Operations
Expressed and implied consent
Expressed - The pt. tells you they want treatment and is in the right mind.
Implied - When the pt. is altered we assume that if they were in the right mind they would want treatment.
What does ABC stand for?
Airway
Breathing
Circulation
What are the four chambers of the heart?
Right and Left atrium
Right and Left ventricle
What routes are these: IV, IO, IN, SL, and IM.
IV - Intravenous
IO - Intraosseous
IN - Intranasal
IM - Intramuscular
SL - Sublingual
What is the main difference between compensated and decompensated shock?
Altered Mental Status
Define the Good Samaritan Act
The Good Samaritan law gives legal protection to the good samaritans who help accidents victims with emergency medical care within the "Golden Hour".
When is the only time we check "C" before anything else.
If you have an unresponsive pt.
What is the difference between a vein and an artery?
Veins carry deoxygenated blood and arteries carry oxygenated blood under pressure.
What is the minimum systolic bp needed before you can give nitroglycerin?
What would the heart rate and blood pressure be like in a pt. that is in shock?
What does A&O X 4 stand for?
Alert and Oriented to Person, Place, Time, and Event.
BVM (Bag valve mask)
What is the difference between voluntary and involuntary muscles?
Voluntary muscles - Voluntary muscles are skeletal muscles that contract and relax under conscious control.
Involuntary muscles - Involuntary muscle is a muscle that contracts without conscious control.
What is your dose for Epinephrine (Epipen)
0.4 mg
What type of shock is anaphylaxis?
1. Distributive
2. Obstructive
3. Neurogenic
4. Decompensated
Distributive shock
Which of the following should come first?
1. Airway
2. C-Spine
3. Secondary Assessment
4. Call for ALS backup
4. Call for ALS backup
What is our main ABC concern in patients with CHF?
A - Airway would be considered unclear due to fluid build up in the lungs.
Define acrocyanosis
Acrocyanosis is a condition that causes your hands or feet (and sometimes other areas of your body) to turn a bluish, white or gray color.
Headaches and a drop in blood pressure.
By putting pressure on the heart
You get called to a 23-year-old male that has attempted suicide. Upon your arrival the pt. states that he does not want any care and does not want to go to the hospital. Can this pt. refuse?
No, we act under implied consent.
You are called to a pt. that has a BGL of 17 and is unresponsive. Upon further assessment you find the pt. to have a weak radial pulse, breathing, and with snoring respirations. What should your first action be?
Perform a head tilt chin lift to open airway.
You are called to a possible fx on a 17-year-old male at a trampoline park. The patient's lower leg (Between the knee and ankle) is obviously deformed. You know that both the bones are broken. What are the two bones?
Fibula and Tibia
You are called to a 44-year-old pt. and is actively having chest pains. Upon your arrival the paramedic instructs you to give the pt. our normal chest pain meds. What are the medications given to chest pain patient's?
Nitro and Aspirin
You are working a truck with a paramedic and are called to a pt. that is septic. The pt. presents with VS of: BP 90/42, HR 144, RR 33, SPO2 92%. The pt. is altered. Is the pt. in decompensated or compensated shock?
Decompensated shock