Ouch
What is a flail chest?
A segment of the chest wall detached from the thoracic cage and has paradoxical movement
What is the medical term for one-sided paralysis?
Hemiplegia
What is the most common cause of cardiac arrest in pediatric patients?
Respiratory Failure
Sharing pictures of patients and the scene on social media would be in violation of what?
HIPAA
Stable angina pectoris usually resolves with this.
Rest
What is the normal blood glucose range?
80-120
According to SSV Protocol, what blood glucose value is considered hypoglycemic?
Less than 60
During your trauma scan, you notice your patient is exhibiting a prolonged erection, what is this called?
Priapism
Cocaine and methamphetamines are examples of what kind of drugs?
Sympathomimetics
What primary muscle is used in pediatric respirations?
Diaphragm
Please list 4 different types of PPE you could wear to protect yourself or your patients.
List four signs and/or symptoms of an AMI.
1. Chest Pain
2. SOB
3. Diaphoresis
4. Referred pain to jaw, back, down arm
What is the contraindication of administering oral glucose?
Unable to follow simple commands
How many total vertebrae are found in the spinal column?
33
What is the name of the pressure waves emanating from a bullet?
Cavitation
A patient presents with lower abdominal pain, tenderness above the pelvic bone, and frequent urination with urgency. What is most likely causing these symptoms? (Medical Term)
Cystitis
You are assessing a 4 YOM patient who is in tripod position, drooling, and presents with respiratory distress. Based on these signs and symptoms, what would be your diagnosis?
Epiglottitis
What type of consent allows you to treat a patient with an altered level of consciousness?
Implied Consent
What are the three signs and symptoms of a cardiac tamponade?
1. Muffled Heart Tones
2. JVD
3. Hypotension with narrowing pulse pressures
What is the function of insulin?
Enables glucose to enter the cell
TPA (thrombolytics) should be given within how many hours from the time of onset of a stroke?
3 hours
What are the two delivery complications that cannot be delivered in the field?
Prolapsed cord & limb presentation
What are the two most common signs of anaphylaxis?
Wheezing & widespread urticaria
What is the compression-to-ventilation ratio for neonatal resuscitation, and how many actions per minute?
3 compressions : 1 ventilation = 120 actions per minute
Who is considered an immediate patient during START Triage?
Any compromise to RPM
Why do we give patients aspirin if we suspect cardiac chest pain?
Name and define the 3 P's of hyperglycemia.
Polyuria- excessive urination
Polydipsia- excessive thirst
Polyphagia- excessive hunger
What is the epinephrine dose and route for a pediatric patient?
0.15mg, IM
You have a patient with a deformed right radius/ulna, an impaled object in the cheek, a sucking chest wound, and an arterial bleed in the right leg. Which injury do you treat first?
Arterial bleed to the Right Leg
What is the medical term for recurrent seizures with regaining consciousness or a seizure lasting more than 30 minutes?
Status Epilepticus
What does the PAT (Pediatric Assessment Triangle) stand for?
Appearance
Work of Breathing
Circulation to Skin
What are the four factors to determine negligence?
1. Duty to Act
2. Breach of duty
3. Damages Occurred
4. Causation to action
What are the two rhythms that an AED defibrillates?
V-Fib & V-Tach
Kussmaul respirations indicate what?
Body is attempting to eliminate acid (ketones)
You have a burn victim whose burns cover the front of their face, anterior chest and abdomen, and bilateral anterior arms. What is the total body surface area that has been burned?
TBSA is 31.5%
Face 4.5%, Chest & Abdomen 18%, Anterior arms (4.5 + 4.5) 9%
What is the GCS score of a patient who has closed eyes, incomprehensible sounds, and decerebrate posturing?
GCS 5 =E-1, V- 2, M- 2
You are assessing a patient who is unresponsive, breathing 6 times per minute with cyanosis around the lips, pinpoint pupils, and a weak carotid pulse. List the steps to manage this patient's airway.
1. Open the Airway
2. Suction the Airway
3. Insert BLS adjunct
4. Ventilate with BVM
You have a 4 year old patient, what is the minimum systolic blood pressure?
70 + 2x(age in years) = min. SBP
70 + 8=78
What are two examples of offline legal authorization to provide care?
Protocols and Standing Orders
What is the compression to ventilation ratio for two person adult CPR, rate and depth of compressions?
30:2, 100-120, 2 inches
What is the main difference between Type 1 Diabetes and Type 2 Diabetes?
Type 1 = no insulin
Type 2= some insulin, but not enough or body is resistant
What is the APGAR score of the following:
Active neonate with a HR of 140, responding to stimuli, with pink body and blue extremities, and a vigorous cry
9