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60 Cards in this Set
- Front
- Back
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How far should the BP cuff be inflated on Auscultation? Chptr 10
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To approximately 30 mmHg above where the pt indicated his systolic presure is normally. If in doubt, inflate to 160 mmHg. pp271
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Palpation is a great alternative when the environment is _____ or for multiple pts as quickly as possible? Chptr 10
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Noisy. This is not as accurate as those with stethoscope and should be followed with "/P". pp 271
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How far should the BP cuff be inflated on palpation? Chptr 10
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Valve should be close and inflate the cuff to approx. 30 mmHg above where you last feel a radial pulse. pp271
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What are the components of scene size-up? Chptr 9
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Body substance isolation (BSI)
Scene safety Number of pts Need for additional resources Mechanism of injury (MOJ) / Natur of illness. pp 228 |
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What are four forms of BSI? Chptr 9
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Gloves
Face protection Respiratory protection Gowns pp 228 |
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What is best for hand cleaner? Chptr 9
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alcohol-based waterless hand cleaner for cleaning hands in the field. pp 228z
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What is MCI? Chptr 9
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multiple casualty incident. Used in scene size-up where additional resources may be needed. pp 234
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The part of the call in which important decisions are made that set the stage for the remainder of the call, is called? Chptr 8
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Scene size-up. pp 236
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Which is not part of scence size up:
A)determine the # of pts B) determine the nature of illness C)determine if pt is breathing d)deterine what BSI will be necessary? Chptr 9 |
C)determine if pt is breathing pp 236
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Is it acceptable to briefly enter a dangerous scene to remove a pt?
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No. pp 236
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What is NOI? Chptr 9
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Nature of illness and should be observations while entering the scene. It should be determined from pt, family & bystanders. pp238
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What is MOI? Chptr 9
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Mechanism of injury. What caused the injury? It is important to consider injuries serious until proven otherwise. Another term is "index of suspicion".
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Side impact MOI will often incure what kind of injuries? Chptr 9
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Lateral movement of the cervical spine / neck injuries. Driver side may involve spleen and passenger side may involve liver injuries. pp 241
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Front impact MOI will often incure what kind of injuries? Chptr 9
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"down & under" the dash-knees, legs & hip. May also be chest & abdomen (steer whl)"Up & over"-chest & abdomen & head injuries. pp241
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Rear impact MOI will often incure what kind of injuries? Chptr 9
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"Whiplash" to neck & strike to head. pp 242
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Rollover impact MOI will often incure what kind of injuries? Chptr 9
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Ofter if unrestrained, they may be ejected. pp 242
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Rotational impact (quarter panal hit) MOI will often incure what kind of injuries? Chptr 9
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Any parts of the body and usually results in striking a second object while spinning.
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Pedestrians & bicyclists impact MOI will often incure what kind of injuries? Chptr 9
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Common lower extremity injuries from initial hood or bumper impact and then upper body form striking the windshild and road burn from hitting ground. pp242
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Fall impact MOI will often incure what kind of injuries? Chptr 9
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Mechanism of injury will depend on; height of fall, type of surface landed, part of body, hit anything on way down, did anything break the fall? pp242 / 243
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What are the factors considered in blunt trauma without penetration? Chptr 9
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Location of trauma / item that caused the trauma / # of impacts / and force used. pp 243
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Penetration trauma is critical because it is often hard to __________ injuries? Chptr 9
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"assess" Often you are not able to visualize the internal damage. pp 243
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A bullet energy entering the body causes __________? Chapter 9
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Cauvitation which is a expansion of the tissue greater than the size of the bullet.
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What specific situations are generally considered significant mechanisms of injury?
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Ejection from veh / Death of pass / falls greater than 2-3 times pt height / roll over / high speed collision (over 40 mph) / motorcycle crash / penetratioin of the head, chest,abdomen or pelvis / significant blunt trauma to head,chest, abdomen or pelvis. pp 244
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What is a baseline vital sign? chptr 10
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"the very first set of vital signs obtained on the pt during a call."
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What is "trending"?
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1 set of vital signs is an observation. 2nd setis a comparison. Multiple vitals over a period of time is called trending.
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Wheezing (high pitched sound)is an indicator of what possible part of the airway? Chptr 10
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Lower airway constriction. pp259 Heard with stethoscope
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Stridor (harsh,high pitched sound)is an indicator of what possible part of the airway? Chptr 10
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Indication of partial upper airway obstruction. Heard in upper chest or neck. pp 259
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Crackles (crackling sound)is an indicator of what possible part of the airway? Chptr 10
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Indication of lower airway obstruction by air forced through fluid or mucus. Heard with stethoscope during inhalation.. pp 259
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The carotid pulse point and the femoral pulse point are called"_______" pulse because they are within the core of the body. Chptr 10
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Central pulse. pp 263
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The brachial, radial pulse point and the pedal pulse point are called"_______" pulse because they are located in the periphery of the body. Chptr 10
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Peripheral pulses. pp 263
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Pulse rate below 60 is referred to as _________? chptr 10
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bradycardia. pp264
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Pulse rate greater than 100 is referred to as _________? chptr 10
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tachycardia. pp 264
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What is the top number of the blood pressure? chptr 10
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Systolic. reflects the pressure insie the artery each time the heart's left ventricle contracts. pp 266
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What is the bottom number of the blood pressure? chptr 10
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diastolic. It reflects the pressure inside the artery each time the heart rests between beats. pp 266
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What are the three things you look for while assessing the skin? chptr 10
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Color, temperature, moisture. pp 274
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What does a "pulse oximeter" and what does it measure? chpt 10
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Device placed on the index finger and measures the percentage of hemoglobin that is saturated with oxygen. If less that 95% is considered abnormal and a INDICATOR of hypoxia.(oxygen deficiency) pp 281
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What are things that may effect the accuracy of a pulse oximeter? chpt 10
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Pts who are in shock or hypothermic.
Cases of carbon monoxide poisoning. Excessive movement. Nail polish beneath the probe. pp 281 |
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What are three things you note when assessing the pt "general impression"? chaptr 10
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Approximate age.
Gender. Level of destress. pp 284 |
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5 Most important vital signs are pulse, respirations, BP, pupils and: a)o2 saturation b)skin signs c)mental status d)capillary refill. chaptr 10
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B) skin signs pp 253-254
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The characteristics of a pulse include: a)rate,strength & rhythm b)rate,ease & rhythm c)rate,depth & rhythm d)rate, strength & quality. chptr 10
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A) Rate, Strength and rhythm. pp 264
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What are the inital assessment components? chtr 11
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Form a general impression.
Determine responsiveness. Chief complaint/obvious life threats. Assess airway & breathing. Assess circulation Determine priority. pp 299 |
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What are the four things someone can die in a short period of time?
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Obstructed airway.
Absent breathing. Absent pulse. Severe bleeding. |
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What is last injury to treat in a trauma situation?
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Broken bones. Body or trunk is where concentration should be first focused. Art
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Where should your face be when you first contact a pt? chptr 11
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Be in front of the pt so they don't have to twist to see you. Approach straight ahead and be at eye level (kneel if necessary) EYE CONTACT IS IMPORTANT. pp 300
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How would you determine if a pt is alert and oriented (A&O)? chptr 11
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Who are they -person
Where are they-place What time is it-time ALL FOUR IS NOTED:"A&OX4" What happened-event pp 301 |
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What does a "pulse oximeter" and what does it measure? chpt 10
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Device placed on the index finger and measures the percentage of hemoglobin that is saturated with oxygen. If less that 95% is considered abnormal and a INDICATOR of hypoxia.(oxygen deficiency) pp 281
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What are things that may effect the accuracy of a pulse oximeter? chpt 10
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Pts who are in shock or hypothermic.
Cases of carbon monoxide poisoning. Excessive movement. Nail polish beneath the probe. pp 281 |
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What are three things you note when assessing the pt "general impression"? chaptr 10
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Approximate age.
Gender. Level of destress. pp 284 |
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5 Most important vital signs are pulse, respirations, BP, pupils and: a)o2 saturation b)skin signs c)mental status d)capillary refill. chaptr 10
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B) skin signs pp 253-254
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The characteristics of a pulse include: a)rate,strength & rhythm b)rate,ease & rhythm c)rate,depth & rhythm d)rate, strength & quality. chptr 10
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A) Rate, Strength and rhythm. pp 264
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What are the inital assessment components? chtr 11
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Form a general impression.
Determine responsiveness. Chief complaint/obvious life threats. Assess airway & breathing. Assess circulation Determine priority. pp 299 |
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What are the four things someone can die in a short period of time?
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Obstructed airway.
Absent breathing. Absent pulse. Severe bleeding. |
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What is last injury to treat in a trauma situation?
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Broken bones. Body or trunk is where concentration should be first focused. Art
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Where should your face be when you first contact a pt? chptr 11
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Be in front of the pt so they don't have to twist to see you. Approach straight ahead and be at eye level (kneel if necessary) EYE CONTACT IS IMPORTANT. pp 300
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How would you determine if a pt is alert and oriented (A&O)? chptr 11
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Who are they -person
Where are they-place What time is it-time What happened-event |
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What is the scale used for the level of a unresponsive pt? clue: AVPU chptr 11
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A=alert
V=verbal P=painful U=Unresponsive pp 302 |
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The general impression is determined immediately following the: a)determine chief complaint b)scene size up c)initial assessment d) SAMPLE history? chptr 11
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B)Scene size up. it is done after scene size up. pp 304
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What are the characteristics of normal skin signs ? Chptr 11 (color, temp and degree of moisture)
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are pink, warm, and dry. pp 309
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Best mmaneuver for opening the airway of an unresponsive medical pt is the _________ maneuver? a)jaw-thrust b)head-thrust c)head-tilt, chin-lift d)jaw-tilt? chptr 11
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c)head-tilt, chin-lift. (medical pt)
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When proforming an initial assessment, the control of serious bleeding should occur: a)before airway and breathing b)after circulation assessment c)at the end D)immediately? chptr 11
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b)after circulation assessment. pp 311
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