100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
EMT Basic Final Exam Study Guide $7.39   Add to cart

Class notes

EMT Basic Final Exam Study Guide

 454 views  4 purchases

EMT Basic Final Exam Study Guide

Preview 4 out of 88  pages

  • February 24, 2023
  • 88
  • 2021/2022
  • Class notes
  • Emt basic final exam study guide
  • All classes
All documents for this subject (1)
avatar-seller
AcademicAssignments
lOMoARcPSD|3013804




lOMoARcPSD|3013804




EMT Basic Final Exam Study Guide

Key Terms
Embolism- obstruction of an artery
Edema- fluid buildup; swelling
PMS- pulse, motor, sensory
Ischemia- inadequate blood supply to a part of the body
Hematoma- collection of blood outside of a blood vessel
Aneurysm- localized enlargement of an artery caused by a weakening in the artery wall
Dilation- opening
Dyspnea- labored breathing
Syncope- temporary loss of consciousness, or fainting
Incontinence- lack of voluntary control over urination or defecation


EMS Systems

Most states have four training and licensure levels:
-EMR (Emergency Medical Responders)
-EMT (Emergency Medical Technicians)
-AEMT (Advanced EMT)
-has training in ALS (advanced life support) including:
-IV therapy (Intravenous)
-administration of certain emergency medications
-Paramedic

History of EMS:
-Origins include: volunteer ambulances in WW1, field care in WW2, field medic and
rapid helicopter evacuation in Korean conflict
-EMS as we know it originated in 1966 with the publication of Accidental Death
and Disability: The Neglected Disease of Modern Society
-DOT (Department of Transportation) published first EMT training curriculum in early
1970s
-EMS care is governed and part of the Department of Transportation
-National Highway Traffic Safety Administration (NHTSA)

, lOMoARcPSD|3013804




EMS Types:
-Anglo-American model (ours)
-brings patient to the hospital
-Franco-German model (Europe)
-brings the hospital to the patient

Levels of training:
-Federal level: National EMS Scope of Practice Model provides guidelines for EMS skills
-State level: Laws regulate EMS provider operations
-Local level: Medical director decides day-to-day limits of EMS personnel
-every 3 years resubmit for recertification (40 hours of continuing educ. required)

Public BLS (basic life support):
-millions of laypeople are trained in BLS/CPR
-teachers, coaches. child care providers

Emergency Medical Responders (EMR):
-law enforcement, firefighters, park rangers, ski patrol, etc.
-initiate immediate care and assist EMT’s on their arrival
-good samaritans trained in first aid and CPR

Emergency Medical Technicians (EMT):
-has knowledge and skills to provide basic emergency care
-responsibility for assessment
-emergency care
-package and transport of patient

Advanced Emergency Medical Technicians (AEMT):
-adds knowledge and skills in specific aspects of ALS
-IV therapy
-advanced airway adjuncts
-medication administration

Paramedics:
-extensive course training
-wide range of ALS skills
-endotracheal intubation
-emergency pharmacology
-cardiac monitoring; use of electrocardiogram (EKG)

, lOMoARcPSD|3013804




Medical Direction:
-physician medical director authorizes EMTs to provide medical care in field
-appropriate care is described in standing orders and protocols
-medical control can be off-line or online
-Online (direct)
-directions given over phone or radio
-Offline (indirect)
-standing orders or protocols
Evaluation:
-medical director maintains quality control
-continuous quality improvement (CQI)
-reviews and audits EMS system
-refresher training or continuing education
-minimizing errors is the goal

On-Scene Patient Assessment
-BSMNHS (Bald Short Men Never Have Sex)
-BSI
-Scene Safety
-Mechanism of Injury/ Nature of Illness
-Number of patients
-Help (additional resources)
-Spine Immobilization
-GLCAB5C5D (Girls Love Compliments)
-General impression
-Level of Consciousness (AVPU)
-Chief Complaint
-Airways
-Breathing (5)
-(Y/N), (R,R,Q), oxygen intervention, make sure O2 working, mgt. of
injuries
-Circulation (5)
-(Pulse R,R,Q), major bleeding, (skin color, temp., condition), shock
Management (HOTTI)
-Decision to Transport
-Trauma Pt assessment vs. Medical Pt assesment
-Medical Pt then take history
-Then VFIT

, lOMoARcPSD|3013804




-Vitals
-Field impression
-Intervention/Treatment
-Trauma Pt
-Then take vitals and attempt to get SAMPLE history
-Begin secondary assessment
-DCAP BTLS
-Eyes check for PEARRL
-check extremities for PMS (pulse, motor, sensory)
-Manage secondary injuries
-Reassessment
-Stable: every 15 mins. take vitals
-Unstable: every 5 mins. take vitals
*Key things to remember: PMS before & after immobilization
*When backboarding, slide the patient down and then up
-See Trauma Patients for more details



Airway Management

Key terms
-Apneic: no longer breathing
-Alveoli: tiny air sacs of the lungs which allow for rapid gaseous exchange
-Capillaries: smallest blood vessels
-Pleural Cavity: thin fluid-filled space between the two pulmonary pleurae (visceral and parietal)
of each lung
-Visceral pleura- OUTER layer
-Parietal pleura- INNER layer
-Positive Pressure Ventilation (PPV): process of forcing air into a patient’s lungs (aka artificial
ventilation)
-Patent airway: open airway

Respiratory assessment
-Adequate breathing:
-between 12-20 breaths/min
-regular pattern
-bilateral (both sides) clear and equal lung sounds
-equal chest rise and fall
-adequate depth (tidal volume)

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller AcademicAssignments. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $7.39. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

78998 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
$7.39  4x  sold
  • (0)
  Add to cart