Don't Go Breaking My Heart
Three routes of nitroglycerin medication
What is patch, sublingually, and spray?
Infants have proportionately large heads. How can you compensate for this when providing CPR?
What is place padding underneath their shoulders.
How does are pulse assessment change with considerations for hypothermia?
We assess pulses for 60 seconds; carotid.
The amount of liters of blood in an average adults body
What is 5-6 liters.
What situations do we withhold CPR?
When a DNR is present (signed/current), provider exhaustion/safety, a physician tells you to stop, or ROSC; after 30 minutes of CPR in remote setting
What is Appearance, Pulse, Grimace, Activity, and Respiration?
At 1 and 5 minutes.
Name the four mechanisms of heat transfer.
What is Radiation, Convection, Conduction, and Evaporation?
You have a patient with respiratory distress. You learn they have a history of asthma. What are the steps you take to assist this patient with their inhaler?
Recognize s/s of needing inhaler
Med direction/protocols
Confirm expiration date
Complete your 6 rights of administration
Shake inhaler to prime; administer dose (2 puffs)
Document/Reassess
What is the difference between angina and a myocardial infarction?
Angina is an ischemic event due to coronary narrowing due to plaque/spasm/atherosclerosis
Myocardial infarction is when tissue death occurs (infarction) due to partial or complete blockage in the coronary arteries innervating the myocardium
An EMT is aware that it is best practice to transport pregnant patients in left lateral recumbent position to avoid this.
What is supine hypotensive syndrome
What is our treatment of frost-nip or frostbite in the field?
What is skin-to-skin contact. Pad between digits with a soft, sterile dressing, and avoiding re-warming if we cannot keep area warm.
What are the items included in a Cincinnati Prehospital Stroke Scale assessment?
Face, Arm, Speech
**TIME!
FAST exam
Blood leaves the heart via the ________ to pick up O2 in the lungs and then returns to the heart via the ________.
What is "the pulmonary artery" and "the pulmonary vein".
What is the correct way to time contractions? What is the timing/frequency we expect when birth is imminent?
Imminent birth: 30 sec-1 min long; 2-3 minutes apart.
This altitude illness has a unique sign and symptom of ataxia.
What is high altitude cerebral edema (HACE)?
My left leg is super swollen, red, painful. I have been recovering from a broken ankle and sitting around more than usual.
An EMT suspects what?
What is a deep vein thrombosis (DVT)
* bonus: how do we treat? what is a complication?
The EMT recognizes the cause of heart failure as?
What is inadequate ejection of blood from the the ventricles.
You arrive on scene and your pregnant's water has broken. You notice the fluid is dark brown, discolored. What do you suspect the cause of this is and how does it change your call?
Meconium, which is fetal stool. This is a sign of fetal stress. This call should be escalated to ALS and you need to prepare for neonatal resuscitation
Principles of EMT care from potential toxins from insect bites. Name at least two.
Remove stinger/venom sac, remove jewelry, contact medical control, keep limb immobilized, draw a circle around any swelling.
List 3 differences on assessment findings that could help differentiate between hypo- and hyper-glycemia.
1. Timing of onset
2. Skin signs: pale/cool clammy vs. hot/dry and red
3. Breath: hyperglycemia patients have ketone breath ("fruity breath")