technique
important part of the technique for a jaw thrust manuever
put thumbs on check bones and curled fingers under the jaw and gently lift. This will get the head, neck and spine slightly flexed
When you are doing CPR - what is our goal
Circulate blood and oxygen efficiently to get a good blood pressure that will help keep the organs alive
Find a patient in cardiac arrest (unconscious and pulseless)
Start CPR and get the AED if available
You have done a primary assessment and triaged the patient as red
Do a rapid secondary assessment to look for any other life threats
Symptoms of heart attack
There are many...chest pain, dizziness(from difficulty breathing), pain down the left/right arms
Where should you assess a pulse on an unresponsive adult
Carotid pulse (unresponsive)
When can you stop CPR
When they wake up (revive) When responders arrive (advanced life support) when you are exhausted, or when a doctor / coroner pronounces them dead
You have a patient with a pulse oximetry reading of 94 but they have chest pain and SOA
Until other information indicates a higher O2 flow...start at a 4 nasal cannula and titrate
What do you call a Multiple Casualty Incident
More victims than the EMS can handle
Your patient has shock due to blood vessels getting too large...what type of shock is it
Anaphylactic
One way to check for spinal injury
PMS - might have numbness / tingling
when treating a patient with choking they become unconscious - what's next
Immediately begin chest compression
You have been doing chest compressions but now the patient has been intubated. What changes?
You can now do continuous compressions without stopping. (the advanced airway has the air going right in the lungs)
Can two EMRS run on an ambulance together
No, there needs to be an EMT. The EMT level is the minimum level of training that can be on an transporting ambulance.
IE: you can have two EMTs / EMT and paramedic but two EMRS cannot run alone
When presented with shock what is one of the most important treatment
Transport - get them to hospital quickly. Add in journey oxygen / warmth / elevate lets as needed
What is one of the most common reasons to call for police if you have a subject with bizarre behaviour
The patient could be dangerous to you or themself
Who is the first person to call an MCI
The first unit on the scene
If you have to move a patient to the cot with severe spinal curvatures using a back board which are very uncomfortable...how do you do that?
Pad as many of the spaces as you can to get them comfortable
You have an amputated body part / how do you transport
Keep it cool in a plastic bag. Don't put directly on ice
Why use both bandages and dressing?
dressings help to slow down bleeding which helps clotting..the bandage will hold dressing in place
What type of troubled breathing is a major concern
Breaths that are labored and shallow
A young child that is very ill and has been vomiting is pale w/rapid pulse. Could be..........
dehydration
Patient with severe bleeding has a sudden drop in blood pressure due to upper body bleeding
elevate the legs
You have taken a pulse at a MVC..what vital is most important to determine shock
Decreased BP
When you capture your call on a report, the court considers this document
Exactly what happened