heat emergencies
cold emergencies
allergic reactions
environmental emergencies
insects and snakes
100
What are the three "stages" or "levels" of heat exposure?
heat cramps, heat exhaustion, heat stroke
100
What are the two categories of cold exposure?
localized cold injury and systemic hypothermia
100
What is the medical term for hives?
urticaria
100
When following cardiac arrest protocols on a drowning victim, what one item is different than with other cardiac arrest victims?
single dose epinephrine
100
How do we remove the stinger of a wasp or bee and why is it important we do so?
with the flat edge of a knife or credit card-tweezers could squeeze more venom into the patient; we need to remove the source of the potential anaphylactic shock
200
What two forms of cooling do we use when treating heat exposure patients?
passive cooling and active cooling
200
What are the two types of localized cold injuries?
frostnip and frost bite
200
What is the second medication we give anaphylactic patients?
Oxygen
200
When managing the airway of a drowning victim, delayed pulmonary edema should be considered and what device should be used to combat this?
PEEP
200
List three identifiers of a poisonous snake?
triangle head, pits between the eyes and nose, sickle shaped pupil
300
How would we treat heat cramps?
passive cooling, monitor VS and transport
300
What is our normal core body temperature?
97-99 degrees F
300
What is our adult and our pediatric dosage for epinephrine in anaphylactic patients?
epinephrine 1:1000 adult: 0.3mg and peds: 0.15mg
300
Why is the direction "handle very gently" listed in the unresponsive drowning victim protocol?
They may have a very unstable heart rhythm that can become asystole if too quickly/too roughly extricated
300
List three things we do NOT do when treating snake bites.
do not ice, do not tourniquet, suck out the venom
400
When cooling via fluids, what is the dosage of fluids used?
20ml/kg up to 1 liter
400
What is the most common cardiac rhythm in hypothermic patients?
Bradycardia
400
How many minutes does protocol dictate we wait until we give a second dose of epinephrine for anaphylactic patients?
cinco
400
What does HAPE and HACE stand for?
High altitude pulmonary edema and high altitude cerebral edema
400
What medication can we give if the patient is experiencing itching with a bite of a spider or insect?
diphenhydramine
500
When treating heat stroke what are the two most dangerous symptoms?
seizure and coma
500
What is the second most common rhythm in hypothermic patients?
atrial fibrillation
500
What kind of shock is anaphylactic shock?
Distributive shock
500
How do we manage a patient with altitude illness or HACE or HAPE?
descend rapidly/gradually based on the patient presentation, provide supplemental oxygen and airway management, consider other causes of AMS
500
What two spiders are noted in the state of Colorado and which one is extremely rare?
black widow and brown recluse
600
What is the anticholinergic toxidrome overdose and the overdose of psych meds/Benadryl/cold meds mnemonic we use to remind us of the symptoms of these things?
Mad as a hatter, hot as a hare, blind as a bat, red as a beet
600
What are the stages and associated temperatures of hypothermia?
600
What is angioedema?
swelling of the face, lips, and tongue
600
What is the ultimate treatment for a diver that ascended too quickly?
a bariatric chamber which delivers 100% oxygen and increases atmospheric pressure which shrinks the nitrogen bubbles
600
What was Faith's pet snakes name?
Bartholomew-Bart for short
1000
What other item that if consumed also falls into the same category as the anticholinergic/psych med/cold med/benadryl overdose?
Jimson Weed-also called the devils trumpet
1000
Why is the phrase "nobody is dead until they are warm and dead" used with hypothermic patients?
Because extreme cold induces a state of "suspended animation," where a very low metabolism protects the brain and heart from ischemic damage. Cold-induced metabolic suppression can allow for successful cardiopulmonary resuscitation (CPR) after hours of cardiac arrest.
1000
List all medications in order of use(not counting second doses)-both in the EMT and the Paramedic scope that could be administered for anaphylactic patients.
epi, oxygen, duoneb(albuterol and ipratropium bromide), Benadryl, Methylprednisolone, magnesium
1000
What medication should not be administered to a HAPE patient and why?
because the protocol said so Faith doesn't understand why
1000
What kind of insect was incased in tree sap that allowed for the creation of the stegosaur in Jurassic Park?
the mosquito