Scenarios
You arrive at a 65 y/o female complaining of severe chest pain. She is pale, diaphoretic, labored breathing, and states her left arm is also hurting. Her v/s are: HR-113, BP-130/92, RR-22, SPO2-92%. What is the next most appropriate treatment?
A.) Check BGL
B.) Assist ventilations
C.) Assist pt with person nitro
D.) Place pt on n/c at 2 Lpm
D.) Place pt on n/c at 2 Lpm
AVPU stands for...
Alert
Verbal
Pain
Unresponsive
Which artery pumps de-oxygenated blood to the lungs?
Pulmonary artery
Anterior -
in front of
What are the steps in a scene size-up?
BSI/scene safe
# of patients
MOI/NOI
Additional resources
Consider C-spine
You arrive on scene of a 32 y/o male patient complaining of difficulty breathing. Pt has Hx of asthma and is a chronic smoker. V/s are as follows: HR-100, BP-150/100, RR-20, SPO2-88%, BGL-89. Lung sounds are bilateral wheezing. What is the next appropriate treatment?
A.) Give pt a duo-nebulizer treatment at 8 Lpm
B.) Place pt on NRB at 15 Lpm
C.) Administer oral glucose
D.) Help pt self-administer epi pen
A.) Give pt a duo-nebulizer treatment at 8 Lpm
When assessing a patient with a possible altered mental status, who is a good person to ask what the patient's normal mentation is?
A.) The patient
B.) The police officer
C.) The patient's daughter
D.) The neighbor
C.) The patient's daughter
If a patient is having abdominal pain in his upper right quadrant, what is most likely the effected organ?
Gallbladder or liver
Lateral -
outside, outer edge
What would be the GCS score of a patient who's eyes are responsive to painful stimuli, speaks with incomprehensible sounds, and withdraws to pain?
8
You arrive on scene of a 10 y/o male patient who is lethargic and only responsive to pain. Pt's mother states that he was playing outside and came inside complaining of a headache, then suddenly collapsed. V/s are as follows: HR-90, BP-100/70, RR-20, SPO2-94%. What is the next appropriate treatment?
A.) Ask the mother if the pt's father is abusive
B.) Check the pt's temperature
C.) Ask the mother when the last time the pt ate
D.) Start CPR
C.) Ask the mother when the last time the pt ate
If a patient has an altered mental status, what are two common causes that do not involve mental disorders?
Diabetic emergency
Hypoxia
Hypertension/hypotension
Overdose/intoxication
If a patient is having abdominal pain in his upper left quadrant, what is most likely the effected organ?
Spleen or stomach
Distal -
Below or beneath
When assessing a patient, you notice that their skin is cold and they are diaphoretic. What is this most likely an indication of?
Hypoglycemic disorder
You arrive on scene of a 17 y/o male patient complaining of difficulty breathing. Pt was in basketball practice and suddenly was unable to catch his breath. V/s are as follows: HR-130, BP-160/110, RR-24, SPO2-88%, BGL-89. Lung sounds are diminished on the lower left side. What do you suspect to be the problem?
A.) Exercise-enduced asthma
B.) Bronchitis
C.) Allergic reaction
D.) Spontaneous tension pneumothorax
D.) Spontaneous tension pneumothorax
If a patient is struck in the back of the head, what sense might they experience a loss in?
Vision
What are the four main parts of the lower airway?
Trachea
Bronchi
Bronchioles
Alveoli
Proximal -
Above or higher
What are the regions of the body we assess in a secondary assessment for a trauma patient? (Name 5 of the 7)
Head
Neck
Chest
Abdomen/pelvis
Lower extremities
Upper extremities
Posterior thorax, lumbar and buttocks
You arrive on scene of a 45 y/o female patient who is unresponsive. Pt pale and cyanotic. V/s are as follows: HR-30, BP-64/40, RR-4, SPO2-74%, BGL-24. Pt's pupils are pinpoint and her husband states he found her like this when he came home from work. What is your next most appropriate course of action?
A.) Ventilate the pt using a BVM at 25 Lpm
B.) Start high-quality CPR
C.) Administer naloxone intranasal and check airway
D.) Place pt in NRB at 15 Lpm and transport
A.) Ventilate the pt using a BVM at 25 Lpm
If a patient is experiencing trouble moving after a head injury, what part of the head was most likely injured?
The top of the head
What are the four chambers of the heart?
Left atrium
Left ventricle
Right atrium
Right ventricle
Inferior -
nearer or closer to the feet
What are the systems assessed in your secondary assessment for a medical assessment? (Name 6 of the 8)
Cardiovascular, Pulmonary, Neurological, Musculoskeletal, Integumentary, GI/GU, Reproductive, Psychological/Social