Scene Size Up
The FIRST step in any scene size up?
What is BSI?
This must be assessed prior to the ABCs in any PT assessment
What is Level of Consciousness?
The five rights of drug administration include:
What is:
1. Right patient
2. Right drug
3. Right dose
4. Right route
5. Right time?
Reassessment time on a stable PT
What is every 10-15 minutes?
Medication with a dose of 0.4mg that is given for chest pain
What is Nitroglycerine?
The appropriate response to a scene becoming unsafe
What is leaving, egress, staging?
The max amount of time an EMT should spend assessing the PT for a carotid pulse in an unresponsive PT
What is 10 seconds?
Calculate the GCS:
A PT who responds to verbal stimulus, seems confused, and obeys commands
What is GCS of 13?
The four categories that are being reassessed:
What is:
1. The primary assessment
2. The vitals
3. The response to treatments
4. The secondary (focused) assessment
You are on scene and someone in another room shouts, “Get off of me! Get out of here.” The next step is:
What is leave the scene, find a route of egress, stage in the area?
The appropriate time in the PT assessment to determine how many PTs you have
What is the scene size up?
The three components of circulation that are assessed during the primary survey
What are pulse, skin (color, temperature, condition), and external bleeding?
A PT presenting with narrowing pulse pressures and decreased systolic blood pressure is a true sign of this emergent condition
What is decompensated shock?
If a patient begins to deteriorate during reassessment, this should be done immediately
What is repeat the primary assessment and initiate emergent transport if not already?
A PT presents with difficulty breathing and tells you that they have asthma and are allergic to shrimp. They hand you an EpiPen and an inhaler. The next step is:
What is gather more information through assessment and questioning?
The medical equivalent of a trauma patient’s mechanism of injury (MOI)
What is Nature of Illness (NOI)?
The discovery of agonal breaths, found during the primary surgery, are treated…
What is by using checking for a pulse and ventilating the PT?
A way to differentiate the body system when the PT presents with “abdominal pain”
What is perform a focused secondary assessment?
The most appropriate destination for a PT presenting with left sided paralysis, slurred speech, and confusion. LKN 1 hour ago
What is a comprehensive stroke center?
- Fort Sanders
- UTThe dose of oral glucose
What is 15g?
The PT requires an intervention outside of my scope of practice and I need to call someone
What is call ALS?
What are the NOI/MOI and the Primary Assessment?
An EMT's educated clinical assessment of what is potentially happening with a patient
What is a field impression?
You have reassessed your PT’s response to the 15lpm oxygen via NRB that you applied, and their work of breathing and lung sounds have not improved. The PT is now semi-responsive. The next steps would be:
What is repeat the primary assessment and assist ventilations with a BVM and appropriate adjunct?
You have began CPR and a family member presents you with a DNR form that has been signed by the physician and the PT. The next step is:
What is call medical control and terminate resuscitative efforts?