Trauma
What is the difference between Trendelenburg position and Shock position?
Trendelenburg: Supine and flat; foot-end elevated 15-30 degrees.
Shock: Supine; legs elevated 8-12 inches
List 5 signs of death
(Qualifying Dead On Arrival (DOA) criteria)
Decomposition
Rigor Mortis
Dependent Lividity
Obvious Mortal Injury (ie. decapitation)
Incineration (Burned beyond recognition)
What is the mnemonic used in obtaining a patient's medical history?
Signs/ Symptoms
Allergies
Medications
Past Medical History
Last oral intake
Events leading up to
(R)ecreational drug use
What is the emergency number for Campus Safety / MCEMS?
484-664-3110
List 3 signs and/or pieces of evidence that can be found in a scene that may inform what contributed or caused a patient's emergency.
Medical Alert Tag
Needle Marks
Medicine Containers
Insect Stings or Bites
ETOH or other drug paraphernalia
Incontinence
Tongue or bite wounds
Damage to property
How do you treat/manage an amputation?
Cover open injury site with dry sterile dressing
Wrap amputated part with moistened sterile dressing; place in sealed plastic bag; place bag in a second bag with ice water
List 5 conditions a consult with Medical Command / Telemetry is required before permitting a patient to sign a refusal (RMA)
Minor (<18 years old)
Suicidal
Intoxication
Chest Pain
Dyspnea
Syncope
Suspected Serious Injury or Illness based on physical examination and/or patient history
Vitals out of normal range
What is the mnemonic used for a rapid trauma assessment?
Deformity/Discoloration
Contusions
Abrasions
Penetrations/Punctures
Burns
Tenderness
Lacerations
Swelling
List 5 conditions that meet ALS request/backup criteria.
Altered mental status
Altered LOC
Cardiac condition
Respiratory condition
Diabetic condition
Neurological condition (ie. seizures)
Multisystem trauma or severe single trauma
Unconsciousness
Agitated delirium
Vitals outside of normal range
List 3 signs/symptoms of a severe allergic reaction
Difficulty Breathing
Wheezing
Swollen Tongue
Difficulty Swallowing
Hypotension
Urticaria
Flushed skin
How do you treat/manage an evisceration?
1. Cover intestines with moistened sterile dressings
2. Cover area with an occlusive dressing
3. Cover with a towel or blanket to keep warm
Describe the protocol for epinephrine administration.
With severe symptoms:
EMS may deliver 1 dose per standing order.
2nd dose must be approved by medical command
With mild symptoms:
Contact medical command if considering epinephrine treatment
What is the mnemonic used for the initial assessment of a newborn?
Appearance
Pulse
Grimmace
Activity
Respiration
List the on-scene (operational) hierarchy from highest to lowest ranking.
Captain
1st Lieutenant
2nd Lieutenant
Crew Chief
General Member
Probationary Member
Training Corp
List 5 questions to ask an obstetrics patient.
How long?
Previous Pregnancy? #?
Pre-Natal Care? Diagnoses?
Due Date?
Bleeding or discharge?
Has your water broken?
Pain or Contractions?
Do you feel the need to move your bowels?
What are the 3 signs of Cushing's Triad?
AND
What condition is it indicative of?
Systolic Hypertension
Bradycardia
Irregular Respirations
Indicative of inter cranial pressure (ICP)
Hypoglycemia may be suspected if a patient's measured blood glucose reading is below ___ mg/dl?
60 mg/dl
Regardless of Patient having a diabetic history.
What is the mnemonic used for the assessment of a patient presenting with an Altered Mental Status?
Alcohol/Drugs
Endocrine
Insulin
Overdose
Uremia
Trauma
Infection
Psychiatric
Shock
How many members are currently in MCEMS?
29
List 5 potential reasons a patient may present with agitated or violent behavior
Alcohol use
Hypoglycemia
Stroke
Drug use
Post-ictal seizure
Head trauma
What is the calculated BSA % of an adult patient with burns of their front torso (chest and abdomen), left arm, and left leg?
Front Torso 18%
Left Arm 9%
Left Leg 18%
Total = 45% BSA
What are we (EMTs) mandated reporters of?
(Hint: We may report 3 different suspected cases)
Child abuse / neglect
Elder abuse / neglect
Human Trafficking
What is the mnemonic used for a patient with an overdose or poisoning emergency?
Salivation
Lacrimation
Urination
Defecation
Gastroenteritis
Emesis
Miosis
OR
Defecation
Urination
Miosis
Bronchospasm
Bradycardia
Emesis
Lacrimation
Lethargy
Salivation
Name ALL of the members of our organization!
Dalas
Luke
Jamie
Jess Or.
Alyssa H.
Jeremy
Sydney
Francie
Katie
Anthony
Meray
Ethan
Hannah
Jason
Alyssa R.
Lauren S.
Sarah
Taylor
Jill
Eli
John
Miranda
Sephora
Shakira
Jess Ox.
Kevan
Sofia
Vanessa
Lauren B.
List 5 accompanying signs/symptoms that could indicate a patient's reported chest pain is of cardiac origin.
Retrosternal chest heaviness/"pressure"/pain
Radiation of pain to jaw, neck, or arms
Associated SOB, N/V, or sweating
Provocation from exertion
History of recent cocaine use
Patient 30+ y/o with known cardiac ischemic disease