Team Approach to HC
An Effective Team Leader Should:
Help the team accomplish goals
A pregnant trauma patient might lose a significant amount of blood before showing signs of shock because:
pregnant patients have an overall increase in blood volume.
A normal level of consciousness in an infant or child is characterized by
age-appropriate behavior, good muscle tone, and good eye contact
Poor maintenance of home, poor personal care, and dietary neglect are all possible indicators of ____________ elder abuse
Physical
Down syndrome is a genetic defect that occurs as the result of:
a triplication of chromosome 21.
When arriving at the scene of an overturned tractor-trailer rig, you note that a green cloud is being emitted from the crashed vehicle. The driver is still in the truck; he is conscious but bleeding profusely from the head. After notifying the hazardous materials team, you should:
Position the ambulance uphill and upwind
EMTs arrive at the scene of an ill person. The EMR, who arrived before the EMTs, advises that the patient had a syncopal episode. The patient is conscious and alert and remains so throughout transport. When transferring patient care to the emergency department nurse, the EMT should advise the nurse that
the patient had a reported syncopal episode
A newborn infant will usually begin breathing spontaneously within _______ seconds following birth
3 to 5
Febrile seizures are most common in children between:
6 months and 6 years
To minimize distractions and confusion when assessing an older patient, you should:
have only one EMT speak to the patient at a time.
A surgical procedure that creates an opening between the intestine and the surface of the body that allows for elimination of waste products is called a(n):
colostomy
Characteristics of a safe ambulance operator include:
a positive attitude about the ability to tolerate other drivers.
To be a great EMT, strive for
foundational knowledge
An infant is premature if it
weighs less than 5 pounds or is born before 36 weeks’ gestation.
Bruising to the _________ is least suggestive of child abuse
shins
Fractures of the pelvis in older patients often occur as the result of a combination of:
osteoporosis and low-energy trauma.
The purpose of a ventricular peritoneum shunt is to:
prevent excess cerebrospinal fluid from accumulating in the brain.
Upon arriving at the scene of a motor vehicle crash, you can see three patients, one who is entrapped in his car and two who have been ejected from their vehicle. You should:
immediately request additional resources.
Premature diagnosis during a call can be due to what error?
Bias
What is a breech presentation?
A breech presentation occurs when the buttocks are the presenting part
The purpose of the pediatric assessment triangle (PAT) is to
facilitate a rapid head-to-toe assessment of the child by visualization only
A 77-year-old female presents with an acute onset of altered mental status. Her son is present and advises that she has a history of hypertension, atrial fibrillation, type 2 diabetes, and glaucoma. He further advises that she takes numerous medications and that she is normally alert. When you assess this patient, it is important to note that:
the patient is experiencing delirious behavior, which suggests a new health problem.
Cerebral palsy is characterized by poorly controlled ________ movement.
Body
In contrast to simple access, complex access:
involves forcible entry into a vehicle.
If a problem with a team member is not directly or immediately impacting patient care, the team leader should
discuss the problem after the call
A precipitous labor and delivery is most common in women who
have delivered a baby before
Submersion injuries in the adolescent age group are most commonly associated with
swimming pools
Kyphosis
Forward curling of the spine
Spina bifida is defined as:
a birth defect caused by incomplete closure of the spinal column.
When is the rapid extrication technique used?
Rapid extrication is indicated if the scene is unsafe and the patient is not entrapped in his or her vehicle.
In an interdependent group, when one person fails
everyone fails
When determining the frequency of contractions, you should time the contractions from the
start of one to the start of the next
Children with N. meningitides would most likely present with
cherry-red spots or a purplish rash
Because of the complexity of the older patient and the vagueness of his or her complaint, you should:
attempt to differentiate between chronic and acute problems.
What does each letter in DOPE stand for?
Displacement, Obstruction, Pneumothorax, and Equipment failure
Why a ventilator is failing
A hiker was injured when he fell approximately 20′ from a cliff. When you arrive at the scene, a member of the technical rescue group escorts you to the patient, who is positioned on a steep incline. The most appropriate method of immobilizing and moving the patient to the ambulance is to:
immobilize his spine with a long backboard and place him in a basket stretcher.
While caring for a patient, the EMT states to her partner, “Why even splint the patient’s leg if they’re only going to remove it in the ED?” This statement indicates that:
the EMT’s focus is not on the common goal
The umbilical cord:
carries oxygen to the baby via the umbilical vein
When a child experiences a blunt chest injury
the flexible ribs can be compressed without breaking
Motor nerve neuropathy is characterized by:
loss of balance, muscle weakness, and spasms.
Because a tracheostomy tube bypasses the nose and mouth:
secretions can build up in and around the tube.
A persistent or nonvolatile chemical agent can:
remain on a surface for more than 24 hours.
The effectiveness of pit crew CPR is dependent on:
defining clear roles and responsibilities before the call is received.
Abuptio Placenta Vs. Placenta Previa
Tearing of the placenta from the uterine wall with severe pain but not much bleeding
Vs.
Placenta covering the opening of the cervix leading to bleeding but not much pain
The signs and symptoms of poisoning in children
vary widely, depending on the child’s age and weight
What does each letter in the GEMS diamond stand for?
Geriatric, Environmental, Medical, and Social assessments
Autism is defined as a:
pervasive developmental disorder characterized by impairment of social interaction.
What are the three blast injuries and how do you define them?
Primary : Initial injury from the shockwave
Secondary : Shrapnel causing impalements/injuries
Tertiary: The injury from the force of the body hitting something after the shockwave threw them