What is This?
What is medical direction?
The formal relation between EMS and a physician (or Medical director) who is responsible for out of hospital care, either directly or through protocols
What are you assessing in scene assessment?
Scene safety (POPPS), the number of patients, general impression, additional resources, and putting on PPE.
What is the normal respiration rate for infants?
40 to 60 times per minute.
How can you differentiate between a partial and a complete obstruction?
Partial obstructions may come with noise, and the patient can still cough, where as complete obstructions will be silent
What acronym used to assess a stroke?
FAST
Face
Arms
speech
Time
What is Cullen sign? Bonus: What is Grey-Turner Sign?
Bruising around the umbilicus, often from internal bleeding.
Bonus: Bruising around the flank (often bilaterally) also from internal bleeding
Burns that are commonly associated with blisters and pain?
Partial thickness burns or second degree burns
What is the AVPU scale used to determine
Level of conciousness.
List 5 factors that limit the reliability of SPO2
Nail polish, dirt, temperature, carbon monoxide, poor circulation.
What is paradoxical chest movement indicitive of?
Flail chest
How does a hemothorax happen, and how does it happen?
When injury to the lungs or pleura happens, and rather than the sack building up with air or escaping, it fills with blood.
5 signs and symptoms of a AAA?
Chest pain, weakness, poor skin perfusion, diaphresis, pulsating masses.
What is the difference between type 1 and type 2 diabetics?
Type 1 DM is usually something someone is born with or develops early in life where someone does not produce any or enough insulin.
Type 2 is developed later in life and is often a result of poor dietary habits. It reduces the bodies ability to use what insulin production is still possible.
How do you remove a stinger
By removing with a credit card and scraping in the same direction of entry of the stinger.
A neighbor asks why EMS is here. Without consent or lawful authority, what duty limits disclosure?
Patient confidentiality
What does the endocrine system do?
It produces and regulates hormone levels
Explain the electrical conduction of the heart. Bonus Points for detail!
The conduction pathway starts at the SA node, travels through the AV node down the left and right bundle branches into the perkinji fibers
Explain status epilepticus
Any seizure activity that lasts more than 5 minutes or multiple seizures that they do not wake up from.
What is hepatitis?
5 different types of viral infections of the liver.
What is pulmonary edema?
Explain GCS
measurement of neurological function, recording body movement and function, speech and function/cognitive ability, and eye opening or rousability. Scored out of 15 with a minimum score of 3.
What is Cushings Triad? Bonus points: What is your treatment for this?
Bradycardia, widened pulse pressure, respiration changes.
Bonus: Ventilate at a rate of 20/min (every 3 seconds)
What infection commonly found in children causes a seal bark like cough? Bonus: What Kind of of infection is this?
Croup
Bonus: Viral infection of the larynx
Explain CHF
Congestive heart failure is a condition where one or both ventricles of the heart are damaged and pumping function is reduced. This causes chronic symptoms like pulmonary edema, swelling of the extremities, and difficulty sleeping at night. Often caused by MI
What is epiglottitis?
An infection of the epiglottis, that can lead to swelling and closure of a patients airway if not treated promptly.