Gynecology
The physical assessment of a victim of sexual assault should be:
as limited as possible to look for life threatening injuries. Leave a full physical exam to the SANE nurses if possible.
A newborn usually begins breathing within ____ to ___ sec after birth
15-30sec
Pts on _______ should be suspected of having possible brain injuries or hemorrhage even after minor trauma.
blood thinners
SpO2
no abdominal pain, bright red blood, caused by the placenta placement growing over the exit of the cervix
"abrupt (sudden) pain", dark red blood, caused by separation of the placenta from the wall of the uterus
Placenta Previa
Abruptio Placentae
Abdominal pain is often difficult to make a field diagnosis for. The EMT usually needs to complete (what part of the medical assessment?) before being able to determine the nature of the illness?
patient's pertinent medical history
provide positive pressure ventilations for 30 seconds
begin compressions if heart rate is not improved
paroxysmal nocturnal dyspnea (be familiar with this term) and tachypnea may cause the EMT to suspect ____ in the geriatric pt?
left sided heart failure
Pts with _____ may have exceptionally high pain thresholds and tolerate very painful injuries in relation to the typical pt.
autism spectrum disorder
The baby is born during the ____ stage of labor
2nd
The focus on a gynecologic call should be to:
stabilize and maintain ABCs, keep time on scene to a minimum
sunken fontanelles, no tears, mottled skin, poor turgor, slowed reactions
significant tachycardia, very weak or unresponsive, clammy, altered mental status, low bp
Mild
Moderate
Severe
Levels of dehydration
What might alert the EMT to the possibility of PE?
Hx of deep vein thrombosis (DVTs), A-fib, stroke, other problems related to excessive clots.
A tube from the brain to the abdomen that drains excess CSF
a shunt
Contractions are counted from:
The beginning of one contraction to the beginning of another, noting the length and frequency.
For example: contractions last 50 seconds occurring every 3 minutes apart.
More information:
https://my.clevelandclinic.org/health/symptoms/contractions
When documenting a sexual assault call how should you write?
Keep the report concise and record the patient's words verbatim. Do not write your opinions or "translate"/change what they said.
Blood pressure is normally taken in children 3 years of age and older by the formula ________ = minimum normal bp
70 + (age in years x 2) = minimum normal BP
Hypertension and atherosclerosis in geriatrics may be more likely to result in:
AAA
Patients with down syndrome have particularly (large/small) tongues, and (misaligned/missing) teeth which can cause challenges for airway management.
Large tongues, misaligned teeth.
apply gentle pressure to the head with gloved hand
Lower abdominal pain, fever, general malaise, foul discharge, and a shuffling gait is most consistent with :
Pelvic Inflammatory Disease (PID)
Cardiac arrest in pediatrics is normally associated with (hypoxia/hypocarbia) which leads to (tachycardia/bradycardia) and then deteriorates.
Hypoxia, bradycardia
Cardiac arrest in pediatrics is most often due to respiratory failure leading to cardiac problems.
chronic medical conditions, prescription medicine use, and alcohol abuse and dependence may cause ______ in the elderly
depression
_______ is a condition which results from damage to the brain.
______ is a condition which results from birth defect of the spinal cord.
Cerebral Palsy
Spina Bifida
If the baby is delivered "en caul" (still in the amniotic sac) what should you do?