Test 28/29 Flashcards
Ambient oxygen must be above what in order to use air purifier device
19.5%, as unit does not supply supplemental O2
National Education standards a part of what document?
What does it do?
EMS Education agenda
Gives a guideline on national objectives, optional for schools, but needed for accreditation
NFPA 1582
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
NFPA 1583
Recommendations for fire fighter fitness program
NFPA 1584
Nine components of fire fighter rehab program
OSHA 1910 requires what
Departments to require TB screening and risk reduction strategies
What document identified need for medical direction for all levels of EMS providers
EMS agenda for the future: 1996
2 greatest sources of liability for an EMS agency
Non transport
Motor vehicle collisions
Principle of competency revolves around
Determining the providers ability to synthesize important information, make effective medical decisions, and safely perform interventions
Blind pericardiocentesis approach
Subxiphoid: needle just left of xiphoid notch aimed at the left shoulder
What to switch balloon pump to in CPR?
What to do after that as last resort/.
Arterial trigger: triggered by arterial pressures generated from chest compressions during CPR
Last resort: internal trigger, sets IABP to asynchronous pulsations
Priority for EMS in hypothermia
Remove the sources of cold stress
Mild hypothermia
Shivering and suffering from progressive loss of fine and gross motor with or without confusion
Severe hypothermia
Muscular rigidity, cardiac vulnerability to VF, and coma
Who gets hyperbarics in CO
Neurologic symptoms or severe poisoning
Levels greater than 25%
Levels greater than 15 in pregnant patients
What is technical decontamination
Responder decontamination prior to suit removal when exiting hot zone into warm zone
What is transformative learning
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
Theory of margin in adult education
Describes learning in the context of power based load margins and takes into account external pressures
Two organizations that accredit paramedic programs
Commission on accreditation of allied health educational programs (CAAHEP)
CoAEMSP
Only forms of abuse mandatory reporting required in all 50 states
Child maltreatment or sexual assault of a minor child
Why can children have internal injuries without obvious deformity or signs of injury on exams
Compliaint musculoskeletal system
Pediatric myocardium compliance
Diminished ventricular myocardium compliance, which increases cardiac output predominately through tachycardia
Rare for infants under what age to have accidental fractures
18 months
Total body weight prehospital medications
Diltiazem
Etomidate
Fentanyl
Benzos
Propofol
Succinylocholine
Ideal body weight prehospital medications
Ketamine
Morphine
Norepi
Roc and Vec
Lidocaine
Procainamide
Highest rates of complication and mortality for dialysis
Tunneled catheters
Where to apply pressure for bleeding tunneled catheter
Directed where catheter penetrates central vessel, not where catheter exits skin
Pacemaker letter nomenclature
1st letter = chamber paced
2nd letter = chamber sensed
3rd letter = response after sensing
Contraindications to balloon pumps
Known or suspected aortic dissection or aneurysm
Dysfunctional aortic valve
Cincy stroke scale
% sensitive
Facial droop
Arm drift
Abnormal speech
72% probability of stroke if 1 finding
85% if all 3
LA stroke scale includes
Grimace, grip strength, arm weakness
What should be added to pediatric burn formula calculations
maintenance fluids in addition to burn formula fluids
UOP 1 to 1.5 mk/kg/hr
