Broken Heartsville
Describe Acute coronary syndrome?
What are any group or clinical symptoms consistent with acute myocardial ischemia.
The ability of cardiac muscle cells to contract without stimulation from the nervous system is called?
What is automaticity
Why is it important for EMS to provide ER staff with a oral report when transferring care?
You have made an error on a hand written patient care report, how do you correct this mistake?
What is drawing a single line through the error and write the correct word next to it, along with your initials.
What is nitroglycerin, MDI, Epi-Pen
What is perform a thorough assessment to help support our suspicions.
Describe Rhonchi
What is a rattling noise that changes when the patient coughs.
What does an ECG (Electrocardiogram) waveform represent?
What is representing the electrical activity of the heart.
What is the sinoatrial (SA) node.
What roles does the FCC (Federal Communications Commission) play in EMS?
What is the FCC establishes and enforces regulations related to the use of radio operations.
An intoxicated patient will not leave the oxygen mask on... how do you document this behavior in your patient care report?
What is 'patient continually removes the oxygen mask despite continued reapplication'
Name medications that can be given PO?
What is Aspirin, oral glucose, glucose tablets, activated charcoal.
Patient Assessment: 50 Year Old Female with AMS, history of COPD, respiratory rate is 6 breaths/min, cool, clammy skin with cyanosis around the lips. What is your priority patient management?
What is airway, with assisting respirations with positive pressure ventilations.
What tool can EMTs utilize that can help guide and assess our patients when we administer oxygen to a patient who complains of chest pain?
What is pulse oximetry.
A patient is having difficulty breathing and a problem with their upper airway. What lung sounds might we hear if someone has an obstruction or swelling in their upper airway?
What is stridor?
Which portion of the heart is responsible for causing fluid to back up into the alveoli?
What is the left ventricle
How do EMTs communicate with someone is deaf?
What is draw pictures or write information on a note pad.
What is writing using everyday language, don't put misspelled words in your PCR.
How does albuterol benefit the patients lungs?
Give indications for a patient with a possible pulmonary embolism
What are sudden onset of shortness of breath, rapid breathing, chest pain especially when taking a deep breath, recently had surgery, lack of movement of extremities.
Medical Control has advised you to perform a skill that is not in the best interest of the patient. How would you handle this situation?
What is explain your concerns from medical control and ask for clarification.
What is a blockage in a coronary artery depriving the heart of oxygen
What does an 12-lead (ECG) do and why do we obtain these from our patients?
What is getting a 'picture' of the electrical activity of the heart? We do this so we can see what's happening to the inside of the heart.
Benefits of asking a closed-ended question?
What are getting information very quickly.
As EMS providers, who are we legal obligated to allow access to patient care report?
What is any healthcare provider assuming care of the patient.
List the medications that be aerosolized at the EMT-Basic level
What are albuterol and Atrovent (Ipratropium)
What two ailments are associated with COPD (Chronic Obstructive Pulmonary Disease)
What are Emphysema and Chronic Bronchitis
What are the three key characteristics of a patient experiencing an asthma emergency?
What is acute bronchospasms, Excessive mucus production, and Wheezing.
State medical conditions in which pulmonary edema can occur?
What are heart attack, brain injury, and near drowning incidences
What does the tricuspid valve do?
What is prevents free flowing blood from the right ventricle to the right atrium
Describe therapeutic effects of oral glucose on a patient with altered mental status?
What is seeing an improvement in the patient's mental status.
True or False: Uncontrolled hypertension is a leading cause of dissecting aneurysms?
Frothy pink sputum indicates what type of medical condition?
What is Congestive heart failure.
Describe angina pectoris
What is partial or temporary blockage of blood flow to the hear muscle causing chest pain.
Describe Cystic Fibrosis
What is a genetic disorder that effects the lungs and digestive system where excessive and thick mucus often plugs the airway.
Difference between stable and unstable angina?
What is patient's chest pain can diminish after rest or medication administration; pain stops after a short period of time.
Which patients are most likely to suffer from a silent MI?
What are older female patients who suffer from diabetes.
3 Year old patient with difficulty breathing, has stridor respirations, patient is alert, respirations 30/min, skin is warm and dry, lung sounds are clear and equal, mother states they were find all day and was playing in the living room when sudden onset of difficulty breathing occurred? What are your suspicions of the patient's condition?
What is a Foreign Body Airway Obstruction.
True or Fals: Can Patient care reports be subpoenaed even if the lawsuit centers on negligence that occurred in the ER Department
What is true. Patient care reports stay with each patient.
What is massive internal bleeding.
Describe emphysema?
What is the chronic destruction of the alveolar walls and the alveoli lose their elasticity.
List 3 differences between Epiglottitis and Croup
Croup: gradual onset, virus based, barking (seal-like) cough, stridor
Epiglottitis: sudden onset, Drooling, bacteria based, difficulty swallowing, stridor
Describe an acute myocardial infarction
What is the necrosis or death of a portion of the myocardium due to prolonged lack of oxygen
What are shortness of breath, fatigue, swelling of the limbs, and abdomen, also jugular vein distention, hypoxia etc.
Walk us through the pathway of the heart?
What is vena cava, right atrium, right ventricle, pulmonary artery, pulmonary vein, left atrium, left ventricle, aorta.
What are ensuring patient meets the CPAP criteria: fluid build up in lungs, verify no contraindications, get patient's consent for CPAP application, talk patient through placement of mask, ensure a good-tight seal, place high flow oxygen, verify correct PEEP and oxygen flow, and watch for signs of patient improvement or worsening condition.
What is COPD? ... Not the definition but what is happening inside of the body?
In your own words describe orthopnea?
What is difficulty breathing that occurs when lying flat and is relieved by sitting or standing up
Describe what happens inside the body when a patient experiences a hypertensive emergency?
What is an acute and extreme high blood pressure that leads to signs/symptoms of end-organ damage.