EMS (fc).txt

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Jbrand
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91621
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EMS (fc).txt
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2011-06-22 16:05:24
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EMS fc
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EMS (fc).
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  1. What = PED SHOCK (5)
    Cool mottled skin, diminished pulses, AMS, increased cap > 3 sec, and tachycardia
  2. PED SEIZURES IF BREATHING ADEQUATE AND NO TRAUMA PLACE IN WHAT POSITION
    Recovry
  3. What = PED shock
    Cool molten skin, ams, cap greater than 3 sec, tacycardia and Deminished pulses
  4. Resistance heating is in increased if the conductor is
    Not large enough in diameter for the amount of flow
  5. Fire is actually a by product of
    Combustion
  6. The normal oxygen content of air is ____ while _____ is ____and the remaining ___ is ___
    21% 78% nitrogen 1% omposed of trace amounts of other elements
  7. Heat of combustion is the
    amount of heat generated by the combustion or oxidation reaction
  8. The beating of an organic substance w/o the addition of external heat
    Spontaneous heating
  9. Solar heat energy is the energy transmitted through the sun in the form of
    Electromagnetic radiation
  10. 5 step process for predicting collapse?
    • 1. Classify the construction type
    • 2. Determine structural envolement
    • 3. Visualize and tra e loads
    • 4. Evaluate time
    • 5. Predict and communicate collapse potetial
  11. 4TH INTERCOSTAL SPACE, RIGHT PARASTERNAL
    ​​ V1
  12. 4TH INTERCOSTAL SPACE, LEFT PARASTERNAL
    ​​ V2
  13. 5TH INTERCOSTAL SPACE, MID-CLAVICULAR
    ​​ V4
  14. 6TH INTERCOSTAL SPACE, MID AXCILLARY
    ​​ V6
  15. Adult GCS
    Eye opening
    • Spontaneous. 4
    • To speach. 3
    • To pain. 2
    • None. 1
  16. Adult GCS
    Best verbal
    Response
    • Oreinted. 5
    • Confused. 4
    • Inappropriate words. 3
    • Incomprehensible sounds. 2
    • None. 1
  17. Adult GCS
    BEST MOTOR
    RESPONSE
    • Obeys. 6
    • Localizes. 5
    • Withdraws. 4
    • Abnormal flexion. 3
    • Amnormal extension. 2
    • None. 1
  18. The majority of newborns require no stabilization beyond
    Drying, warming, positioning, suctioning, and tactile stimulation
  19. APGAR
    appearance
    • Blue all over. 0
    • Acrocynosis. 1
    • Pink all over. 2
  20. APGAR
    GRIMACE/IRRITABILITY
    • No response or none. 0
    • Grimace weak cry. 1
    • Sneeze cough vigorus cry. 2
  21. APGAR
    ACTIVITY/muscle tone
    • Limp/flaccid. 0
    • Some motion/flexion of extremities. 1
    • Active motion. 2
  22. APGAR
    RESPIRATIONS
    • Absent 0
    • Slow/irregular. 1
    • Vigorous cry or normal respirations. 2
  23. The average term infant weighs approximately
    3 Kg
  24. New born resuscitation algorythm
    No term gestation,breathing, crying, or muscle tone
    Suction mouth then nose, warm, dry, stimulate
  25. New born resuscitation algorithm
    If hr is below 100, gasping, or apnea
    BVM with 100% O2 SpO2 monitoring
  26. New born resuscitation algorithm
    HR below 60
    Start CPR consjder intubation or advanced airway
  27. New born resuscitation algorithm
    Yes to Labored breathing or persistent cyanosis with HR 100 or greater
    Suction airway, SpO2 monitoring, consider BVM
  28. New born resuscitation algorithm each intervention is performed for
    30 sec then reassessed
  29. After birth expected SpO2 readings:
    • 1 min to 10 min 60% to 85%
    • after 10 min 85% to 95%
  30. BLS HEALTH CARE PROVIDER ALGORITHM
    • 1. CHECK FOR RESPONSIVENESS
    • 2. Get AED OR SEND 2nd rescuer
    • 3. CHECK FOR PULSE FOR 10 sec
    • 4 no pulse start CPR
    • 5 PULSE PRESENT check for breathing, if none give 1 breath every 5 to 6 sec
    • Recheck pulse every 2 min
  31. CPR cycles
    30 compressions and 2 breathsuntil AED arrives or pt starts to move 100/ min
  32. Limit interruption in compressions to
    10 sec
  33. Rotate compressor every ___ during the pulse/check avoid excessive ___
    2 min, ventalation
  34. CPR: ARRIVAL OF AED CHECK RHYTHM IF SHOCKABLE ___. if not SHOCKABLE immediately give ____
    • 1. Give 1 shock and immediately give CPR for 5 cycles (2 min)
    • 2. Immediately give CPR for 5 cycles (2 min). Check rythm/pulse every 5 cycles. Continue until ALS arrives
  35. EMT AIRWAY ALGORITHM
    NOT BREATHING ?
    Open airway: head-tilt chin lift or jaw thrust manuver check for breathing give 2 ventalations reposition head and attempt to give 2 ventaltions
  36. Pre eclampsia
    Occurs in about ___ of the pregnant population
    5%
  37. Pre-eclapsia
    Usually develops ___
    After 20th weekof pregnacy
  38. Mild Pre-eclampsia
    B/P ?
    Increase in B/P
    • >140/90
    • > 30 increase in systolic bp above base line
    • > 15 increase in diastolic bp above base line
  39. Mild Pre-weight gain
    > 2 lbs a week
  40. Severe Pre-eclapsia
    B/P ?
    >160/110
  41. Severe Pre-eclapsia
    Weight gain?
    >6 lbs a week
  42. Same in mild and severe Pre-eclampsia
    Persistant or recurring headache,vision changes,diminished or frequent urination,
  43. APGAR
    PULSE
    • ABSENT
    • <100
    • >=100

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