Test 28/29 Flashcards

1
Q

Ambient oxygen must be above what in order to use air purifier device

A

19.5%, as unit does not supply supplemental O2

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2
Q

National Education standards a part of what document?
What does it do?

A

EMS Education agenda
Gives a guideline on national objectives, optional for schools, but needed for accreditation

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3
Q

NFPA 1582

A

Requires departments to have a physician providing medical oversight and development of a wellness program to asses worker health and safety
Includes paid medical evaluations and vaccinations

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4
Q

NFPA 1583

A

Recommendations for fire fighter fitness program

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5
Q

NFPA 1584

A

Nine components of fire fighter rehab program

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6
Q

OSHA 1910 requires what

A

Departments to require TB screening and risk reduction strategies

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7
Q

What document identified need for medical direction for all levels of EMS providers

A

EMS agenda for the future: 1996

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8
Q

2 greatest sources of liability for an EMS agency

A

Non transport
Motor vehicle collisions

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9
Q

Principle of competency revolves around

A

Determining the providers ability to synthesize important information, make effective medical decisions, and safely perform interventions

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10
Q

Blind pericardiocentesis approach

A

Subxiphoid: needle just left of xiphoid notch aimed at the left shoulder

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11
Q

What to switch balloon pump to in CPR?
What to do after that as last resort/.

A

Arterial trigger: triggered by arterial pressures generated from chest compressions during CPR
Last resort: internal trigger, sets IABP to asynchronous pulsations

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12
Q

Priority for EMS in hypothermia

A

Remove the sources of cold stress

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13
Q

Mild hypothermia

A

Shivering and suffering from progressive loss of fine and gross motor with or without confusion

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14
Q

Severe hypothermia

A

Muscular rigidity, cardiac vulnerability to VF, and coma

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15
Q

Who gets hyperbarics in CO

A

Neurologic symptoms or severe poisoning
Levels greater than 25%
Levels greater than 15 in pregnant patients

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16
Q

What is technical decontamination

A

Responder decontamination prior to suit removal when exiting hot zone into warm zone

17
Q

What is transformative learning

A

Belief that a defining condition of being human is that we have to understand meaning of our experiences
Learning occurs when learners are actively engaged and use critical reflection

18
Q

Theory of margin in adult education

A

Describes learning in the context of power based load margins and takes into account external pressures

19
Q

Two organizations that accredit paramedic programs

A

Commission on accreditation of allied health educational programs (CAAHEP)
CoAEMSP

20
Q

Only forms of abuse mandatory reporting required in all 50 states

A

Child maltreatment or sexual assault of a minor child

21
Q

Why can children have internal injuries without obvious deformity or signs of injury on exams

A

Compliaint musculoskeletal system

22
Q

Pediatric myocardium compliance

A

Diminished ventricular myocardium compliance, which increases cardiac output predominately through tachycardia

23
Q

Rare for infants under what age to have accidental fractures

A

18 months

24
Q

Total body weight prehospital medications

A

Diltiazem
Etomidate
Fentanyl
Benzos
Propofol
Succinylocholine

25
Q

Ideal body weight prehospital medications

A

Ketamine
Morphine
Norepi
Roc and Vec
Lidocaine
Procainamide

26
Q

Highest rates of complication and mortality for dialysis

A

Tunneled catheters

27
Q

Where to apply pressure for bleeding tunneled catheter

A

Directed where catheter penetrates central vessel, not where catheter exits skin

28
Q

Pacemaker letter nomenclature

A

1st letter = chamber paced
2nd letter = chamber sensed
3rd letter = response after sensing

29
Q

Contraindications to balloon pumps

A

Known or suspected aortic dissection or aneurysm
Dysfunctional aortic valve

30
Q

Cincy stroke scale
% sensitive

A

Facial droop
Arm drift
Abnormal speech
72% probability of stroke if 1 finding
85% if all 3

31
Q

LA stroke scale includes

A

Grimace, grip strength, arm weakness

32
Q

What should be added to pediatric burn formula calculations

A

maintenance fluids in addition to burn formula fluids
UOP 1 to 1.5 mk/kg/hr

33
Q
A