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74 Cards in this Set
- Front
- Back
List of differentials
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Things that it could be
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Associated S/S
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Things expected pt to have and they do.
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Pertinent Negative
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Things expected but not showing
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MOI
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Mech of Injury - Trauma
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NOI
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Nature of Illness - Medical
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Primary Survey
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Correct Life Threats
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Secondary Survey
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More detailed exam + history
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Ongoing
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Revised field diagnosis
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Subjective
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Anything pt says to you / spoken
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Objective
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Actual S/S
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Adventitious
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Abnormal Breath Sounds
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Cheyne - Stokes Breathing
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Pattern of crashendo followed by apnea.
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Kussmal
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Diabetic, Ketoacidosis breathing
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CNH
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Central Neurogenic Hyperventilation - rapid deep ventilations
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Vasodilation
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Flush Skin
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Petechia
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Microhemrages
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Purpera
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Capillaries leaking under the skin
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Erythema
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Redness
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Grey Turner Sign
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Bruising of the flanks
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1st set of vitals taken when?
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After primary assessment
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When to repeat vitals for critical? Medical?
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Critical - every 5 min
Medical - every 15 min |
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Bronchovesicular Sounds
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normal / regular breath sounds
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What PPE should be worm on every call?
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Gloves + Goggles
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Mask Types
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Surgical - No significant hazard
N95 - Hazardous |
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Face shield (uses)
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airway management, spitting
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On scene time allowance?
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Trauma - less than 10 min
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Isotonic
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moving
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Isometric
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Static
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Palpating Quadrants
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Painful quadrant last
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1st set of vitals taken when?
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After primary assessment
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When to repeat vitals for critical? Medical?
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Critical - every 5 min
Medical - every 15 min |
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Bronchovesicular Sounds
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normal / regular breath sounds
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What PPE should be worm on every call?
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Gloves + Goggles
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Mask Types
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Surgical - No significant hazard
N95 - Hazardous |
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Face shield (uses)
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airway management, spitting
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On scene time allowance?
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Trauma - less than 10 min
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Isotonic
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moving
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Isometric
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Static
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Palpating Quadrants
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Painful quadrant last
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Kortokoff sounds
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BP sounds
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Palliation
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what makes it feel better
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Provication
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What causes the pain?
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Reflection
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echoing the pts. words back to them
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Facilitation
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"go on"
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Confrontation
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Focus the pt on something
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Retrograde Amnesia
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No memory before the event
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"The White Paper" DOT
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Creation of Paramedics
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Certification
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Met requirements
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Licensure
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Given permission to practice / engage in profession
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Medical Direction
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Online - on phone
Offline - following SOP's, not on phone |
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Physician Responsibility
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Always, unless medic violates SOP's
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Medic Responsibility
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Hands on pt care
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Registration
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National reg just a list
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Reciprocity
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can go from state to state
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EMD
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Emergency Medical Dispatch - pre-arrival instructions
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Ethics
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Code of conduct in a profession (do no harm)
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stress
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reframing (change the way you look at things)
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Civil
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Wrong against individual, damage done
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Criminal
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wrong against society, the act itself
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Slander
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Spoken
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Libel
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Written
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Assault
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Iminant danger, does not have to be violent act
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Battery
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The actual act itself
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False Imprisonment
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Not kidnapping
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Negligence
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Must have violated:
-Duty (shall act) -Breach (standard of care) -Damages Proximate Cause (cause of the injury is in close proximity) |
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Res Ipsa Loquitor
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Common Law of Negligence
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Good Samaritan Law
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Primarily for the public
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Consent
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Expressed - they said it
Informed - tell what, why, everything Implied - unconscious |
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CE's
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should practice low frequency & high aquity
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Ambulance Types
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Type 1: Can't get through box to cab
Type 2: Van Type 3: Can get through box to cab |
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KKK 1822
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Construction requirements for ambulances
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Borrowed Servant Doctoran
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Medic that lets EMT help, medic is responsible for whatever happens to pt.
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Pt Advocacy
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Making suggestions advocating for the pt.
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Primum Non Nocere
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First do no harm
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