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EMS Boards > TBI, Assault, Enviro, Peds, Geri > Flashcards

TBI, Assault, Enviro, Peds, Geri Flashcards

1
Q

Main contributor to secondary brain injury

A

Cellular hypoxia

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2
Q

Cerebral perfusion pressure formula?
Surrogate?

A

MAP - ICP
Surrogate is systolic blood pressure in EMS

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3
Q

GCS and TBI severity

A

Mild: 14-15
Moderate: 9-13
Severe: 3-8

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4
Q

Concussion def:

A

A trauma induced alteration in mental status that may or may not include a loss of consciousness
Any alteration

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5
Q

Typical duration of concussion

A

7-10 days

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6
Q

% of women that experience IPV worldwide
Risk factors

A

30%
Separated or divorced
Disabled
Pregnant
Transgender
Lower SES

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7
Q

Most common time for IPV

A

Right around time partner is leaving

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8
Q

4 types of IPF (Per Johnson)

A

Situational couples: both sides violent
Coercive controlling: one partner with goal to maintain power
Violent resistance: One controlling, other resisting
Separation-instigated: nonviolent until separation (both M and F equal)

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9
Q

4 Cardinal rules for EMS safety

A

Never confront abuse
Never get between couple that is arguing
Always ensure that you have an escape route
Never let abuse block your exit

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10
Q

4 Rs for IPV

A

Recognize
Respond
Refer
Record

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11
Q

Don’t have what present when trying to help IPV in field

A

Children - they can snitch

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12
Q

4 Rs’ for trauma informed approach

A

Realization
Recognition
Response
Resisting re-traumatization

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13
Q

AMP model of human trafficing

A

Action - recruits, transports, obtains victims
Means - forced, fraud, coersion
Purpose - commercial sex or labor services (2 types of sex trafficking)

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14
Q

Most common trafficker

A

Family members (36%)

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15
Q

Goal of what when suspecting human trafficking

A

NOT disclosure or in depth interview
Gather enough info to provide necessary resources

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16
Q

Most common form of child abuse

A

Neglect (60%) - acts of omission

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17
Q

child abuse risk factors

A

<1 years old
Non verbal
Chronic diseases
no gender difference

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18
Q

4 mechanisms of losing heat

A

Radiation
Convection
Conduction
Evaporation

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19
Q

Mild hypothermia

A

32-35
Shivering, progressive loss of function

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20
Q

Moderate Hypothermia

A

28-32
loss of shivering
cardiac arrhythmias
confusion

21
Q

Severe hypothermia

A

<28
Muscular rigidity
Loss of vital signs
V-fib, LOC

22
Q

Trenchfoot description

A

before treatment: limb is blanched and yellowish white, edematous, not painful
after treatment: hyperemic phase - hot, red swollen and painful. Bilsters over weeks
Post hyperemic: cold sensitivity and paresthesias that may last years

23
Q

Rescuer ppl for altitude

A

Acclimatization
Chemoprophylaxis (acetazolamide, dexamethasone)
O2 supplementation

24
Q

Decent equivalent for portable hyperbaric chamber

A

3000 ft

25
Q

3 diving injuries at depth

A

Nitrogen narcosis
O2 toxicity
Immersion pulmonary edema (even with just swimming)

26
Q

3 diving injuries of ascent

A

Overpressure - barotrauma
Arterial gas embolism
Decompression sickness

27
Q

Why reverse triage in lightning

A

Temporary loss of respiratory drive (medulla)

28
Q

Two ABCDE caveats in peds

A
  1. AVPU for airway
  2. Caveat on Exposure, very prone to hypothermia
29
Q

HR to promp action in kids

A

> 220 in infants
180 in children
<60 and symptomatic

30
Q

BP formula for kids

A

70 + (2 x age)

31
Q

Best pain scale for kids 4-12

A

Pictorial (Wong Baker Faces)

32
Q

Best pain scales < 4

A

Observational :
1. FLACC - Face, Legs, Activity, Cry, Consolability
2. CHEOPS

33
Q

What to give sick croup kids

A

Nebulized epi
Mist does not work

34
Q

BRUE criteria

A

Sudden, brief (<1 minute), resolved with 1 of: cyanosis or pallor, irregular breathing, change in tone, decreased responsiveness

35
Q

BRUE age range

A

<1 year, highest in <3 months

36
Q

% of pediatric responses that are seizures?

A

10%

37
Q

What % of children will have febrile seizures

A

5%

38
Q

Most common finding in pediatric shock

A

Tachycardia

39
Q

Higher ROSC in non shockable adult vs bed arrest?

A

Peds (but numbers still low)

40
Q

Waddels triad

A
  1. Femur fx
  2. Chest + Abd trauma
  3. Head injury
41
Q

Lap belt complex

A

Hyperflexion during deceleration in MVC
Abdominal trauma (hollow viscous) + vertebral compression fractures

42
Q

Most common technology dependent child device

A

G or J tubes

43
Q

What terminates seizure from vagal stimulator

A

Magnets
But if benozs are option use that first

44
Q

Test for cognitive decline

A

Six item screener
3 words
Date, month, year
recall 3 words

45
Q

Patient health questionnaire 2 tests?

A

Depression

46
Q

Age as “special consideration” for trauma transfer
Systolic BP cutoff?

A

> 55
Systolic of 110

47
Q

Drugs to consider as IBW dosing

A

Opioids, Ketamine
Propofol, versed, etomidate

48
Q

Non weight based EMS drugs

A

Haldol
Quetapine

EMS Boards (32 decks)

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