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141 Cards in this Set

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know On-line/Off-line medical direction, Standing Orders, Protocols
on-line(orders by physician on a phone), off-line(medical director who gives you orders ftom the book its written), standing orders( its said), protocol(list of steps like assessment)
know how research can impact ems
Improves with up-to-date information
Know the components of EMS
Research quality improvement patient Care and community involvement
Know what trending is and why it is important
It's a pattern of vital signs and it tells if they're getting better or worse
know universal precautions and be BSI and their importance
Body substance isolation and PPE and infection precautions
know the modes of transmission for HEB-A,B,C, TB, flu, HIV and meningitis
Heb- A, B, C,( fecaleoral transmission) TB(airborne), flu (airborne), HIV(bloodborne), meningitis(airbourne)
know what to do when you're safe scene becomes unsafe
Retreat, radio, and reevaluate
You know what Mr Watson says about heroes and why you shouldnt become one
Heroes always die
Know the steps you should take if you have an exposure
You document it,call infection control officer, be tested and follow up
Know the principles of proper lifting
Lift with your legs not with your back and ur hand power grip, have additional help and know your limits
know the proper way to move an object across the floor
get on the level and push the object
Know when to call for assistance when moving a patient
Know your limits
Know how to safely move a patient by using a stair chair
secure the patient in the chair next talk to the patient next have a person to guide and tell the patient to cross their arms
Know when to use a KED, scoop, stair chair, flexible stretcher, and long board
KED(in car or seated pt. for suspected spinal injury), scoop( pt. can't log roll), stair chair(on a second or third floor), flexible stretcher( tight conners), long board(spinal injury)
Know about HIPAA, confidentiality, libel, and slander
HIPAA(whom and what you share your info with and you will get fined if you release any information), confidentiality (patients secrets), libel( a false written statement), slander( something falsely spoken)
Know who you can share patient information with
your partner who has been on the call with you or their nurse
Know the types of consent and when to use each
Express( must be informed consent, patient must know the risks), implied(a patient's condition is unconscience and so we can take care of them same as children)
know about duty to act, negligence, Good Samaritan laws and abandonment
Duty to act( legal duty to perform your skills), negligence( how to duty but failure or breached patient), good Samaritan laws(protect people who don't have a duty to act), abandonment( leaving the patient at the hospital)
Know the parts of the digestive system
Esophagus, oropharyn, stomach, deodum, jajegum, small intestine large intestine, rectum and anus
Know the special features of the heart muscle and what it is called
Automatacy is able to conduct electrical impulse
know the best position for unconscience patient
Recovery position
Know how to describe injuries using correct automatical directions
lateral, midial, distal, superior, posterior, proximal, interior, and inferior
know the parts of the hip joint what is most commonly fractured area
femur, approximate head to femur
know hypercapnia and what causes it
high levels of carbondioxide, hyper ventilation, hypoventilation
know the parts of the cell
mitochondria, membrane,
What are the building blocks of ATP and know what ATP is well
Is mitochondria in ATP is oxygen and sugar
Know the part of the brain that controls breathing
Medulla ablugata
Know how the body compensate for blood loss, the S&S of hypoprofusion in the types of shock
Body goes into shock and shuts down, compensated, decompensated, irreversible
Know the types of reflex is found in an infant
Home, root, morrow reflexes
Know the different life stages and how to classify them, and what you would expect to see in each stage
Infant(birth-1 year old), toddler(1-3 years), preschool(3-6), school (6-13), adolescence (13-18), early adulthood(19-40), middle adulthood(40-60), late adulthood (61-older)
know what fontanels are, what bulging in sunken whens indicate
Soft spot of incense head, crying, injury, meningitis, Sunking is dehydration
know the advantages and disadvantages of using a OPA
Advantages that it's easy to put it in disadvantage is that it can't be used for a patient with a gag reflex
Know the structures of the upper and lower airways
Upper is nasopharynx, oropharynx, larynopharnyx, epiglottis. lower is bronchi, bronchial, and aviola
Know when to ventilate a patient
Respiratory failure or respiratory arrest
know when to suction a patient
Gurgling respirations, blood or vomit coming from airway
Noein to remove dentures
When benchers become an obstruction
Know what to do if your patient cannot tolerate an NRB
Use a nasal cannula
know the equipment needed to safely administer o 2
Regulator, mask
Know how to identify an o2 cylinder
Green cylinder, pain index, oxygen u s p
Know what to do if you get gastric distension when ventilating
Apply cricoid pressure
Your first treatment of any patient with dyspnea is
Provide oxygen
Know what to do during the scene size-up
Take precautions, number of patients, moi / Noi and additional resources
know what is important to know about a fall patient
How high, what they hit on the way down, and what they landed on
Know what to do if you respond to an unsafe hazmat scene
Get in a safe distance and use the book
know what is considered the significant fall
3 times a patient's height
Knowing to use law enforcement to make the scene safe
When scene is unsafe
Know what an intervention is
Steps to fix a problem
know the AVPU scale and how yo determine the levels
Alert is awake, verbal is spoken, painful is pain, and unresponsive is unawake
know the S&S of cardiac problem
chest pain down the armor chin, diapherisis
ABC's always comes first
Airway, breathing, and circulation
Know the normal vital signs for an adult, child, and infant
Adult (P:60-100, BP:110-120, R: 12-20) child(P:90-120, BP:90-120, R:20-30) infant (P:120-180, BP:80-100, R:30-50)
know when you should fet a manual BP
first to take and when technology fails
know what to do if you don't get a radial pulse on a pt.
carotide
Know how often you should reassess a stable patient in an unstable patient
Stable every 15 minutes, unstable 5 minutes
Know what to check on the head when performing a rapid trauma assessment
Deformities decap-btls pupils dilated crepitis
Know what a stoma is
Permanent surgical opening in the neck through which patient can breathe
Know what to look for in a car at MVC
Fire, gas, electricity, patient, metal windshield, seat belts
Know what to ask to get you sample
Signs and symptoms, allergies, medicine, past medical history, last oral intake, events leading to incident
know the information you need to ask about it MVI
How fast were they going, were they even wearing seatbelts, and do they remember the incident
know what NTG is prescribed for and what it does, and when you shouldn't do it
Patient is in low blood pressure high blood pressure and its a vasodilator and when you shouldn't it's for chest pain
What should you check for with assessing a patient with dyspnea
Capillary refill, retractions and breathing sounds
Know that S&S of GI bleeding and who is prone to have GI bleeding in the causes
Incest medication and that look like coffee ground vomiting blood stool
No why you sample assessment is important and in determining the cause of AMS
Past medical history
know why you should find out why an elderly patient
There might have been a medical reason on how they fell
Know what you should do during their assessment of what to reassess depending on the type of illness and injury
Focus on chief complaint in what you found during first assessment
What are the parts of getting consent, it must be done???
must be informed
know the s&s of respiratory failure and the treatment
ventilation, hypoxia, AMS, hyper/hypoventilation cyanosis, assess muscle usage, labor breathing,bag-valve mask
know when to develop differential diagnosis
signs and symptoms, list of possibilities
what are red flags in emergency medicine
s&s that point the directions on Where the problem is
how to develop a field diagnosis
scene size up and patient assessment role out possibilities
ABC'S
airway, breathing, circulation
know that the LOC ad C/C is important information for ALS
levels of conscience, chief complaint
know the information that can and cannot be in a radio report
personal info
know why you have to give a verbal report at the hospital
Transport over to patient care
What is the best way to communicate to the hospital
Radio
Know what you should do after you administer a medication
Document, recess vital signs
What are the reasons why a medication may not work
Expired medication, not enough medication
What should you do if you make a medication error
Treat and document contact medical control
What are the effects of a albuterol and epinephrine
albuterol is a bronchodilators/ vasoconstrictor. Epinephrine is a vastconstrictor
Now the side effects of metered dose in inhalers
Increased pulse rate and jitteriness
know how to assess the patient's airway
Check for obstructions, opening up, look, listen, and feel
Now the S & S of COPD, asthma and CHF
COPD is hypoxia, coughing, rails, wheezing, a mess, cyanosis
Everyone gets
Oxygen lots of oxygen
No that s & S of a pulmonary embolism and who is at risk of having one
Difficulty of breathing, cyanosis athletes, woman who are smoking and on birth control and a person who's sitting too long
What is the max dose of NTG in the field
3 doses
Know when to use a combitube
To provide an airway
What intervention is most effective in getting a pulse back in cardiac arrest patient
AED first, CPR
What interventions issued you performing on a harp photos since patient with CP
oxygen, transport
what does brain need at her party
water, oxygen, and glucose
what are the S&S of hyperglycemia
AMS, FLUSHED SKIN, Acidtone breath
know what an insulin pump is and how it is used and what it looks like
pump will have small catheters that enters into abdomen. size of MP3 player worn on the belt
Know the treatment of seizures
Lose any construction clothing, put nothing in the mouth, protect them from anyone, keep them safe from ceiling, set them up after in just let the seizing happen
know the common causes of anaphylaxis
Food and bugs
Now the treatment of an anaphylactic reaction
EpiPen
Can you give a second dose of EPI, if so what must you do to give it, and what would indicate that in second dose
yes you can give another dose, call medical director for approval, and the indication of the second dose would be because of the first dose doesn't work
What are the S & S of huffing volatile chemicals, and what volatile chemicals are
AMS, order, redness around Airways, air in a can, acetone, glue, gas
what questions should be asked when dealing with a patient that has overdosed
How much, what did they take, when did they take it, and how they took it
What are the indications for using activated charcoal
When the patient who digested poison
What are the S & S of cocaine overdose
Increased pulse and respiration and AMS
What s & S are associated with abdominal pain
Guarding, tender, pain
No the S & S of renal colic
Severe cramping, intermediate pain in Flank or back, nausea, vomiting
Know that S & S of an AAA
Tearing pain in left upper quadrant
Know the causes of hypovolemia
Blood loss, vomiting, or diarrhea.
no the risk factors of suicide
death medication, death of a family member, previous attempts, Age mental issues, occupation
Know the attributes of behavioral emergency
Bizarre behavior
Know about how neurotransmitters work
Chemical changes
know what postional asphyxia is and how it can be prevented
Patient in prone position, not breathing, tying down a patient
Know what a thrill is in a fistula
A / v Vistula will have a characteristic vibration. of blood going through the fistula
know who can be prone to acute renal failure
Drug users
know what SCA, RBC, WBC stands for
Sickle cell anemia, red blood cells, and white blood cells
Know what anemia is and the S&S
Low level of iron, provide oxygen, fatigue, cold, hypoxia
know the S & S of renal failure and what renal failure is
Adema, sepsis, high blood pressure, kidney
Know what you should do if bandages get saturated with blood
Put more bandages on
Know how the body compensates for blood
increasing blood flow, respiration, shutting blood from extremities
Know the classification of severity of shock
Compensated, decompensated, irreversible
Know the indications and contradictions for using cold to treat bleeding
Extremity wounds, contradictions of hypothermia
Know the steps of using a tourniquet
Put the tourniquet on, tighten it, put time and date on the patient's forehead
Know how burns effect early patient differently
Their body's ability to cope with injuries are reduced by aging tissues and failing body system, more prone to hypothermia
Define contusion, abrasion avulsion, laceration, and penetrations
contusions or bruises, abrasion or scrapes, of avulsion are tissues torn off completely, laceration is a cut, penetrations is a puncture
know why burns have a greater effect on an infant and child
They have a weak immune system and have more surface area
Know how to treat a high-pressure laceration
Tourniquet
Know how to treat a partial amputation
Cover in dressing and rap it
Know how to treat a patient with a sucking chest wound
aclusive dressing tape 3 sides of it
Know how to treat an abdominal wound
Use a sterile dressing and cover it
know what comotio cordis in and how to treat it
heart goes into trenticle defibrilation, treat 80
know what fail chest is and how to treat it
Fracture of two or more adjacent ribs in two or more places that allows for free movement of fracture area provide a roll on affected side and transport
know how to treat evisceration
Put a sterile dressing on it and transport with a moist sterile dressing
No ligaments cartilage and tendons
Tendon is bone to muscle, cartilage gives shape, ligament is bone to bone
No strain, sprain, and dislocation
Strain is a muscle sprain is a ligament and dislocation is a joint
Know the 6 P to a musculoskeletal injury
Pain or tenderness, paler which is pale skin, parasthesis which is pins and needles, pulse images were absent, paralysys, pressure
Know how to do do a pelvic rap and when to do it
Blanket wrap around pelvic region
Know the causes of neurogenic shock
Hi perfusion, nerve damage, spinal injury
Now the treatments for the different types of head injuries
02, transport
No what multiple trauma is
Patient with one or more injuries to affect more than one body system
Know how to distinguish stable vs unstable patient
unstable is there vital signs and AMS
know what blanching is
Capillary refill test
You know how people can lose heat
Conduction, convection, radiation, evaporation, respiration
No why infants and children are more prone to hypothermia
The body heat less body mass greater skin surface area
Know how to treat frozen extremities
Passive rewarming
Know how to treat trauma in a pregnant patient
Backboard in left side on backboard
Know the steps for delivery of an infant
Bring the baby's head down and then up again and out and start suctioning the nose mouth area and then rub it the back of the baby and rub the baby's feet