Vital Signs
Normal blood pressure, heart rate, respiratory rate, and SP02s values for adults
120/80
60-100
12-20
>95%
Lung sound associated with asthma
Wheezing
Where do you check for a pulse in adult? In an infant?
Radial pulse
Brachial pulse
Name 2 conditions that can commonly be mistaken for intoxication
Hypoglycemia
Stroke
Post ictal phase of seizures
What are first two things we consider on every call?
Is the scene safe? PPE?
How often do you reevaluate vital signs in stable and unstable patients?
Stable: 15 mins
Unstable: 5 mins
Lung sound associated with fluid in the lungs
Crackles or rhonchi
How would you describe the skin of someone in shock?
Pale, cool, clammy skin
Rule of 15’s with carbs
Glucagon
Glucose gel
Make sure they eat complete meal within hour of blood sugar back to normal
3 elements of primary assessment
Airway, Breathing, Circulation
How do you assess for capillary refill?
Squeeze a finger and see how long it takes for it to turn pink again
What 2 medication can we give in breathing emergencies?
Oxygen and albuterol
Name 1 sign or symptom of a heart attack that is normally seen in women
Left shoulder blade pain
Nausea/vomiting
Jaw pain
Sense of impending doom
What does the acronym BEFAST stand for in stroke?
Balance
Eyes
Face
Arms
Speech
Time
What is the main difference between a trauma assessment and medical assessment?
Trauma we do full head to toe
Medical we do focused assessment
A patient with what type of medical history would have a lower SP02 at baseline?
COPD
Name 3 signs you may see in a patient experiencing difficulty breathing
Cyanosis
Elevated RR
Tripoding
Abnormal sounds
Unequal chest movement
What are the 2 shockable rhythms?
Ventricular Tachycardia
Ventricular Fibrillation
What is status epilepticus?
Two seizures back to back without regaining consciousness in between
Seizure lasting more than 5 mins
Signs and symptoms, allergies, medications, past medical history, last oral intake, events leading up
Name whether these increase or decrease over the lifespan from child to adult: heart rate, respiratory rate, blood pressure
Heart rate: decrease
Respiratory rate: decrease
Blood pressure: increase
Name the flow rates of oxygen for nasal cannula, non rebreather, and BVM
2-6lpm
12-15lpm
12-15lpm
What is the difference between angina and a myocardial infarction
Angina= Chest pain usually relieved by rest due to lack of oxygen to heart
Myocardial infarction= heart cells dying
Why is it important to know the time of when stroke symptoms started?
tPA or TNK can only be given within first 4 hours; surgical intervention can occur within 24 hours
What does OPQRST stand for in pain assessment?
Onset
Provocation
Quality
Radiation
Severity
Time