airway / shock
If a patient starts to gag or vomit, what step does an EMR take to help the patient with their airway
roll them on their side so they don't aspirate Think of apneic patient and the steps taken there
when at an MCI, what piece of equipment will you not need to bring with you to triage at the scene
the AED
what trauma injury can sometimes cause a patient to lose their gag reflex
a head injury can cause a patient to lose their gag reflex. other injures can affect breathing but not necessarily their gag reflex
If direct pressure and elevation does not stop the bleeding from an extremity, what is a good next option
correctly apply a tourniquet
After treating an open wound or potential broken bone what should be your next step
Be sure to end with a neuro check Pulse motor sensory
What does the acronym TOWEL stand for and how does it help patients in shock
Transport - oxygen - warm - elevate legs So transport as soon as possible but the patient needs oxygen if available as an important part of treatment even before treatment if available. Keeping them warm helpful and elevate legs if appropriate
You and your two partners arrive at a scene, how many patients would there need to be so that triage is necessary
4 - there is one more patient than rescuers.
How can you open a patients airway if they have a suspected spinal injury
Trauma airway maneuvers work if you have two people. A just thrust is a good maneuver if you hold the head
you have a patient that has a chemical burn...what is your best option for treatment
Dilute with water. Lots of it !!!!
why do we check pulses before and after splinting
To ensure the splint is not to tight - correction is to slightly loosen to see if the problem is corrected and pulse returns
If you have a patient that you suspect has a spinal injury, you have a helper and you need to do CPR, what can you do to minimize spinal risk
Have your helper hold the head.
Who is the first people that would normally call incident an MCI
First responders at the scene, they will know when the number of patients exceed the numbers of rescuers
What other systems can be affected from an open chest wound
The heart can be affected as pressure builds in the chest which can reduce the amount of blood volume being pumped by the heart and blood return
What is the difference between a dressing and a bandage
dressings help control bleeding, infections, and assist in clotting. Bandages hold the dressings in place
You have a patient that has a leg that is rotated inward with the knee bent There is also a bulge next to the hip joint. what type of injury could this be
hip dislocation
In a child, what would be an easy way to check for adequate circulation
capillary refill
When would it be appropriate to remove a helmet at the scene of an incident
If the helmet interferes with the ability to get / control the airway
An object is sticking out of a patient. What is the most common name for this trauma
penetrating trauma
What type of injury is described as a flap of soft tissue torn or attached to the acute injury site
avulsion
you have a patient that complaining of pain in their left knee. It is swollen and deformed. What would be your treatment if there was no pulse.
when a distal pulse is absent, you can try once to move the extremity to get the pulse back
Why do we check both pulses on a primary assessment?
To see if they are equal and present. A missing radial pulse could mean that the blood pressure is low. In a medical patient where we are checking for presence,(to see if CPR is needed) a carotid pulse is taken for an adult
Is a car seat adequate protection for all MVC
No, children / infants still need a complete assessment to rule out lift threats
A patient who has a trauma to the abdomen can often be helped by what technique if showing signs of low BP
Have the patient lay down and raise their legs. This is an effective way of helping with shock as long as it does not cause or severely aggravate other injuries
What would be your concern if you saw bubbling at an injury site close to an airway
Airway is affected and needs to be treated immediately
Why is EMS the best career path
You get to hang out with the coolest people !!!