Pharmacology and Administration
Administering a medication, such as nitroglycerin,by placing it directly under a patient's tongue for rapid capillary absorption is known by this medical term.
What is sublingual (SL)
This specific medical term describes the temporary phase of altered mental status, confusion, and exhaustion that immediately follows a seizure.
What is the postictal state
Even if a patient is completely unresponsive, flaccid, and lacks a gag reflex, the absolute lowest mathematical score they can receive on the Glasgow Coma Scale (GCS) is this number.
What is 3
This term describes the vomiting of gastric contents
What is Emesis
Where is the Cyanokit Stored
In the EMS stock cabinet next to the stock AEMT Meds
This over-the-counter medication is given immediately to patients experiencing suspected cardiac chest pain, not to relieve pain, but to prevent platelets from sticking together and worsening a clot.
What is Aspirin?
A patient who is writhing in severe, agonizing flank pain that radiates down to the groin, but has a completely soft, non-tender abdomen, is likely suffering from this condition.
What are renal calculi (or kidney stones)
For an adult trauma patient in hemorrhagic shock, NH protocols direct the AEMT to titrate intravenous fluid boluses to maintain perfusion, using this minimal systolic blood pressure threshold as the primary target.
What is 90 mmHg, or a MAP of 65mmHg
This vital diagnostic measurement monitors Carbon dioxide exhaled in mmHg
What is ETCO2 or End-Tidal
What is the Dosage for Oxytocin
10 Units
To ensure rapid, accurate medication dosing and fluid calculations for pediatric patients, NH EMS crews use this standard, weight-by-length color-coded tool.
What is a Broselow Tape
Pinpoint pupils (miosis), profound respiratory depression, and a severely depressed level of consciousness form the classic toxidrome for an overdose on this class of drugs.
What are opioids (or narcotics)
When estimating burn size using the Rule of Nines, the entire front of an adult patient's torso (chest and abdomen combined) accounts for this specific percentage of total body surface area.
What is 18%
This skin condition, characterized by swelling and fluid retention in the tissues, is heavily assessed by NH providers in patients with suspected congestive heart failure.
What is Edema
scenario- 35A1 is already transporting a Pt to Cheshire and a call for a 78 YOF reported chest pain in Bellows Falls comes in. You and a full crew are at the station. Do you take 35A2 to that call?
No, If an ambulance is on a call already the other is to stay in town.
If an AEMT or paramedic cannot establish IV or IO access on a symptomatic hypoglycemic patient, this pancreatic hormone can be administered intramuscularly (IM) at this dosage.
(Hint: Mark Houghtons favorite medication)
What is Glucagon at 1mg
To trigger a prehospital "Sepsis Alert" under NH guidelines, an EMS Provider must document a suspected infection alongside a minimum of this many positive systemic inflammatory response (SIRS) vital sign criteria.
What is two
Widened pulse pressure, Abnormal respirations, and Bradycardia are the 3 legs of this Triad
What is Cushing's Triad
This medical term describes a nosebleed
What is Epistaxis
How do you need to document Billing information in NHESR reports
Take a picture and add it to the report
Once cyanide is safely converted into cyanocobalamin by the Cyanokit, the non-toxic compound is harmlessly filtered out of the body through this organ system.
What is the urinary system (or the kidneys)
A combative psychiatric patient demonstrating unexpected physical strength, a total insensitivity to pain, and a profoundly high core body temperature is suffering from this high-mortality medical emergency.
What is Excited Delirium Syndrome (or severe agitated delirium)
Primary blast injury to the respiratory system causes severe pulmonary bruising, alveolar tearing, and bleeding. This life-threatening condition presents with a triad of dyspnea, bradycardia, and Hypotension.
What is Blast Lung
This abdominal trauma emergency involves internal organs protruding through a surgical incision or a severe wound, requiring a moist, sterile dressing.
What is an Evisceration
What is the reason that QA/QI needs to be supported and embraced by all personnel regardless of experience, years of service, and medical training.
We can always improve, and we should welcome the training and learning that result from QA/QI efforts to better ourselves and provide the highest quality care to our patients.