Week 1 Notes (module 1) Flashcards
1
Q
What do you ALWAYS CHECK (4 things)
A
Powered Oxygen, Suction, DFIB and Coffee
2
Q
Our Job by LAW:
A
“render care to ill or injured and to transport to the closest appropriate facility”
3
Q
EMS
A
Emergency Medical Services
4
Q
NOI
A
MEDICAL (nature of illness)
5
Q
MOI
A
TRAUMA (mechanism of injury)
6
Q
AVPU
A
Alert, responds to VOICE, responds to PAIN, unresponsive
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)
8
Q
Ivp
A
Intraveneous
9
Q
NRB
A
non-rebreather mask
10
Q
O2
A
Oxygen
11
Q
Sx/Sy
A
Signs and Symptoms
12
Q
Dx
A
Diagnosis
13
Q
Hx
A
History
14
Q
LMP
A
Last Menstrual Period
15
Q
C/C
A
Chief Complaint
16
Q
GPA
A
Gravida Para Abortis - (# preg, # births, # abortions)
17
Q
PE
A
Physical Exam
18
Q
5 regions
A
HEENT, CH, ABD, EXT, POST, NEURO
19
Q
HEENT (5R)
A
Head, ears, nose, throat
20
Q
CH (5R)
A
Chest
21
Q
AB (5R)
A
Abdomen
22
Q
POST (5R)
A
Posterior
23
Q
EXT (5R)
A
Extremities
24
Q
NEURO (5R)
A
Neurological
25
VSx
Vital Signs (ABCDE)
26
ABCDE
Airway, Breathing, Circulation, Disability, Exposure
27
What is charting ORDER?
Patient, Med, Dose, Route, Rate, Date, Time, INITIALS
28
What Does SAMPLER stand for?
SIGNS and SYMPTOMS, Allergies, Medications, Past Hx, Last in/out, Event leading up, Risk factors and signst that steer you away to diff Dx
29
Risk Factors by age: PEDI
pedi 0-18: Actual weight, NICU/PICU admission, premie, full term, twin, innoculations
30
Ristk factors by age: ADULT/Geri
18-65 weight, ethnicity, age, gender, hospitalizations,(.65GERI innoculations, family hx)
31
OPQRST
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)
32
AEIOUTIPSS
Alcohol, Epilepsy, Insulin, Overdoze, Underdose, Trauma/Tox, Infections (temp hi/lo and WBC>10k), Psychiatric, Stroke (CPSS), Shock
33
ETOH
Alcohol
34
Sz
Seizure
35
BDZ
Benzodiazapines (anti-seizure)
36
Three Benzos (BDZ)
Valium, Ativan, Versed (diazepam, lorazepam, midazolam)
37
IDDM
Insulin Dependent Diabetes Mellitus
38
Three diabetes for hypoglycemia (<70 mg/dL)
glucose (ORAL), glucagon (IM), dextrose (IV)
39
One diabetes for HYPERglycemia (>300)
Fluid Bolus (IV FLUID)
40
Normal glucose
70-110 mg/dL
41
IM
intramuscular
42
CPSS
Cincinatti Prehospital Stroke Scale (face droop (unequal), Arm lift (not move or drift), Speech (slurr or mute)
43
AMS
Altered Mental Status
44
ORDER OF ASSESSMENT
SS.. vitals ABCD.. past (SAMPLERS), present (OPQRST), AMS (AEIOUTIPSS)
45
What is shock?
Body not gettting oxygen (low perfusion)
46
Types of Shock
Hypovolemic (blood loss), Distributive (anaphalactic, sepsis, Rxn, Neurogenic), Cardiogenic (HR fast or slow OR ACS), Obstructive (tension pneumothorax, cardiac temponade, pulmonary embolism)
47
Types of Shock (alternate)
FLD, TANK, PUMP, OBST
48
Types of Distributive Shock
Anaphalaxtic, Sepsis, Neurogenic[drugs] (allergies, infection or brain(drugs))
49
Types of Cardiogenic Shock
too Fast, too Slow or ACS (acute coronary syndrome)
50
Types of Obstructive Shock
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
FLD, TANK, PUMP, OBST
Hypovolemic (blood loss), Distributive (anaphalactic, sepsis, Rxn, Neurogenic), Cardiogenic (HR fast or slow OR ACS), Obstructive (tens pneumothorax, pulmonary embolism, cardiac temponade)
52
ACS
Acute Coronary Syndrome (acute, sudden lack of blood to the heart)
53
Bradycardia
Slow heart rate
54
NSR
normal sinus rythym (normal heart rate)
55
Stach
Sinus Tachycardia
56
Afib
Atrial Fibrilation - abnormal heart rate
57
RvR
rapid ventricular rate
58
Vfib
needs a reset- heart rate crazy- patternless (SHOCK ADVISED)
59
Vtach
super fast, needs a reset (SHOCK ADVISED)
60
When to stop treatment
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
When can you use "DO NOT RESUSCITATE"
If in doubt, save the patient. A DNR needs
| 1. Competence 2. Capacity 3. Informed refusal
62
Diff between PEA and ASYSTOLE
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
What does PEA stand for?
Pulseless electrical activity
64
PCR
Patient Care Report
65
5 body regions?
HEENT, CH, AB, POST, EXT, neuro
66
10 body systems?
Neurological, Upper GI, Cardiovascular, Pulmonary, Muscle Skeletal, Lower GI, Gastro/Urinary/renal, Reproductive, Metabolism/endocrine(hormones), immune/lymph, integumentary (SKIN)
67
10 body systems?
Neurological, Upper GI, Cardiovascular, Pulmonary, Muscle Skeletal, Lower GI, Gastro/Urinary/renal, Reproductive, Metabolism/endocrine(hormones), immune/lymph, integumentary (SKIN)
68
DCAP BTLS
deformities, contusions, abrasions, punctures/penetrations, burns, tenderness, lacerations and swelling
69
PRRQ
Present, rate, rhythm, quality
70
5 mortal injuries
Decapitation, Transection (neck to groin), Complete destruction of brain or heart, Incineration, Blunt or Penetrating no pulse injuries incompatible with life
71
3 signs of death
putrification (rot), rigor mortis (stiff), dependent lividity (pooling)
72
Not "dead" if they are
COLD - could be hypothermia
73
Beta 1 vs Beta 2
Beta 1 heart, Beta 2 lung
74
SCENE SAFETY? ALL
WMD, odors fumes, cultural social, situational environment, medical devices, cold/hot/warm zone,
75
SCENE SAFETY? ALL
WMD, odors fumes, cultural social, situational environment, medical devices, cold/hot/warm zone,
76
ADVANCED DIRECTIVES
DNR, Health Care proxy, MOLST/HOLST (in hosp)
77
DNR (about)
Don Not Resuscitate
78
Healthcare Proxy
allows other to make health decisions
79
malfeasance/misfeasance/nonfeasance (negligence)
Mal- unauthorized act outside scope
Mis- appropriate, wrong manner (dose)
Non- failing to perform expected act
80
Elder abuse form number
19a
81
Elder abuse form number
19a
82
Disabled Person abuse/neglect
19C
83
Children
51A
84
Section 12 v Section 8
Alcohol vs. Violence
