Advanced Medical Life Support

Front 1

Cullen Sign

Back 1

bruising around the belly button that may indicate intra-abdominal bleeding or PANCREATITIS.

-Cullen's got the belly button tattoos (bruises) and pancreas is in the middle

Front 2

Kehrs Sign

Back 2

Abdominal pain that radiates to the Left Shoulder, could indicate irritation of the DIAPHRAGM OR SPLEEN INVOLVEMENT

-Steve Kerr shoots the ball goofy and from his abdomen to the left shoulder

Front 3

Murphy's Sign

Back 3

Press firmly upward into the RUQ and ask the patient to take a deep breath. Arrest of inspiration because of pain is a positive finding. This could indicate a GALL BLADDER OR HEPATIC PROBLEM

-Dale Murphy took a fastball in RUQ and knocked wind out of him (RUQ is where gall bladder is)

Front 4

Psoa's Sign

Back 4

Place the patient in the Left Lateral Decubitus position, and extend the right leg at the hip. An increase of pain in the RLQ is a positive finding. Commonly associated with APPENDICITIS

(Soooo uhhh let's go for a walk (pregnant woman) on your left lateral recumbent side and if RLQ hurts - appendicitis))

Front 5

Rovsing's sign

Back 5

Palpate the LLQ of the abdomen. Pain or tenderness elicited in the RLQ is a positive finding. Suggests APPENDICITIS

-Ruh rov... U pressed on my LLQ and my RLQ began to sing in pain (RLQ is where appendix is)

Front 6

Trousseaus Sign

Back 6

place a blood pressure cuff around the arm, inflate it to 30 mm above Systolic Pressure, and hold it in place for 3 minutes. Positive sign will show a spasm of the muscles of the hand and forearm (MUSCULAR IRRITABILITY CAUSED BY HYPOCALCEMIA)

-put a bp cuff on the tri-cep and inflate 30 (tri) above systolic. Will cause carpal pedal spasm
-calcium is for strength and the spasm occurs due to lack of strength

Front 7

Chvosteks Sign

Back 7

- tap the facial nerve against the mandibular bone just anterior to the ear, which produces an abnormal ipsilateral spasm of the facial muscles. (MUSCULAR IRRITABILITY CAUSED BY HYPOCALCEMIA)

-ch-eeks. Tap them and another part of the face will twitch.
-calcium is for strength and the spasm occurs due to lack of strength.

Front 8

Babinski Sign

Back 8

Take a pen or similar dull object and run it along the lateral length of the sole of the foot. Normal reaction to this stimulation is for the toes to move downward (plantar flexion). A positive BABINSKI TEST is indicated by abnormal extension of the great toe and fanning of the remaining toes, (dorsiflexion), which suggests NEUROLOGIC DYSFUNCTION.

Front 9

Kernings Sign

Back 9

Positive sign when the leg is flexed at the hip and knee and subsequent extension of the knee is painful, leading to resistance and flexion of the torso. A possible sign for MENINGITIS.

-kernel sanders has meningitis and is in pain when on his back and another guy brings his legs to sky.

Front 10

Brudzinski Sign

Back 10

Involuntary flexing of the legs in response to flexing of the neck. A possible sign—MENINGEAL IRRITATION

-bud bundy does crunches involuntarily by flexing his neck (hands behind head)

Front 11

Cushings Triad

Back 11

Systolic Hypertension, Bradycardia, Irregular Respiratory Pattern, Indicates INCREASED (ICP)

Front 12

Pulsus Paradoxus

Back 12

An irregularity that occurs when systolic blood pressure falls more than 10 mm Hg on inspiration. Its caused by differences in intrathoracic pressure with respiration, such as back flow of blood into the lungs as a result of HEART FAILURE.

Front 13

Somatic Pain

Back 13

Well LOCALIZED and described as sharp in nature. comes from skin and muscle as well as joints, ligaments, tendons

-somatic = specific

Front 14

Visceral Pain

Back 14

- Originates within the chest and abdomen, and is often described as heaviness, pressure, aching, or burning that is NOT EASY TO PIN POINT! Visceral pain may also radiate to other areas of the body. It comes from organs inside the body with injury or illness.

-visceral = vague pain

Front 15

Melena

Back 15

black tarry feces that contains digested blood - (UPPER GI BLEEDING).

Front 16

Feculant Vomiting

Back 16

- Foul Smelling vomit with a feculent odor- (BOWEL OBSTRUCTION)

Front 17

Coffee Ground Emesis

Back 17

Vomiting of partially digested blood - (GI BLEEDING)

Front 18

Hematochezia

Back 18

bright red blood in the stool. (LOWER GI BLEEDING)

Front 19

Petechia and Purpura

Back 19

red or purple discolorations of the skin. can be indicative of ___________________

Front 20

Hemataemesis-

Back 20

vomiting of blood-(UPPER GI BLEEDING)

Front 21

Parenteral

Back 21

Meds given as IV's or infusions

Front 22

Thrombocytopenia

Back 22

blood has low number of platelets

Front 23

Exophthalmos

Back 23

bulging of the eye anteriorly out of the orbit (bug eye)

Front 24

Toxidrome

Back 24

S/S associated with exposure to a particular substance.

Front 25

Cheyne-Stokes Respirations

Back 25

gradually increasing rate and depth followed by a decrease of respirations with intermittent periods of apnea- indicative of a brainstem insult.

-chain links gradually increase in size and eventually skip a link (chain is the brainstem)

Front 26

Biots Respirations

Back 26

Irregular pattern, rate, depth with periods of apnea

that bitch is irregularly crazy and she keeps going apneic

Front 27

Kussmauls Respirations

Back 27

deep, rapid respirations seen in patients with DKA

Front 28

Nosocomial Infection

Back 28

An infection Acquired while at the hospital.

Front 29

Lou Gherigs Disease (ALS)

Back 29

disease of the nerve cells in the brain and spinal cord that control voluntary muscle movement

-last years of Lou's life he lost voluntary muscle movement

Front 30

Korsakoff Syndrome

Back 30

neuro disease caused by a lack of THIAMINE. linked to alcohol abuse and malnutrition.

Front 31

Wernicke Encephalopathy

Back 31

lesions of the brain caused by THIAMINE deficiency

Front 32

Subdural Hematoma

Back 32

blood below the inner layer of the Dura Mater

Front 33

Epidural Hematoma

Back 33

blood between the skull and the Dura Mater

Front 34

Sub-Arachnoid Hemorrhage

Back 34

bleeding in the area between the brain and the thin tissues that cover the brain

Front 35

Meningitis

Back 35

infection of the membranes covering the brain and spinal cord. Bacterial is the worst!

Front 36

Seizures

Back 36

Abnormal electrical activity in the brain.

Front 37

Febrile Seizures

Back 37

seizure brought on by a spike in body temperature, usually occurs in young children (6mo-6 y/o)

Front 38

Simple Febrile Seizures

Back 38

brief, generalized tonic-clonic seizures (lasting less than 15 minutes) that occur in a child without underlying neurologic abnormalities

Front 39

Complex Febrile Seizures

Back 39

longer lasting (longer than 15 minutes), focal, or occur in a child with baseline developmental or neurologic abnormality. may also be associated with serious illness

Front 40

Status Epilepticus

Back 40

hisotrically defined as any seizure lasting more than 20 minutes or two or more seizures without return to neurologic baseline between seizures

Front 41

Absent Seizures (Petit Mal)

Back 41

generalized seizures that involve a brief loss of attention without abnormal body movement. (staring to space briefly)

Front 42

Grand-Mal Seizures

Back 42

generalized tonic-clonic seizures, which involve jerking of both arms and/or legs

Front 43

Simple Partial Seizures

Back 43

Focal motor jerking WITHOUT loss of consciousness

Front 44

Complex Partial Seizures

Back 44

Focal Motor Jerking WITH loss oc consciousness

Front 45

Guillian Barre Syndrome

Back 45

Bodys defense system attacks part of the nervous system, leaving the patient paralyzed usually - procare patient

Front 46

Acute Respiratory Distress Syndrome

Back 46

lung condition that prevents enough o2 from getting to the lungs and into the blood

Front 47

Angioedema

Back 47

a sudden swelling, usually of a head or neck structure such as the lip (especially the lower lip, earlobes, tongue, or uvula. It is considered to be an allergic reaction and is treated as such. (unknown cause).

Front 48

Ludwigs Anginia

Back 48

infection of the floor of the mouth under the tongue

Front 49

Disseminated Intravascular Coagulation

Back 49

small clots that happen throughout the body

Front 50

Mean arterial Pressure

Back 50

The average pressure within an artery over a complete cycle of one heartbeat DBP + (1/3 x (SBP-DBP))

Front 51

Cardiac Output

Back 51

volume of blood being pumped by the heart in one minute
(CO = SV x HR)

Front 52

Unstable Angina

Back 52

Occurs at REST, and is more severe than normal episodes of angina. It may also be caused by coronary artery spasms. If left untreated, can lead to an AMI

Front 53

Stable Angina

Back 53

usually comes on WITH EXERCISE OR STRESS and lasts 3-5 minutes, sometimes up to 15 minutes. Relieved by rest an/or nitroglycerine.

Front 54

ST Sement MI

Back 54

Coronary Artery is totally blocked by a blood clot

Front 55

Cardiogenic Shock

Back 55

Heart cannot circulate enough blood to maintain adequate peripheral oxygen delivery (pump problem)

Front 56

Obstructive Shock

Back 56

blood flow becomes blocked in the heart or great vessels

Front 57

Hypovelemic Shock

Back 57

circulating blood volume is insufficient to deliver adequate oxygen and nutrients to the body

Front 58

different types of Distributive Shock

Back 58

1. Anaphylactic Shock-
2. Septic Shock-
3. Neurogenic Shock

Front 59

Anaphylactic Shock

Back 59

Widespread dilation (systemic)

Front 60

Septic Shock

Back 60

Systemic Infection

Front 61

Neurogenic Shock

Back 61

Spinal cord injury

Front 62

Compensated Shock?

Back 62

kjhk

Front 63

Decompensated Shock?

Back 63

lkjl

Front 64

Cardiac Tamponade

Back 64

Excessive Fluid accumulates within the pericardium

Front 65

Pericarditis

Back 65

inflammation of the pericardium

Front 66

Pulmonary Embolism

Back 66

any blockage that compromises pulmonary circulation

Front 67

Addisons Disease

Back 67

an endocrine disease caused by a deficiency of corticosteroid hormones produced by the adrenal cortex. The disease is characterized by n/v, abd pain and tanning of the skin.

Front 68

Diabetic Ketoacidosis

Back 68

cells are forced to switch to begin metabolizing fatty acids for energy-ketones by product is very acidic

Front 69

HHNS

Back 69

metabolic derangement that occurs principally in patients with type 2 diabetes

Front 70

Myxedema

Back 70

Adult Hypothyroidism

Front 71

Adrenal Crisis

Back 71

Life-threatening condition when there is not enough CORTISOL produced by adrenal glands.

Front 72

Thyroid Storm

Back 72

thyroid suddenly releases large amounts of THYROID HORMONE in a short time period

Front 73

Graves Disease

Back 73

aka diffuse toxic goiter, is the most common form of Hyperthyroidism (bug eyed)
-an autoimmune disorder in which antibodies that mimic the role of TSH produce an increase in secretion of thyroid hormones

Front 74

Cushings Syndrome-

Back 74

Exposure to high levels of CORTISOL "buffalo hump" or "moon face"

Front 75

Rhabdomyelosis

Back 75

breakdown of muscle fibers that leads to release of muscle fiber into the bloodstream. Causes kidney damage (lactic acid build-up follows)

Front 76

Heat Exhaustion

Back 76

caused by volume depletion from excessive sweating in hot temperatures. if left untreated, will lead to heat stroke.
-weakness, headache, vertigo, n/v, NORMAL LOC muscle cramps

Front 77

Heat Stroke

Back 77

A syndrome in which the body loses its ability to regulate temperature, resulting in ALTERED MENTAL STATUS, elevated core body temp (up to 108 degrees), and multiorgan failure. worse than heat exhaustion. damage depends how high temp gets.

Front 78

Peptic Ulcer

Back 78

defect in the lining of the stomach or the first part of the small intestine.

Front 79

Mallory Weiss Syndrome

Back 79

bleeding from tears in the mucosa at the junction of the stomach and esophagus (Cardiac Sphincter), caused by alcoholism, retching, coughing or vomiting.

Front 80

Boerhaaves Syndrome

Back 80

rupture of the esophageal wall

Front 81

Pancreatitis

Back 81

inflammation of the pancreas

Front 82

Appendicitis

Back 82

inflammation of the appendix

Front 83

Hepatic Encephalopathy

Back 83

confusion, LOC, Coma, as a result of liver failure

Front 84

Liver Abscess

Back 84

puss-filled mass inside the liver

Front 85

Cholitis

Back 85

swelling of the large intestine

Front 86

Diverticultis

Back 86

small, bulging sacs of the inner lining of the intestine that become inflammed or infected with feces

Front 87

Pyelonephritis

Back 87

inflammation of the renal parenchyma, calyces, and pelvis

Front 88

Cholangitis

Back 88

infection of the common biile duct; the tube that carries bile from the liver to the gall bladder

Front 89

Measles

Back 89

A virus that can be found in an infected persons blood, urine. highly contagious resp disease

Front 90

Mumps

Back 90

aka infectious parotitis, is an acute communicable, systemic illness caused by the mumps virus. A disease that leads to painful swelling of the salivary glands.

Front 91

Rubella

Back 91

aka German measles, is also caused by a virus found in respiratory secretions. Infection where there is a rash on the skin

Front 92

HIV

Back 92

a virus that affects and attacks the immune system

Front 93

Epidemic

Back 93

widespread transmission of a disease

Front 94

Pandemic

Back 94

a worldwide transmission (spread) of a disease

Front 95

Pertussis

Back 95

bacterial disease that causes uncontrollable violent coughiing (whooping cough)

Front 96

RSV

Back 96

Respiratory virus that affects the lungs and breathing passages. can cause Pneumonia and Bronchiolitis in small children

Front 97

Tuberculosis

Back 97

Bacterial infection of the lungs

Front 98

Tetanus

Back 98

infection of the nevous system with the potentially deadly bacteria clostridium tetani

Front 99

Epiglottitis

Back 99

inflammation of the tissue that covers that covers the trachea. Bacteria Infection

Front 100

Rocky Mountain Spotted Fever

Back 100

disease carried by ticks. Bad juju

Front 101

Lyme Disease

Back 101

spread by deer ticks. look for a bulls-eye

Front 102

Myasthenia Gravis

Back 102

neuromuscular disease leading to fluctuating muscle weakness and fatigue

Front 103

Lupus

Back 103

immune system attacks normal healthy tissues

Front 104

H1N1

Back 104

Swine flu that can lead to pneumonia and Respiratory Failure

Front 105

Anthrax

Back 105

disease caused by bacillas anthracis (powder) and is lethal

Front 106

Botulism

Back 106

rare, fatal, paralytic illness. get from eating bad foods

Front 107

Ricin

Back 107

A cytotoxic protein derived from the beans of the castor plant. (aerosol, powder, or pellet form). Within 8 hrs of inhalation, an exposed person will develop severe respiratory compromise. Hypoxia will develop within 36-72 hours of exposure.

Front 108

Identify the Signs/Symptoms and Treatment for the following medical condition: Acute Myocardial Infarction

Back 108

chest pain, sudden dyspnea, pulmonary edema, drop in BP, confusion nausea, lighthead, epigastric burning, tiredness, sweating Tx: 12 lead, o2, aspirin, nitro, morphine

Front 109

Identify the Signs/Symptoms and Treatment for the following medical condition: Anaphylaxis

Back 109

warm,flushed, itching, respiratory (systemic) hives,dyspnea,stridor,wheezes,crackles,n/v,bloating,cramping sneezing, dysrhythmia,hypotension, tachycardia, headache, ALOC TX: Benadryl, o2, epi, solu-medrol, glucagon

Front 110

Identify the Signs/Symptoms and Treatment for the following medical condition: Angina Pectoris

Back 110

chest pain TX: treat as a MI

Front 111

Identify the Signs/Symptoms and Treatment for the following medical condition: Appendicitis

Back 111

periumbilical pain. n/v, low grade fever, loss of appetite. Pain rlq, rebound tenderness TX: pain and anti nausea meds

Front 112

Identify the Signs/Symptoms and Treatment for the following medical condition: Asthma

Back 112

runny nose, slight fever, wheezing,coughing,tachypnea,tachycardia Tx: o2, breathing tx, steroid, and supportive care

Front 113

Identify the Signs/Symptoms and Treatment for the following medical condition: Bowel Obstruction

Back 113

S/S: crampy abdominal pain, constipation or diarrhea, inability to pass flatus, distended abdomen, absent or high-pitched bowel sounds.
tx: administer oxygen, place pt in comfortable position, establish iv, give nothing PO

Front 114

Identify the Signs/Symptoms and Treatment for the following medical condition: Bronchiolitis

Back 114

runny nose, slight fever, wheezing,coughing,tachypnea,tachycardia Tx: o2 and supportive care

Front 115

Identify the Signs/Symptoms and Treatment for the following medical condition: Carbon Monoxide Poisoning

Back 115

headache,n/v, pressure in the head, roaring in the ears Tx: maintain airway, o2, IV,ECG,

Front 116

Identify the Signs/Symptoms and Treatment for the following medical condition: Cardiac Tamponade

Back 116

chest pain, drop in systolic BP, narrowing pulse pressure, JVD, muffled heart sounds Tx:airway, breathing, O2, IV

Front 117

Identify the Signs/Symptoms and Treatment for the following medical condition: Chicken Pox (Varicella)

Back 117

slight fever, raised fluid-filled vesicles Tx: surgical mask for you, supportive care

Front 118

Identify the Signs/Symptoms and Treatment for the following medical condition: Chronic Bronchitis

Back 118

______________tachypnea o2, cpap

Front 119

Identify the Signs/Symptoms and Treatment for the following medical condition: COPD

Back 119

________________breathing treatment, o2, cpap

Front 120

Identify the Signs/Symptoms and Treatment for the following medical condition: Clostridium Dificile (C-Diff)

Back 120

n/v, foul smelling, watery, green, diarrhea, fever, loss of appetite, abd pain Tx: PPE, IV clean all equipment very good

Front 121

Identify the Signs/Symptoms and Treatment for the following medical condition: Cocaine Overdose

Back 121

excitement, delirium, tachycardia, hypertension, fast pulse rate Tx: o2, IV, ECG, pulse ox, capnometer, benzo, transport

Front 122

Identify the Signs/Symptoms and Treatment for the following medical condition: Cyanide Poisoning

Back 122

ALOC, headache, palpitations, dyspnea, vomiting, seizures Tx: amyl nitrate, o2

Front 123

Identify the Signs/Symptoms and Treatment for the following medical condition: Deep Frostbite

Back 123

extremity looks white, yellow-white, or mottled blue-white. Hard, cold, without sensation. Tx: opt to leave if frozen, get out of cold, do not rub or massage, elevate, pain meds, cover blisters with dry sterile dressing, rewarm appropriately

Front 124

Identify the Signs/Symptoms and Treatment for the following medical condition: Diabetic Keotacidosis

Back 124

polyuria, polydipsia, polyphasia, n/v, tachycardia, deep rapid resp, dry mucous membrane, fruity odor on breath, abd pain, hypotension, fever Tx: begin rehydration, monitor T waves- sodium bicarb

Front 125

Identify the Signs/Symptoms and Treatment for the following medical condition: Ectopic Pregnancy

Back 125

abd pain, referred shoulder pain, vaginal bleeding, Cullen or grey turners sign Tx: Airway, highflow 02, left lateral recumbent, IV, p warm, monitor, transport

Front 126

Identify the Signs/Symptoms and Treatment for the following medical condition: Encephalitis

Back 126

fever, flu like symptoms, photophobia, lethargy, aloc, stiff neck Tx: place mask on them, follow local protocol.

Front 127

Identify the Signs/Symptoms and Treatment for the following medical condition: Epidural Hematoma

Back 127

- injury to temp bone tx: supportive care, transport, pt will prob need surgery.

Front 128

Identify the Signs/Symptoms and Treatment for the following medical condition: Subdural Hematoma

Back 128

d

Front 129

Identify the Signs/Symptoms and Treatment for the following medical condition: Epiglotitis

Back 129

fever, sore throat, painful swallowing, stridor resp distress tx: immed transport, maintain airway.

Front 130

Identify the Signs/Symptoms and Treatment for the following medical condition: Gastrointestinal Bleed

Back 130

hematemesis, melena tx: supportive, treat hypotension

Front 131

Identify the Signs/Symptoms and Treatment for the following medical condition: H1N1 Influenza

Back 131

- fever,shaking, chills, muscle pain, kalaise, loss of appetite, dry cough tx: mask, IV, supportive care

Front 132

Identify the Signs/Symptoms and Treatment for the following medical condition: Hyperosmotic Hyperglycemic Non-/Ketoacidotic Syndrome

Back 132

infection, hypothermia, cardiac disease, pancreatitis, stroke, blood sugar > than 500, acute confusion, dehydration, dizziness, polydipsia tx: vitals, 12 lead, capnography

Front 133

Identify the Signs/Symptoms and Treatment for the following medical condition: Hypoglycemia

Back 133

blood sugar< than 45 mg/dl tx:IV, D50, glucagon if unable to obtain IV

Front 134

Identify the Signs/Symptoms and Treatment for the following medical condition: Hyperglycemia

Back 134

-blood sugar between 120 and 400. Treat for dehydration 1L of NS during first half hour.

Front 135

Identify the Signs/Symptoms and Treatment for the following medical condition: Left-Sided Heart Failure

Back 135

extreme restlessness and agitation, confusion, severe dyspnea and tachypnea, tachycardia, elevated BP, crackles, possibly wheezes, frothy pink sputum, cannon A waves, distended neck veins, pedal edema Tx: 100 % 02, cpap, monitor, IV, morphine, nitro, diuretics

Front 136

Identify the Signs/Symptoms and Treatment for the following medical condition: Right-Sided Heart Failure

Back 136

abd distention, neck veins, distention of veins on surface of body Tx: make pt comfortable, semi-fowler, monitoring

Front 137

Identify the Signs/Symptoms and Treatment for the following medical condition: Malaria

Back 137

fever, chills, headache, seats, fatigue, n/v tx: supportive, transport

Front 138

Identify the Signs/Symptoms and Treatment for the following medical condition: Meningitis

Back 138

upper resp infection, headache, nuchal rigidity, fever and chills, photophobia, vomiting, seizures, confusion, kernig and brudzinski sign. Tx: mask for them and you, supportive, follow up. If bacterial, pmdc may need to go on antibiotics.

Front 139

Identify the Signs/Symptoms and Treatment for the following medical condition: Methicillin-Resistant Staphylococcus Aureas (MRSA)

Back 139

- localized skin abscesses and cellulites, empyemas, endocarditis Tx: supportive and PPE!!

Front 140

Identify the Signs/Symptoms and Treatment for the following medical condition: Mild, Moderate, Severe Hypothermia

Back 140

stumbles, mumbles,fumbles, grumbles mild: >93.2 passive rewarming. Remove wet clothes, blankets and warm fluids mod- 86-93.2 warm IV fluids and commercial warming devices severe<86 warming at hospital

Front 141

Identify the Signs/Symptoms and Treatment for the following medical condition: Mononucleosis

Back 141

- sore throat, fever, secretions from pharynx, swollen lymph glands, malaise, anorexia, headache, muscle pain, enlarged liver and spleen Tx: supportive, gloves, wash hands

Front 142

Identify the Signs/Symptoms and Treatment for the following medical condition: Pancreatitis

Back 142

pain to epigastric area or RUQ, radiate to back, n/v fever, tachycardia, hypotension, muscle spasms to ext, Cullen, grey turners Tx: IV, pain management.

Front 143

Identify the Signs/Symptoms and Treatment for the following medical condition: Paroxymal Nocturnal Dyspnea

Back 143

dyspnea that comes on during the night. Left sided heart failure

Front 144

Identify the Signs/Symptoms and Treatment for the following medical condition: Pneumonia

Back 144

mild dyspnea, diminished or absent breath sounds, pulsus paradoxus, low pulse ox, tachypnea, fever, tachycardia Tx; cover open wounds, maintain ABCs, high flow 02.

Front 145

Identify the Signs/Symptoms and Treatment for the following medical condition: Pneumothorax

Back 145

mild dyspnea, diminished or absent breath sounds, pulsus paradoxus, low pulse ox, tachypnea, tachycardia Tx; cover open wounds, maintain ABCs, high flow 02.

Front 146

Identify the Signs/Symptoms and Treatment for the following medical condition: Tension Pneumothorax

Back 146

absent breath sounds on affected side, unequal chest rise, pulsus paradoxus, tachycardia, dysrhythmias, JVD, narrow pulse pressure, JVD, tracheal deviation tx: needle decompression

Front 147

Identify the Signs/Symptoms and Treatment for the following medical condition: Pulmonary Edema

Back 147

- crackles in the bases of the lungs, progresses to higher lung fields, cough up pink sputum. Tx: cpap

Front 148

Identify the Signs/Symptoms and Treatment for the following medical condition: Pulmonary Embolus

Back 148

sudden dyspnea and cyanosis, sharp pain the chest, cyanosis does not resolve with 02 therapy. Tx:supportive, 02, immediate transport

Front 149

Identify the Signs/Symptoms and Treatment for the following medical condition: Seizure

Back 149

tonic-clonic(grand mal) - jerking of both arms and/or legs
Absence(petite mal) loss of attention
Simple Partial- focal mototr jerking without loss of consciousness
Complex Partial-focal motor with loss of consciousness tx:02, iv, meds (benzos)

Front 150

Identify the Signs/Symptoms and Treatment for the following medical condition: Sepsis

Back 150

l

Front 151

Identify the Signs/Symptoms and Treatment for the following medical condition: Stroke (Ischemic)

Back 151

blockage, s/s slurred speech, aphasia, agnosia, apraxia, hemiparesis, hemiplegia, arm drifting, facial droop, tongue deviation, swallowing difficulties, ptosis, ataxia, headache, sudden blindness, sudden unilateral paresthia, decreased loc, siezures, coma, hypertension Tx: ABCs, stoke assessment, time of onset, transport to ED or stroke center

Front 152

Identify the Signs/Symptoms and Treatment for the following medical condition: Stroke (Hemorrhagic)

Back 152

bleed, s/s slurred speech, aphasia, agnosia, apraxia, hemiparesis, hemiplegia, arm drifting, facial droop, tongue deviation, swallowing difficulties, ptosis, ataxia, headache, sudden blindness, sudden unilateral paresthia, decreased loc, siezures, coma, hypertension Tx: ABCs, stoke assessment, time of onset, transport to ED or stroke center

Front 153

Identify the Signs/Symptoms and Treatment for the following medical condition: Tuberculosis

Back 153

- persistent cough for more than 3 weeks plus one or more of the following: night sweats, headache,fever, fatigue,weight loss, hemoptysis, hoarseness, chest pain tx: mask, 02, vent support, transport.

Front 154

Identify the complications of Meningitis

Back 154

l

Front 155

Identify a systematic approach to treatment for Altered Mental Status Presentations

Back 155

Alcohol, anaphylaxis, AMI
Epilepsy, Endocrine, Electrolytes
Insulin
Opiates
Uremia
Trauma
Intercranial infection (tumor, hemorrhage, htn)
Poisoning
Seizure, Sepsis

Front 156

Identify the etiologies (causes) and classifications of shock (Cardiogenic, Obstructive, Distributive)

Back 156

;

Front 157

Differentiate between presentations (signs/symptoms) of the classifications of shock

Back 157

l

Front 158

Comopare and Contracst the signs and symptoms and treatment for hypoglycemia, hyperglycemia, DKA and HHNS?

Back 158

k

Front 159

Compare and contrast the signs and symptoms and treatment for Respiratory distress and respiratory failure

Back 159

k

Front 160

Identify the Signs/symptoms of Organophosphate Poisoning

Back 160

l

Front 161

Define and give examples of various types of abdominal pain (Visceral, Somatic, Referred, Pleuritic)

Back 161

k

Front 162

Identify the components of theh AMLS Pathway as it relates to patient assessment

Back 162

k

Front 163

Discuss the importance of the Medical History as it relates to the AMLS Pathway

Back 163

k

Front 164

Identify the differences in the Signs/Symptoms and treatment for an acute Myocardial Infarction (AMI) and Angina Pectoris presentations. Identify which parts of the histroy are most important.

Back 164

k

Front 165

Identify the most common means of prevention of transmission of infectious disease

Back 165

Washing your hands before and after contact with the medical patient.

Front 166

Identify communication barriers that affect obtaining thorough medical history?

Back 166

Language Barrier
Altered Mental Status

Front 167

Identify the Signs/Symptoms of Gastroenteritis

Back 167

;

Front 168

Identify the Signs/Symptoms and treatment of Salicylate Poisoning

Back 168

lk

Front 169

Identify the Signs/Symptoms of an Opiate Overdose

Back 169

l

Front 170

Contrast the Signs/Symptoms of Hypoventilation and Hyperventilation?

Back 170

l

Front 171

Identify the LOCATION and FUNCTION of the Lobes of the Brain?

Back 171

l

Front 172

Describe the components of The Cushings Triad.

Back 172

Systolic Hypertension, Bradycardia, Irregular Respiratory Pattern, Indicates INCREASED (ICP)

Front 173

What is the order of events in the AMLS Patient Assessment Pathway?

Back 173

1) Initial Observations - Scene and Patient
2) First Impression - Sick or Not Sick?
3) Detailed Assessment - Hx, Secondary Ass, Diagnostics
4) Refine Differential Diagnosis (Based on Accumulated Data and Clinical Reasoning)
5) Ongoing Management

Front 174

In the AMLS Patient Assessment Pathway - What is included in the Initial Observations Section?

Back 174

Scene - Safety threats to crew, and Situation

Patient - Cardinal Presentation, and Primary Survey

Front 175

In the AMLS Patient Assessment Pathway - What is included in the First Impression Section?

Back 175

-Identify and treat life threats immediately

-Generate Differential Diagnosis

Front 176

In the AMLS Patient Assessment Pathway - What is included in the Detailed Assessment Section?

Back 176

History - OPQRST, and SAMPLER

Secondary Survey - VS, Physical Exam of Body Systems

Diagnostic - Glucose, EKG, O2 sat, etc.

Front 177

In the AMLS Patient Assessment Pathway - What is included in the Refine Differential Diagnosis Section?

Back 177

-Life Threatening -

-Critical -

-Non-Emergent -

Front 178

In the AMLS Patient Assessment Pathway - What is included in the Ongoing Management?

Back 178

-Reassess, Refine Diagnosis, Modify Treatment

-Patient Disposition

Front 179

In the AMLS Patient Assessment Pathway - What should you do if you discover new life threats?

Back 179

Treat immediately!!

Front 180

What is Ataxia?

Back 180

an unsteady or altered gait due to BRAIN DYSFUNCTION, often of the CEREBRUM, which controls coordination

Front 181

Compensated Shock Vitals

Back 181

Normal BP, slightly elevated HR, Tachypnea, delayed CRT.

Front 182

Compensated Shock S/S

Back 182

Could present with cool hands and feet, pale mucous membranes, restlessness, anxiety, and oliguria.

Front 183

54. Pathophysiology of Compensated Shock

Back 183

Vasoconstriction maintains blood flow to essential organs, but tissue ischemia occurs in less essential areas

Front 184

55. Decompensated Shock Vitals

Back 184

BP decreasing, HR >120 bpm, Respiratory Rate >30-40

Front 185

56. Decompensated Shock S/S

Back 185

Waxen, cool, clammy skin, pale or cyanotic mucous membranes, profound weakness, metabolic (lactic) acidosis, anxiety, and absent or decreased peripheral pulses.

Front 186

57. Decompensated Shock Pathophysiology

Back 186

blood pressure decreases as vascular tone decreases. Dysfunction to all organs is imminent. Anaerobic metabolism ensues, causing lactic acidosis

Front 187

58. Irreversible Shock Vitals

Back 187

Profound Hypotension

Front 188

59. Irreversible Shock S/S

Back 188

lactate >2 mEq/L????????????

Front 189

60. Irreversible Shock Pathophysiology

Back 189

Metabolic Acidosis causes postcapillary sphincters to open and release stagnant and coagulated blood. Excessive potassium and acid causes dysrhythmias. Cellular damage is irreversible.