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What amount of blood defines a deadly blled?
any pool of blood bigger than their head
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Assault versus battery?
- Assault: the perception of harm or threat
- Battery: actual act of contacting a Pt.
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AOCP & NOCP?
- AOCP: Alberta Occupational Competency Profile
- NOCP: National Occupational Competency Profile
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Primary Care Paramedic?
Albertan EMT
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Advanced Care Paramedic?
Albertan EMT-P
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When auscultating you are comparing...?
Apices with Apices and Bases to Bases.
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Critical Care Paramedic?
Can coordinate STARS
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During rapid wet check if you find something it?
- gets dealt with straight away, AND
- you then change your gloves
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TIC for pelvis?
pushing inwards ONLY
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Quality question is?
"if you had one word to describe your symptoms…"
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CMS is checked?
bilaterally at the same time.
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method for Upper extremities CMS check?
Cross two fingers and get them to squish that: cant cause pain!
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Negative versus positive feedback loops?
- -ve feedbacks can turn on and off like a regulator.
- +ve feedbacks only increase until stimulus is removed
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describe the Arachnoid layer
is webbed like a web and is where blood flows through
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What do the Meniges cover?
Dura Mater/Arachnoid/Pia Mater - also cover your spinal cord
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Aqueous humor versus vitreous humor
- Aqueous: between the lens and cornea and can be refreshed.
- Vitreous: cannot be refreshed.
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How many ribs do you have? Describe them.
- You have 12 pairs of ribs
- 8, 9, 10, are false ribs (dont attach to sternum)
- 11 and 12 are floating ribs
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What is your main pacemaker for your heart?
SA node
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What do the nodes in the heart do?
- SA: Pacemaker
- AV: job is to delay the signal
- Purkinje fibers: send the signal around the Ventricles
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medulla oblongata?
Brain stem (medulla oblongata) controls main body functions (BP, resps, pulse) and it also monitors hypoxic and CO2 levels.
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Where / angle to take pulse?
Don’t reach across neck for pulse: check jugular on the same side as you are
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BP by palpation concerns?
is about 10 below real level
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How to swab a finger or wound?
do it in a circular manner thus clearing away any germs
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Skin Temp from where?
Remember with kids that you take skin C/C/T temp from the abdomen!
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Where to take BGL?
Use non dominant hand
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A thready pulse is?
one that is hard to find.
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Spiel for Oral glucose admin?
"Pt. will take the glucose orally"
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OPA orientation for insertion?
Bevel (the hole) towards the septum (middle)
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SUCTION guidelines?
- Rigid: no further than you can see
- Soft: Measure like an OPA
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GI/GU practical questions?
- When was your last bladder and bowel movement?
- Was there any bleeding or anything unusual about your last bladder or bowel movement?
- Have you been coughing up blood? (coffee-ground like appearance)
- Is there any chance you could be pregnant?
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Poisoning / Overdose practical questions?
- What have you taken?
- How much did you take?
- When did you take it?
- Why did you take it?
- What else have you taken?
- How much do you weigh?
- Contact poison control
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OB/GYN practical questions?
- How long have you been pregnant?
- When are you due?
- Gravida / Para?
- What prenatal care have you had?
- Do you feel as though you have to push or move your bowels?
- Have you had any spotting or bleeding?
- Any gushing of fluid from the vagina?
- Have you had a complicated pregnancy in the past?
- Is there any possibility of a multiple birth?
- Does your doctor expect any complications?
- Are you on any meds?
- Do you have any risk factors?
- Are you having contractions?
- --- Onset?
- --- Frequency?
- --- Duration?
- --- Strength?
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Simple face mask flow and O2?
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Venturi flow and O2?
- Depends on color
- 24% - 50%
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BVM w/out Reservoir flow and O2?
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When bagging, how long to squeeze bag?
2 seconds
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A full O2 tank holds psi?
is always 2000psi
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What is the Pharmacokinetic Phase?
the study of how the body handles a drug over a period of time, including...
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4 partsthe Pharmacokinetic Phase?
- Absorption
- Distribution
- Biotransformation
- Excretion/Elimination
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6 Factors affecting drug absorption?
- DCAPSS
- Drug Dissolution
- Concentration of the drug
- Absorbing surface area
- pH of the drug
- Site of absorption & it’s blood supply
- Solubility of the drug
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4 Factors affecting drug distribution?
- Cardiovascular function
- Regional blood flow
- Drug storage reservoirs
- Physiological barriers eg. blood-brain & placental barriers
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Health Disciplines Act replaced by the?
Health Professions Act
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Health Disciplines Act covering EM scope?
Section 9
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Def of Negligence?
The act of deviating from the accepted standard of care through carlessness, inattention, disregard, inadvertence, or oversight that was accidental but unavoidable
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Pt.s have how long to file a Negligence claim against you?
2 years
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4 things that must exist for Negligence to apply?
- Duty to act: you must provide care to pt.s who need and consent toit
- Breech of duty: Failure to act within te expected and reasonable standard of care
- Damages: physical or psychological harm
- Cause: EMR caused the damages
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Nebulizer O2 flow rate?
5 - 8 L/min
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Salbutamol Neb dose?
- Adult
- Saline: 2.5 mL nebule (1mg/mL)
- Dose: 2.5 – 5.0 mg
- ---
- Pediatric
- Saline: 2.5 mL
- Dose: 0.15 mg/kg or;
- < 10 kg: 1.25 mg
- 10-20 kg: 2.5 mg
- > 20 kg: 2.5 – 5.0 mg
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Ipra Brom Neb dose?
- Adult: 250 – 500 mcg
- Pediatric (ages 5-11): 25-250 mcg
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Chief cause of Priapism?
spinal injury
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Load and Go criteria?
- Any altered LOC or memory loss
- Any complications with ABCs
- Bilateral femur fractures
- unstable pelvis
- medical abdominal issues
- Thoracic trauma
- isolated c-Spine injury is NOT Load & Go
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O2 regulator not affected by gravity?
Bourdon-gauge flowmeter
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Fiting a OPA in pediatric patients?
Use tongue depressor to hold tongue out of the way
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