Care / EMR
Who will you send you your EMT license
The state you pass the class (Kansas)
What is the highest risk for contamination in the field
Most of these can be corrected with good PPE:
urine/feces: gown / gloves spit / Full face shield
Blood is VERY high risk due to ease of potential contamination
Also think of a variety of masks N95 and surgical masks to help prevent contamination. Without external PPE-hand washing is still number one
What system is initiated when someone becomes
Sugar goes high/low=Endocrine
Frightened=nervous
Can't breath=Respiratory
If a young child is suffering from hypoxia, what would expect the pulse to be. (cyanotic/sleepy)
slower
Things we have to pay particular attention to when treating the elderly.
Since they often have pain, many will not notice varying differences than the daily pain they have.
What is the best way to reduce stress
drinking heavily is not the answer........its exercise
When looking at a patient without any excessive bleeding, what would be one of your highest concerns?
Is the patient responsive or unresponsive
Stable / unstable
Cardiovascular system: What part of the heart contains the largest muscle in the heart
Left Ventricle
What system is the most important in patient care
That they have a patent airway.
If the patient is snoring, been vomiting, is breathing to fast or slow...this is number one priority since the rest of the systems cannot survive without oxygen
The general impression was created to help a rescuer determine....
If they are responsive or stable/unstable
If you become overwhelmed due to heat, dehydration or other medical conditions-what is commonly used to give relief and prevention
Be sure to keep hydrated
How do we administer oxygen to a patient getting CPR
A BVM is adjunct is preferred...so give as much as you have available
FYI - If you have 02 with you...then give patient as much oxygen as you can (BVM with oxygen gives the patient more O2 that using just the BVM)
If you have inadequate or no gas exchange, what could be the cause
lungs (alveoli are filled with fluid)
What is taking the blood pressure without a stethoscope called
BP by Palpation--Palpate the brachial pulse then place the BP cuff 2 inches above it. Find the radial pulse.
Pump up the cuff until the radial pulse becomes absent then pump up 20 more. (maintain the radial pulse) as you release the cuff, make a note of the first pump you feel and then release. BP by palpation is written as 120/P
Calling for additional help is crucial because
Can decrease scene time Also makes available skills an EMR does not have
What is one of the primary reasons to always consider your safety.
Can't help anyone if you become a patient
When taking a patient back to the ambulance, what should be one of the last things we put back in.
Suction device: we have lots of equipment that are very versatile, but a suction is a needed quickly for the function it supports
Who gives us permission to do tasks while out in the field
Medical Control
For instance: AED training is covered by Good Samaritan law so bystanders can use. But while in the field Medical control said only EMT and above can use an AED..we would follow that.
When you look at many scenes..what potential threat should always be on your mind.
Are other people involved? are we being recorded?...are concerns:
But the biggest is that there can be hazards you have not seen that could be life threatening.
What is a hypothesis
A testable statement or educated guess often used in research to explain outcomes
Why does Dispatch ask so many questions
They are trained to get critical information to relay to the ambulance/fire. It's hard to only know what the caller says on the phone.
When in doubt about what system is the most important...always remember
AIRWAY!
Can't live without it.
Cardiovascular: What does the blood pressure do when adjusting to blood loss.
Usually first compensates and then decompensates.
Goes up initially as the body is trying to get help for the organs / then slows down and falls if increasing the blood pressure did not work
If a patient indicates they have pain that they have felt before - what would be a good expansion questions
Describe how this pain is different than the last time.
Emergency department practices helped us develop
Impacted how EMS is now practiced