CIEMT - EMT Final Exam Graded A+
Steps Prior to CPR - ANSWER-1. AVPU
2. Check carotid!
3. If pulse present, check breathing!
CPR - ANSWER-1. Compressions
2. Ventilations **Partner goes to get AED**
3. Compression **Partner drops an OPA/NPA**
4. Ventilations
Modified CPR - ANSWER-Foreign body obstruction + unconscious
1. Compressions
2. Visualize for object
3. Ventilations
Definition of a Peds in CPR/AED - ANSWER-AED = 1 - 8 years old
CPR = 1 - puberty
Infants/Peds CPR - ANSWER-1. Baby baby baby! Check for response...
2. AVPU - flick bottom of foot
3. Compressions 4. Ventilations Two person rescuer = two thumbs encircling hands (15:2)
One person rescuer = two parallel fingers, baby laying on the floor, sniffing position (30:2)
Foreign Body Obstruction in Peds - ANSWER-1. Five backblows
2. Visualize
3. Five compressions
Shockable Rhythms - ANSWER-1. Ventricular fibrillation 2. Ventricular tachycardia (pulseless)
Kubler-Ross (Stages of the Grieving Process) - ANSWER-1. Denial
2. Anger
3. Bargaining
4. Depression
5. Acceptance
Sympathetic Response (Fight or Flight) - ANSWER-1. Increased respirations 2. Increased pulse
3. Increased b.p.
4. Cool, pale, and diaphoretic 5. Dilated pupils 6. Tense muscles
7. Increased blood glucose levels
8. Perspiration
9. Decreased circulation to the GI tract
Neuro-endocrine response
How are glucose levels maintained in the body? - ANSWER-Pancreas, glucagon, liver, RELEASE GLYCOGEN STORES, increased blood glucose levels
General Adaptation Syndrome (GAS) - ANSWER-1. Alarm
2. Resistance
3. Recovery or exhaustion
Components of the CISM System - ANSWER-Defusing = informal meeting
Briefing = formal meeting
Hepatitis - ANSWER-- inflammation of the liver
- blood transmittance S/S:
1. Weakness
2. Fatigue
3. Fever
4. Weight loss
5. JAUNDICE
Meningitis - ANSWER-- direct contact with respiratory secretions S/S: 1. Nuchal rigidity 2. Photophobia
Tuberculosis (TB) - ANSWER-S/S:
1. Productive cough
2. Bloody sputum
MUST WEAR A HEPA/N95 mask!
Scope of Practice - ANSWER-What you can do (defined by state law - aka state EMS agency) Duty to Act - ANSWER-Legal duty to act begins once...
1. An ambulance responds to a call
OR 2. Treatment is initiated
Negligence - ANSWER-1. Duty to Act
2. Breech of Duty
3. Damages
4. Proximal Cause
Forcible Restraints - ANSWER-1. 5150 Hold
2. Authorization Required
Emancipated Minors - ANSWER-1. Married
2. Pregnant
3. Living independently
Assault vs. Battery - ANSWER-Assault = placing a person in fear or immediate bodily harm
Battery = unlawfully touching a person
Child vs. Elder Abuse Protocol - ANSWER-Verbal Report = ASAP Written Report = within 36 hrs (children); within 2 working days (elderly)
Definitive Signs of Death - ANSWER-1. Decapitation, evisceration, incineration
2. Rigor mortis
3. Dependent lividity (pooling of blood)
4. Putrefaction
Names for Flexion and Extension - ANSWER-Flexion = decordicate
Extension = decerebrate
Left Lateral Position - ANSWER-- aka Recumbant/Recovery
- used for vomiting patient's - AIRWAY problem
Reverse Trendelenburg's Position - ANSWER-- lift head of backboard
- used for ICP
Fowler's Position - ANSWER-- used for RESPIRATORY DISTRESS - sitting upward position
Left Lateral Trendelenburg - ANSWER-- emergency child birth - hips elevated upon head
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