Primary Assessment
What BEST defines the immediate sense of the patient's degree of distress, formulated from the patient's immediate environment, appearance, and chief complaint?
General impression
When assessing a 14-year-old male patient that has been involved in a bicycle accident, you notice that he has a small amount of blood coming from his left forearm. This observation is known as which of the following?
Sign
When checking breath sounds in a trauma patient, what should the EMT assess for first?
Presence and equality
Infancy is defined as the stage of life from birth to...?
one year
It is often difficult to distinguish a true medical emergency from a psychiatric emergency. You are confronted with a patient experiencing personality changes ranging from irritability to irrational behavior, altered mental status, amnesia or confusion, irregular respirations, elevated blood pressure, and decreasing pulse. It appears to be a psychiatric emergency. What else could also likely cause this behavior
head injury
in regards to the primary assessment, put these in order,
circulation, General impression, patient priority, airway, breathing, ,mental status
General impression, mental status, airway, breathing, circulation, patient priority
What is the sound or feel of broken bones rubbing against each other called?
Crepitation
The term priapism means ________ and may be found in injuries of the ________.
a persistent penile erection; spine
In which age group do you anticipate seeing patients who have less efficient cardiovascular systems and a reduction of previous blood volume?
late adulthood
Your patient is exhibiting bizarre and aggressive behavior; he starts shouting and becomes violent. He has extra strength and appears insensitive to pain. Drug paraphernalia is visible on-scene. This behavior is known as:
excited delirium.
What is the purpose of the primary assessment?
To detect and treat immediately life-threatening problems
While performing a detailed physical exam on a patient involved in a fall from 30 feet, the patient (who had previously been responding to your questions) stops responding. What should you do next?
Repeat the primary assessment.
You are called for a patient who was discovered unconscious in his bed this morning. You immediately complete a primary assessment and determine that he is breathing and has a good pulse. What should you do next?
complete a rapid (trauma) exam
The correct terminology used for patients whose kidneys are damaged to the point where they require dialysis to survive is:
end stage renal failure
what finding would be helpful in differentiating between a closed head injury and a behavioral emergency?
Unequal pupils
Your patient is a middle-aged man who appears to be in distress and is clutching his chest. These observations lead you to suspect which type of problem
Cardiac
Your patient is a 24-year-old female who swallowed a handful of pills of unknown type. Although she was initially alert and oriented with no complaints, you note that she is now beginning to slur her words and is becoming progressively lethargic. What is the highest priority in dealing with this patient?
maintaining the airway
When is it acceptable to NOT complete the secondary assessment?
Life threats are still being adressed
Dialysis patients who have missed an appointment may present with signs of ________, which is a similar presentation to ________.
pulmonary edema; congestive heart failure
True or False, you can physically restrain anyone who is refusing your care/ assessment
false,
you must first verify they are a risk to themselves or others. and restraint is last resort.
List all components of the rapid trauma assessment
head, neck, chest, abd, pelvis, bilateral femurs
OPQRST
what do each of those letters mean?
onset
provocation
quality
radiation
severity
time
Your patient was struck in the chest with a baseball bat during a bar fight. A crackling or crunching sensation that is felt when air escapes from its normal passageways and is trapped under the skin is called?
subcutaneous emphysema.
Hemodialysis is used to help the kidneys filter ________ and remove excess ________.
toxins; fluids
When providing emergency care to an aggressive or hostile patient, what is the highest priority?
scene size up/ scene safety