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- author "me"
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- description ""
- fileName "EMT REVIEW CARDS"
- freezingBlueDBID -1.0
- Fluid that maintains the global like shape of the eye
- Vitreous Humor
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Approximent length of time a "D" size oxygen tank will last when using a Resuscitator
10-20 minutes
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Type of airway well tolerated by semi-conscious patients
Nasopharyngeal airway
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Type of consent which allows EMT's to treat unconscious patients
Implied consent
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Three ways infectious diseases are normally transmitted
- 1. Direct contact
- 2. Indirect contact
- 3. Inhalation
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Standard color coding system for triage categories
- Color Priority
- Red-------------- first
- Yellow -------- second
- Green -------- third
- Black -------- dead
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Responsibility of first arriving EMS unit at a mass casualty incident
Assume command and assess the situation
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First priority when arriving at an auto accident scene
Be sure the scene is safe and assess the situation
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Signs & symptoms
Severe dyspnea, Reduced breath sounds on injured side, Distended neck veins,
Trachea deviates to uninjured side
Suspect what ?
tension pneumothorax
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Signs & symptoms
Pregnant patient in 3rd trimester, Sudden weight gain,
Swelling of the face and hands, Severe persistent, headache,Elevated blood pressure, Persistent vomiting
Syspect what ?
Preeclampsia/eclampsia
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Signs & symptoms
Diabetic patient, Took insulin, Semi-conscious,
Pale, sweating, Normal respirations and breath,
Rapid pulse, Sudden onset
Suspect what ?
- Hypoglycemia
- (Insulin shock)
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Signs & symptoms
Diabetic patient, Diminished level of consciousness,
Flushed dry skin, Fruity breath,Rapid, deep respirations
Gradual onset
Suspect what ?
- Diabetic coma
- diabetic ketoacidosis (DKA)
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Signs & symptoms
Hot day,Unconscious, Flushed,Dry skin
Skin very hot to the touch
Suspect what ?
Heat stroke
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Signs & symptoms
Patient was running in a marathon on a hot day,
Pale dizzy nauseated, Conscious, General weakness
Sweating profusely
Suspect what ?
Heat exhaustion
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Signs & symptoms
Patient was working in hot sun
Sweating profusely
Severe painful muscle spasms
Suspect what ?
Heat cramps
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Signs & symptoms
4 year old patient, Pain swallowing,High fever 102-104,
Drooling, Mouth breathing, Inspiratory stridor,
Respiratory distress
Suspect what ?
Epiglottitis
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Signs & symptoms
Left side chest pain/pressure
Radiating to left arm and jaw
Shortness of breath
General weakness
Profuse sweating (diaphoresis)
Suspect what ?
- Myocardial infraction (MI)
- Heart attack
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Signs & symptoms
Confused
Noted weakness on one side
Face and mouth drooped to one side
Slurred speech
Unequal pupils
Suspect what ?
- Stroke/CVA
- (Cerebrovascular accident)
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Signs & symptoms
Stung by bee
Diffuse itching and hives
Respiratory distress
Tightness in throat
Suspect what ?
Anaphylactic shock
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Signs & symptoms
Severe fatigue
Shortness of breath
Noisy respirations (rales and rhonchi)
Swelling of ankles and feet
Distended neck veins
Suspect what ?
Congestive heart failure (CHF)
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Signs & symptoms
Anxious and breathing rapidly
Light headed
Tingling and clawing of hands
Suspect what ?
Hyperventilations
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Signs & symptoms
Extreme shortness of breath
General weakness
Diffuse wheezing bilaterally
Noted on inspiration and expiration
Productive cough
Suspect what ?
Chronic obstructive pulmonary disease (COPD)
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Signs & symptoms
Difficulty breathing
Apprehensive
Distended neck veins
Expiratory wheezing
Patient has no problem getting air in but extreme difficulty getting air out
Suspect what ?
Asthma
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Signs & symptoms
Nausea
Vomiting
Loss of appetite
Tender abdomen
Abdominal pain mostly localized in right lower quadrant (RLQ)
Suspect what ?
Appendicitis
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Best early indicator of shock in a pediatric patient
Capillary refill time 2 sec. Or less
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Why should a tongue blade NEVER be placed in the mouth of a child suspected of havinf epiglottitis ?
Laryngospasm may result, causing the airway to become obstructed
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What MUST BE REMEMBERED when suctioning the airway of a newborn with a bulb syringe ?
Squeeze the syringe before inserting the tip into the newborn's mouth or nose
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What is the proper spacing for cord clamps or ties
Cord clamps should be placed 2-3 inches apart. Place the clamps about halfway between the mother and baby, or the first clamp 6-7 inches from the baby
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List the 3 stages of labor in order
- 1. Dilation
- 2. Expulsion
- 3. Placental
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Two instances during delivery when an EMT may need to insert fingers into the patients vagina
- 1. Breech birth - to perform an airway for the baby
- 2. Prolapsed cord - to take pressure off the cord
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Term for the abnormal lowering of general body temperature
Hypothermia
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Two basic types of cold injuries
- Freezing (frostbite)
- Non - freezing (frostnip)
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List the three most common heat related emergencies
- Heat cramps
- Heat exhaustion
- Heat stroke
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Percentage of total skin surface
Rules of nines
INFANT
- Head 18%
- Each arm 9%
- Chest & abdomen 18%
- Back & buttocks 18%
- Each leg 14%
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Percentage of total skin surface
Rules of nines
CHILD
- Head 14%
- Each arm 9%
- Chest & abdomen 18%
- Back & buttocks 18%
- Each leg 16%
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Percentage of total skin surface
Rules of nines
ADULT
- Head 9%
- Each arm 9%
- Chest & abdomen 18%
- Back & buttocks 18%
- Each leg 18%
- Perineum 1%
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Involves entire thickness of skin. Pain usually absent due to nerve destruction. Skin may be white and leathery, or black and charred.
Degree of burn ?
Third degree (full thickness)
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Involves epidermis and dermis. Produces blisters and severe pain.
Degree of burn ?
Second degree (partial-thickness)
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Involves outer layer of skin (epidermis). Characterized by redness, tenderness, mild to moderate pain
Degree of burn ?
First degree (mild partial-thickness)
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Four general categories of burns
- Thermal
- Chemical
- Electrical
- Radiation
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When providing emergency care for a head injury, EMT be sure to check ?
Possible cerebrospinal fluid draining from the nose or ears
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Type of injury which MUST be suspected in all driving accident ?
Neck injury
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Three questions and EMT should ask all patient with head injuries to help determine mental status ?
- What is your name
- What day is today
- where are you
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Two additional injuries which MUST be suspected in all patient with head injuries ?
- Neck injuries
- Back injuries
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List 3 main signs of cardiac tamponade
- Distended neck veins
- Narrowing pulse pressure
- Muffled heart sounds
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When a sucking chest wound is discovered, what should be done immediately ?
Seal the opening with an airtight dressing
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A weak area in the lung suface ruptures, dur to no trauma
TYPE OF CHEST INJURY ?
Spontaneous pneumothorax
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Blood leaks into the pleural cavity
TYPE OF CHEST INJURY
Hemothorax
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Blood or other fluid in the pericardial sac exerts pressure on the heart, adversely affecting its pumping ability
TYPE OF CHEST INJURY
Pericardial tamponade
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An open pneumothorax which permits air to enter (and possibly leave) the chest cavity
TYPE OF CHEST INJURY ?
Sucking chest wound
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Air escapes into the pleural space through a sucking wound or lacerated lung
TYPE OF CHEST INJURY
Pneumothorax
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A continuous leak of air into the pleural space which builds up pressure. Eventually forcing the collapsed lung against the heart and uninjured lung
TYPE OF CHEST INJURY
Tension pneumothorax
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3 or more ribs fractures, each in two places, with the segment moving abnormally
TYPE OF CHEST INJURY
Flail chest
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5 key objestives when properly immobilizing a patient (with a cervical collar) on a longboard
- Head, neck, torso, pelvis and lower extremities are in the neutral in-line position
- Torso cannot move up, down, anteriorly, lert, or right
- Torso immobilized before head
- Head cannot move
- Legs cannot move or rotate
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Potential complication of fractures humerus
Radial nerve injury (wrist drop)
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Important point to remember when immobilizing the suspected elbow fracture
Immobilize in position found
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Characterized by the bone being broken into many pieces, possibly also crushed and/or splintered
TYPE OF FRACTURE
Comminuted
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A patient with what type of fracture WOULD NOT be log rolled onto a backboard ?
Pelvic fracture (use a blanket to lift the patient onto backboard)
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An abnormal outward roll of the leg is an indication of what type of fracture ?
Hip fracture
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Traction splints are primarily used for what type of fracture ?
Femur fracture
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Two major classifications of fractures
- Open (compound)
- Closed (simple)
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6 major categories of commonly abused substances
- Cannabis products - marijuana, hashish, etc.
- Depressants narcotics - oxycodone, heroin, etc.
- Hallucinogens - LSD, PCP, etc.
- Inhalants - glues, aresol products, etc.
- Depressants sedatives - alcohol, barbiturates
- Stimulants - caffeine, cocaine, etc.
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What respiratory condition uses oxygen instead of carbon dioxide to regulate breathing
Chronic obstructive pulmonary disease (COPD)
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what respiratory condition is characterized by increased sensitivity of the lower airway to irritants and alergens, causing bronchospasm, which is diffuse, reversible narrowing of bronchioles, as well as inflammation to the lining of the bronchioles.
Asthma
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Term for a ballooning out of a weak spot in the wall of an artery
Aneurysm
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Four merhods by which poisons enter the body ?
- Ingestion
- Inhalation
- Injection
- Absorption
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Important point to remember when treating a patient who has been poisoned by contact with a chemical
Wash or brush off any remaining chemicals
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Name the 3 prominent parts of the brain ?
- Cerebrum - controls voluntary activity, thought, memory, and sensory reception
- Cerebellum - balance and cordination
- Medulla - involuntary functions, such as breathing, heart rate, and digestion
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What 2 gases are exchanged during respiration ?
Oxygen and carbon dioxide
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Name the 10 systems of the body
Skeletal, muscular, intergumentary, nervous, respiratory, circulatory, digestive, urinary, reproductive, and endocrine
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Name the 5 body cavities
- Cranial
- Spinal
- Thoracic
- Abdominal
- Pelvic
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Content of the left upper quadrant (LUQ) of abdomen
- Spleen
- Left kidney
- Stomach
- Colon
- Pancreas
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Content of the right upper quadrant (RUQ) of abdomen
- Liver
- Right kidney
- Colon
- Pancreas
- Gall bladder
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Contents of left lower quadrant (LLQ) of abdomen
- Colon
- Small intestine
- Major artery and vein to left leg
- Ureter
- Left ovary
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Contents of right lower quadrant (RLQ) of abdomen
- Colon
- Small intestine
- Major artery and vein to right leg
- Ureter
- Appendix
- Right ovary
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Name the 3 layer of the integumentary (skin) system
- Epidermis
- Dermis
- Subcutaneous
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Name the 2 main functions of the skin
- Protection
- Temperature regulation
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Name the four functions of the skeletal system
- Support
- Protection
- Blood cell production
- Attachment for muscles
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Name the five section of the spine
- Cervical
- Thoracic
- Lumbar
- Sacrum
- Coccyx
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Name the 3 types of muscles
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Name the 2 components of the cental nervous system
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What 2 main types of nerves enter and leave the spinal cord ?
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Most common cause of airway obstruction
The tongue
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% of oxygen in room air
21%
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Approximate range of time a person can go without oxygen before brain damage occurs ?
4-6 min.
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Method of opening the airway of a victim with suspected neck injury
Modified jaw thrust maneuver
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Proper pulse to check on infants
Brachial pulse
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Tube leading from the kidney to the bladder
Ureter
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Tube that transports urine out of the bladder
Urethra
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Gland responsible for regulating body metabolism
Thyroid gland
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Approximate pressure of a full oxygen tank
About 2000 psi
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Normal respiratory rate per min.
Adult
Adult 8-24
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Normal respiratory rate per min.
Adolescent 11-16 yrs
12-20
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Normal respiratory rate per min.
School age 6-10 yrs
15-30
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Normal respiratory rate per min.
Preschool 3-5 yrs, toddler 1-3 yrs, infant 6 months to 1 year.
20-30
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Normal respiratory rate per min.
Infant 30 days - 5 months
25-40
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Normal respiratory rate per min.
New born - 30 days
30 - 60
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Major muscle involve in respiration
Diaphragm
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Name the 2 sub-systems of the circulation within the circulatory system
- SYSTEMIC CIRCULATION - comprised of left ventricle, blood vessels to an from the body, and the right atruim
- PULMONARY CIRCULATION - comprised of right ventricle, blood vessels to and from the lungs, and the left atrium
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Normal pulse rate per min.
Adult
60-80
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Normal pulse rate per min.
Adolescent
60-105
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Normal pusle rate per min.
child 5-12 yrs
60-120
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Normal pulse rate per min.
Child 1-5 yrs
80-150
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Normal pulse rate per min.
Infant
120-150
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Normal pulse rate per min.
Newborn
100-180
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Name the upper chambers of the heart
Right and left atrium
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Name the lower chamber of the heart
Right and left ventricals
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Blood vessels which carry blood away from the heart
Arteries
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Blood vessels which carry blood to the heart
Veins
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Blood vessels which connect arteries and veins
Capillaries
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Blood is composed of four different parts, each having its own function
Name the four parts
- Red blood cells (erythrocytes) - carry oxygen
- White bloood cells (leukocytes) - combat infection
- Platelets - clot formation
- Plasma - the fluid portion
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Main function of the large intestine
Absorption of liquid
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Main function of the small intestine
Absorption of digested food
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Organ that stores bile
Gall blader
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What is meant by "cracking" the valve of an oxygen cylinder
Quickly opening and closing the valve before attaching the regulator to blow dust out of the valve opening
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Percent of concentration of oxygen delivered by a nasal cannula
24-50%
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Percentage of concentration delivered by non-rebreather face mask
Close to 100%
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Approximate number of pints or units of blood in the average 150 pound adult body
10 - 12 pints or units
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How much of the body weight is composed of blood ?
7 - 8 %
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Name the 5 types of wounds
- Abrasion
- Laceration
- Incision
- Puncture
- Avulsion
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Name the 5 forms of emergency bleeding control
- Direct pressure
- Tourniquets
- Elevation
- Splints
- Topical hemostatic agents
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Name the 8 primary types of shock
Anaphylactic, cardiogenic, hypovolemic, metabolic, neurogenic, psychogenic, respiratory, septic
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Result of sensitivity to insect stings or bites, drugs, or food
TYPE OF SHOCK
Anaphylactic shock
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Brought on by fluid loss from diarrhea, urination, vomiting, or an acid-base balance disturbance
Metabolic shock
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Occurs when toxins are released into the bloodstream due to severe infections
TYPE OF SHOCK
Septic shock
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Caused by direct fluid loss of blood, loss of plasma (as in seepage of burns), or loss of fluid from intestinal tract
TYPE OF SHOCK
Hypovolemic shock
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Caused by inadequate functioning of the heart
TYPE OF SHOCK
Cardiogenic shock
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Nervous system dysfunction causes a widespread dilation of blood vessels
TYPE OF SHOCK
Neurogenic shock
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Differentiate sign and symptom
- Sign - something the rescuer sees, hears, feels
- Symptom - something the patient tells about himself
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What does each letter of S.A.M.P.L.E stand for
- S - signs and symptoms
- A - allergies
- M - medications
- P - past pertinent history
- L - last oral intake
- E - events leading to the present illness
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What does the letters in O.P.Q.R.S.T stand for ?
- O - onset
- P - provocation/palliation/position
- Q - quality
- R - radiation
- S - severity
- T - time
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What are the 5 baseline vitals
- Breathing
- Pulse
- Skin
- Pupils
- Blood pressure
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Normal blood pressure in an adult male ?
- Systolic - 100 + age in years to age 40
- Diastolic - 60-85 mmhg
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Normal blood pressue in an adult female ?
- Systolic - 90 + age in years to age 40
- Diastolic - 60-85 mmhg
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Normal blood pressure in a adolescent ?
- Systolic - 90 mmhg (lower limit of normal)
- Diastolic - 2/3 of the systolic pressure
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Normal blood pressure in a child 1-10 yrs ?
- Systolic - 90 + (childs age times 2) (upper range of normal)
- 80 + (childs age times 2) (middle range of normal)
- 70 + (childs age times 2) (lower limit of normal)
- Diastolic - 2/3 of systolic pressure
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Normal blood pressure in a infant 1-12 months
- Systolic - 70 mmhg (lower limit of normal)
- Diastolic - 2/3 of systolic pressure
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What are the Four solid organs in the abdominal cavity ?
- Spleen
- Liver
- Pancreas
- Kindeys
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What are the six hollow organs in the abdominal cavity
- Stomach
- GallBladder
- Duodenum
- Large Intestine
- Small Intestine
- Bladder
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What is Peritonitits ?
Irriation and Inflammation of the peritoneum (lining of the abdomen)
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What is Pancreatitis ?
Inflammation of the pancreas. (May cause sever pain in the middle of the upper quadrant)
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What is Cholecystitis ?
Inflammation of the Gallbladder
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What is Hematemesis ?
Vomiting of Blood
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What is Hematochezia ?
Bright red blood in the stool
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What is Melena ?
Dark tarry stools containing decomposing lood normally from the upper gastrointestinal system
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What is Esophageal Varices ?
Bulging, engorgement, or weakening of the blood vessels in the lining of the lower esphagus
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What is Gastroenteritis ?
Inflammation of the stomach and small intestines
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Signs and Symptoms
- Gradual onset of lower lumbar, groin and abdominal pain
- pulsating mass may be felt in abdomen
- Mottled or spotty abdominal skin
- Absent or decreased femoral or pedal pulses
Abdominal Aortic Aneurysm (AAA)
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What is Endometriosis ?
The condition in which endometrial tissue grows outside of the uterus
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What is Endometritis ?
Inflammation of the endometrium
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What is Pelvic infammatory disease (PID)
Inflammation of the female reproductive tract
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What is Hematuria ?
Blood in the urine
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What is Renal Calculi
Kidney Stones
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