Care / EMR
Who will send you your EMT license?
The state in which you pass the class. (Kansas)
What PPE is appropriate for each contaminate?
urine/feces: gown & gloves spit: Full face shield
Blood risk is VERY high risk due to ease and frequency of potential contamination.
Also think of a variety of masks N95 and surgical masks to help prevent contamination. Without external PPE-hand washing is still number one.
What system is initiated when someone has
1. Sugar goes high/low
2. Frightened
3. Can't breathe
Sugar goes high/low=Endocrine
Frightened=nervous
Can't breathe=Respiratory
If a young child is suffering from hypoxia, what would expect the pulse to be. (cyanotic/sleepy)
Slower
Name something we have to pay particular attention to when treating the elderly.
Since they often have pain, many will not notice varying differences than the daily pain they have.
What is the best way to reduce stress?
drinking heavily is not the answer........it's exercise
When looking at a patient without any excessive bleeding, what would be one of your highest concerns?
Is the patient responsive or unresponsive.
Stable / unstable
Cardiovascular system: What part of the heart contains the largest muscle in the heart
Left Ventricle.
What system is considered the most important in patient care?
Airway
If the patient is snoring, been vomiting, is breathing too fast or slow...this is number one priority since the rest of the systems cannot survive without oxygen.
When performing a body fluid sweep, you notice a head injury. What are some potential major concerns?
1.Patient has fluid coming from their ears.
2. Difficulty maintaining their airway.
3. Loss of gag reflex.
If you become overwhelmed due to heat with dehydration. What is the best way to prevent heat related illness on scene?
Be sure to keep hydrated.
How do we administer oxygen to a patient getting CPR?
A BVM as the adjunct is preferred...so give as much as you have available.
FYI - If you have 02 with you...then give patient as much oxygen as you can (BVM with oxygen gives the patient more O2 that using just the BVM).
If you have inadequate or no gas exchange, what could be the cause
lungs (alveoli are filled with fluid)
What is taking the blood pressure without a stethoscope called
BP by Palpation--Palpate the brachial pulse then place the BP cuff 2 inches above it. Find the radial pulse.
Pump up the cuff until the radial pulse becomes absent then pump up 20 more. (maintain the radial pulse) as you release the cuff, make a note of the first pump you feel and then release. BP by palpation is written as 120/P
Calling for additional resources is crucial because
It can decrease scene time Also makes available particular skills an EMR does not have.
What is one of the primary reasons to always consider your safety.
You can't help anyone if you become a patient
What do you do if your unconscious patient trauma patient is vomiting?
Turn them over on their side and clear the airway.
Describe the difference between on-line medical (direct) control off-line (indirect).
Online is Direct (via radio and on scene)
Offline is indirect (standing orders and policies and procedures)
When you look at a scene..what potential threat should always be on your mind?
Concerns: Are other people involved? Are we being recorded?
But the biggest concern is that there can be hazards you have not seen that could be life threatening.
The police have told you that the scene is safe. Is the scene now considered safe.
It can be considered safe, but remember you should always be aware of your environment and continuing checking. Situations change on a moments notice.
Why does dispatch ask so many questions?
They are trained to get critical information to relay to the ambulance/fire. It helps to get as much information on the phone from the caller.
When in doubt about what system is the most important...always remember
AIRWAY!
Can't live without it.
Cardiovascular: What does the blood pressure do when adjusting to blood loss?
Usually first compensates and then decompensates.
Extra: Goes up initially as the body is trying to get help for the organs. Then slows down and falls if increasing the blood pressure did not work
If a patient indicates they have pain that they have felt before - what would be a good expansion question?
Describe how this pain is different than the last time.
Emergency department practices helped us develop...
how EMS is now practiced.