Operations
this is what time you should show up to work (if you fall within this range I'll accept)
0720-0745
What medications can we give to a patient having crushing chest pain, suspected MI. Vitals are:
HR-62, RR-20, SPO2- 94%, BP- 90/56, BGL-105
Aspirin, Normal saline, O2 via cannula
NO NITRO
every major trauma patient should have their clothing removed for an accurate assessment
this is the depth that you should do compressions on an adult
2"
this is a viral infection which causes edema/inflammation below the larynx and glottis which results in narrowing of the airway, it is contagious, most common in 6months-4y/o, harsh barking cough
croup
This is something that you should do nightly, in the morning before pass off, and if it creates disturbing noise
change your radio battery
these are symptoms of a hypertensive crisis
epistaxis, headache, vision changes, ringing in the ears, chest pain
these are the two sites we can get IO (intraosseous access)
what is; tibial tuberosity and humeral head
this is an organized rhythm that does not produce a pulse and is not a shockable rhythm in cardiac arrest
PEA/ pulseless electrical activity
orthopnea
this is the proper grooming standard (how you should be dressed and presented upon shift at 0800)
this is the primary pacemaker of the heart, which sets the normal rate for heart
Sinoatrial node (SA node)
this type of shock can be associated with uticaria, high respiratory rate, tachycardia, hypotension, and wheezing/absent lung sounds
anaphylaxis
360j every time
This lung sound can be found in asthma/COPD exacerbation and the patient may require epinephrine or assisted ventilations
what is: silent chest/ absent lung sounds
indicates a severe bronchospasm- no air is making entry
you should keep your medical oxygen bottles above ___ psi throughout shift, and especially when passing off the truck
1000psi
state the terms of the following definitions respectively; affects how hard the heart contracts, how often the heart contracts, and the electrical impulse of the heart's contraction
what is; inotrope, chronotrope, dromotrope
these are all of the types of shock we may encounter
cardiogenic, sepsis, anaphylaxis, hypovolemic, neurogenic
(obstructive and distributive count)
these are reversable causes of cardiac arrest (Hs and Ts) There are 10, to get points you have to get at least 6
hypovolemia, hypoxia, hypo/hyperkalemia, hypothermia, hypoglycemia
tension pneumothorax, thrombosis, tamponade, toxins, trauma
this is what you should do if a patient becomes unconscious and is choking..
start CPR, look in the mouth and perform finger sweep only to remove visible foreign body, consider needle cric if needed
this is something you should do when you see any chief, any officer/someone more senior than you, or admin staff. even if you've met them before.
introduce yourself and shake their hand !!
these can be done in addition to a 12 lead to look at other angles of the heart to confirm or rule out STEMI, name what these leads would be labeled as
right sided (V4R)
and 15 lead EKG (v7,8,9)
when needle decompressing a patient with a collapsed lung, this is how...
identify the 4th or 5th intercostal space mid axillary (either manual or SAM Thorasite), raise pt arm overhead, clean the site, advance the needle above the rib cage until you feel a pop or rush of air, advance and secure catheter
these are the MOST common cardiac arrest medications (4), extra 50pts for the others you can name in addition (up to 5 others)
what is; epi, amiodarone, sodium bicarb, NS
(narcan, glucose, blood, calcium chloride, magnesium sulfate)
These are contraindications of CPAP...
hypotension, vomiting, AMS, apnea/cardiac arrest, pneumothorax/ severe trauma to face/head/chest