
  • pain reffered to the left sholder on palpation indicitive of ruptured spleen
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7
Q

Cardiogenic shock S/S

A

Hypotension, Chest pain, dyspnea, pulmonary edema, Altered LOC

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8
Q

Obstructive shock causes

A
  • Cardiac tamponade
  • Tension pneumo
  • pulmonary embolism
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9
Q

Distributive shock s/s

A
  • Severe hypotension
  • wheezing
  • respiratory failure
  • hives
  • edema
  • angio edema
  • fever
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10
Q

neurogenic shock cause

A

Spinal cord injury typical at C-1 - C-5

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11
Q

neurogenic shock special consideration

A

they will typically NOT present with Tachycardia, Pale/cool/clammy(below level of injury)

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12
Q

Psychogenic shock caused by

A

syncope caused by acute, temporary, widespread vasodilation

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13
Q

Transport position for certain MOI/NOI

A

Shock: Supine
Chest pain/respiratory distress: comfort(fowler/semi-fowler)
Pregnant: on left side

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14
Q

Contusion vs hematoma

A

Contusion: Bruise
Hematoma: collection of blood beneath the skin

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15
Q

RICES

define and whats it for

A

Closed soft tissue injuries
Rest
Ice
Compression dressing
Elevation
Splinting

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16
Q

5 P’s of compartment syndrome

and bonus P :)

A

Pain
Pallor
Paresthesia
Pulse
Paralysis

Poikilothermia

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17
Q

Define Paresthesia

A

Numbness

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18
Q

5 factors of burn severity

A
  • Depth
  • % of body burned
  • Critical areas
  • Associated trauma
  • Age: <5 or >55
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19
Q

When to open airway and assist in ventilations during CPR

AHA guidelines

A

After initial 30 chest compressions during CPR

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20
Q

Kinetic energy formula

A

1/2 mass X velocity2

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21
Q

Low/medium/high velocity blunt trauma examples

A

low = knife,pancil,rebar
medium = most handguns
high = assault rifle

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22
Q

blast phase injuries

A

primary = pressure wave
secondary = flying deberis
tertiary = pt being thrown
Quaternary = burns, toxic fumes

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23
Q

Special population shock considerations

peds and gers

A

peds = vasoconstrict well, masks signs of shock. increased risk of hypovolemic shock due to dehydration
Ger = do not vasoconstrict well, limiting ability to compensate

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24
Q

Early shock s/s

A
  • restless/anxious/irritable
  • tachycardia
  • palce/cool/clammy
  • weak peripheral pulses
  • tachypnea
  • thirst
  • possible delayed cap refill in peds
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25
Q

late shock s/s

A
  • falling BP
  • irregular breathing
  • mottling/cyanosis
  • absent peripheral pulses
  • decreased LOC
26
Q

Splinting

regular, joint and long bone

A

regular = above and below injury
Joint = joint and bone above and below
longbone = bone and joints above and below

27
Q

Anterograde amnesia

A

inability to remeber events that occurred after injury

28
Q

Retrograde amnesia

A

inability to remeber events that occured before (prior) to an injury

29
Q

3 types of skull fractures

A
  • linear
  • Depressed
  • basal
30
Q

Cerebral contusion s/s

Caused by?

A

s/s of concussion and one of the following:
- possible ICP
- Decreasing mental status
- unresponsive
- pupillary changes
- abnormal vital signs
- behavior abnormalities
- vomiting

coup/contrecoup injury

31
Q

Epidural hematoma

what is

A

bleeding between skull and dura mater

32
Q

Epidural hematoma S/S

A

Fast onset and decline
- wake up then detiriorate
- HA
- sz
- vomiting
- hypertension
- bradycardia
- abnormal respirations
- pupillary changes

33
Q

Subderal hematoma

what is

A

blood between dura mater and arachnoid layer

34
Q

Subdural hematoma S/S

A

Slow onset (acute or chronic)
- no memory of event
- weakness/paralysis to one side of body
- dialation of one pupil
- decreasing pulse rate
- personality changes

35
Q

Nuchal rigidity

A

stiff neck

36
Q

subarachnoid hemorrhage

stuff about it and s/s

A
  • blood can enter CSF
  • Stiff ne4ck
37
Q

3 major things to avoid when Tx TBI

A
  1. NO hypoxia
  2. No hypotension
  3. No hyperventilation (decreases cerebral perfusion)
38
Q

hazards of full spinal immobilization

A
  • increased pain
  • respiratory compromise
  • tissue damage
  • ineffective immobilization
39
Q

SMR

A

spine motion restriction

40
Q

SMR indications

A
  • blunt trauma with AMS
  • spinal pain or tenderness
  • numbeness or weakness
  • anatomi deformity ofspine
  • high-energy mechanism associated with intoxication/inability to communicate/distracting injury
41
Q

SMR how to

A
  • apply rigid cervical collor
  • place pt on stretcher
  • firmly strap patient in using stretcher seat belts
  • does NOT include use of a spine board
42
Q

Simple pneumothorax define

A

closed pulmonary injury where air leaks into the pleural space

43
Q

Tension pneumothorax define

A

pneumo causing progressive buildup of air in pleural space

44
Q

Abd organs most susceptable to injury in ger. falls

A

Aorta
liver
spleen

45
Q

conjuctiva

A

membrane that covers the front of the eye and inside the eyelids

46
Q

Cornea

A

transparent, dome shaped surface that covers the front of the eye

47
Q

Iris

A

Colored portion of the eye that surrounds the pupil

48
Q

Pupil

A

round opening at the center of the iris

49
Q

sclera

A

visible white portion of the eye

50
Q

what part of the eye can have objects you can try to remove via sterile saline

A

Sclera

51
Q

Orbital fx s/s

A
  • visual disturbances
  • double vision
  • deformity around the eye
  • inability to move the eye in an upward gaze
52
Q

Conjunctivitis

what is and s/s

A

eye infection (pink eye) hihgly contagious
- reddness
- itching
- tearing

53
Q

hypothermia temps

A

mild: 90-95 (32-35 C)
moderate: 82-90 (28-32 C)
Severe: below 82 (28 C)

54
Q

what stages of hypothermia does shivering start? when does it stop?

A

Start : mild
Stop: moderate

55
Q

What happens to vital signs as hypothermia progresses

A

Bradypnea
bradycardia
hypotension

56
Q

how long do you check for a pulse in a cold pt

A

30-35 seconds

57
Q

trenchfoot s/s

A
  • itching
  • pain
  • swelling
  • cold/blotchy skin
  • possible blistering
58
Q

frostbite s/s

A
  • hard/frozen/ waxy tissue
  • blistering/mottling
  • skin: Red/white/blue/grey/purple/brown/ashen
59
Q

heat stroke s/s

tx?

A
  • Altered or decreased LOC (unresponsive)
  • sz
  • hot and dry/wet

Cool pt aggresivly (Do not let them shiver)

60
Q

type I decompression sickness S/S

A

itching
skin rash
pitting edema
pain in joints/abdomen
gradually intensifies
decreased function of extremities

61
Q
A