Scene Size Up
Of the following which is not part determined in scene size-up? Crew hazards, mechanism of injury, chief complaint, need for additional resources
Chief Complaint
An EMT's initial sense of the patient's condition, based on immediate assessment of the patient's environment, appearance, and chief complaint.
General Impression
With an unstable patient, vitals signs should be checked this often.
Every 5 minutes
The mnemonic SAMPLE stands for
Signs and symptoms, Allergies, Medications, Pertinent Past Medical History, Last Oral Intake, Events Leading to the Illness
This is another term for trauma
Injury
During reassessment your patient begins to make gurgling sounds, you should
Suction the airway
When traveling to a scene you should begin scene size-up at this point.
As you approach the scene in the ambulance
Your middle aged male patient is clutching his chest and appears in distress, what type of problem would you suspect?
Cardiac
This is a device that uses wavelengths to measure oxygen saturation
Pulse Oximeter
The mnemonic OPQRST stands for
Onset, Provocation, Quality, Radiation/Region, Severity, Time
Clear drainage coming from which part of the body indicates a serious injury
Ears
If you reassess your patient every 15 minutes, what status is your patient considered
Stable
Out of the patient's weight, height of fall, the surface they landed on, and what they struck during the fall which is least important to note
patient's weight
The patient's level of responsiveness can be evaluated by this mnemonic.
AVPU
An increase in the work of breathing is known as
labored breathing
The events or mechanism leading to the patient's current problem
History of Present Illness/Injury
A patient's description of how they feel
Symptoms
When should reassessment not take place
when ongoing lifesaving interventions are required
At this height an adult patient's fall considered severe
20 feet
You enter a room and find a teenage male lying supine in his bed. You hear gurgling sounds from the patient's mouth and see vomit with pill fragments on the floor. You determine the scene is safe. What should you do next?
Suction the airway
This is the normal range for blood glucose
70-100 mg/dL
This is a description of a patient's condition that assists a clinician in further evaluation and treatment of the patient
Diagnosis
The mnemonic DCAP-BTLS stands for
Deformities, Contusions, Abrasions, Punctures/Penetrations, Burns, Tenderness, Lacerations, Swelling
Check this before and after splinting extremities
Distal circulation/distal pulses
This is also known as a keen awareness there may be injuries, based on your scene size-up.
Index of suspicion
This is the first thing an EMT does during the primary assessment
form a general impression
What is the best way to assess a patient's skin temperature?
Placing the back of your hand against the patient's forehead
The process by which an EMT forms a field diagnosis
Critical Thinking
This describes a permanent surgical opening in the neck through which the patient breathes
Stoma
Reassessing and recording findings to compare to earlier findings is know as
Trending
At what point is the scene size-up complete?
At the end of the call
The purpose of the primary assessment
To detect and treat immediate life threats
In a conscious patient, which pulse should be assessed initially?
radial pulse
What is the feeling of bone ends rubbing together called
Crepitation
An unconscious trauma patient should always be assumed to have which type of injury
spinal injury
Your patient called 911 because he was having chest pain. He states that his pain is a 7 on a 10-point pain scale. As part of your care, you gave your patient nitroglycerin per medical direction. After waiting a few minutes for medication to take effect, you should do this.
reassessment patient's pain level
What is the name for the mechanism of injury in which an object pierces the body?
Penetrating trauma
You arrive on scene where a 17 year old is lying on the unresponsive and cyanotic. He is making obvious respiratory effort without moving adequate amounts of air. You determined the scene is safe. What should you do first for this patient?
Open the airway using a manual maneuver
You are assessing a 55 year old complaining of chest pain and have determined that his radial pulse is barely palpable. You also determine that there were 20 pulsations over a span of 30 seconds. Based on this, how would you report this patient's pulse?
What method would you use to have a patient rate the amount of pain they are having
Have patient rate the pain on a scale of 0(no pain) to 10(worst pain)
You are assessing a 78 year old male involved in a fall from a standing position. You have completed the scene size-up and primary assessment. What should you do next?
Secondary assessment
You are transporting a victim of domestic violence who was struck on the head several times with a baseball bat. On scene, your patient was responsive to verbal stimuli and bleeding profusely from an open head wound. During transport, patient becomes unresponsive. What do you do next?
Repeat primary assessment
An injury that is caused by a blow that does not penetrate the skin or other body tissues
Blunt-force trauma injury
This sound is an indication of a partially occluded airway.
Snoring respirations
This is the name for the pressure created when the heart contracts and forces blood into the arteries
Systolic blood pressure
A list of potential diagnoses complied early in the patient's assessment is known as this
Differential diagnosis
Paradoxical motion
As you arrive at the emergency department with an unresponsive trauma patient, the nurse asks for your trending assessment. Why is this information important to the ER?
To determine if patient is improving or not
This is what is medically wrong with the patient?
Nature of illness
What is the correct manner for checking the responsiveness in an apparently unresponsive infant?
Flicking the soles of the feet
What are the three ways to take a blood pressure?
Palpation, auscultation, automation
What is the information you would want you patient to know when you are assessing their mental status
person, place, time, purpose
You are called for a patient complaining of dizziness and weakness. Patient tells you that he hasn't had his medication refilled because he doesn't have enough money. Your partner uses the automatic BP machine and reports a BP of 280/140. What should you do next?
take a manual blood pressure to determine accuracy
Three treatments that need to be rechecked are
Oxygen, Bleeding, Splinting
The force or forces that may have caused injury
mechanism of injury
You enter a room to find a 16 year old female sitting upright in a chair with her back straight, leaning forward with her arms supporting. She is having a hard time taking to you. You should suspect she is what?
When checking a patient's pupils, what three things are you checking for?
Size, equality, and reactivity
What are the 3 techniques of the physical examination?
Observation, palpation and ausculation
In the assessment of a responsive medical patient, what will provide you the most important information
Patient's medical history
Your 79 year of patient is having DIB. You auscultate her lungs and hear crackles and you are concerned for pulmonary edema. Her oxygen saturation is 92% so you place her on 100% oxygen via NRB. Her breathing gets a little easier. During reassessment, her respirations have slowed to 8 and she is barely awake. What do you do?
Ventilate with BVM