EMS
A policy or protocol issued by a medical director that authorizes EMTs to perform particular skills in certain situations
Which of the following assessment findings would most likely indicate cardiac compromise?
A. Tachypnea
B. Tachycardia
C. Irregular pulse
D. Sudden fainting
C. Irregular pulse
What is the R(x) dosage for ASA in an adult
324mg (81mg x 4)
Which of the following chambers of the heart has the thickest walls?
A. Left atrium
B. Right atrium
C. Left ventricle
D. Right ventricle
C. Left ventricle
Chaotic electrical activity originating from many sites in the heart is called:
Ventricular fibrillation
A thrombus which has broken loose, moving with blood flow, is called
Embolism
ou arrive at the scene of a 56 year old man who is not breathing. Your initial assessment reveals that the patient is pulseless and apneic. The patient's wife tells you that her husband suddenly grabbed his chest and then passed out. After successfully resuscitating the patient, you provide immediate transport. While en route to the hospital, the patient goes back into cardiac arrest. Your next step should be
A. tell your partner to stop the ambulance.
B. Begin CPR and proceed to the hospital
C. contact medical control for further advice.
D. analyze the patient's rhythm with the AED.
A. tell your partner to stop the ambulance.
Which of the following are side effects of nitroglycerin?
A. Nausea
B. Anxiety
C. Headache
D. Hypertension
C. Headache
What is the flow of blood through the heart chambers only.
Right Atrium, Right Ventricle -> Left Atrium to Left Ventricle
In the condition called ____, there is not electrical stimulus to cause the heart muscle to contract.
asystole
After delivering your first shock with an AED, the patient is still pulseless, you should next
continue to perform two minutes or 5 cycles of CPR or until ROSC
Cardiac arrest in the adult population most often is the result of
A. myocardial infarction
B. respiratory failure
C. a cardiac arrhythmia
D. accidental electrocution
C. a cardiac arrhythmia
Aspirin: ASA What is the Drug action
Inhibits platelet aggregation
Anti - inflammatory
What is the most frequently used electrocardiographic criterion for identifying acute myocardial infarction
ST Segment elevation
What are all the shockable rhythms?
ventricular fibrillation (VF) and pulseless ventricular tachycardia (VT) & (SVT)
What are the normal Vital sign ranges for Respirations and Heart in an Adult.
12 - 20 Breaths Per Minute
60-100 Beat Per Minute
Which of the following patients would be the best candidate for the administration of nitroglycerin?
A. A woman who has taken 3 doses of prescribed nitroglycerin without relief of chest pain
B. A woman with chest pain, prescribed nitroglycerin, and a blood pressure of 102/76 mm Hg
C. A man with chest pain, a bottle of expired nitroglycerin, and a blood pressure of 110/80 mm Hg
D. An elderly man with crushing chest pain and a blood pressure of 90/60 mm Hg
B. A woman with chest pain, prescribed nitroglycerin, and a blood pressure of 102/76 mm Hg
Name one ALS Drug for the treatment of Cardiac Emergencies not within a EMT-B's scope
Adenosine
Atropine
Amiodarone
Digoxin
Epinephrine
Norepinephrine
What is the dosage and indication for NTG
0.4mg SL, repeat every 3-5 min for 15 min
chest pain of cardiac origin, angina, acute CHF
When the AED is analyzing a patient for a shockable rhythm the EMT should:
ensure that no one is touching the patient including herself.
When managing a patient with chest pain, you should first
A. administer high-concentration oxygen
B. place the patient in a position of comfort
C. request an ALS ambulance to respond to the scene.
D. measure the blood pressure and administer nitroglycerin
B. place the patient in a position of comfort
Bradycardia, tachycardia, and ventricular fibrillation can all lead to ______ in a cardiac patient.
A. an occlusion
B. shooting arm and leg pain
C. diminished lung sounds
D. loss of consciousness
loss of consciousness
Nitroglycerin- contraindications
hypotension, head injury, ED medication
How are the drug actions of NTG How does it effect the body summarize.
vasodilator, decreases blood return to heart
What are the medical terms for contraction and relaxation for the heart
Systole and Diastole