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What = PED SHOCK (5)
Cool mottled skin, diminished pulses, AMS, increased cap > 3 sec, and tachycardia
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PED SEIZURES IF BREATHING ADEQUATE AND NO TRAUMA PLACE IN WHAT POSITION
Recovry
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What = PED shock
Cool molten skin, ams, cap greater than 3 sec, tacycardia and Deminished pulses
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Resistance heating is in increased if the conductor is
Not large enough in diameter for the amount of flow
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Fire is actually a by product of
Combustion
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The normal oxygen content of air is ____ while _____ is ____and the remaining ___ is ___
21% 78% nitrogen 1% omposed of trace amounts of other elements
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Heat of combustion is the
amount of heat generated by the combustion or oxidation reaction
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The beating of an organic substance w/o the addition of external heat
Spontaneous heating
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Solar heat energy is the energy transmitted through the sun in the form of
Electromagnetic radiation
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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
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4TH INTERCOSTAL SPACE, RIGHT PARASTERNAL
V1
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4TH INTERCOSTAL SPACE, LEFT PARASTERNAL
V2
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5TH INTERCOSTAL SPACE, MID-CLAVICULAR
V4
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6TH INTERCOSTAL SPACE, MID AXCILLARY
V6
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Adult GCS
Eye opening
- Spontaneous. 4
- To speach. 3
- To pain. 2
- None. 1
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Adult GCS
Best verbal
Response
- Oreinted. 5
- Confused. 4
- Inappropriate words. 3
- Incomprehensible sounds. 2
- None. 1
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Adult GCS
BEST MOTOR
RESPONSE
- Obeys. 6
- Localizes. 5
- Withdraws. 4
- Abnormal flexion. 3
- Amnormal extension. 2
- None. 1
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The majority of newborns require no stabilization beyond
Drying, warming, positioning, suctioning, and tactile stimulation
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APGAR
appearance
- Blue all over. 0
- Acrocynosis. 1
- Pink all over. 2
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APGAR
GRIMACE/IRRITABILITY
- No response or none. 0
- Grimace weak cry. 1
- Sneeze cough vigorus cry. 2
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APGAR
ACTIVITY/muscle tone
- Limp/flaccid. 0
- Some motion/flexion of extremities. 1
- Active motion. 2
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APGAR
RESPIRATIONS
- Absent 0
- Slow/irregular. 1
- Vigorous cry or normal respirations. 2
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The average term infant weighs approximately
3 Kg
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New born resuscitation algorythm
No term gestation,breathing, crying, or muscle tone
Suction mouth then nose, warm, dry, stimulate
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New born resuscitation algorithm
If hr is below 100, gasping, or apnea
BVM with 100% O2 SpO2 monitoring
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New born resuscitation algorithm
HR below 60
Start CPR consjder intubation or advanced airway
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New born resuscitation algorithm
Yes to Labored breathing or persistent cyanosis with HR 100 or greater
Suction airway, SpO2 monitoring, consider BVM
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New born resuscitation algorithm each intervention is performed for
30 sec then reassessed
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After birth expected SpO2 readings:
- 1 min to 10 min 60% to 85%
- after 10 min 85% to 95%
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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
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CPR cycles
30 compressions and 2 breathsuntil AED arrives or pt starts to move 100/ min
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Limit interruption in compressions to
10 sec
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Rotate compressor every ___ during the pulse/check avoid excessive ___
2 min, ventalation
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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
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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
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Pre eclampsia
Occurs in about ___ of the pregnant population
5%
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Pre-eclapsia
Usually develops ___
After 20th weekof pregnacy
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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
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Mild Pre-weight gain
> 2 lbs a week
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Severe Pre-eclapsia
B/P ?
>160/110
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Severe Pre-eclapsia
Weight gain?
>6 lbs a week
-
Same in mild and severe Pre-eclampsia
Persistant or recurring headache,vision changes,diminished or frequent urination,
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