Chest compression depth adult
What is 5cm (2 in)
The longest bone in the human body
What is the femur
You are called over the radio to an emergency on the fire line, a chainsaw is involved, as you arrive what is the first thing you do
What is a scene assessment
HEMP ABC's
Hazards, Environment, Mechanism of Injury, # of Pt's
Additional info, BSI (PPE), Condition of Pt
The ABC's
What is Airway, Breathing, and circulation
Gear to stop a major bleed
What is a compression bandage/ tourniquet
CPR cycle and rate for an adult
What is 30 compressions 2 breaths and 100-120 compressions per minute (30 compressions in 15-18 seconds)
Anatomical terminology for the front, back, upper and lower parts of the body
What is, anterior, posterior, superior and inferior
Your coworker shows up to work with a bad haircut
What is mock them ruthlessly
What is pulse Oximetry
A way to assess the percentage of oxygen in the blood
How much do you squeeze a BVM
What is until you see chest rise (approx 1/3rd of the bag)
Compression depth for an infant/child
What is 1/3rd of the chest depth
Approximate volume of blood in the body
(Bonus points for naming the three major functions of blood)
What is 5 litres
1. Transporting oxygen, nutrients, and waste
2. Protecting against disease by producing antibodies and defending against pathogens
3. Helping to regulate body temps
You are called to a burn Pt on the fire line, the scene is safe as you arrive, there are 2nd to 3rd degree burns covering over 20% of the body, with burns to the chest. Pt is breathing and has a pulse but is unconscious, ABC's and RBS have been assessed, no c spine concerns, airway is not burned, what interventions should you perform for this Pt (At least 3 for points)
What is drop an OPA, give supplemental O2, cool burns with water or saline (max 20 minutes), max 20% of the body surface, remove burned clothing, remove rings watches footwear, elevate burned extremities if possible, dress burns with non adherent bandages or specific burn dressings, ensure they are not tight or encircling, monitor Pt and ABC's closely
Acronym for assessing patients level of responsiveness and what the four letters stand for
AVPU
Alert(Pt is able to verbalize and eyes are open) Verbal(Pt responds to commands or questions) Painful(Pt responds to painful stimuli) Unresponsive(Unresponsive)
A total absence of electrical activity in the heart
What is asystole
Importance of compression fraction (off chest time)
What is when you stop compressions pressure in the circulatory system begins to drop immediately and the first compressions you perform after a pause will be rebuilding the pt's blood pressure not circulating blood effectively
5 regions of the spine
What is the cervical (7 vertebrae), Thoracic (12 vertebrae), Lumbar (5 vertebrae), Sacrum (5 fused vertebrae) Coccyx (4 fused vertebrae)
A coworker has fallen and broken their femur. It is a mid bone break with obvious deformity and shortening of the leg. They are conscious and breathing, the scene is safe, a heli is on route for extrication, but you have 10 to 15 minutes to stay and play what do you do
What is assess for c spine, good ABC check, throw the pulse ox on, RBS, Supplemental 02, monitor Pt and splint the leg with a traction device (apply approx 10% of the Pt's body weight)
List 5 things that would categorize a Pt as RTC
Severe or multi system trauma, Instability or absence of ABC's, Internal/external hemorrhage, Neurological deficits, decreased LOR, Ongoing seizures, Chest pain, burns with inhalation injury, extensive burns, abdo distention, unstable pelvic injury, femur fracture, amputation, childbirth complications, severe hypothermia, electrocution, decompression illness
The two types of strokes and describe what they are
Ischemic (blood flow to brain or in brain is blocked)
Hemorrhagic (artery in the brain ruptures)
Shockable Rhythms and what they are
What is Ventricular Tachycardia-the hearts ventricles are contracting too fast to fill with blood between contractions
Ventricular Fibrillation-chaotic discharge of electrical activity in the heart which causes the heart muscle to quiver
The 4 chambers of the heart, where they are, and direction blood flows throw them
What is the right atrium, right ventricle, left atrium, left ventricle
deoxygenated blood flows form the body into right atrium to the right ventricle, to the lungs, then oxygenated blood returns from the lungs into the left atrium to the left ventricle then pumped to the body
A fire warden clutches their chest and falls into you. You lower them gently to the ground and proceed to perform first aid. There is no breathing present and no carotid pulse What do you do
(Scene is safe, gear is close, and you have one helper)
Initiate CPR protocol, move to the chest and start compressions, have partner get gear for airway management, 30 compressions and two breaths two responder CPR, have partner drop an OPA, set up BVM with O2 at 15LPM, have them proceed to do breaths and call for help, if available set up AED and get the pads on the Pt then follow instructions given by AED
What are the SAMPLE and OPQRRST acronyms
Signs/symptoms, Allergies, Medications, Past/present medical history, Last oral intake, Events leading up
Onset, Provocation, Quality, Region, Radiate, Severity, Time
The point of origin of the electrical impulse in the heart
What is the Sinoatrial node (SA node)