112 terms

*EMT

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if someone were to die immediately post heart attack
40% it was v-fib
which of the following are allowed to do cardiac monitoring?
paramedic - ALS training
history of EMS
world war I - French Army

world war II - tissues/basics & common sense revelation

Korean Conflict/Vietnam war - stop bleeding
1966
accidental death & disability: the neglected disease of modern society established EMS
1970
DOT published the first EMT training curriculum
1971
AAOS published "The Orange Book"
American Academy of Orthopedic Surgeons
what federal body has oversight of transportation
DOT
help you improve and do things correctly when reviewing calls
not to criticize - medical directors
#1 way to prevent infectious disease
wash hands
vectors are any living animals
bugs are animals
mosquitoes #1 most dangerous
what do you need to wear to minimize risk of TB?
heparespiratory
exposed to in fire
smoke

oxygen

high temperatures

toxic gases

building collapses
what to say to the patient in the ambulance
we are going to do everything we can to treat you and take you to the hospital
general adaption syndrome
alarm response to stress

reaction and resistance

recovery or exhaustion
two types of sexual harrassment
quid pro quo - favors

hostile work environment = jokes, touching, body parts
you are inside a house, old couple unresponsive in bed, smell gas
duty to act, get them out

entered house - already started treatment
for negligence to order
duty

breach of duty

damages

causation
your own personal safety is important with ___ patients
psych
reflective listening
repeat back what was said but in question form
ethnocentrism
consider own cultural values are higher than your patients
cultural impostion
impose your cultural beliefs on the patients
repeater
takes ones signal and repeats it on a different frequency
purpose of skeleton
form

protects organs

protects bones - bone marrow
anterior fondale close
9 - 18 months
spinal cord exists
foramen magnum
vetebra
c1-c7
T 12
L 5
S 5
C 4
cervical
c1-c7
thoracic
T 12
lumbar
L 5
sacrum
S 5
Coccyx
C 4
C1
atlas "holds up the world"
C2
axias
C3, C4, C5
phrenic nerve
phrenic nerve
controls diaphragm = controls breathing
axial skeleton
skull
vertebrae
thorax
appendicular skeleton
arms
legs
pelvis
what kind of muscle contracts to control the contents within?
smooth muscle
skeletal muscle (straited)
voluntary
smooth muscle
involuntary - organs
cardiac muscle
heart only
central nervous system
brain and spinal cord
what parts of the brain controls breathing?
pons
medulla in brain stem
phrenic nerve
controls main muscle of diaphragm
boyles law
increase pressure , volume decrease
upper respiratory tract
warm

humidify

filter air
crinea
split of trachea
trachea ___ at the point of the crienea
biphercates
respiration
gas exchange
external respiration
inside lungs
internal respiration
rest of body
diaphragm descends when __
contracting
anything incased with a tube, lumen is ___
smooth muscle
trace of blood
superior & inferior vena cava
right atrium
tricuspid valve
right ventricle
pulmonary valve
pulmonary artery
lungs (gas exchange)
pulmonary arteries
left atrium
mitral valve
left ventricle
aorta
body
alveolar minute volume equation
AMV = (TV - DS) x RR
cardiac output equation
CO= SV x HR
BSI
body substance isolation
order of safety
your safety
partner safety
patient safety
others
orientation
PPTE
person
place
time
events
ABC
airway
breathing
circulation
A1
blood vessels - constriction
B1
increased heart rate
increased force of contraction (introphy)
1 = 1 heart
B2
bronchodilation
loss of smooth muscle tone
2 = 2 lungs
acetylcholine
stops epinephrine -"block & reverse"
veins carry blood...
to the heart
arteries carry blood...
away from the heart
veins are oxygen ___
poor
arteries are oxygen __
rich
starlings law
the more blood in, the more blood out
repolarization
heart returns to resting state
charge restored
depolarization
electrical
charges surface of muscle cell change from positive to negative
RRQ
rate
rhythm
quality
rate
beats per munutes
rhythm
regular
regular irregular
irregular
quality
thready
strong
bouding
to look at breaths per minute
take arm and put across chest and act like you are feeling for a pulse still
systole
ventricular contraction
diastole
ventricular relaxation
bleeding -
not the quantity you lose but the ___ over what you lose it
time
GI tract
mouth
esophagus
stomach
small intestine (duodenum, jejunum, ileum)
large intestine
rectum
liver produces
bile
what does bile do?
dissolve fat = amphipathic molecule
absorb essential fats from diet
gallbladder stores & concentrates
bile
main retroperitoneal organ
kidneys
BP correlates with ___
weight
intercostal muscles and ribs are not developed
horizontal on chest = only muscle used to ventilate is diaphragm - belly breathers
fontanelle
should be flat

spaces between skull that eventually fuse together

anterior --> frontal bone - 2 parietal bones = 9 to 18 months

posterior - fuse by 3 months - 2 parietal and occipital bones
psychosocial changes
pre-conventional
conventional
post-conventional

self-concept & self-esteem develop
pre-conventional reasoning
avoid punishment and get what you want
conventional reasoning
approval peers and society
post-conventional reasoning
guide by conscience
self-concept & self esteem develop
perception of self
how we feel about self; fit in with peers
atrophy
decrease in size, mass, efficacy
respiratory system
size airway increases more dead space

surface area of alveoli decreases

natural elasticity of the lungs decrease
digestive system
peristalsis = pushes food ; wave-like
ability of the intestines to contract and move food along diminshes
psychosocial changes drops
terminal drop
linear drop
terminal drop
5 years before death, exceptional decline before death
linear drop
straight line down to death
body mechanics
feet-shoulder length - flat on floor - 15 inches apart
hands - 10 inches inside of knees
most structurally sound/stable is __
pelvis
power grip
palms up
hands 10" apart
back __ over ___
straight ; pelvis
arms should not extend no more than ___ infront of you
15-20"
patients __ stays elevated moving up and down the stairs
head
emergency moves
clothes drag
blanket drag
arm drag
arm - to - arm drag
why would emergency moves be used?
danger, risks of fire; explosives; hazardous material
"life over limb" / "move or die"
urgent moves
considers injuries
"carefully but quickly"

life threatening injury
altered level of consciousness
inadequate ventilation
in shock
non-urgent moves
both scene and patient are stable

direct ground lift
extremity lift
transfer
-direct carry
-draw sheet/supine transfer
-scoop stretcher
what is the biggest issue for short boards??
delay transportation of a patient with a critical issue
what position for unresponsive and shock
supine
hear rails & crackles when..
pulmonary edema - fluid in lungs
elderly patients
urgent moves