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EMT - CIEMT > Primary Assessment > Flashcards

Primary Assessment Flashcards

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NREMT® EMT flashcards
1
Q

MOI (What does it mean and what type of incident is it?)

A

Mechanic of Injury, Trauma

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2
Q

Important factors in a MOI

A

Amount, length of time, and area of force applied

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3
Q

NOI (What does it mean and what type of incident is it?)

A

Nature of Illness, Medical

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4
Q

List 4 specialized resources

A
  1. ALS
  2. Air Medical Support
  3. Fire Dept.
  4. Law Enforcement
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5
Q

When would you need additional resources?

A

If the scene is unsafe, high patient to EMT ratio, not enough resources to respond

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6
Q

3 Steps of primary assessment

A
  1. General Impression - Age, Sex, positioning, MOI/NOI, identify life threats
  2. AVPU
  3. Introduction/Consent
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7
Q

AVPU

A

Alert, Verbal, Pain, Unresponsive

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8
Q

How to establish rapport

A
  1. Introduce Name, credential, and who you are with
  2. Ask patient name
  3. Ask what is bothering the patient today?
  4. Consent to treat
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9
Q

ABC

A

Airway, Breathing Circulation

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10
Q

When would you do ABC backwards?

A

When patient is non-responsive

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11
Q

How to determine ALOC

A

During AVPU

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12
Q

A symptom is..

A

Subjective, patient reports

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13
Q

A sign is…

A

Objective, can be identified by the EMT through senses

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14
Q

Modified Jaw Thrust

A

EMT hold jaw forward from mandible

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15
Q

What are you assessing in (B)reathing?

A

Rate, Rhythm, and Tidal Volume (Chest rise and fall)

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16
Q

What implies automatic high flow oxygen?

A

Chest Pain, shortness of breath, ALOC, sustained major trauma

17
Q

Warnings/Indications that a patient may need oxygen?

A
  1. Cyanosis or pale skin
  2. Body positioning
  3. Noisy Breathing
  4. Dyspnea
  5. Nasal Flaring in children
  6. Labored Breathing
18
Q

Dyspnea

A

shortness of breath (2-3 words between breaths)

19
Q

cyanosis

A

blue in the extremities and lips, late sign of hypoxia

20
Q

hypoxia

A

low oxygen

21
Q

When to begin rescue breathing

A

Greater than 28 breaths/min with inadequate tidal volume, less than 8 breaths/min, inadequate tidal volume with no room for air exchange

22
Q

COPS

A

Used to assess Circulation
Cap. Refill
Obvious Bleeding
Pulse
Skin signs

23
Q

What are you looking for when assessing pulse?

A

Presence, rate, rhythm, quality/strength

24
Q

Thready

A

Rapid and Weak pulse

25
Q

What pulse will you observe with shock?

A

Weak and fast (thready)

26
Q

What pulse should you check with a conscious patient?

A

Radial

27
Q

What pulse should you check with an unconscious patient?

A

Carotid

28
Q

What pulse should you check with children?

A

Brachial

29
Q

peritonitis

A

Hollow organ rupture (infection of the peritoneum)

30
Q

Treatment for Shock

A

High flow oxygen, cover with blanket (if indicated), place in proper position

31
Q

What is DEF and when does it occur during an assessment?

A

Deformities, disabilities, Expose area, formulate field impression. This occurs at the end to he primary assessment after ABC

32
Q

Golden Hour

A

Onset of illness/injury to definitive care

33
Q

Platinum 10

A

Time it takes to assess, stabilize, and transport patient (10 minutes)

34
Q

Scene Safety steps

A

Personal, Partner, Patient; Environmental Hazards; Number of Patients; Mechanic of Injury/Nature of Illness; Additional Resources Needed; Need for extrication or spinal immobilization

35
Q

4 steps of Patient Assessment

A
  1. BSI/Standard Precautions
  2. Scene Safety (Penman)
  3. Primary Assessment
  4. Secondary Assessment
36
Q

3 Steps of Primary Assessment

A

General Impression, AVPU, Introductions/Consent

37
Q

How long should the Primary assessment take

A

60-90 seconds

38
Q

What is the purpose of the primary assessment

A

Detect and correct immediate or imminent life threats

39
Q

5 characteristics of General impression

A

Age, Sex, Positioning, NOI/MOI, life threats

EMT - CIEMT (11 decks)

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