Describe the KS EMS system: Who / Role / EMS
The State EMS office issues the EMS license. An EMR will operate under the license of medical director for standard of care with their service. EMR's are also capable of responding to treat patients even before an ambulance arrives.
Carbon dioxide is removed in what system?
respiratory system
What helps maintain blood pressure in the blood vessel walls?
The muscles.
If you want to distract your patient when taking respirations on a conscious patient you can...
Use your hand on the abdomen as an alternative to placing patient wrist on opposite shoulder to count respirations and pulse.
Why do we put patients on their side?
If they are at risk for vomiting. Placing them on their side helps prevent asphyxiation.
When doing our triage decision, what is the category based on
How quickly we need to get them to the hospital.
Extra: Green - can wait
Yellow: Not urgent but needs attention
Red: Immediate
If you have a pregnant female in the later stages of pregnancy, how can you provide improved compressions?
If possible see if the baby can be moved to the left side manually-LUD.
Breaking down prefixes and suffixes can help us remember medical terms. For example: What is Pnea? Cardio?
Pnea is affix for breathing
Cardio is for the heart...
extra credit: what is Oxia? Oxygen
When handling a needle, what technique should be followed?
Avoid any type of touch to the needle-even to recap. Place as is in a Sharps container.
What is the part of the word added to the end to change its reference?
suffix
Extra: What is the root? It can stand alone
If a patient has a medical condition but denies current medical history: what technique could give you the information you need?
OPQRSTI
Name some of the reasons CPR may not be effective.
Compressions are too fast or too slow or too deep or too shallow. One of the most important and often forgotten is that we need to have very few and very short interruptions.
Blood going out the right side of the heart is going...
heading to the pulmonary artery
If patient presented with difficulty breathing or other medical conditions,..where could you look for information?
Medical alert tags often give a heads up on patients with major medical difficulty.
Define Physiology.
How body parts work together.
Why do we ask for additional resources?
Lots of organizations are available for our assistance and special needs in any situation. Getting people to help at a scene quickly also can help our scene time.
Glucose is produced in what system?
Endocrine
extra: What organ is greatly affected by a lack of glucose? Brain (source of energy for brain cells)
Name what you will hear with the upper and lower airway locations?
Upper: Stridor / Snoring
Lower: Wheezing / Crackles / bronchiolitis
Both: rhonchi
When putting equipment away, what should be one of last pieces to be put in the ambulance?
The suction device. Others items are very important (O2 tanks etc.) and should be considered for appropriate accessibility.
When dealing with a medical or trauma patient, what patient function must we always be alert to maintain?
Their airway / breathing. If that stops or can't be maintained it will affect all systems
What will you do on the way to the hospital after doing your radio report?
Reassessment:
Primary / Secondary / Vitals / Interventions / Priority
Acronym: 1 2 V I P
What is Ischemia?
A condition where there is an inadequate blood supply to a specific tissue or organ.
This lack of blood flow reduces the oxygen and nutrients that the tissue or organ receives, potentially leading to cell damage or death.
EXTRA: Ischemia can occur in various parts of the body, including: Brain (stroke), Heart (myocardial infarction)
Narrowing of the upper airway is usually the cause for what airway issue?
stridor
If you are having trouble getting a good seal with a BVM and it's a trauma patient..what can you have your helper do to assist?
Your helper can assist with securing the mask and maintain stabilization. (2 handed C3 seal)
Putting in a nasal or oral airway would not help if there is no O2 going through the mask.
Geriatric patients have difficulty with a variety of changes. Which ones concern the EMR
They have multiple systems affected but two that need to be understood are their changes for touch, pain and temperature changes