Never
What type of stroke would a treatment of thrombolytic medications be part of the treatment?
Ischemic Stroke
Dose for ASA in an ACS/AMI patient?
324-325mg PO
Pain in the flank area that may or may not wrap around to groin indicate what abdominal pathology?
Kidney stone
Textbook symptom of appendicitis:
Lower Right Quadrant Pain
Textbook symptoms of this condition are upper right quadrant pain, someones referred pain to the right shoulder, nausea/vomiting/
cholecystitis
As you arrive on scene, what should be done FIRST prior to patient contact:
Notify dispatch of arrival to scene
Tissue that lines to abdominal cavity.
Name the two solid organs of the abdomen that would profusely bleed if damaged?
Liver, Spleen
Tearing pain or a pulsating mass that is palpable are red flag symptoms of what?
aortic aneurysm.
Treatments for a severe, sudden onset of tearing pain in the abdomen or back with signs of distress are:
Oxygen, rapid transport, consider ALS intercept
The animal whom most commonly transmits rabies in Nebraska
Bat
Define hypoxic drive
A patient who is chronically low level hypoxic, whose body now relies on decreased oxygen level to trigger increase in respiratory effort
Coffee ground emesis or hematochezia indicates what common GI ailment?
GI Bleed
Extremely sharp pain from the upper epigastric region straight through (like and arrow) to the spine, with hypertension is a red flag for what critical emergency condition?
Aortic dissection.
Who authorizes EMT's to give medications in the field?
Medical control
A dialysis patient who has missed his dialysis appointment has diffuse rhonchi. Why?
He was not dialyzed, therefore fluid overloaded as kidneys are not functioning to pull excess fluid out of the blood stream.
What chamber of the heart receives oxygenated blood from the lungs through the pulmonary arteries
Left Atrium
A patient vomiting profuse amounts of "fresh" blood, whose skin is pale, cool, and diaphoretic has a hgih chance of having what esophageal abnormality?
Esophageal varices.
A female patient of childbearing age is considered ____ until proven otherwise?
pregnant
A patient who opens their eyes to verbal stimuli, states he is camping, while being assessed at his home, and raises each limb to cue has what GCS score?
E 3
V 4
M 6
= 13
A patient who opens their eyes with a sternal rub, groans when that is applied, and has no motor response has what GCS Score?
E 2
V 2
M 1
= 5
What is the ideal time frame for initiation of fibrinolytic therapy in a stroke patient?
Within 2 hours (4 hours max) of last known well.
RACE Score is the Rapid Arterial Occlusion Evaluation.
What is the RACE score for this patient: Slight left facial droop, Right arm weakness, left leg paralysis, no gaze deviation. He recognizes that his left side is weak/not working.
4
Mild facial palsy: 1,Mild arm motor impairment: 1, Severe let motor impairment: 2, No gaze deviation, no agnosia.
When assessing the abdomen distention can be from 2 things:
Excess trapped air in abdomen, trapped fluid in abdomen.
Layne Staley was the lead singer for what band?
Alice in Chains