Stuff Flashcards
1
Q
Normal Adult BGL Range
A
80-120
2
Q
Normal Adult Blood Pressure
A
120/80
3
Q
Normal SPO2
A
94%-100%
4
Q
Sound of upper respiratory issue (near the vocal cords)
A
Stridor, high pitch
5
Q
Sound of lower respiratory issue (in the chest)
A
Wheezing, low pitch
6
Q
Ventilation
A
Movement of air in and out of the lungs
7
Q
Internal Respiration
A
Gas exchange at cellular level
8
Q
External Respiration
A
Gas exchange in the lungs
9
Q
Carboxic Drive
A
Breathing to rid blood of CO2 (normal)
10
Q
Hypoxic Drive
A
Breathing to oxygenate blood (abnormal)
11
Q
Meaning of hypoperfusion
A
Shock, poor blood circulation outside of vital organs
12
Q
How to size OPA
A
Earlobe to corner or the mouth or Jaw to tip of the mouth
13
Q
How to size NPA
A
Size with back of ear to corner of mouth or earlobe to tip of nose
14
Q
LPM for nasal cannula, non-rebreather mask, and BVM
A
Nasal-cannula 0.25-6
Non-rebreather 8-15
BVM 10-15 (But 15 tho)
15
Q
Atmosphere O2
A
21%
16
Q
Perfusion
A
Circulation of blood to tissues and vital organs
17
Q
X-ABC’s
A
- Exsanguination (death by bleeding out)
- Airway
- Breathing
- Circulation
18
Q
Due Regard (When Driving)
A
Drive for the EMS team and the whole road to be safe
19
Q
When does scene-size up begin?
A
When you are dispatched
20
Q
Meaning of AVPU
A
□ Alert
□ Verbal stimuli
□ Painful stimuli
□ Unresponsive
21
Q
Meaning of A&Ox4
A
Alert and oriented to person, place, time, and event
22
Q
How do we know we deliver appropriate volume of air with BVM?
A
Chest rise
23
Q
SAMPLE meaning
A
Signs/Symptoms
Allergies
Medications
Pertinent medical history
Last oral intake
Events leading up to
24
Q
OPQRST meaning
A
Onset
Provocation
Quality
Radiation
Severity
Time
25
Meaning of PERRL/PEARL
Pupils equal and reactive to light
26
Who comes first on a call?
1. You
2. Your partner
3. The patient
27
Where to take pulse on adult if peripheral pulse is not palpable?
Carotid
28
How long to check pulse and breathing on unconscious patient?
No more than 10 seconds
29
Acute Stress Reaction
Fight or Flight, immediate response to event
30
Delayed stress reaction
Develops after a stressful event, can result in PTSD
31
Cumulative stress reaction
result of exposure to stressful situations over a long period, leads to burnout
32
4 levels of EMS licensure
· EMR: Emergency medical responder (the person)
· EMT: Emergency Medical Technician (the person)
· AEMT: Advanced Emergency Medical Technician (the person)
· EMT-P: Paramedic (the person)
33
What is the white paper?
A scientific study that established that pre-hospital medical services are vital to cities. Legit NHTSA funding started in the 90's
34
Medical Oversight
1. Offline
2. Online
3. Standing Orders
We operate under a doctor
1. Go for it
2. Ask first
3. Not typically allowed, but with a certain agency it may be
35
When do you not do head-tilt, chin-lift?
When a neck injury is suspected
36
Contamination definition
Presence of infectious organisms on foreign bodies
37
Exposure definition
contact with bodily fluids/airborne particles that may allow disease transmission
38
What is informed consent
Pt understands the procedure, risks, benefits, and alternatives associated with procedures
39
What is implied consent
Pt is unconscious, or unable to make a rational, informed decision about Pt care
40
What is loco parentis
in place of a parent, responsible party can consent to treatment of a minor
41
What is expressed consent
verbal or non-verbal consent
42
What do you need to do when performing a head-tild chin-lift on a pediatric patient?
Padding under the shoulders to fully open the airway
43
What is dependent lividity?
A reddish-blue discoloration of the skin resulting from the gravitational pooling of blood in the blood vessels evident in the lower lying parts of the body in the position of death
44
What is putrefaction?
the process of decay or rotting in a body
45
In what body part does rigor mortis usually set in first?
The jaw
46
What is a tort?
A tort is a civil wrong that causes someone to suffer a loss or harm, resulting in legal liability for the person who commits the tortious act
47
Define scope of practice
care you are legally allowed to provide
48
Define standard of care
level of care you are expected to provide
49
Duty to act
individual's responsibility to provide patient care (legally required when on duty or when self-identified as a medical provider)
50
Define abandonment
termination of medical care without Pt's consent, and without ensuring proper continuation of care
51
Define assault
dear of immediate bodily harm
52
Define battery
unlawfully touching a person
53
Define kidnapping
seizing, confining, abducting or carrying a person away with force
54
Define false imprisonment
unauthorized confinement of a person
55
What are the 3 stages of refusal of care?
1. Refusal of evaluation, care, and transport
2. Refusal of transport (treated and released)
3. Refusal against medical advice (AMA)
56
What is defamation?
communication of false information that damages the reputation of a person
57
What are the two types of defamation?
Slander and Libel
58
Define slander
defamation in verbal form
59
Define libel
defamation in writing
60
What are the 4 parts of negligence?
1. Duty-Duty to act was present
2. Breach of Duty- failure to act within a standard of care
3. Damages- physical or psychological harm resulted
4. Proximate cause- reasonable cause and effect relationship between the damages and the breach of duty
61
What does GSW stand for?
Gun shot wound
62
Do we preserve evidence in plastic or paper bags? Why?
Paper bags. Plastic would lead to condensation which leads to breakdown of evidence
63
Normal infant vitals
HR 100-160 at birth, then 120
RR 40-60 at birth, then 30-40, then 20-30 by on year
SBP 70 at birth, 90 at a year, minimum of 60
64
How long does it take for an infant's fontanelles to close?
completely by 1.5 years
65
Pre-school vital signs (4-5 years old)
HR 80-120
RR 20-30
SBP 80-110 (minimum of 70+2x the age)
65
Toddler vital signs (ages 1-30)
HR 80-130
RR 20-30
SBP 70-100 (minimum SBP of 70+2x the age)
66
School age vitals (6-12 years old)
HR 70-110
RR 20-30
SBP 80-120 (minimum 70+2x the age. Until 10 years then minimum SBP 90)
67
Adolescent vitals (13-18 years old)
HR 55-105
RR 12-20
SBP 100-120
68
PO meds are taken...?
Oral
69
IN meds are taken...?
Intranasal
70
IV meds are taken...?
Intravenous
71
IO meds are taken...?
Intraosseous
72
IM meds are taken...?
Intramuscular
73
SQ meds are taken...?
Subcutaneous
74
What four methods of medication can an EMT do?
PO, inhalation, IN, IM
75
What does MDI stand for?
Meter-Dose Inhaler
76
What two things to ask before administering medications?
1. SAMPLE history
2. Have you ever had this medication before (and how was it/were there adverse reactions)?
77
What are the 6 rights of medication administration?
Right patient
Right medication
Right dose
Right route
Right time (expired? Already taken medicaiton that day?)
Right documentation (time you gave and reactions to the med)
78
