Dem Bones!
You are an oxygen molecule passing through the respiratory system. You dissolve over to a red blood cell and attach to hemoglobin; where does this occur?
The capillaries at the alveoli.
(Bonus: What is this called?)
How long can we safely apply suction?
10 seconds or less
I suspect an MOI injury. What steps should I take in the PAS for a complete assessment?
Scene safety, Primary Assessment, Secondary Assessment, Vitals, SAMPLE
What is the difference between scope of practice and duty to act?
Scope of practice= set of regulations and ethical considerations that define the scope and limits of the job
Duty to act= an obligation to provide care
What percentage of oxygen is provided by connecting a high flow of oxygen to the oxygen inlet found on a pocket mask?
50%
Name the bones that make up, in entirety, the leg.
Femur, patella, tibia, fibula
How can we correctly position the head of an infant for adequate breathing/ventilation?
Sniffing position (what does this mean?)
not too far forward or too far back
Name the 4 types of shock and one example of each.
Hypovolemic: exsanguinating bleed
Obstructive: pulmonary embolism, pericardail tamponade
Distributive: anaphylaxis, septic, neurogenic
Cardiogenic : myocardial infarction
Implied consent
You receive a verbal order from medical direction to draw up 0.3 mg of epinephrine and administer to your patient intramuscularly. How do you confirm that you have understood the order?
Closed loop communication
"I will give 0.3 mg of epinephrine intramuscularly to the patient"
When taking care of an unresponsive pediatric patient, where should you assess for a pulse?
What is the brachial artery.
What is the definition of minute volume?
How do you calculate it?
What happens to minute volume if a patient is tachypneic?
Amount of air moved in and out of the lungs per minute.
Tidal Volume (TV) x Resp rate (RR) = MV
A fast respiratory rate can decrease minute volume.
every 5 minutes. this is an unstable patient.
What is required to prove a claim of negligence against an EMT?
An EMT had a duty to act, the EMT breached their duty, and caused harm to the claimant.
What does AVPU stand for?
Alert, Verbal, Pain, Unresponsive
My patient has been kicked in the face by a horse. They have crepitus when pressing over their cheek bones. What bone(s) do I suspect is fractured?
The maxilla
(Possibly their nasal, zygomatic bones)
Describe signs and symptoms of inadequate breathing
Rate too high or too low (>20, < 12)
Minute volume is too low (what is minute volume?!)
Accessory muscle use, nasal flaring
Low SpO2
During secondary assessment; baseline is the first complete set obtained
While you're caring for you patient, you realize your shift ended. You ask the patient to wait for the next provider to arrive, and then leave. What is this?
Abandonment.
Name the PPE you would take when taking care of a patient with tuberculosis.
N-95 mask, eye protection, gown, gloves.
Explain the blood flow through the heart to the body
Vena cava > right atrium > tricuspid valve > right ventricle > pulmonic valve > pulmonary artery > lungs > pulmonary vein > left atrium > mitral valve > left ventricle > aortic valve > aorta > body!
You have a patient on home oxygen who complains of shortness of breath. Rate is 18. They're home O2 is set at 2L NC and their SpO2 is 91%. You should
a. Transition them to a non-rebreather because they are <94%.
b. Titrate the home 02 rate to an adequate SpO2
c. Ask them to take deep breaths
d. Assist them to your ambulance and prepare to place an airway adjunct
Titrate their home oxygen; if this does not work you can attempt other interventions.
What term refers to the EMT's initial sense of the patient's condition, based on immediate assessment of the patient's environment, appearance, and chief complaint?
General impression
What are 4 reasons we can stop CPR in urban EMS?
We have ROSC
We are ordered to do so by a higher level of care
We hand the patient off to the next level of care
A DNR order/ POLST. SIGNED by patient and an MD.
Describe the best way to make a correction on a paper copy of a patient care report
Cross off with a single line, and initial the correction.