That Shouldn’t Be There
Appropriate care for a choking patient.
What is to encourage them to cough (if alert) and begin abdominal thrusts, or lay them supine and attempt to remove the object with forceps and begin CPR if pulseless.
Describes the term Aniscoria.
What is a condition causing the pupils to be of different sizes?
Care for a patient with a poisonous powder on them.
What is to brush off the excess and flush the area thoroughly?
When and where to cut the umbilical cord in a normal delivery.
Following complete delivery of the newborn and placing them on the mother’s chest. Clamp 6” from the abdomen and again 3” from that, then cut between.
The ability of the heart to generate its own electrical impulses.
Children have a proportionately smaller blood volume and tend to compensate well before deteriorating rapidly.
Characteristics of child abuse.
What are injuries that don’t line up with reported events, unusual injuries, bruising in multiple stages of healing, poor hygiene/low weight of patient.
Involuntary consent applies to these individuals.
What are those that are suicidal or experiencing a behavioral emergency, intoxicated/under the influence, mentally incapacitated, or incarcerated?
Which neonatal system receives a full supply of blood that was absent in utero.
What is the pulmonary system?
Greatest complication for a burn patient after 12 hours
What is infection?
Signs and symptoms of pulmonary embolism.
What is low SPO2, clear lung sounds, evidence of respiratory failure/distress?
Appropriate reason to call police for a psychiatric patient.
What is scene safety concerns or need for APOWW?
What is a GCS of 11?
APGAR score for a newborn at one minute who is blue, has a pulse rate of 116 BPM, floppy, limp, and a strong cry.
What is an APGAR of 4?
Follow Up Question: Is resuscitation required for this newborn?
Defines the appropriate use of an emergency move vs. urgent move.
What is that an emergent move is done when the environment poses a safety risk, vs urgent moves are performed due to life threats of the patient themselves?
Appropriate care for an impaled object.
What is to stabilize the object in place?
Purpose of glucagon.
What is to stimulate the liver to release stored glycogen for use when the patient is hypoglycemic?
Normal vital signs ranges for an adult patient.
What is a HR 60-100 BPM, BP around 120/80, Temp around 98.6, SPO2 96-100%, respiratory rate 12-20?
Care for a newborn with thick meconium staining.
What is to suction the nose/mouth (as needed) and apply PPV if the newborn is non-vigorous and the HR is below 100bpm or respirations are inadequate.
The maximum recommended pressure of an oxygen tank that is full.
What is 2,000 PSI?
How to care for an abdominal evisceration.
What is to cover the organs with a moist sterile dressing and an occlusive dressing sealed on all four sides?
Characteristics that must be present for a DNR to be valid.
What is a DNR signed by a witness and physician that has the patient’s full name and DOB, is not expired, and physically producible at the time of the emergency?
The process and products of cells creating ATP when hypoxic.
What is anaerobic metabolism resulting in lactic acid and 2 ATP.
Major concerns with a premature infant (Less than 5 lb or 37 weeks).
What is hypothermia, respiratory distress, and may require more vigorous resuscitation than a full-term infant.
What is barotrauma and/or decompression sickness?
Thrombotic vs Embolic strokes are caused by these different mechanisms.
Thrombotic strokes are caused by a blood clot formed in an artery within the brain vs. Embolic strokes are caused by a blood clot formed elsewhere lodging in the brain.
Reasons an elderly patient may not have an elevated HR in shock.
What are polypharmacy or certain medications, heart disease, and physiological changes associated with age?
Appropriate START triage tag for a patient that is unable to walk, follows instructions, has a RR less than 30, and an obvious deformity to the right ankle (PMS intact).
What is a yellow tag?
3 Indications of imminent delivery.
Crowning, contractions less than 2 minutes apart and 60-90 seconds each, Patient feels head moving into birth canal, strong urge to push with contractions, abdomen is extremely rigid.
The appropriate temperature water should be when rewarming a frostbitten body part.
What is between 100-110 degrees Fahrenheit?