LIFE SPAN AND DEVELOPMENT
CH:7/8
WHAT'S PATHOPHYSIOLOGY?
•Study of how disease processes affect function of body
WHATS A EMD?
EMERGENCY MEDICAL DISPATCHER
WHATS A LIFE THREAT? AND A EXAMPLE OF ONE
a life threat is any situation that, if not addressed immediately, can lead to death
HEMORRHAGE/CHOKING/ASPERATION
SIGN VS SYMPTOM
•Sign: Something you can see
•Symptom: Something the patient tells you
You have a pt who states they cut themselves doing yard work, and they have already controlled the bleed and dressed the wound. After establishing ABCs + ruling out life threats - what do you ask the patient first?
Can I see the wound/lay eyes on the injury/unwrap it
AEROBIC VS ANAEROBIC METABOLISM
WITH OR WITHOUT O2
ANA: CREATES LESS ENERGY AND MORE ACID
WHATS BSI/PPE
•Body substance isolation (BSI)
•personal protective equipment (PPE)
WHATS THE PURPOSE OF THE GENERAL ASSESMENT AND WHAT DO WE DO IN THE SECTION?
UNDERSTANDING THE PT
PT DEMOGRAPHICS
L.O.C/M.S
C.U.P.S
WHATS THE ORDER OFF ASSESSING THE BODY ON A FULL BODY ASSESSMENT
BACK,TOP,FRONT,SIDE OF HEAD/FRONT,BACK OF NECK/SHOULDERS/CHEST/ABD/PELVIS/EXREMITIES/ BACK
What are the shockable rhythms? (100 for each)
Ventricular tachycardia WITHOUT PULSES // ventricular fibrillation
WHAT ARE THE THREE MAIN COMPONENTS THE CELL NEEDS TO OPERATE?
WATER/INSULIN/O2
WHAT'S DUE REGARD?
DUE REGARD:
A higher burden of responsibility on the driver of the ambulance to consider the safety and well being of others
WHATS A DIFFERENTIAL DIAGNOSIS? AND ITS PURPOSE
D/D (DIFFERENTIAL DIAGNOSIS)
A DEDUCTION OF MEDICAL PROBLEM BASED ON C/C, S/S, H.A.M
a medical process used to determine the most likely cause of a patient's symptoms by considering multiple possible conditions
WHATS THE PURPOSE OF THE SECONDARY ASSESSMENT AND WHAT DO WE DO IN THE SECTION?
UNDERSTANDING THE S/S &
TREATING THE S/S
TRAUMA: EXPOSE AND TREAT
MEDICAL: ASSESS AND TREAT
GENERAL: S.A.M.P.L.E
D/D
Three qualifications to start CPR and three factors for performing quality CPR? (50 points each)
Qualifications to start CPR - pulselessness, apnea, unresponsiveness
Quality CPR - 100-120 bpm
full recoil
1/3 chest cavity or 2.0-2.4 inches deep for adults
minimal interruptions no more than 10 seconds
NAME ALL THE STAGES OF LIFE?
INFANT
TODDLER
PRESCHOOL AGE
SCHOOL AGE
ADOLESCENCE
EARLY ADULT AGE
MIDDLE AGE
LATE STAGE
WHAT'S THE PURPOSE OF THE SCENE SIZE UP AND WHAT DO WE DO IN THE SECTION?
UNDERSTANDING THE SCENE/P.E.N.M.A.N
WHAT ARE THE TWO THE TWO DIFFERENT COMPONENTS(MNEMONICS) TO PT HX?
OPQRST
SAMPLE
WHATS THE PURPOSE OF REASSESSING?
WHEN WOULD YOU DO IT X2?
a critical process of periodically evaluating a patient's condition to identify changes and ensure ongoing care is effective
EVERY TIME SOMTHING IS DONE TO THE PT
EVERY 5MINS FOR STABLE/ 15 UNSTABLE
What is the MOST important thing to obtain/maintain while responding to a call in all of EMS?
personal safety
NAME A BODY SYSTEM
(100 POINT PER/ MAX 5 PER SQUAD)
10 BODY SYSTEMS
WHATS CODE CODE 3?
WHAT ARE THE RULES?
(100 POINT PER/ MAX 5 PER SQUAD)
“The use of lights and sirens by an authorized emergency vehicle engaged in life saving services”
RULES:
MUST BE IN RESPONSE TO AN EMERGENCY CALL OR WHEN ENGAGED IN EMERGENCY SERVICES
MUST BE IN PREVENTION OF LIFE, DISABILITY, OR UNDUE SUFFERING
Primaries must be engaged
Cannot go +15 mph over speed limit while disobeying any official traffic control
Must take pt to the closest most appropriate hospital
Cannot go code 3 in congested traffic
WHATS YOUR ABC'S? WHAT ARE YOU LOOKING FOR? AND HOW WOULD YOU MANAGE A FAULT IN EACH?
ASSESS A.B.C/(SWITCH TO C.A.B, IF LIFE THREATS FOUND)
Airway
Open/Clear/Maintainable (= Patent)
Breathing
Rate/Rhythm/Quality(lung sounds)/Volume
Circulation
Pulse: Rate/Rhythm/Quality(strength)/Cap Refill
Skin: Perspiration(sweat)/Color/Temp
WHATS
DCAPBLS TIC/PMSC/PIG/DRGERM
Bompton