SAM Quizzes Flashcards

1
Q

Barotrauma causes injury to…

A

-lungs
-nasal sinuses
-ears

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2
Q

Pulmonary overpressurization occurs when

A

Holds his or her breath during ascent

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3
Q

What is the pathophysiology of decompression sickness

A

An imbalance of nitrogen in the tissues and alveoli due to rapid ascent

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4
Q

Examples of passive rewarming

A

-removing wet clothing
-applying blankets
-encouraging ambulating

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5
Q

What are heat cramps caused by

A

Sodium loss due to sweating

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6
Q

Nitrogen gas bubbles in the joints or the folds of the intestinal tract are called…

A

The bends

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7
Q

When frozen tissues thaw slowly

A

Partial refereeing of melted water may cause greater tissue damage

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8
Q

Classic heatstroke

A

Typically affects older people and and is not associated with exertion

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9
Q

Altitude sickness is caused by

A

Hypoxia due to low atmospheric pressure

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10
Q

Heat loss

A

Thermolysis

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11
Q

Low wind chill factor increases heat loss through

A

Convection

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12
Q

What is the most predominant sign of acute mountain sickness

A

A throbbing headache and fatigue

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13
Q

Production of heat by the body

A

Thermogenesis

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14
Q

Examples of active external rewarming techniques

A

-hot packs
-heated blankets
-bairhugger

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15
Q

High-altitude pulmonary edema

A

A high-altitude illness that presents with hyperpnea, crackles, rhonchi, tachycardia and cyanosis

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16
Q

What is HACE caused by?

A

Cerebral vasodilation from hypoxia

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17
Q

When can a diagnosis of heatstroke be made

A

-core temperature of >40C and an altered mental status

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18
Q

If a patient is in hypothermic arrest you should

A

Attempt a single shock for V-fib or V-tach

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19
Q

What temperature does a heat stroke patient need to be cooled to in order to restore their own natural cooling mechanisms

A

38.8

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20
Q

Any diver who loses consciousness immediately following a dive should be assumed to have experienced

A

An air embolism

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21
Q

What is the most invasive form of rewarming

A

Active internal

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22
Q

In a cold environment, the body produces heat through these mechanisms

A

-thermogenesis
-shivering
-vasoconstriction

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23
Q

Nitrogen narcosis

A

A condition where nitrogen readily displaces oxygen in the brain, resulting in feelings or euphoria and disorientation

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24
Q

Example of convection

A

A person blowing on hot food to cool it down

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25
Q

High humidity

A

Decreases the body’s ability to eliminate excess heat through evaporation

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26
Q

Exertional heat stroke

A

Affects young healthy people

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27
Q

Osborne wave

A

An upward flextion immediately following the QRS complex

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28
Q

Why does nitrogen cause decompression sickness

A

On ascent because of the bubbles the form on reduction or pressure

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29
Q

Where is the body’s thermoregulation centre

A

The hypothalamus

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30
Q

Passive rewarming

A

An intervention that promotes heat retention it is different from other forms of rewarming in that it relies on the bodies existing energy and thermogenic mechanisms

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31
Q

The first step in treating a patient with a heat emergency is to

A

Move the patient to a cooler area

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32
Q

POPS occurs

A

On ascent

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33
Q

What are the two forms of heat exhaustion

A

Water-depleted and sodium depleted

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34
Q

Prehospital treatment for mild hypothermia

A

Warm IV fluids and heat packs

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35
Q

Conduction

A

The transfer of heat from a hotter object to a cooler object by direct physical contact

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36
Q

Acute mountain sickness

A

Results from ascent in a high altitude the present with tachycardia, increased respiratory rate and ataxia

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37
Q

What is the pathophysiology of decompression sickness

A

An imbalance of nitrogen in the tissues and alveoli due to rapid ascent

38
Q

Approximately 5 minuets following ascent from the water, a 30 year old male diver complains of sharp chest pain and mild dyspnea, by the time you arrive on scene the pt is unresponsive. What should you be suspicious of?

A

An arterial gas embolism

39
Q

Shallow water blackout occurs when

A

A decreasing PaO2 during ascent results in syncope

40
Q

After an adult victim is struck by lightning and experiences cardiac arrest…

A

His or her heart may resume beating spontaneously

41
Q

What is the most common cause of death due to electrical injury

A

Asphyxia leading to cardiac arrest

42
Q

What is a poision

A

Toxic by nature, no matter how it enters the body or in what quantities it is taken

43
Q

What is a toxidrome

A

A readily identifiable pattern of clinical signs and symptoms that result from certain classes of chemicals and medication

44
Q

Most ingested poisons cause

A

Nausea and vomiting

45
Q

A medication that has a narrow therapeutic index

A

Can be given, but not without close patient monitoring

46
Q

Therapeutic index

A

Difference between median effective dose and the median toxic dose

47
Q

What would help a paramedic differentiate a patient experiencing a sympathomemtic OD from an anticholinergic OD

A

Diaphoresis

48
Q

True or false: injecting medication that is normally ingested will increase its potency, but otherwise will not change the drugs effects or how it is metabolized

A

False

49
Q

Common signs and symptoms of a tricyclic antidepressant OD

A

Altered mental status and tachycardia with widening QT intervals

50
Q

The most common cause of death following tricyclic antidepressant overdose is

A

Cardiac dysrhythmia

51
Q

Death from acetaminophen overdose is most often caused by

A

Progressive liver failure

52
Q

Severe salicylate (ASA) toxicity produces

A

Metabolic acidosis

53
Q

Reversal of toxic doses of benzodiazepine with flumazenil places patient at risk for

A

Untreatable seizure activity

54
Q

What is the antidote for a beta blocker OD

A

Glucagon

55
Q

The most common signs of overdose with calcium channel blockers are

A

Hypotension and bradycardia

56
Q

Tricyclic antidepressant OD may lead to all of the following cardio toxic effects

A

V-Fib
Asystole
Vtach
NOT BRADYCARDIA

57
Q

You are treating a 4 year old male who has ingested 45 extra strength tylenol. What is the most important information to give to poison control

A

The child’s weight

58
Q

Any sympathomemtic drug will cause

A

Tachycardia

59
Q

You would expect a person to be hypertensive and tachycardic if they are exposed to

A

-Cocaine
-Meth
-MDMA

60
Q

What would the ECG of someone with cocaine toxicity show

A

Prolongation of the QT interval

61
Q

LSD is

A

A hallucinogenic

62
Q

Signs and symptoms of marijuana use include

A

-blood shot eyes
-euphoria
-drowsiness

63
Q

Most common symptom of cocaine intoxication

A

Chest pain

64
Q

What is the opium intoxication triad

A

Pinpoint pupils
CNS depression
Respiratory depression

65
Q

What is the antidote for an acute opioid OD

A

Naloxone

66
Q

A patient experiencing euphoria with vivid hallucinations and synaesthsia is likely taking

A

Ecstasy

67
Q

Treatment for a meth OD is

A

Valium

68
Q

What occurs in the warm zone

A

Decontamination

69
Q

Examples of chemical weapons

A

Vesicants
Industrial chemicals
Pulmonary agents

70
Q

The primary route of exposure to pulmonary agents is

A

Inhalation

71
Q

Smallpox blankets and mailed anthrax are both examples of terror attacks using

A

Biological agents

72
Q

When identifying the amount of radiation a patient has been exposed to you need to consider all the following except

A

Patients natural resistance

73
Q

At a CBRNe scene, the inner most circle surrounding the hazardous agent/event is called the

A

Hot zone

74
Q

Vesicant agents inflict injury by causing

A

Burn like blisters to form on the skin and in the respiratory tract

75
Q

Signs and symptoms of exposure to a nerve agent include

A

Salivation, pinpoint pupils, diarrhea

76
Q

A multiple casualty incident is defined as

A

An event where the number of patients exceeds the resources available to the initial responders

77
Q

An individuals span of control

A

Represents the number of personnel who report to him or her

78
Q

What does the safety officer do

A

Has the authority and responsibility to stop an emergency operation if he believes a rescuer is in danger

79
Q

If your unit is the first to arrive at an incident, you should keep yourself safe, size up the scene, and then

A

Notify dispatch, identify your unit, apprise dispatch of the situation, and assume command

80
Q

What is the primary duty of the triage officer

A

Ensure that every patient receives a triage assessment

81
Q

The staging supervisor is responsible for

A

Coordinating with all incoming and outgoing ambulances

82
Q

The first step in the START triage system involves

A

Directing all the walking and wounded to an easily identifiable landmark

83
Q

According to START triage system, a non-breathing patient should be triaged as immediate if

A

A manual airway maneuver restores breathing

84
Q

You arrive on scene to an MCI, incident command has already been established, what should you do

A

Stay at your vehicle until given instructions

85
Q

The goal of doing the greatest good for the greatest number of people mandates that

A

Triage assessment is brief and patient condition categories are basic

86
Q

A single command system is one which

A

One person is in charge, even if multiple agencies respond

87
Q

The unified command

A

Allows representative from multiple jurisdictions and agencies to share command authority and responsibility

88
Q

During a disaster, logging of all pts and the hospitals to which they are transported to is primarily the responsibility of the

A

Transportation supervisor

89
Q

During a small-scale incident, the incident commander:

A

May perform all the command functions

90
Q

As soon as the triage officer receives patients from the triage section, he or she should:

A

Perform secondary triage

91
Q

Patients with delirium often experience

A

Hallucinations

92
Q

What is initial treatment for methanol and ethylene glycol poisoning

A

Ethanol