More Shock?
medical patient with cloudy urine and confusion
bp 88/40
hr 122
spo2 90%
rr 24
temp 101.4F
Septic
Distributive
centrally and peripherally pink
HR 130
baby withdraws when stimulated
spontaneous movement of limbs
vigorously cries
total 10
A:2
P:2
G:2
A:2
R:2
40 year old female with no possibility of pregnancy. Extreme lower back pain radiatiating in pulse-like waves from the rear flank, downward toward the pubic symphysis. has gotten worse over the last day. she states "this is worse than giving birth"
anxiety, restlessness, nausea, vomiting, hematuria
Kidney stone
Which two warning devices should you use as a driver responding to an emergency call?
lights and sirens
never one or the other
unilateral penetrating eye injury with foreign object still in place.
stabilize foreign object. cover both eyes
Trauma patient that was ejected from a vehicle and swelling of left leg with closed femur fracture
bp 100/42
spo2 91%
HR 132
RR 32
cool, pale, diaphoretic
Hypovolemic
hemorrhagic
baby is centrally cyanotic
heart rate is 95
baby grimaces when stimulated
arms flex weakly
baby is not breathing
total:3
A: 0
P: 1
G: 1
A: 1
R: 0
38 year old male. chronic alcoholic. called for weakness
jaundice, ascites, pedal edema, varicose veins
liver disease
What are the three components of the START triage system?
RR>30
Cap refill<2 seconds
Altered mental status
evisceration
cover with moist, sterile dressing to keep organs from drying out. over moist dressing, cover with loose occlusive dressing
Medical patient positive FAST exam
HR 50
BP 188/100
SPO2 96%
RR 22
Neurogenic
peripheral cyanosis
heart rate 105
facial reaction to stimulation
vigorous movements noted
respiration present only during weak cries
A:1
P: 2
G:1
A: 2
R: 1
total: 7
you are called to a ouse for a family of four with similar symptoms
rapid onset of headache that feels like a headband is too tight on their head, confusion, nausea/vomiting, tachypnea, flushed skin, dizziness
Carbon Monoxide Inhalation
when responding to a 911 call in an emergent situation you must drive with __ ______.
due regard
active seizure
place patient in recovery position, pad their head to avoid injury from convulsions.
Trauma patient involved in a MVC. Obvious deformity to steering wheel
BP 76/38
HR 114 heart tones muffled
SPO2 82%
RR 38 shallow, JVD present
cool, pale, diaphoretic, no signs of hemorrhage
*daily double: what triad is involved
obstructive shock
deformity to steering wheel is highly suggestive of chest trauma leading to a tension pneumothorax or pericardial tamponade... both obstructive shock
*becks Triad
baby is centrally cyanotic
no pulse present
no reaction to stimulation
no spontaneous movements
no respirations
Total: 0
62yo Male with gradual onset of shortness of breath. Stent placed x1 year ago. non-compliant with his medications. pink, frothy sputum upon your arrival
tachypnea, chest pain, impending doom. no pedal edema
pulmonary edema
right sided heart failure
Congestive heart failure
cardiogenic shock
What color diamond on a HAZMAT placard indicates flammability?
red
heat stroke
immediate attempt at cooling the patient.
ice packs to groin and armpits
ice bath if available
28 year old female. shortness of breath and leg pain 2 weeks after a 14 hour flight to Taiwan.
SPO2 88%
HR 122
RR 30 clear lung sounds
cool, pale, diaphoretic
bp 110/72
obstructive shock
highly suggestive of pulmonary embolism
baby is acrocyanotic
heart rate is 60
facial reaction to stimulation
legs flex weakly
respirations are slow
*daily double: when should you check APGAR?
total:5
A:1
P:1
G:1
A:1
R:1
*1 and 5 minutes after birth
constricted pupils, diarrhea, urination, muscle weakness, bradycardia, bronchospasm, emesis, lacrimation, sweating, salivation, seizures, GI distress
organophosphate poisoning
cholinergic agent exposure
you are ventilating a patient in a house with a BVM hooked up to a D cylinder of oxygen flowing 25lpm. Assuming the cylinder was full when you initiated oxygen therapy, approximately how long do you have before you need to switch tanks?
15 minutes
CHF exacerbation with frothy sputum
RR32
able to follow commands
SPO2 88%
intercostal muscle use
*assume no contraindications to this procedure present
CPAP