EMR 1
What is medical direction?
The formal relation between EMS and a physician who is responsible for out of hospital care
What are you assessing in scene assessment?
Scene safety, the number of patients, the pt demographics, and putting on PPE.
What is the AVPU scale used to determine
Level of conciousness.
What is hepatitis?
5 different types of viral infections of the liver.
How do you remove a stinger
By removing with a credit card and scraping in the same direction of entry of the stinger.
What is the Adult Cardiac Chain of Survival?
1. Recognition of cardiac emergency
2. Early CPR
3. Early defibrillation
4. Advanced Life Support (ALS)
5. Integrated post-cardiac arrest care
List 5 factors that limit the reliability of SPO2
Nail polish, dirt, temperature, carbon monoxide, poor circulation.
What does the endocrine system do?
It produces and regulates hormone levels
What is pulmonary edema?
Building up pulimary fluids in the avioli sacs
By removing with a credit card and scraping in the same direction of entry of the stinger.
Burns commonly assocaited with blisters and pain?
Partial thickness burns or second degree burns
What rhythems are shockable with an AED
V-FIB and V-Tach
Explain GCS
measurement of neurological function, recording body movement and function, speech and function/cognitive ability, and eye opening or rousability. Scored out of 15 with a minimum score of 3.
Explain a status seizure, or status epilepticus
Any seizure activity that lasts more than 5 minuets or multiple seizures that do not enter a poststictal phase and stay there for 5 minuets.
What is paradoxical chest movement indicitive of?
Flail chest
What does SAMPLE stand for?
S - signs/symptoms
A - allergies
M - medication
P - pertinent information
L - last oral intake
E - events leading up to event
What is the normal resperation rate for infants?
40 to 60 times per minute. This may slow to 30 to 40 times per minute when the baby is sleeping.
How can you differentiate between a partial and a complete obstruction?
Partial obstructions may come with stridor, and the patient can still cough, where as none of this is possible with complete obstructions.
Explain the electrical conduction of the heart.
The conduction pathway starts at the SA node, travels through the AV node down the left and right bundle branches into the perkinji fibers
What is the difference between type 1 and type 2 diabetics?
Type 1 DM is usually something someone is born with or develops early in life where someone does not produce any or enough insulin.
Type 2 is developed later in life and is often a result of poor dietary habits. It reduces the bodies ability to use what insulin production is still possible.
What is a popular acronym used in reference to stroke?
FAST
Face
Arms
speech
Time
The 3 layers of skin...
the epidermis, dermis, and the hypodermis
Explain the components of a medication assessment.
Indications, contradictions, 5 rights, side effects, vitals and sample prior to administration, vitals after, and documenting the effects.
5 signs and symptoms of a AAA?
Chest pain, weakness, poor skin perfusion, diaphresis, pulsating masses.
What is epiglottitis?
An infection of the airway, that can lead to swelling and closure of a patients airway if not treated promptly.
What 3 conditions are necessary for maintaining perfusion?
Vascular pressure/preload.
Respiratory function.
Contraction of the heart.