Licensure
Each state does not set their own EMS protocol. True or flase.
False. Each state sets their own EMS protocols
If an EMT if off duty and assists in a witnessed motor vehicle accident and is later sued for damages, this law protects them from being held liable for damages.
The Good Samaritan law
62yo M - HX of CHF. Severe respiratory distress. SaO2 82%. Lung sounds : rales. AOx4. 2-3 word sentences.
What device does he need most
CPAP: Positive pressure
*it will force fluid back into blood stream and away from alveoli.
This symptom would indicate a sudden severe upper airway obstruction.
forceful coughing
*The question did not state they are occluded or that you heard stridor. Just that it was severe - this means choking.
This medications dose is 15g.
Oral Glucose
gel
This patient population has slow absorption rates and you must exercise caution when administering multiple doses of medication.
Geriatric
Continuing Education tracking is the responsibility of
The EMT professional
A patient refuses care. He is alert to person, place, time, and event. GCS 15. His friend called because he was concerned.
What must you do if you choose to leave?
Explain the risks before obtaining a waiver.
He is GCS 15. AxO x4. He can waive.
60yo M - fall 50ft. semiconscious. rapid +shallow respirations. Deformity to thoracic spine. BP 70/50. Pulse 66 weak. skin warm dry.
Spinal immobilization + Ccollar applied.
What is the first life threat?
Airway - he needs assisted ventilation due to "shallow respirations"
narrowing of the coronary arteries due to a buildup of fatty deposits
atherosclerosis
This medication is a 2.5mg Beta-Agonist prescribed for patients with asthma.
Albuterol
An severe liver laceration would result in this type of shock
Hemorrhagic Shock
*They would bleed to death
The NAEMT is who creates the licensing test questions for EMT and paramedics. True or False
False. NREMT
When impaired from alcohol, the EMT professional's most serious consequence can be :
a. loss of the job
b. low morale and missed shifts
c. tension among co-workers
d. substandard or inappropriate care
d. substandard or inappropriate care
86yo F. "doesn't feel right". Took their insulin but doesn't remember if they ate. Not alert to day or time. Glucometer reads "error". What is most likely wrong?
1. The patient is hyperglycemic
2. The patient is hypoglycemic
3. The patient lied and wants company
4. call medical control and wait for directions
5. call for another ambulance to check his BGL.
2. Pt is hypoglycemic.
Give sugar. They likely took their insulin and didn't eat.
JVD is a positive sign for what disease
CHF / Cardiovascular disease / Heart Failure
This medication constricts the blood vessels rapidly
Epinephrine *also called adrenaline
(hormone - neurotransmitter)
This type of shock includes bacterial damage to the vessel wall, leaking blood vessels, and vasodilation
Septic shock
Cincinnati Prehospital Stroke Scale:
Name the three tests
Facial Droop
Arm Drift
Speech Abnormality
When you are clocked in at your work place and a call comes in for a woman who fell at her home. What mandate or statement requires you to go to ensure you are not found neglectful in a court of law.
Legal Duty to Act
1. 190/110, 55HR, 30RR irregular
2. 90/50, 120HR, 10RR regular
3. 200/100, 140HR, 28RR regular
4. 80/40, 30HR, 32RR irregular
A.
Cushing's Triad: Hypertension - bradycardia - irregular respirations
High Pitched inspiratory sound
Stridor
This medication can be given sublingually and its dose is 0.4mg or 400mcg.
Nitroglycernin
*sublingual - EMT
*topicallly - EMT
IV - hospital/MD
Low blood pressure, slow heart rate, and failure of the nervous system causing widespread vasodilation is this type of shock
Neurogenic Shock
The NHTSA writes the guidelines for EMT training.
True
You arrive on scene to a 15yo M. The parents are not present but the child is unconscious and has serious injuries.
What consent is used to transport this child
Implied.
underage - its what a reasonable /prudent parent would want.
Parents will meet you @ the hospital
56yo F - Blunt abd trauma. O2 being given 12L/min NRBM. full spinal precautions. reassessment shows LOC decreased. Respirations are now shallow. Pick best option
1. perform comprehensive secondary assessment to determine why clinical status changed
2. insert airway adjunct if tolerated and assist ventilations w/ BVM
3. reassess vital signs and notify receiving hospital of changes
4. suction oropharynx to ensure its clear of secretions and increase o2 flow rate to 15 l/min
2. His respirations are now SHALLOW.
this requires immediate intervention. Fix the life threat then figure out why it happened.
Carbon monoxide (CO) blocks the ability of the blood to oxygenate the body because
binds w/ the hemoglobin in the red blood cells
A patient with a brain hemorrhage is still eligible for fibrinolytic therapy.
False.
We can't give clot busting medication to someone who is already bleeding. They will die faster.
Widespread dilation of the blood vessels causes blood to pool in the vascular beds
Distributive Shock