Questions Flashcards

0
Q

Chemical burns flush for at least

A

20 minutes

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1
Q

How long do you flush an eye with water

A

20 minutes max

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2
Q

Head injury will be signified by a

A

High blood pressure and a low pulse rate

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3
Q

C spine injury

A

Loss of movement or sensation below the injury

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4
Q

Critical incident stress debriefing (CISD) is held

A

24-72 hours of a major incident

All info is confidential

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5
Q

Defusings are

A

Less formal than CISD
Allows for initial venting of emotions
May engage or eliminate need for a formal debriefing

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6
Q

The scope of practice of a CFR operating in the FDNY is defined by

A
Nys public laws
Article 30
Part 800
REMSCO
FDNY rules and regs
FDNY medical director
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7
Q

First responders do not

A

Accept refusals

Must ensure EMS resources will evaluate the patient

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8
Q

What is assault

A

Unlawfully placing a patient in fear of bodily harm

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9
Q

What is battery

A

Touching a patient or providing care without consent

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10
Q

Advance directives

A

Indicate patients wishes while he is still alive

They are NOT honored by CFR’s

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11
Q

DNR’s and DNAR’s may be honored if

A

Approved NYS DOH form or Medic alert tag AND
Physically present AND
Valid

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12
Q

Once CPR has been initiated if a valid DNR is presented Direct Medical control (telemetry)

A

Must be contacted for approval to discontinue resuscitative efforts

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13
Q

DNR’s may be

A

Verbally revoked at any time

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14
Q

Negligence

A

Deviation from accepted standard of care that results in harm or injury to the patient

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15
Q

The average 150 lb adult has

A

6 liters of blood

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16
Q

Pale mucous membranes indicate

A

Poor perfusion

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17
Q

Flushed skin (reddened )

A

Exposure to heat
Fever
CO

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18
Q

Temperature should be assesses on the

A

Core of the body
Face
Neck
Torso

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19
Q

Jaundice (yellow discoloration)

A

Liver disorder

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20
Q

Cyanosis

A

Blue/gray discoloration

Hypoxia (low levels of oxygen)

21
Q

Cool or cold skin indicates

A

Possible shock or exposure to the cold

22
Q

Hot skin indicates

A

Fever
Infection
Burns
Or a heat emergency

23
Q

Biological death occurs

A

4-6 minutes after onset of hypoxia

6-8 min irreversible brain damage occurs

24
Q

Inhaled air

A

21% oxygen

25
Q

Exhaled air

A

16% oxygen

26
Q

Shock is also referred to as

A

Hypoperfusion

27
Q

Normal adult breathing rate

A

12-20 breaths per min

28
Q

Max suction
Adults
Children
Infants

A

15 seconds
10
5

29
Q

Fuel oxygen cylinder has

A

2,000 psi

Change at 200 psi

30
Q

Mask to stoma ventilation

A

Use infant or child mask
Head and neck DO NOT need to be positioned
If air escapes thru nose or mouth, pinch nostrils and close mouth. Otherwise it is not necessary to close mouth or pinch nose

31
Q

What are the SAMPLE questions

A
Signs or symptoms 
Allergies
Medications
Past medical history 
Last oral intake 
Events leading up to injury/illness
32
Q

NYC protocols allow the administration of glucose or a sugar sweetened solution to a patient with an

A

Altered mental status provided that the patient has an intact gag reflex and is able to swallow and drink without assistance

33
Q

Following a seizure patients are usually

A

Vey sleepy and confused. They may also become combative

34
Q

Hemodialysis

A

Eliminates water and waste when the kidneys fail
Dialysis machine is connected to an access port or shunt
Blood pressure should not be obtained on the arm containing the shu

35
Q

If severed body part is recovered

A

Wrap in sterile, saline moistened dressing then
Seal in plastic bag then
Place bag in ice and water

Do not use ice alone
Do not use dry ice

36
Q

Eviscerations

A

Do not replace organs
Cover with sterile, saline moistened dressing followed by a dry dressing, followed by a occlusive dressing taped on ALL sides

37
Q

When treating a patient for exposure to the cold assess the pulse

A

30-45 seconds prior to initiating CPR
No drinking, eating or smoking
Do not massage extremities

38
Q

If blisters due to frostbite

A

Cover with dry dressing

Do not pop blisters

39
Q

Heat stroke

A

Hot flushed dry skin

No longer sweating

40
Q

What is the 1st step in managing burns

A

1st stop the burning process with water or saline
Cover with dry sterile dressing then wrap in dry sterile sheets
Do not use any type of ointment, lotion or antiseptic
Do not break any blisters

41
Q

Chemical burns flush with copious amounts of water for

A

A minimum of 20 minutes

42
Q

Rules of nines

A
Head front and back 9%
Arms 9%
Legs 18%
Chest 18%
Back 18%
Perineum 1%
43
Q

Supine Hypotensive Syndrome

A

Dangerous drop in blood pressure caused by the weight of the fetus compressing the vena cava when a pregnant woman lies supine
Occurs in 2nd or 3rd trimester
Place in left lateral recumbent position
In necessary to immobilize prop up on long board

44
Q

In NYC if you are unable to slip the umbilical chord over the baby’s head

A

Immediately clamp and cut the chord between the clamps

Suction mouth 1st then nose

45
Q

In NYC after the pulsating stops in the umbilical chord, clamp and cut the chord

A

1st clamp 8-10 inches away from newborn

2nd clamp approximately 4 inches from newborn

46
Q

Keep the newborns head

A

Slightly lower than the torso

47
Q

If a newborns heart rate drops below 60 per min

A

Begin CPR

48
Q

If a newborns heart rate drops below 100 beats per minute begin

A

Assisted ventilations

49
Q

In pediatrics how is the OPA inserted

A

Anatomically

NPA’s are not used in children by CFR’s

50
Q

SIDS

A

Sudden death of an infant within the first 5 months of life