What?
What do you do with the victims clothing of a sexual assault?
Place their clothing in a paper bag. (Discourage her from showering)
If a child has a diagnosed respiratory illness, what would be one of your biggest concerns?
The child's airway could affect their ability to breathe.
When dealing with an airway (adult or child) it is smart to be very cautious to dismiss an airway issue. Attempt to ensure the patient gets appropriate care. (hospital, etc.)
How do you get a better seal with a BVM if a partner is available with a trauma patient?
Have the partner hold the mask in place and keep the head immobilized.
EXTRA: With difficulty breathing, including fast and shallow, airway must be a priority. A BVM is usually the device of choice when your patient cannot control their airway. Non-rebreather is used when patient has control but needs higher lpm.
What do you do:
You have a patient that has snoring respirations:
Have a patient with severe respiratory distress:
If no trauma, tilt the head back and use a BVM. With trauma use a jaw thrust maneuver.
Use a non-rebreather with high flow if they can maintain their own airway.
If you have wet sounding breath sounds, what could it be?
Acute pulmonary edema — fluid backing up into the lungs from a failing left ventricle.
What is the APGAR scale?
The APGAR score is a quick assessment used to evaluate a newborn’s condition.
Each category is scored 0, 1, or 2 (total possible score = 10)
What should you look for with a patient that has a closed head injury?
AMS
Elevated blood pressure
What often happens after you have a near drowning that could complicate your ability to get good ventilation?
The larynx will spasm making ventilation more difficult.
You have a patient with a severe stomach wound. How can you help the patient control the area?
Have them gently flex their knees.
A patient is talking with a high pitch, which is not their normal. No other symptoms except frustration and irritability.
Could be an obstructed airway.
Extra: What would you do if the airway was only partially obstructed?
*Encourage the patient to cough.
What causes dyspnea with a patient that has COPD?
What is your biggest concern if you think your patient has a blood clot?
EXTRA: Watch for an irregular heart beat. It is also considered extremely serious. A rapid heart rate is a sign of potential shock.
How do you help a patient that is not feeling well, color is pale, and lips are cyanotic?
Put them in a position of comfort and apply O2, keep warm, and monitor.
You have come upon a person that is a victim that needs attention, but you have no BSI with you. What do you do?
Find some type of barrier (plastic, thick clothing..etc) to use until the proper BSI is available.
What could be a cause of a low blood pressure?
* Cardiac problems (reduced output)
*Sepsis
*Low blood sugar
EXTRA: Remember that internal / external bleeding can also show signs of shock (cool/clammy skin)
If a patient denies that something is wrong, what tool can you use to find out their history?
If a patient indicates they are suffering from a condition they have had before, what is a good follow-up question?
OPQRSTI
How does this compare to your other experience?
After finding a patient and securing the scene what are your next steps?
If you see some excessive bleeding, what do you do?
Check for responsiveness.
Check for breathing and pulse for next steps.
Do a rapid secondary assessment.
How can you help a patient that has a pelvic inflammatory disease in extreme distress?
High flow oxygen and keep warm. Elevate legs for extra comfort.
If your patient has both extreme difficulty breathing and also has a possible deformed hip, what do treat first?
If the patient is having more and more difficulty breathing, what else could be the cause?
Treat the patients airway as the number one priority.
The trauma could also have caused possible paralysis which is affecting the muscles used to support the airway.
If your patient has a racing pulse, what could be the cause?
The body could be compensating for:
*Shock
*Blood loss
*Low blood pressure
When treating an impending birth, what should a responder be very aware of avoiding?
A quick uncontrolled birth of a newborn.
What do you do if you have an eye that is severely damaged and partially out of socket?
Put a protective covering over the damaged eye and soft dressing over the other to help alleviate movement.
How can you identify a hazardous material?
Hazard identification diamond.
Your patient states they have a heart condition. Their ankles are swollen, pulse is over 100, and BP is low. How can you help them?
Raise the feet to help blood flow.
What are signs and symptoms of a heart attack that are often missed?
Anxiety
Shortness of breath
Severe heartburn
Upper abdominal pain