Skills Check/Knowledge Check

Question 1

These methods can be used to evaluate circulation in the extremities

Answer 1

Checking Radial & Pedal Pulse
Checking for capillary refill at the nails

Question 2

Cyanotic Skin indicates what?

Answer 2

Low levels of O2 in the blood

Question 3

What are the S/S of ICP?

Answer 3

Change in LOC
Headache - Increase in severity with time
Nausea or vomiting repeatedly
Amnesia - Loss of memory
Seizures (This is a late sign)
Posturing (Flexed, ridged, or angulated extremities and/or back) (late sign)

Vitals s/s
Changes in breathing patterns
The trifecta (HR slowing, BP rising, RR increasing)
SCTM can become PCC
PERRLA s/s - (late sign)

Question 4

When should/can you stop CPR?

Answer 4

If the patient regains a pulse, or after 30min.

Question 5

What is the treatment for a closed angulated fractured?

Answer 5

TIL If applicable, check CSMs before and after splinting, splint from the elbow to past the wrist, sling and swathe.

Question 6

What is always the initial treatment for hypoglycemia or hyperglycemia?

Answer 6

Giving the patient glucose.

Question 7

What treatment is used for strains/sprains?

Answer 7

RICE then re-evaluate.

Question 8

What factors can cause hypoxia?

Answer 8

Too little O2 in the air, too little O2 in the blood, too little blood flow in the brain.

Question 9

When should you use a tourniquet?

Answer 9

As a last option when a life threatening bleed cannot be controlled in any other way.

Question 10

What ailment can cause s/s similar to shock?

Answer 10

Acute Stress Reaction (ASR)

Question 11

What is sweet/alcoholic breath a s/s of in a patient that is NOT drunk?

Answer 11

Hyperglycemia

Question 12

What are the 3 major types of shock?

Answer 12

Hypovolemic (Loss of liquid in the body usually blood) | The pipes are broken/empty(ing)
Cariogenic (The heart can’t circulate blood well enough) | The pump is broken
Neurogenic (Vasodilation that can result result from spinal cord damage, acute allergic reactions, or life threatening infections) | The pipes are too big

Question 13

What is the dose administered from an Epipen for adults?

Answer 13

.3mg per 1:1000

Question 14

When significant trauma is involved, what is paradoxical movement in the ribs/chest a s/s of?

Answer 14

Flail chest

Question 15

Battle signs & CSF leaking from the ears are a s/s of what?

Answer 15

Skull fracture

Question 16

If the pelvis closes with horizontal pressure (pressing in on the iliac crests) what is that a s/s of?

Answer 16

Open Book Pelvic Fracture

Question 17

What treatment is always part of altitude related illnesses?

Answer 17

Descending elevation immediately

Question 18

If a patient has aspirated water, what are they at risk for, for a period of time after a wet drowning rescue?

Answer 18

Secondary drowning.
Secondary drowning victims are at high risk of aspiration pneumonia as well.