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150 Cards in this Set

  • Front
  • Back
What temperature do you cool a heat stroke patient to?
102 degrees
What symptom does not belong in a DKA patient?
Headache
What injuries or illnesses are associated with Kussmaul breathing?
DKA, Intracranial Pressure,
What are Kussmaul's respirations?
Rapid Breathing
How is Hepatitis B spread?
Needle stick
What differences are there in adult and pediatric vital signs?
Pediatrics have lower BP, faster heart rate and more respirations
What type of needle is recommended for pediatric vital signs?
Hollow Butterfly Needle
What type of needle is recommended for adult patients?
Over the Catheter
What psychiatric categories are associated with "up & down" mood swings?
Bi-Polar, schizoaffective and schizophrenia
What information do you need to report and document on a CHF patient?
All info, especially past medical history
Where do you perform a needle decompression?
2nd intercostal space, over the 3rd rib, at the midclavicular line
What is a fracture called when only one side of the bone is fractured generally occurring in pediatric patients?
Greenstick Fracture
How do you handle a seizure patient?
With little movement; do not restrain them
What is a late sign of shock in the pediatric patient?
Hypotension
What is a fracture to the lower third of the face called?
Lefortes type one
Your patient falls striking his head, what is his most likely injury?
Subdural Hemorrhage
What medication would you most likely give a 19 y/o binge drinking alcoholic?
100mg Thiamine slow IVP or IM with D50
How many drops per minute to infuse 35mL in 40min. with a micro drip set?
35 x 60
----------- = 52 gtt/min
40
There is a 2 car MVA on the highway, one on its side, and hte other hanging off of the road, what should you do to the vehicles?
Secure both vehicles
What reason would you or your partner miss injuries on a patient?
Distracting injuries
What is the common pneumonic for patient assessments?
DCAP-BTLS
What is it called when paramedics have a "gut feeling" about a patient?
Field Diagnosis
What type of psychiatric patient is less likely to commit suicide?
Bipolar Patient
What would cause blood pH levvel to go down?
Respiratory Acidosis
What could a paramedic be charged with if he failed to do CPR on an AIDS patient?
Failure to Act
At what time interval do you perform the APGAR test?
1 minute and 5 minutes
How would you position a pregnant patient that was punched in the stomach?
Left Lateral Recumbant
What is Gravidity and Parity?
Gravidity is the number of pregnancies; Parity is the number of full-term deliveries
What is indicated from the S3 heart sound?
Made by a failing right ventricle; usually indicative of CHF
What is the most likely medical problem with an army soldier running in hot weather that passed out?
Heatstroke
What is the recommended minimal size for med flight helicopter landing zone?
100 x 100 ft
What size ET tube would you use for a 12 year old?
6.5
At how many weeks is an infant no longer considered premature?
37 weeks
How do you examine a baby?
From head to toe
How do you stimulate a newborn?
By flicking their feet
What do you do if a DNR/Comfort Care is produced after you have already begun CPR and/or ACLS measures?
Leave IV's and Tube in place (chemical code)
What is it called when your partner's girlfriend writes an article with defamation of your patients character?
Libel
What neck injury would you suspect in a rear-end MVA?
Neck extension
What are some differences between digoxin and lidocaine?
Common medication in the elderly, almost impossible to determine digoxin level in field
What is an initial assessment in triaging a patient?
Motor function and ability to speak
What do you assess first?
Airway
How do you care for a leg fracture?
CSM x 3 and splint as found
How do you control a bleeding artery?
Proximal Pressure
What is the acronym for checking pupils?
PEARL (Pupils Equal And Reactive to Light)
What is the difference in obtaining medical information from the elderly?
Get down to there level, speak slowly, listen and gain their respect
What is the proper care for a female patient with IUD bleeding?
Establish IV and rapid transport
How do you treat a powder burn patient?
Dust off as much of the substance as possible, then wash off with COPIOUS amounts of water
What is the correct treatment of an eye injury?
Rinse with copious amounts of water
What common illness is associated with skin color and eye color that is jaundiced?
Hepatitis C
What is the most commonly used over the counter drug to treat heat emergencies?
Aspirin
When is it not recommended to do digital intubation?
Obstructed airways
What is a secondary means of intubation?
Combi-tube
What is the recommended treatment of a 27 yo patient with difficulty breathing?
Albuterol-1.25-2.5mg in 3mL via Nebulizer
What is located in teh warm zone of a chemical scene?
Decontamination Station
What percentage of oxygen do you achieve with a bag valve mask?
90% or highest answer
What is a common blood disease associated with continuous bleeding?
Hemophilia
How would you handle suspected child abuse?
Report it and secure the area as a crime scene
What area of the spinal cord is associated with "breathing neck injuries"?
C2 --> C5
At a HAZMAT scene, what type of responder are we classified as?
First Responder/Assessment
What is the universal decontamination agent?
Water
At a possibly violent scene, where would you wait until police arrived to secure the scene?
Wait away from the scene until police have secured it
Who would you NOT call to identify a chemical at a spill?
Medical Control
Who would you call to identify a chemical at a spill?
CHEMTREK
How would you treat a knife wound to the stomach?
Sterile moist dressing
Where would you most likely see pain associated with the pancreas?
Mid-sternum, radiating to the back
What is one of the characteristics of the heart in the elderly?
More elasticity
What is the recommended treatment for a sucking chest wound?
3 sided occlusive dressing
What injury would you suspect a golfer with a tearing feeling in his belly has?
AAA
What injury would you suspect a pregnant woman with a tearing feeling and associated bleeding has?
Abruptio Placenta
How many mL bolus would you give if your order was 3mg and the medication came packaged 10mg in 5mL?
3
------------- = 1.5 mL
10 x 5
What is the burn percentage on an adult patient with burns to chest, back, abdomen, and left arm?
45%
What is the minimal staffing for ALS interfacility transport truck?
TWO paramedics
What type of consent do we use to treat an unconscious patient?
Implied Consent
What type of ambulance is a type 2?
Standard Van
What type of ambulance is a type 1?
Conventional truck cab with modular ambulance body
What does surfactant do?
Regulates (decreases) surface tension of fluid that lines the alveoli
What happens at the alveolar level?
Gas exchange
What are some common causes associated with rectal bleeding in the elderly?
Liver Cancer, Hemorrhoids, and Chronic Diseases
What is a common drug that can be associated with elderly patients and overdoses?
Beta-Blockers
What is the job of the team-leader?
Obtain history, physical exam, present patient to the hospital, documentation, EMS commander at an MCI
What is the burn percentage on an adult patient with burns to chest, back, abdomen, and left arm?
45%
What is the minimal staffing for ALS interfacility transport truck?
TWO paramedics
What type of consent do we use to treat an unconscious patient?
Implied Consent
What type of ambulance is a type 2?
Standard Van
What type of ambulance is a type 1?
Conventional truck cab with modular ambulance body
What does surfactant do?
Regulates (decreases) surface tension of fluid that lines the alveoli
What happens at the alveolar level?
Gas exchange
What are some common causes associated with rectal bleeding in the elderly?
Liver Cancer, Hemorrhoids, and Chronic Diseases
What is a common drug that can be associated with elderly patients and overdoses?
Beta-Blockers
What is the job of the team-leader?
Obtain history, physical exam, present patient to the hospital, documentation, EMS commander at an MCI
What is the job of the patient care provider?
Scene cover, talks to bystanders, vital signs, performs interventions, triage group leader at an MCI
What is the best method of ventilation of a needle cricothyrotomy?
Jet Ventilation
How is TB spread?
Air born
What do you call a cheek and bone fracture?
Zygomatic fracture
What do kinetics tell us?
Index of suspicion
What injury would you suspect with a patient who fell yesterday and today presents with nausea, vomiting, change in mental status, and one pupil larger than the other?
Subdural Hemorrhage
What size BP Cuff is recommended for 5-7 yo patients?
7 cm
What size BP Cuff is recommended for 1-3 yo patients?
5 cm
What is the recommended treatment for blunt eye trauma?
Cover both eyes
What size blade is recommended for 3-10 yo patients?
2 miller
What is cardiac output defined as?
Stroke Volume x Hear Rate
How would you tag a patient with a hand burn at an MCI?
Yellow
Where do you clamp the cord of a newborn?
10" then 2-3" prior
What injury is most common in up and over trauma?
Bilateral femur fracture
What is a comminuted fracture?
Multiple breaks on one bone
Why are elderly patients more likely to have lumbar fractures?
Because of osteoporosis and sponylosis
What is a contra croup head injury?
Injury to opposite part of brain than impact
What sign indicates a patient has meningitis?
Kernig's Sign (Unable to extend knee when supine with hip bent and knee at 90 deg. angle)
What heart rhythm is dogixin contraindicated in?
V-fib
What is hypernaturemia?
Increased sodium level
What is hyperkalemia?
Increased potassium level
Female with burns?
13.5% rule of nines
What are the recommended response times?
BLS o/s 4min; ALS o/s 8 min
Name the places where a central line can be placed?
Basilar, Subclavian, Internal Jugular and Femoral Areas
What are the peripheral IV sites?
Basilar, External Jugular, and Long Saphenous Veins
What are some common characteristics of a Maniac?
Increased speed and increased talk
Uncuffed tubes are used for what aged patients?
Children under 8
A sign of chronic emphysema?
Clubbed fingers
How do you infuse Lidocaine?
1g in 250cc @ 1-4mg/min (1mg more than that of the initial bolus)
What are the most common injuries from accidents?
Cervical and lumbar injuries
A patient that falls from a roof and lands on his feet, commonly has what type of injuries?
Hip dislocation and spinal compression
A patient whose skin color has a yellow tint may suffer from?
Hepatitis B
The order in which a hospital report should be reported to CMED is?
Age, gender, Chief complaint, etc.
The most important part of report is?
Chief complaint
How should you treat a patient with Bradycardia and PVC's?
atropine before lidocaine (rate before rhythm)
A female jogger who has experienced fluid loss is in what type of shock?
Hypovolemic shock
A child who has been sick for a few days with a fever has a seizure. What kind of seizure is it?
Febrile seizure
After delivery of a baby, the normal amount of blood loss experienced by the mother is?
500cc
An epidural hematoma is a bleed that occurs within what two portions of the brain?
The Dura and the cranium
A patient that was in a high speed MVA that hit a wall, you should suspect what type of injury?
Ruptured Aorta
Your patient is an 18 y/o F who has been spotting a fe drops, her last period was 6-8 weeks ago, you should suspect?
Ectopic Pregnancy
A written statement defaming someones character is known as?
Libel
A bicyclist accident victim... (Must list symptoms).. pick out the worst symptom of the patient?
Not breathing
In an epidural hematoma, the bleeding originates most often from the?
Middle meningeal artery
TIA within 24 hours OK?
TIA's usually resolve within 24 hours, CVA's do not
Cardiac output is defined as?
Stroke volume x heart rate
When splinting an elbow you should remember to splint it in the?
Position found
When dealing with a stabbing victim (must list injury type)?
Treat the wound with a pressure dressing and transport immediately
The guide for fluid resuscitation in children is to?
Administer 20mL/kg for children older than 1 and.... 10mL/kg for children under 1
Based on the fluid resuscitation formula (given this patient)?
You should administer 360mL of fluid
Your patient is a football player who has muffled heart tones on auscultation?
You should consider pericardial tamponade
How long does it take to send an EKG strip to a hospital?
15 - 30 seconds
Who takes command in the ICS?
The person that is the most experienced, that is familiar with ICS, and knows the level of training of the responding companies
In regards to animal bites, your patient was bitten by a snake, your treatment should be?
Keep the patient at rest, immobilize the affected area in a neutral position
Mild hypothermia is...?
93.2 - 96.8 degrees
Moderate hypothermia is...?
86 - 93 degrees
Severe hypothermia is...?
below 86 degrees
The location for needle decompression is?
Midclavicular line, between the 2nd and 3rd rib (over the 3rd)
How should you care for an amputated part?
Clean wound surface, control bleeding, bulky dressing, direct pressure, place amputated part wrap in guaze dry or with NS/LR, place in pastic bag, place on ice
Epiglotitis is?
A life-threatening bacterial infection in children ages 3 - 7 but can occur at any age. Symptoms: edema/swelling of epiglottis & supraglottic structures. Pt. may experience inspiratory stridor.