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73 Cards in this Set

  • Front
  • Back

Scene size up

Steps taken when approaching the scene of an emergency call: checking scene safety, taking Standard Precautions, nothing the mechanism of injury or nature of the patient's illness, determining the number of patients, and deciding what, if any, additional resources to call for.

What do you do as you're near a scene?

Look and listen for approaching units.


Signs of collision-related power outage.


Observe traffic flow.


Look for smoke.

Danger zone

Area around wreckage of a vehicle collision or other incident within which special safety precautions should be taken.

No apparent hazard

50 feet in all directions from the wreckage.

When fuel has been spilled

100 feet in all directions from the wreckage and fuel.

vehicles on fire

100 feet in all directions

When hazardous material is involved

Check ERG or CHEMTREC

Signals of danger from violence.

Fighting or loud voices.


Weapons visible or in use.


Signs of alcohol or other drugs.


Unusual silence.


Knowledge of prior violence.

Mechanism of injury

Force or forces that may have caused injury.

Types of force

Direct.


Twisting.


Forced flexion or hypertension.


Indirect.

Explain why there are 3 collisions involved in motor vehicle accident?

1. vehicle strikes object.


2. patient's body strikes interior of vehicle.


3. Organs of patient strike surface within the body.

Type of injuries in a Head on collision

1. Up and over pattern.


2. Down and under pattern.

Up and over pattern may cause...

Head and neck injuries. Chest and abdomen.

Rear end collision may cause

Neck and head injuries

Down and under may cause...

Knees, legs and hip injuries.

Rollover collision

Potentially the most serious because of the potential of multiple impacts.

What is considered a fall for adult?

Fall of or greater than 20 feet.

What is considered a fall for child under 15?

Fall of or greater than 10 feet OR more than 2 or 3 times the child's height.

Penetrating trauma

Injury cause by an object that passes through the skin or other body tissues.

Penetrating trauma wounds are classified by...

Velocity or speed of the item that caused the injury.

Low velocity items

Those that are propelled by hand, such as knives.

Medium velocity

Caused by handguns and shotguns. Forcefully propelled items.

What is damage directly from projectile ?

Damage to organs and tissues not directly in a straight line between entry and exit wounds.

Blunt force trauma

Injury caused by some blow that does not penetrate the skin or other body tissues.

Index of suspicion

Awareness that there might be injuries.

Nature of the illness

What is medically wrong with patient

Primary assessment

First element in patient assessment. Steps taken for the purpose of discovering and dealing with any life threatening problems.

6 parts of primary assessment.

1. Forming general impression.


2. Assessing mental status.


3. Assessing airway.


4. Assessing breathing.


5. Assessing circulation.


6. Determine priority

Interventions

Actions taken to correct or manage a patient's problems.

General impression

Impression of patient's condition that is formed on first approaching the patient based on patient's environment, chief complaint, and appearance.

The look test

Instinctual approach.this comes from environmental observations as well as from the brief but valuable information obtained by the first look of the patient as EMT approach.

What to do with a patient who appears lifeless?

Begin CPR compressions and preparing defibrillator ASAP.

Tripod position indicates .....

Difficulty breathing

Levine's sign indicates...

Significant chest pain or discomfort.

Chief complaint

The reason EMS was called.

You form a general impression by...

looking, listening,and smelling.

AVPU

Alert


Verbal response


Painful response


Unresponsive

To evaluate circulation


Assess pulse, skin and bleeding.

Vital sign

Respiration


Pulse


Skin color


Temperature


Pupils


Blood pressure

What is important about obtaining vital signs?

Record all vital signs as you obtain them, along with the time at which you took them.

Pulse

Pumping action of the hear is normally rhythmic.

Pulse rate

Number of pulse rates per minute

Tachycardia

Rapid pulse. Any rate above 100/ minute.

Bradycardia

Slow pulse. Rate below 60 beats/ minute.

Pulse quality

The rhythm and force of the pulse

Radial pulse

Pulse felt on the wrist.

Respiration

Act of breathing

Respiratory rate

Number of breaths taken in 1 minute

Respiratory quality

Normal or abnormal character of breathing. Shallower, labored, or noisy.

Normal respiratory rate for adult

12- 20 breaths / minute

Best places to assess color in adults

Nail beds, inside of the cheek, inside of lower eyelids.

Blood pressure

The force of blood against the walls of blood vessels.

Systolic blood pressure

Pressure created when the heart contracts and forces blood out into arteries.

Diastolic blood pressure

Pressure remaining in arteries when left ventricle of the heart is relaxed and refilling.

Normal blood pressure

Systolic pressure of no greater than 120mmHg ( millimeters of mercury) and diastolic of no more than 80mmHg.

Hypertension

140/ 90 mmHg or greater. Heart disease, stroke, or kidney disease.

Febrile

Feverish

Septic

Suffering from a generalized infection.

Core temperature

Reflect the level of heat inside the trunk.

Tympanic thermometer

Measure temperature in the ear. Commercially available and frequently used but not accurate enough for EMS use.

Pulse oximeter

Electronic device for determining the amount of oxygen carried in the blood. Known as oxygen saturation or SpO²

Oxygen Saturation

Ratio of the amount of oxygen present in the blood to the amount that could be carried, expressed as percentage.

Typical oxygen saturation?

96% - 100%

91-95 SpO²

Mild hypoxia

86- 90 SpO²

Significant or moderate hypoxia

85 or less SpO²

Severe hypoxia

Normal blood glucose level

At least 60 -80 mg/dL milligrams per deciliter.

Two categories of trauma

Non significant- focus assessment.


Significant- rapid trauma head to toe assessment.

HPI history of the present illness

Information gathered regarding the symptoms and nature of the patient's current concern.

3 techniques of physical examination

Inspection


Palpation


Auscultation

Abnormalities

DCAP- BTLS


Deformities


Contusions


Abrasions/ scrapes


Punctures / penetration


Burns


Tenderness


Lacerations


Swelling

Sign

Objective. Something you see, feel, hear, and smell when examining.

Symptom

Subjective. Indication you cannot observe but patient feels and tells you about.