Block 1
Block 2
Block 3
Block 4
Random
100
You are exposed to blood or bodily fluid. First action???
Transfer care then rinse.
100
Define "supraventricular tachycardia".
Rapid HR originating above the ventricles.
100
List the components of the pediatric triangle and explain how it is used.
Appearance (TICLS), work of breathing (Accessory muscles, nasal flaring, head bobbing, sounds...etc), skin circulation.
PAT = Used to get a general impression pediatric patient in 30 seconds or less w/out touching them
100
If you find an unresponsive patient prone, what are your next steps and why?
maintain c-spine and logroll into supine position, check airway breathing, if no breathing or pulse initiate cpr
100
List 3 things that should be done IMMEDIATELY following birth...
Dry/stimulate, place head lower than body, keep neck in neutral position/suction mouth then nose.
200
Patient goes in to cardiac arrest during transport, you should...
STOP THE AMBULANCE, begin CPR, attach AED ASAP.
200
Describe electric pathway of conduction though the heart.
What is the significance of each step any pauses and why?
SA node -> Internodal pathways -> AV node (pause here for approximately 0.1s) -> bundle of his -> L/R bundle branches -> Purkinje Fibers
200
What is Abruptio Placenta and what are the S/S?
Placenta prematurely separates from the uterine wall, 3rd trimester, pain, bright red blood (not always a lot)
caused by trauma, abuse
200
Rollover MVA with crushed roof, patient has numbness tingling extremities. What kind of injuries would you suspect?
Head injury, spinal injury.
200
If a pt is breathing rapid and shallow with copious amounts of saliva, vomit, blood in their mouth how do we manage their airway?
Alternate Suction and PPV
300
List at least 2 substances that need placard regardless of weight.
Radioactive, explosives, water reactive or poison gas
300
List 3 potential treatments or procedures for angina/AMI that can only be done at the hospital.
What is prehospital EMT treatment?
Thrombolytics, Stents, and CABG
BLS assessment (ABC), rights of med admin, O2, ASA, Nitro, transport
300
Bacterial infection that may cause obstruction of the upper airway in a child is... and s/s of it
Viral infection common in younger children that can cause increased mucus production and lead to respiratory distress ... and s/s of it
Epiglottitis = bacterial infection
S/s is drooling, high fever, sudden onset
Croup = viral infection
S/s = seal bark cough, low grade fever, lasts days
RSV = viral infection
S/s = mucous production, wheezing, cough, congestion, nasal running
300
What injuries happen to the brain during rapid deceleration (Coup-Counter Coup)?
Compression/bruising to anterior, tearing/stretching to posterior.
300
Pregnant pt's need to lose lots of blood before showing signs of shock due to...
Increased blood volume.
400
Triaging a child at MCI and determine they are apneic/unresponsive, next 2 steps (Jump START Triage)
Re-position airway, check pulse
400
Why is the left ventricle larger than the right?
What is the name for a diseased heart with enlarged left ventricle?
It pumps blood to aorta and systemic circulation.
Left Ventricular Hypertrophy- higher muscularture of the left ventricle decreases the amount of volume of blood that can enter and exit the heart --> reducing CO
400
What are special patient populations and considerations for each?
Pregnant
Neonates
Infants
Peds
Special Needs
Geriatrics
400
Common physical exam findings indicating skull fracture?
Bruising of mastoid process or around eyes, skull deformity, CSF leakage
400
What are agonal respirations indicative of? What do you do?
Not effective breathing initiate CPR with high quality compressions and ventillations
500
Can medical director expand your scope of practice?
If its a prehospital skill, they get state EMS office approval, and provide training
500
What are the signs of Shock and EMT treatment?
O2 high flow, maintain body temp, supine, rapid transport
consider C-spine if trauma
Psychogenic: pale, cool, diaphoretic fainting, sudden onset, resolvable, consider Cspine
Anaphylactic: warm, flushed, sweaty, urticaria, angioedema, wheezing, stridor sudden onset needs O2 and Epi
Septic: warm, pink, dry or diaphoretic needs O2
Neurogenic: pale, cool, diaphoretic above and warm, pink, normal below line of injury, c-spine, o2
Cardiogenic: pale, cool, diaphoretic, o2
Obstructive: pale, cool, diaphoretic, o2
Hypovolemic: pale, cool, diaphoretic, o2
500
What's the APGAR score and when is it done?
Neonate presents with good muscle activity, strong cry, peripheral cyanosis with pink core, HR 102, RR rapid?
done at 1 min and 5 minutes to check baby's appeaarance, pulse, grimace/cry, activity level, and respiratory status
2, 2, 1, 2, 2 = 9
500
What injuries occur to the brain during rapid deceleration? S/S?
What is Cushings Triad, what does it mean, and what can cause it?
bruising/compression to anterior, posterior stretching, can cause ALOC,
high BP/Low HR/irregular resp, brain herniation, ruptured cerebral artery (medical) (or TBI : Subdural/Epidural/intracerebral hematoma etc..)
500
What level of PPE do you wear for a level 4 Hazard
A or B