Test 1 Review Flashcards
Medical Director
A physician that provides a medical oversight that includes overseeing a patient care and delegating appropriate medical practices to EMTs and other EMS personnel.
Medical Direction
Prehospital Directions that the medical director provide to EMTs
On-line medical direction
Takes place when the EMS provider and physician communicate by cell phone, telephone, radio, or video technology regarding the patient’s emergency care.
Off-line medical direction
Is a predetermined, written guidelines, often referred to as standing orders, that allows EMTs to use their judgement to administer Emergency Care without contacting a physician.
Protocols
Guidelines that define the entire scope of medical care in which EMS personnel function( triage, treatment, transport, destination).
Tort
A wrongful act or an infringement of a right leading to a civil legal liability.
HIPAA
Health Insurance Portability and Accountability Act. to improve portability and continuity of health insurance coverage in the group and individual markets, to combat waste, fraud, and abuse in health insurance
Informed consent
permission granted in the knowledge of the possible consequences, typically that which is given by a patient to a doctor for treatment with full knowledge of the possible risks and benefits.
Slander
the action or crime of making a false spoken statement damaging to a person’s reputation.
Apnea
Not breathing
Pnea
combining form meaning “breath, respiration,” used in the formation of compound words that denote a kind of breathing or condition of the respiratory system, as specified by the initial
Brady
Slow, delayed, or tardy
Tachy
Swift or accelerated
Tachypnea
Excessively rapid respiration
Bradypnea
Abnormal slowness of respiration
Bradycardia
slow heartbeat rate, usually less than 60 beats per minute.
Tachycardia
excessively rapid heartbeat.
Hypoxia
Insufficient levels of oxygen in blood or tissue.
Hypoxemia
Insufficient oxygenation of arterial blood.
Hypoperfusion
decreased blood flow through an organ.
Nasal flaring
It can indicate respiratory distress
Retraction
when the area between the ribs and in the neck sinks in when a person with asthma attempts to inhale. Retractions are a sign someone is working hard to breathe.
Accessory muscle use
Additional ‘accessory muscles of respiration’ are typically only used under conditions of high metabolic demand (e.g. exercise) or respiratory dysfunction (e.g. an asthma attack).
Hemoglobin
a red protein responsible for transporting oxygen in the blood of vertebrates.
Gurgling
an abnormal coarse sound heard during auscultation, especially over large cavities or a trachea nearly filled with secretions.
Crowing/strider
is a high-pitched breath sound resulting from turbulent air flow in the larynx or lower in the bronchial tree. Stridor is a physical sign which is caused by a narrowed or obstructed airway.
Flexion
the action of bending or the condition of being bent toward the body, especially the bending of a limb or joint.
Extension
Straightening away from the body.
Cyonosis
Bluish or grayish color of the skin, nails, lips, or around the eyes.
Jaundice
unnaturally yellow in complexion.
Mottled
mark with spots or smears of color.
Autonomic nervous system
the part of the nervous system responsible for control of the bodily functions not consciously directed, such as breathing, the heartbeat, and digestive processes.
Respiratory rates for infant, pets, adult
- Infants: 30-60
- Toddlers age 1-3: 25-40
- preschoolers age 4-5: 22-35
- kids age 6-12: 20-30
- age 13-18: 12-16
- adults: 12-20
Pulse rates
- infants 1-11 months: 80-160
- toddlers 1yrs to puberty: 80-130
- adults: 60-100
Systemic vascular resistance
resistance to blood flow offered by all of the systemic vasculature, excluding the pulmonary vasculature. This is sometimes referred as total peripheral resistance (TPR).
Preload
is the end diastolic volume that stretches the right or left ventricle of the heart to its greatest dimensions under variable physiologic demand.
Afterload
also known as the systemic vascular resistance (SVR), is the amount of resistance the heart must overcome to open the aortic valve and push the blood volume out into the systemic circulation.
Ausculated
Auscultation is listening to the internal sounds of the body, usually using a stethoscope.