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35 Cards in this Set
- Front
- Back
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which of the following is most critical in terms of age and MOI?
A) 86 y/o F with fractured clavicle B) 28 y/o M with fractured femur C) 43 y/o F with a fractured rib D) 56 y/o M with a pelvic fracture |
D) pelvic fracture
high priority due to possible 2 bone breaks, bleeding, GU injuries, nerve damage |
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28 y/o M using scuba while diving, unconscious after surfacing you should suspect...
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air embolism
-presents as a nuerological deficit during or after ascent from a dive or a sharp pain in the chest |
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posterior tibial pulse?
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medial malleolus
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what is the recommended syringe CC for intubation
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10-12cc
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to ensure proper placement of the ET tube you should
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confirm placement of the tube by two different methods
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TX for COPD or Bronchitis but not TOO hypoxic
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-airway
-seated/semiseated -low flow O2 -IV -transport |
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75 y/o R/D, 138/90, 138/min RR:34, SpO2 82% TX
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-IV TKO
-BVM 24/min -attempt intubation |
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care for pt with cardiac contusion is similar to the care for the patient with which condition?
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myocardial infarcation (may have dysrhythmias)
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TX for care of a pt who is suffering complications of dialysis?
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to prevent excerbation of the problem start an IV only if ordered by medical control
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traumatic aortic rupture usually occurs as a result of transection of the aorta at the
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ligamentum teres (knife)
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what is likely to foreshadow the development of other more serious dysrhythmias
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accelerated junctional rhythm
-due to probable ischemia |
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what does prolonged tachycardia accompanying an acute MI suggest?
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cardiogenic shock may develop
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how should you position the patient to check for JVD?
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seated at a 45 degree angle
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in the case of a cardiac arrest patient, eppie is used to
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increase V-fib amplitude (coarsen the fib)
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TX for R sided heart failure, no evidence of L sided failure
-EKG -high flow O2 |
IV D5W with minidrip set, monitor vital signs closely and normal transport
-not emergent unless S/S include pulmonary edema from L sided failure |
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most appropriate treatment for a seizing head-injured adult pt
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5.0 diazepam IV
(ineffective IM) |
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22 y/o M rapid onset of CX PN that is tearing and sharp after rising too quickly from scuba diving
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pulmonary embolism from lung overinflation
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what other problems are related to rapid ascent
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decompression sickness
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local cooling to be used on what percentage of secondary burns?
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less then 10-15%
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pts in a hazmat incident should be treated in what zone?
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warm zone
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which patient presnets the S/S of moderate hypothermia?
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core temp 88,8
86-94 |
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depression is an example of an
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mood disorder
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what represents a significant MOI?
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small child in a 40mph MVA
(adults would have a less serious MOI) |
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seizure after known epileptic on phenobarb should be transported why?
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medications levels need to be determined by lab analysis
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MSDS contain what?
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describe physical properties of many chemicals and provide simple instructions for initial first aid but not specific antidote
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what is the approximate weight of the average 6 year old?
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45 lbs, 20 kg
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all pediatric pt's who have seizures should be
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transported to a hospital for evaluation
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a pt begins to have a generalized seizure while running a marathon on a hot day, which of the following procedures should you do first
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establish an airway and ventilate the patient
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which statement characterizes normal physiologic changes that occur in vital sign during pregnancy
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BP drops during the first 2 trimesters and the PR rises
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pregnant female BP 100/70, PR 80, 17 breath per minute, systolic murmer
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mild systolic murmur in a pregnant pt whose vitals are normal is not a cause for concern
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pregnant patient present with painless bright red vaginal breathing TX?
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treat for S/S of shock and transport immediately
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who has ultimate responsibility for pt care in the field ?
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the medical control physician
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what communication system has the capability to send and receive voice and telemetry simultaneously
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multiplex
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you can reduce gastric distention during artificial ventilation by
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providing ventilations deep enough to cause chest rise only
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what requires intermediate level disinfection through the use of a solution of bleach and water?
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all instruments or supplies that have come into contact with intact skin
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