NREMT Refresher Notes Flashcards
the … receives electrical signals from the brain, which pass through the atria, thus causing contractions. the signal proceeds to the … and … causing the ventricles to contract
sinoatrial node; atrioventricular junction; bundle of His
breaths for children: 1 every … seconds
3
with 2 providers, for anyone 8 and under, do a compression to breath ratio of …
15:2
suction times:
adult: … s
pediatric: … s
infant: … s
15; 10; 5
French catheters for …, …, inside of …
nose; stoma; advanced airway
newborns, ventilate …, fo
once every seconds
… oxygen cylinder in ambulance, contains about 3000L of O2
M
…= systolic - diastolic: should be about …-..>% of systolic, anything more than 50% is considered … and may indicate a …
anything less than ..% is considered … and may indicate …, …, and …
pulse pressure; 25-35; widened; head injury; 25; narrow; shock; tension pneumothorax; pericardial tamponade
orthostatic vital signs/tilt test: used for patients with suspected …:
take vitals when … and again when .. if heart rate increases by more than …-… bpm, indicates significant blood/fluid loss
blood/fluid loss; supine; standing up; 10-20
transport for trauma patients:
GCS < …, systolic < … or resp rate …-…, highest level trauma center
critical/life-threatening = highest level
serious fall/high risk vehicle collision = transport to …
very young/>55/bleeding disorders/renal disease/pregnant, with time sensitive extremity injury, …
burns without trauma to … facility. burns with trauma, to …
14; 90; 10-29;
nearest trauma center
call med control
burn; trauma center
normal blood glucose between …-…
80; 120
minor burn injury:
first degree over less than …% of body
second degree over less than …% of body
third degree burn over less than …% of body
50; 15; 2
moderate burn injury:
first degree burn over more than …% of body
second degree burn from … to ..>% of body
third degree burn from … to …% of body
50; 15; 30; 2; 10
severe burn injury:
burns that affect the …
moderate burn injury in those under … or over …
third degree over …% of body
second or third degree to …, …, …, …, or …
burns with associated …
second degree burn over …% of body
respiratory tract; 5; 55 10 respiratory tract; face; hands; feet; genitalia trauma 30
high BP for preeclampsia is considered greater than …/… mmHg or increase in systolic greater than … mmHg or increase in diastolic greater than … mmHg
140/90; 30; 15
APGAR:
Appearance: baby is cyanotic/pale all over = … points
baby has blue hands and feet, pink core = … points
baby is pink all over = … points
pulse (count for at least … seconds):
no pulse = … points
heart rate is under … bpm or over … bpm = 1 point
heart rate is over … bpm = 2 points
grimace (flick soles of feet/observe face during suctioning):
no activity = … points
displays some facial grimacing = 1 points
grimaces and coughs/sneezes/cries = … points
activity (degree of flexion in arms/legs and resistance to straightening them):’
limp/no extremity movement = … points
some flexion without active movement = … points
active movement = … points
respiration:
not breathing = … points
slow and irregular breathing; weak cry = … points
good respiration and strong cry = …. points
apgar 0; 1; 2; 30; 100; 180; 100 0; 1; 2; 0; 1; 2 0; 1; 2
apgar from 0-3 points means baby is severely depressed and may need to provide …, …, and …
4-6 points means that you must provide and …
ventilation; oxygen; CPR; stimulation; oxygen
if baby is cyanotic; breathing is shallow, slow/absent and heart rate is less than … bpm, provide ventilation using BVM
if baby’s heart rate drops to less than … bpm, even with ventilation, continue with ventilation and begin CPR
100; 60
PAT (pediatric assessment triangle) consists of assessing the …, work of …, and …
appearance; breathing; circulation
when assessing appearance for PAT, remember mnemonic TICLS:
T…- assess muscle tone
…/…- assess alertness/interactivity
…- are primary caregivers able to console child
… or …- assess for fixed/glassy eyed stare
… or …- assess strength of crying/speech
tone; interactivity/irritability; consolability; look or gaze; speech or cry
to move away from a downed power line, keep feet … and on the ground at all times (…); separated feet can create a circuit for electricity to flow through
together; shuffle
deactivate air bags before entering a vehicle by …
disconnecting the car’s battery cables
diamond placard:
blue diamond is a … hazard
red is a … hazard
yellow is a … hazard
white is used for additional info such as …, …, etc
for class subdivisions (numbers), higher numbers are more ….
health; fire; reactivity; radioactivity; oxidation; insensitive
ICS has following sections: ' … …/… … … …
command; finance; administration logistics operations planning
(jumpSTART pediatric triage)
non-breathing children:
open airway, if they begin breathing tag as …
if they do not begin to breathe, check pulse:
if no pulse, tag as …. if there is a pulse, give … rescue breaths. if they do not begin breathing, tag as … if they begin to breathe, tag as …
red; black; 5; black; red
(jumpSTART pediatric triage) if child is breathing:
if resp rate is less than … or greater than … tag as …
if resp between those numbers, check the pulse: no pulse, tag as … if you feel a pulse, check AVPU
15; 45; red
explosive:
primary effect: trauma caused by … of explosion
secondary effect: trauma caused by … and …
tertiary effect: trauma caused when body is … by …
blast; debris; shrapnel; thrown to the ground ; shock wave
signs and symptoms for nerve agents: SLUDGEM: … … … … … … …
salivation lacrimation urination defecation gastric distress emesis miosis
… damage exposed skin, lungs, and eyes. signs and symptoms include blistering, burning, and tissue damage
vesicants
dosages for meds:
aspirin: … mg
nitro: … mg in one table, … micrograms per 1 spray
dose for liquid albuterol: … mg in … mL solution
glucose: … carbs per tube
325; 0.4; 400; 2.5; 3; 15
