Trauma
Medical
Operations / Pharm
Airway
Cardiac
100
What is beck's triad and what diagnosis is made from it?
hypotension, JVD, Muffled heart tones
100
A pt experiences a thunderclap headache and LOC after a GLF. What should you suspect?
Subarachnoid hemorrhage
100
This term is defined as: When EMS personnel touches another person in a harmful or offensive way without the pt's consent.
Battery
100
You have a capnography capture of a shark fin like appearance. What do you suspect?
Lower airway constriction / Air trapping
bronchospasms are most likely cause
(asthma and COPD commonly are seen)
100
Cardiac output calculation
Stroke volume x HR
200
At what point is a penetrating injury removed?
Whenever there is airway compromise or unable to perform chest compressions due to the foreign object
200
A pt w/ a hx of seizures is having localized shaking in his right arm and leg. Pt is staring off and not answering your questions. What type of seizure is this?
Complex partial
Simple: not impaired
Complex: impaired
200
Name all the indications and contraindications for dexamethasone
Indication: Asthma/COPD, Anaphylaxis, Severe allergic reaction
Con: Hypersensitivity
200
Purpose of surfactant
To relieve pressure from the alveolar walls.
200
What does a U wave represent on an ECG?
Hypokalemia
300
25 y/o female in her third trimester of pregnancy was the unrestrained front passenger in a car crash. She complains of severe, tearing abdominal pain, and has bright red vaginal bleeding. VS: BP 100/40, P118, RR 22. What should you suspect?
Abruptio placenta
300
A pt called for multiple syncopal episodes, the pt presents w/ tachypnea and the family on scene states the pt has been fasting and recently had a DR appointment where he was found to have ketones in the urine. What acid base balance abnormality does this pt have?
Metabolic acidosis
decreased ETCO2 and PH
Increased RR (trying to compensate)
300
What type of communication system allows for simultaneous transmission and reception of data?
Duplex system
300
A 56 y/o male is in obvious respiratory distress. His ankles are swollen, and he states, "i cant breathe when i lie down." VS: BP180/94, P106, RR26.
What should you suspect and what is our treatment?
CHF exacerbation, SCAPE
Nitro 0.4mg
CPAP
Lasix 40mg
300
what is the difference between the following?
Inotropic
Chronotropic
Dromotropic
Ino: Strength and contractility
Chrono: Heart RATE
Dromo: Electrical impulses / conduction
400
A 55 y/o female involved in a head on collision has a scaphoid abdomen and chest pain w/ diminished LS in the lower lobes. What should you suspect?
Diaphragm rupture
400
What is the most direct impact and cause of Esophogeal varices?
Hepatic portal hypertension
400
5 stages of grief
Denial
anger
bargaining
depression
acceptance
400
A newborn is limp and cyanotic immediately after delivery. she does not respond to your initial stimulation. Her APGAR is 6 w/ pulse of 45. What is the first thing you do after you have already dried warmed and stimulated the neonate?
PPV w/ O2
400
What is the rhythm and what is the treatment?
Pacing till electrical and mechanical capture.
500
A pt following a hike presents w/ muscle spasms, localized diaphoresis, diffuse muscle spasms, and a rigid abdomen w/out pain upon tenderness. What should you suspect?
Black widow bite
500
A pt has OD on Labetalol. what treatment should be given and how much
5mg of glucagon
500
Name 3/6 side effects of Fentanyl
respiratory depression
hypotension
sedation
N&V
CNS depression
Constipation
500
What would Respiratory alkalosis look like for the following:
PH, RR, ETCO2
Decreased ETCO2
Increased RR, PH
500
This pt is stable. What is the dysrhythmia and what is the treatment?
Afib w/ RVR
Diltiazam 0.25mg/kg IV over 2 min