Psychiatric Emergencies
What does SI/ HI stand for?
Suicidal Ideations (hurt oneself)
Homicidal Ideations (hurt others)
What is the definitive treatment for baroinjuries (injuries as the result of change in pressure)?
Hyperbaric Chamber
You and your partner are dispatched to a neighborhood park for a person experiencing an allergic reaction. Upon arrival, you find a 26-year-old female sitting on a bench with friends nearby. Her friends state she was stung by a bee approximately 15 minutes ago while walking through the park.
The patient is alert and speaking in full sentences but appears uncomfortable and anxious. She complains of itching and swelling around the sting site on her arm.
Anaphylactic Shock
List the 4 level of EMS providers
EMR (emergency medical responder)
EMT-B (EMT- basic)
EMT-A (advanced EMT)
EMT-P (paramedic)
You and your partner are dispatched to a neighborhood park for a person experiencing an allergic reaction. Upon arrival, you find a 26-year-old female sitting on a bench with friends nearby. Her friends state she was stung by a bee approximately 15 minutes ago while walking through the park.
The patient is alert and speaking in full sentences but appears uncomfortable and anxious. She complains of itching and swelling around the sting site on her arm.
0.3mg IM Epi
O2
What is the definition of Phobia?
Irrational, overwhelming fear of specific objects, situations, or animals
What is one of the two species of venomous snakes that are native to CT?
Northern Copperhead
Timber Rattlesnake
You and your partner are dispatched to a construction site for a worker who “fell and is bleeding badly.” Upon arrival, coworkers direct you to a 34-year-old male lying on the ground next to scaffolding. They report he fell approximately 12 feet onto metal equipment.
The patient is conscious but pale and restless. A large amount of blood is pooling beneath his left leg from a deep laceration to the thigh.
hypovolemic shock
What does the P stand for in OPQRST?
Provocation/ Palliation
(what makes it worse/ better?)
You and your partner are dispatched to a private residence for a “diabetic emergency.” Upon arrival, you find a 55-year-old male sitting at the kitchen table appearing pale and confused. His wife states he took his insulin this morning but did not eat breakfast before doing yard work outside.
The patient is slow to answer questions and repeatedly asks where he is. He complains of feeling shaky and weak.
Oral Glucose
Encourage the pt to eat carb/ protein heavy foods
What is Schizoid Personality Disorder?
marked preference for solitude
tendency to form few relationships
What is the main characteristic of a severe lightning injury?
cardiac arrest
You and your partner are dispatched to a private residence for a 74-year-old male with altered mental status and weakness. Upon arrival, you find the patient lying in bed appearing pale, confused, and lethargic. His wife states he has been feeling ill for several days and became significantly more confused this morning.
She reports a history of Type 2 Diabetes, hypertension, chronic kidney disease, and recurrent urinary tract infections. She states the patient recently complained of burning during urination, lower abdominal discomfort, fever, and chills but refused to see a doctor.
Over the last 24 hours, the patient became progressively weaker, stopped eating, and has barely gotten out of bed. His wife also reports he “felt very hot” overnight and has been breathing faster than normal.
Septic Shock
In SMART Triage, how would you classify a pt who is not able to walk but is breathing <30 BPM and capillary refill <2 seconds
yellow tag- delayed
You and your partner are dispatched to a residence for a 64-year-old male with chest pain. Upon arrival, you find the patient sitting on the couch clutching the center of his chest. He appears pale, anxious, and diaphoretic.
The patient states the pain began suddenly about 30 minutes ago while walking upstairs. He describes it as a “heavy pressure” radiating into his jaw and left arm. His wife reports a history of coronary artery disease, hypertension, and prior myocardial infarction.
During history taking, the patient states he took Sildenafil approximately 4 hours ago.
Aspirin (324mg)
Nitro contraindicated due to BP
O2
How long does a chronic anxiety need to last for it to be considered a Generalized Anxiety Disorder (GAD)
6+ months
At what point does sweating stop during heat exposure?
Heat stroke
You and your partner are dispatched to a residence for a 67-year-old female with worsening weakness and fatigue. Upon arrival, you find the patient sitting in a recliner leaning forward with a nasal cannula in place. She appears exhausted and is speaking in short sentences.
Her husband reports a history of Chronic Obstructive Pulmonary Disease, emphysema, hypertension, type 2 diabetes, hyperlipidemia, and congestive heart failure. He states she has smoked approximately one pack of cigarettes daily for over 40 years and requires home oxygen at 2 L/min continuously. He also reports that she was hospitalized twice last year for respiratory infections and COPD flare-ups.
Over the past week, the patient developed increasing fatigue, a productive cough with thick yellow-green sputum, and decreased appetite. Her husband says she has been sleeping in a recliner because lying flat makes her feel worse. He also notes she has been using her rescue inhaler “almost every few hours” for the last two days with minimal relief.
COPD exacerbation
What is the minimum requires hours for a EMR class?
60 Hours
You and your partner are dispatched to a residence for a 72-year-old female with chest discomfort. Upon arrival, you find the patient sitting upright in a chair appearing pale and mildly short of breath. She states the discomfort started about an hour ago and feels like a “burning pressure” in her upper abdomen and lower chest.
Her daughter reports a history of chronic osteoarthritis, hypertension, and prior peptic ulcer disease with a recent episode of gastrointestinal bleeding requiring hospitalization two weeks ago. She also notes that the patient has been prescribed Warfarin for atrial fibrillation.
O2
Aspirin contraindicated due to recent GI bleed/ hx of peptic ulcer
Nitro contraindicated due to recent GI bleeding requiring hospitalization
How long does a pt with symptoms of depression for it to be considered a major depressive disorder?
2 weeks
What core temperature range is characteristic for severe hypothermia?
80-88F
31.1-26.7C
You and your partner are dispatched to a grocery store for a possible stroke. Store employees report that a 58-year-old male suddenly began slurring his speech and appeared weak on one side.
Upon arrival, you find the patient sitting against a shelf. He is confused and having difficulty speaking. His right arm appears weak, and the right side of his face is drooping slightly. A family member states the patient has a history of diabetes and takes insulin.
Hypoglycemia
What is the CAT (Computerized Adaptive Test)?
NREMT testing style
You and your partner are dispatched to a residence for a 69-year-old female with severe respiratory distress. Upon arrival, you find the patient sitting upright on the edge of her bed, visibly anxious and struggling to breathe. She can only speak one- to two-word sentences.
Her husband reports a history of Congestive Heart Failure, hypertension, atrial fibrillation, and chronic kidney disease. He states she has had worsening swelling in her legs for several days and suddenly became extremely short of breath tonight.
O2
CPAP not indicated as the pt is altered