PPE
What should we be wearing while responding to calls?
What is PPE
According to the NYS practical skills, what is the first step of scene size-up?
What is "BSI Scene safety."
POV: Your patient was involved in a MVA. The patient is sitting in the driver seat of the vehicle with his eyes closed. You approach the man and start speaking to him. The patient opens his eyes, but is unable to say anything. What is the patients level of mental status?
What is verbal.
What do we administer when a patient is having difficulty breathing? List the two ways and amounts.
What is oxygen. 2-6L Nasal Cannula and 10-15L Non-rebreather.
How often do you reassess a stable trauma patient?
What is every 15 minutes
When should you change your gloves?
What is when they become contaminated or to prevent contamination of other supplies.
What is a critical in the scene size up for Trauma, but not for medical?
What is c-spine stabilization.
POV: Your patient is a 45 y/o female who complains of "twisting her ankle" when she slipped on a patch of ice. What is your course of action to treat the ankle?
What is stabilize or splint the ankle in position of comfort.
What route do you administer Naloxone and how many doses?
What is Intranasal and one shot in the nostril. May repeat after 5 minutes if no changes occur.
BSI Scene Safe?
What is Scene Size-up.
Why would we wear a N-95 mask into a scene?
What is COVID-19.
When approaching a patient what is one thing you can do to make sure the patient is comfortable with you? Hint: Works very well with Peds.
What is get down on the patients level.
POV: Your patient is a 36 y/o male who was reported to have fallen off a ladder while cleaning out the gutters to his second story. Upon arrival patient is complaining of left lower extremity pain. What is your first course of action once the scene is secure?
What is stabilize using a c-collar.
What do you administer for chest pain? How much?
What is four 81mg chewable Aspirin tablets. Administer all four at once.
Assess Airway, Breathing, and circulation
What is Primary
What additional PPE should be considered when working a code?
What is safety glasses.
You show up on scene for a pediatric call. The child starts retreating due to fear. What are some ways you can make the pt more comfortable?
What is place the pt on parents lap.
What is show the pt the instruments you are using prior to using them on the pt.
What is get down on the pts level.
What is find the pts favorite toy to assist.
POV: You enter a room to find a 16 y/o female sitting upright in a chair with her back straight, leaning forward, and her arms supporting her. She is having a hard time talking to you. You should suspect...
What is respiratory distress.
When administering Albuterol, what flow rate and dose is given?
What is 2.5mg in 3.0mL saline at 6-8 LPM. (can drop the flow to 5 for Pediatrics)
May administer up to 3 doses.
Assess the skin conditions.
What is primary and secondary.
What PPE do we wear when delivering a baby? Hint: 5 Pieces of PPE.
What are gloves, mask, eye protection, gown, and booties.
POV: You show up on scene for a patient experiencing uncontrollable coughing, difficulty breathing, and burning eyes after attempting to clean her oven. You find Bleach and vinegar on the counter as well as multiple other cleaning products. While in the room you start to get short of breath as well. What is your next step?
What is retreat from the house and call for hazmat. Bleach and vinegar creates chlorine gas which is deadly.
POV: The patient was a driver in a lateral impact MVA. During your assessment you find a segment of a chest wall moving in the opposite direction from the rest of the chest. What is this called?
What is paradoxical movement. AKA Flail chest.
POV: A child is experiencing anaphylaxis. The child does not have a epi-pen on them at the moment. How would you administer and at what dose?
What is Check and inject at 0.15 mg IM. You may only repeat ONCE for both adult and pediatrics with med control advisement
Bonus: 50 points: How much for an adult dose?
What does OPQRST stand for? And what section of the medical skill is it found in?
What is Onset, Provocation, Quality, Radiation, Severity, Time.
What is secondary assessment.