Card Set Information

2014-06-24 14:04:21

Show Answers:

  1. Electrical Injuries

    What type of triage shall be applied during a lightning strike scene with multiple patients?
    reverse triage
  2. Electrical Injuries

    During a lightning strike scene when there are multiple patients, what type of pt shall be worked first?
    patients in cardiac arrest
  3. Electrical Injuries

    When you administer supplemental O2, saturation needs to be maintained between what percentages?
  4. Eye Emergencies

    If blood is noted in anterior chamber, what angle do you elevate head of the patient's bed?
    40 degrees
  5. Eye Emergencies

    When would you elevate LSB to 40 degrees?
    if spinal immobilization is indicated
  6. Eye Emergencies

    What position do you place the pt in when being transported for treatment of diagnosed central retinal artery occlusion?
    shock position
  7. Chest Pain/Discomfort

    If SpO2 is less than 95%, administer O2 via nasal cannula at what lpm?
    2-4 lpm
  8. 430.2204

    What are the Neurologic Signs and Symptoms of Hypertensive Urgency?
    • Decreased LOC
    • Impaired Movement
    • Asymmetry of face and extremities
    • Seizures
    • Unequal pupils
  9. 430 Hypertensive Urgency

    What are the treatments for hypertensive urgency?
    Administer Oxygen as indicated

    • Pt in Semi-Fowlers
    • or
    • Position of comfort
  10. 430 CHF/Pulmonary Edema

    What is the treatment for CHF/Pulmonary Edema?
    Administer 100% oxygen

    Pt in Full-Fowlers position
  11. 430.2501

    What is Pleuritic chest pain and what is it a sign and symptom of?
    Pleuritic Chest Pain- chest pain exacerbated by forceful breathing

    Drowning/Near-Drowning Submersion
  12. 430 Decompression Sickness/Dysbarism

    What is the Etiology of Decompression Sickness/Dysbarism?
    • Dysbarism
    • Barotrauma
    • Decompression Sickness
  13. 430 Decompression Sickness/Dysbarism

    What are the skin signs and symptoms?
    • Tenderness
    • Mottling
    • Rash from bubble emboli
    • Subcutaneous Emphysema
  14. 430 Acute Stroke

    What is the treatment for Acute Stroke?
    Admin. Oxygen as indicated- SAT. below 95% admin 2-4lpm nasal canula

    Room air SAT. above 95%, no oxygen administered

    Pt in position of comfort with head of bed elevated 30°

    Obtain BP in both arms

    Florida Bureau of EMS Stroke Alert Checklist

    Dont administer any oral meds
  15. 430 Symptomatic Bradycardia

    What is the treatment for Symptomatic Bradycardia?
    Admin. 100% oxygen

    Assess for reversible causes
  16. 430 Respiratory Insufficiency

    What is a sign of Severe hypoxia/anoxia?
  17. 430 Respiratory Insufficiency

    What is the treatment for Respiratory Insufficiency?
    Admin. supplemental oxygen, maintain saturation between 95 and 100%
  18. 430 Respiratory Arrest

    What should be performed to prevent arrest?
    Aggressive airway procedures and supplemental ventilation should be performed.
  19. 430 Respiratory Arrest

    If a pt has a foreign body airway obstruction and is unconscious, what should be done before beginning CPR?
    Reposition Airway

    Before vent and after opening airway, look for obstruction and remove if visible.

    Then begin CPR
  20. 430 Airway Protocol

    What determines Oxygen administration?
    Pathology of the complaint, differential (field) diagnosis and this protocol
  21. 430 Airway Protocol

    What technique should be used with a BVM?
    Use the E-C technique
  22. 430 Airway Protocol

    What is the flow set for a NRB mask?
    at least 10lpm

    adjust liter flow to maintain oxygen in the reservoir bag
  23. 430 Airway Protocol

    How do you size a NPA?
    Distance from the tip of the nose to the angle of the jaw
  24. 430 Airway Protocol

    What are the indications for Combi-Tube?
    Cardia, respiratory or traumatic arrest
  25. 430 Airway Protocol

    What are the contra-indications for a Combi-tube?
    • Less than 5' tall, Greater than 7'
    • Less than 16yrs old
    • Pt has esophageal disease
    • Ingested caustic substance
    • Foreign Body Airway Obstruction
    • Responsive or has gag reflex
  26. 430 Airway Protocol

    Where should you Auscultate to confirm Combi-tube placement?
    The epigastrum in the mid-line slightly inferior to the xiphoid process

    Then lungs while ventilating pt
  27. 430 EMS

    For Pt exhibiting signs and symptoms of hypoglycemia, conscious and able to swallow, when do you administer Dextrose Past or sugar orally?
    For a BGL less than 70mg/dl
  28. 430 Epistaxis

    What position should you sit the pt in if other injuries do not exist?
    Prevent aspiration of blood by placing the pt in a sitting position with their head leaning forward.
  29. 430 Epistaxis

    How can you control the hemorrhage in an Epistaxis pt?
    Pinch nostrils and pack gauze between upper lif and gum to provide pressure.

    Tell pt not to sniff, blow or manipulate nasal passages
  30. 430 Headache

    What position should you place a pt with a decreased level of consciousness?
    Place pt in the recovery position to maintain aspiration prophylaxis
  31. 430 Shock/Medical

    What is the most important goal in the prehospital management of shock?
    Diagnosis and immediate treatment of Underlying Cause
  32. 430 Hyperthermia

    Under signs and symptoms of Heat Stroke what might the pt temp be and describe the pt skin.
    Greater than 104°

    Moist or dry skin (may be sweating)
  33. 430 Hyperthermia

    What position should you transport a Heat Stroke pt in?
    Semi-Fowlers with head elevated 30°
  34. 430 Hyperthermia

    What position should you transport a Heat Exhaustion pt in?
    Position of comfort
  35. 430 Hypothermia

    When does shivering occur?
    • Shivering
    • 89.6° to 98.6°
  36. 430 EMS

    What two resources should be used to properly identify the agents involved for a Exposure to Specific Hazardous Materials Pt?
    NIOSH Pocket Guide to Hazardous Chems

  37. 430 Carbon Monoxide

    What is not a reliable sign of CO poisoning?
    Cherry-red skin
  38. 430 Vaginal Bleeding

    What position do you transport a Vaginal Bleeding pt in?
    1st or 2nd trimester or unknown preg status- allow pt to assume position of comfort

    3rd trimester- pt in recover position
  39. 430 Hypertensive state of Pregnancy

    What are the BP findings during the assessment of Mild Pre-Eclampsia?
    • Systolic Greater than 140
    • Diastolic greater than 90

    Systolic- greater than 30mmHg increase above baseline

    Diastolic-greater than 15mmHg increase above baseline
  40. 430 Hypertensive State of Pregnancy

    In the assessment portion of Mild Pre-Eclampsia, what is the weight gain?
    Greater than 2lb per wk
  41. 430 Hypertensive State of Pregnancy

    In the assessment portion of Severe Pre-Eclampsia what are the BP finding?
    Systolic greater than 160

    Diastolic greater than 110
  42. 430 Hypertensive state of Pregnancy

    What is the weight gain for Severe Pre-Eclampsia in the assessment?
    Greater than 6lb per wk
  43. 430 Hypertensive State of Pregnancy

    What indicates Eclampsia in the Pre-Eclampsia pt?
    Seizure activity

    Can occur postpartum (up to 6wks)

    Pt Hyperventilates after tonic/clonic seizure
  44. 430 Imminent Deliver

    What is the second stage of labor?
    Fetal head entering vaginal canal to expulsion of the fetus
  45. 430 Imminent Delivery

    As soon as the head delivers what do you suction first?
    Oropharynx first before nostrils
  46. 430 Imminent Deliver

    Where do you cut the cord?
    Clamp (2 to 3 inches apart) 7 to 10 inches from abdomen of the neonate

    Cut between clamps
  47. 430 Complications of Delivery

    During a Breech Deliver how long do you wait for the head to deliver before making an airway for the neonate and how?
    Does not deliver within 3min

    gloved hand to make an airway for neonate, using fingers to make airspace
  48. 430 Complications of Delivery

    What position do you place the mother in if there is a Prolapsed Cord?
    • Knee-chest position
    • or 
    • Supine with hips elevated
  49. 430 Newborn Stabilization

    When suctioning with a bulb syringe or mechanical suction what should the negative pressure be?
    Less than 100cmH2O
  50. 430 Newborn Stabilization

    If amniotic fluid is meconium stained and after delivery of the head but before delivery of the rest of the body you should suction?
    Hypopharynx and then the nostils
  51. 430 Newborn Stabilization

    What are the ventilation requirements with Persistent Central Cyanosis, Apnea or HR less than 100?
    Vent 100% oxygen at 40-60 breaths a min

    vent pressure may exceed 30 to 40 cmH2O, occlude the pop-off valve
  52. 430 Newborn Stabilization

    What do you do if the HR is less than 60?
    Admin chest compressions- 120 per min

    Re-assess every 30sec
  53. 430 Pediatric Cardia Arrest

    What are the most common PED rhythm disturbances?
    • Asystole
    • and 
    • BradyCardia