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EMT B OTHER
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Terms in this set (101)
The U.S. Department of Transportation has issued specifications for all of the following types of ambulances EXCEPT:
To provide oxygen to two patients at one time.
Which of the following is the primary reason why ambulances should have two oxygen supply systems>
Emergency Medical Dispatch
The medical acronym EMD stands for which of the following?
50 to 100
Safety studies have shown that drivers of the other vehicles do not usually see or hear ambulances or other emergency vehicles until they are within _____ feet of it.
Test have shown that ____________ ambulance operators tend to speed up by 10 to 15 miles per hour when the siren is sounding.
Ambulance operators are not affected by siren noise
Regarding the use of emergency sirens, which of the following is FALSE?
The large lights on the outermost corners of the ambulance box should blink alternately.
Regarding ambulance warning devices, which of the following statements is NOT true?
The process of combining the patient and patient- carrying device into a unit ready for moving and transporting the patient is called:
A patient-carrying device should have at least_______ straps to hold the patient securely.
Legs raised 8 to 12 inches
Which of the following transport positions is indicated for the patient in shock.
A low level disinfectant will kill germs on ambulance floors and walls
Which of the following is true concerning disinfectant?
Chemical cold packs are carried on the ambulance for treatment of which of the following?
To keep a new born warm
Which of the following is the purpose for carrying sterilized aluminum foil on an ambulance?
Exceed posted speed limits if life and property are not endangered
Most state statues allow an emergency vehicle operator to do which of the following on emergency calls?
An automatic transport ventilator
Which of the following is NOT essential equipment on an ambulance?
Which of the following should be checked with the vehicle engine turned off?
As soon as you are free from patient duties
At which point should you complete your patient care report (PCR)
Speed of the vehicle
Which of the following contributes most significant to the occurrence of ambulance crashes?
With due regard
Operators of emergency vehicles must drive with the safety of others in mind. This is known as driving:
Providing medical direction to responding units
Which of the following is NOT a responsibility of the emergency medical dispatcher (EMD)
No longer a true emergency
You are`at the scene of a vehicle collision and have found that there is one patient who is in stable condition. At this point, the call can be categorized as:
A safe return
When heading back to quarters, on what should you place your emphasis?
Infant oxygen mask
Which of the following is optional equipment?
Preparing for the ambulance call
Which phase of an ambulance call is characterized by receiving a report from the off-going shift and checking the functionality of equipment?
Ask the caller for her phone number
While staffing an emergency service dispatch center, an emergency medical dispatch (EMD) receives a call from someone who is very upset and screaming that her friend was just shot. Which of the following would the EMD need to do in this situation?
Proceed with due regard for the safety of all drivers on the road
You are responding at emergency status to a vehicle collision in your ambulance. As you approach an intersection with a red light in your direction, you approach cautiously, come to a complete stop at the intersection, ensure all other drivers can see you, and slowly ease your way through the intersection. These action describe your abilities to
Subject to laws that govern all drivers
When responding to an emergency in an authorized vehicle while functioning as an EMT for an authorized emergency service the actions you take while driving are:
With neither lights or sirens activated
After responding to the scene of a patient complaining of difficulty breathing, you and your partner determine that the patient's condition is not life threatening based on a thorough assessment. You should transport the patient to an appropriate medical facility
Potential risk of making the patients' condition worse
When deciding weather or not to drive to the hospital with lights and siren activated for any patient, the driver should consider
Drivers who pull over for the police officer often pull back in front of the ambulance.
Police escorts of ambulances driving at emergency status are typically discouraged because:
There is a safe area beyond the damaged vehicle
When arriving at the location of a motor vehicle collision on an interstate highway, you should position the ambulance so that:
Select the proper patient carrying device;package the patient for transport; move the patient to the ambulance; and load the patient into the ambulance
Which of the following is the correct order of operations when transferring a stable patient from his or her house to the ambulance?
You could possibly be charged with abandonment
You have transported a stable patient with complaints of having abdominal pain for the last three weeks to the hospital. On arrival, you notice the emergency emergency department is very busy and there are no empty bed to be found. You have attempted to get the attention of a hospital staff member to transfer the patient, but all are currently helping other patients. Your partner tells you to take the patient to the waiting room and leave him since the dispatcher of your service is holding several serious calls. What could possibly happen to you if you leave the patient in this fashion.
After your partner completes all required paperwork and you have the ambulance completely cleaned and restored.
When you transported a patient to the emergency department and are in thee process of cleaning the ambulance while your partner is completing all required paperwork. At what point is the final phase of an ambulance call complete?
The patient is located in a remote area
Which of the following situations may warrant the use of helicopter transport from the scene to a medical facility.
100 feet by 100 feet
What is an appropriate sized landing zone for a helicopter?
Water conducts heat away from the body ______ times faster than air.
Loss of body heat through exhaled air
Occurs when the body perspires or gets wet
Direct contact; water chill
Air or water carry away heat; wind chill
Heat is picked up by surrounding air or water
Where is the best place to assess body temperature in a suspected hypothermia patient
Fahrenheit 99 F - 96 F; Celsius 37.0 C - 35.5 C
Fahrenheit 95 F - 91 F ; Celsius 35.5 C - 32.7
Intense Shivering,, difficulty speaking
How many days is the average reproduction cycle?
Labia, perineum, mons pubis
Three structures of the female genitalia consist of
What structure of the female external genitalia protects the pubic symphysis
This occurs when a baby is born too fast.
Driven by hormones estrogen and progesterone. Uterus walls thicken
Normal menstruation volume
The gestation period after implantation, lasting 8 weeks during which all of the major organs and structures are formed. Sperm reaches ovum, ovum becomes embryo, embryo implants in uterus.
Exchange of oxygen and nutrients through diffusion, no mixing of fluids between mom and baby.
Three 3 month trimesters (3 trimesters)
develops in 7th month
develops in 5th month
egg is fertilized here and moves eggs
movement of eggs Fallopian tube
Supine Hypotensive syndrome
compression of vena cava causing decrease cardiac output because pre-load drops BP drops, dizziness. move patient on to left side.
GI system in pregnant woman
digestion is slowed, nausea/vomiting, blood volume increases, RBC stay the same BP can rise
First stage of pregnancy
Ache in back moves to abdomen
meconium staining (first stage of labor)
indication of fetal distress
Braxton hicks Contractions (first stages of labor)
Irregular contractions not sustained (comesand go) and not indicative of pending delivery.
lightening (first stage of Labor)
fetus movement from high in abdomen down toward birth canal head lowers
Second stage of labor
full dilation of cervix, contractions increase, urge to push and move bowels. EMT decide stay or transport
Third stage of labor
After birth (Placenta) 10-20 mins for delivery of placenta usually feels contractions.
contractions lasting 30 sec to 1 min
when is it time for baby to come imminent delivery
measure time from start first to start of next
Duration of contractions
measure from beginning to end of contraction
EMT's Primary role when it comes to delivering baby
Determine if will assist mom on scene or transport
Floor, stretcher, bed
Best place for mom when ready to deliver a baby
No prior prenatal care, premature, labor induced by trauma, multiple births
Puncture amniotic sac
with finger to puncture membrane
Deliver head, ck for cord around neck if so remove, turn baby to side and help deliver shoulders, support head and baby always keep baby and mom at same level until cord is cut.
Delivery of baby
place clamp 7-10 inches from baby and cut in middle of clamp after cord has stopped pulsating (3min), 1 min after birth and baby is breathing on own.
Steps for care of Infant
DRY the BAby-1st step, keep warm, cover head
Appearance, Pulse rate, Grimace, Activity, Respiration (APGAR)
a score given to baby 1 min after birth and 5 mins after birth
2- fully present
or erythrocytosis, means having a high concentration of red blood cells in your blood.
warmth, provide artificial ventalations at 40-60 per minute
if breathing is shallow, slow absent heart beats less than 100
HB less than 60 not responding
reassessment of neonate
basic resuscitation (top of inverted pyramid)
drying, warming, positioning, suction, tactile stimulation, O2, BVM, Chest compressions
Advanced resuscitation (bottom of inverted pyramid)
APGAR score=0, blue in trunk area of baby
feet first- most common abnormal delivery of a baby, maintain air way while
risk for breech delivery
prolapsed cord, birth trauma, meconium staining
wait 3 minutes then rapid transport
occurs when the umbilical cord comes out of the uterus
rare condition and occurs in fewer than 1% of pregnancies.
compression of cord limiting blood flow to fetus. Only time you put hand in vagina.
suction mouth then nose
How and where do you suction on a newborn baby?
Placenta pulls away from the uterus wall, causes pain
At what age________, our organ systems lose about ______ % og their function each year.
After you interview a 75, his yr old man, his son and daughter pull you to the side and tell you that some of his response are not correct, this is sometimes the result of neurological problems as well as?
High, low threshold for pain, decrease sensitivity
Many old people have a _______pain
Motor vehicle accidents and falls
Common cause of Traumatic injuries in the older patients
As a person ages Systolic Blood pressure has a tendency to
Arthritic changes in the bones of the neck
Assessing the air way of an older patient is of the difficult because of dentures and
When a patient replaces lost circumstances with imaginary ones, this is known as
Loss of calcium
You were called to a senior citizens center to treat a 69 yr. old woman who was found on the floor in the hallway. She was coming back from the bathroom and must have slipped. you suspect that her left hip is fractured. Hip fracture are especially common in elderly woman because of
abuse or neglect
You are assessing an 80 yr old woman who has an injury. you should consider that any injury to an elderly patient could be a sign of
Your patient is a 565 yr old male who has very painful arthritis. He says that he has good days and bad days, but today he had to take double the usual dose of ibprofen and naproxen. He states that in addition to the pain, his stomach is hurting, he is very lightheaded, and he a coffee-brown substance just before calling the ambulance. What could be his problem?
He may have aggravated his ulcer
Insufficient anticoagulant medication can lead to seizures
Patient takes a lot of medication, but does not always have enough money to fill his prescriptions on time. What problems can arise from this problem?
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