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MEDIC CCCC 2021 > Week 1 Notes (module 1) > Flashcards

Week 1 Notes (module 1) Flashcards

1
Q

What do you ALWAYS CHECK (4 things)

A

Powered Oxygen, Suction, DFIB and Coffee

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2
Q

Our Job by LAW:

A

“render care to ill or injured and to transport to the closest appropriate facility”

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3
Q

EMS

A

Emergency Medical Services

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4
Q

NOI

A

MEDICAL (nature of illness)

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5
Q

MOI

A

TRAUMA (mechanism of injury)

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6
Q

AVPU

A

Alert, responds to VOICE, responds to PAIN, unresponsive

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7
Q

GCS

A

Glascow Coma Scale. Eye (spont, verb, pain, no), Verbal (oriented, confused, words sounds, none), Motor response (obey commands, localising, normal flexion, abnormal flexion, extension, none)

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8
Q

Ivp

A

Intraveneous

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9
Q

NRB

A

non-rebreather mask

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10
Q

O2

A

Oxygen

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11
Q

Sx/Sy

A

Signs and Symptoms

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12
Q

Dx

A

Diagnosis

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13
Q

Hx

A

History

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14
Q

LMP

A

Last Menstrual Period

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15
Q

C/C

A

Chief Complaint

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16
Q

GPA

A

Gravida Para Abortis - (# preg, # births, # abortions)

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17
Q

PE

A

Physical Exam

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18
Q

5 regions

A

HEENT, CH, ABD, EXT, POST, NEURO

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19
Q

HEENT (5R)

A

Head, ears, nose, throat

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20
Q

CH (5R)

A

Chest

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21
Q

AB (5R)

A

Abdomen

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22
Q

POST (5R)

A

Posterior

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23
Q

EXT (5R)

A

Extremities

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24
Q

NEURO (5R)

A

Neurological

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25
Q

VSx

A

Vital Signs (ABCDE)

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26
Q

ABCDE

A

Airway, Breathing, Circulation, Disability, Exposure

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27
Q

What is charting ORDER?

A

Patient, Med, Dose, Route, Rate, Date, Time, INITIALS

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28
Q

What Does SAMPLER stand for?

A

SIGNS and SYMPTOMS, Allergies, Medications, Past Hx, Last in/out, Event leading up, Risk factors and signst that steer you away to diff Dx

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29
Q

Risk Factors by age: PEDI

A

pedi 0-18: Actual weight, NICU/PICU admission, premie, full term, twin, innoculations

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30
Q

Ristk factors by age: ADULT/Geri

A

18-65 weight, ethnicity, age, gender, hospitalizations,(.65GERI innoculations, family hx)

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31
Q

OPQRST

A

Onset of C/C (when), Palliation/Provocation (what makes it worse?), Quality (describe it), Region/Radiation/Recurrance (where and how often), Severity 1-10, Time (acute/chronic)

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32
Q

AEIOUTIPSS

A

Alcohol, Epilepsy, Insulin, Overdoze, Underdose, Trauma/Tox, Infections (temp hi/lo and WBC>10k), Psychiatric, Stroke (CPSS), Shock

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33
Q

ETOH

A

Alcohol

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34
Q

Sz

A

Seizure

35
Q

BDZ

A

Benzodiazapines (anti-seizure)

36
Q

Three Benzos (BDZ)

A

Valium, Ativan, Versed (diazepam, lorazepam, midazolam)

37
Q

IDDM

A

Insulin Dependent Diabetes Mellitus

38
Q

Three diabetes for hypoglycemia (<70 mg/dL)

A

glucose (ORAL), glucagon (IM), dextrose (IV)

39
Q

One diabetes for HYPERglycemia (>300)

A

Fluid Bolus (IV FLUID)

40
Q

Normal glucose

A

70-110 mg/dL

41
Q

IM

A

intramuscular

42
Q

CPSS

A

Cincinatti Prehospital Stroke Scale (face droop (unequal), Arm lift (not move or drift), Speech (slurr or mute)

43
Q

AMS

A

Altered Mental Status

44
Q

ORDER OF ASSESSMENT

A

SS.. vitals ABCD.. past (SAMPLERS), present (OPQRST), AMS (AEIOUTIPSS)

45
Q

What is shock?

A

Body not gettting oxygen (low perfusion)

46
Q

Types of Shock

A

Hypovolemic (blood loss), Distributive (anaphalactic, sepsis, Rxn, Neurogenic), Cardiogenic (HR fast or slow OR ACS), Obstructive (tension pneumothorax, cardiac temponade, pulmonary embolism)

47
Q

Types of Shock (alternate)

A

FLD, TANK, PUMP, OBST

48
Q

Types of Distributive Shock

A

Anaphalaxtic, Sepsis, Neurogenic[drugs] (allergies, infection or brain(drugs))

49
Q

Types of Cardiogenic Shock

A

too Fast, too Slow or ACS (acute coronary syndrome)

50
Q

Types of Obstructive Shock

A

Tension Pneumothorax (air between lung and ribs aka collapsed lung), Cardiac Temponade (fluid in pericardium restricting and squeezing the heart), Pulmonary Embolism (clot in the artery of the lungs stopping blood flow to lungs (so from lungs also))

51
Q

FLD, TANK, PUMP, OBST

A

Hypovolemic (blood loss), Distributive (anaphalactic, sepsis, Rxn, Neurogenic), Cardiogenic (HR fast or slow OR ACS), Obstructive (tens pneumothorax, pulmonary embolism, cardiac temponade)

52
Q

ACS

A

Acute Coronary Syndrome (acute, sudden lack of blood to the heart)

53
Q

Bradycardia

A

Slow heart rate

54
Q

NSR

A

normal sinus rythym (normal heart rate)

55
Q

Stach

A

Sinus Tachycardia

56
Q

Afib

A

Atrial Fibrilation - abnormal heart rate

57
Q

RvR

A

rapid ventricular rate

58
Q

Vfib

A

needs a reset- heart rate crazy- patternless (SHOCK ADVISED)

59
Q

Vtach

A

super fast, needs a reset (SHOCK ADVISED)

60
Q

When to stop treatment

A

be sure there are no signs of hypothermia
1. Standard ALS has been delivered
2. Asystole or PEA for OVER 20 minutes of CPR etc
AND no reversible cause is evident
AND patient is NOT PREGNANT
AND med control gives order

61
Q

When can you use “DO NOT RESUSCITATE”

A

If in doubt, save the patient. A DNR needs

1. Competence 2. Capacity 3. Informed refusal

62
Q

Diff between PEA and ASYSTOLE

A

Asystole is the flatline reading where all electrical activity within the heart ceases. PEA, on the other hand, may include randomized, fibrillation-like activity, but it does not rise to the level of actual fibrillation.

63
Q

What does PEA stand for?

A

Pulseless electrical activity

64
Q

PCR

A

Patient Care Report

65
Q

5 body regions?

A

HEENT, CH, AB, POST, EXT, neuro

66
Q

10 body systems?

A

Neurological, Upper GI, Cardiovascular, Pulmonary, Muscle Skeletal, Lower GI, Gastro/Urinary/renal, Reproductive, Metabolism/endocrine(hormones), immune/lymph, integumentary (SKIN)

67
Q

10 body systems?

A

Neurological, Upper GI, Cardiovascular, Pulmonary, Muscle Skeletal, Lower GI, Gastro/Urinary/renal, Reproductive, Metabolism/endocrine(hormones), immune/lymph, integumentary (SKIN)

68
Q

DCAP BTLS

A

deformities, contusions, abrasions, punctures/penetrations, burns, tenderness, lacerations and swelling

69
Q

PRRQ

A

Present, rate, rhythm, quality

70
Q

5 mortal injuries

A

Decapitation, Transection (neck to groin), Complete destruction of brain or heart, Incineration, Blunt or Penetrating no pulse injuries incompatible with life

71
Q

3 signs of death

A

putrification (rot), rigor mortis (stiff), dependent lividity (pooling)

72
Q

Not “dead” if they are

A

COLD - could be hypothermia

73
Q

Beta 1 vs Beta 2

A

Beta 1 heart, Beta 2 lung

74
Q

SCENE SAFETY? ALL

A

WMD, odors fumes, cultural social, situational environment, medical devices, cold/hot/warm zone,

75
Q

SCENE SAFETY? ALL

A

WMD, odors fumes, cultural social, situational environment, medical devices, cold/hot/warm zone,

76
Q

ADVANCED DIRECTIVES

A

DNR, Health Care proxy, MOLST/HOLST (in hosp)

77
Q

DNR (about)

A

Don Not Resuscitate

78
Q

Healthcare Proxy

A

allows other to make health decisions

79
Q

malfeasance/misfeasance/nonfeasance (negligence)

A

Mal- unauthorized act outside scope
Mis- appropriate, wrong manner (dose)
Non- failing to perform expected act

80
Q

Elder abuse form number

A

19a

81
Q

Elder abuse form number

A

19a

82
Q

Disabled Person abuse/neglect

A

19C

83
Q

Children

A

51A

84
Q

Section 12 v Section 8

A

Alcohol vs. Violence

MEDIC CCCC 2021 (2 decks)

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