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150 Cards in this Set
- Front
- Back
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What temperature do you cool a heat stroke patient to?
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102 degrees
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What symptom does not belong in a DKA patient?
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Headache
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What injuries or illnesses are associated with Kussmaul breathing?
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DKA, Intracranial Pressure,
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What are Kussmaul's respirations?
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Rapid Breathing
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How is Hepatitis B spread?
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Needle stick
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What differences are there in adult and pediatric vital signs?
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Pediatrics have lower BP, faster heart rate and more respirations
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What type of needle is recommended for pediatric vital signs?
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Hollow Butterfly Needle
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What type of needle is recommended for adult patients?
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Over the Catheter
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What psychiatric categories are associated with "up & down" mood swings?
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Bi-Polar, schizoaffective and schizophrenia
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What information do you need to report and document on a CHF patient?
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All info, especially past medical history
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Where do you perform a needle decompression?
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2nd intercostal space, over the 3rd rib, at the midclavicular line
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What is a fracture called when only one side of the bone is fractured generally occurring in pediatric patients?
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Greenstick Fracture
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How do you handle a seizure patient?
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With little movement; do not restrain them
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What is a late sign of shock in the pediatric patient?
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Hypotension
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What is a fracture to the lower third of the face called?
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Lefortes type one
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Your patient falls striking his head, what is his most likely injury?
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Subdural Hemorrhage
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What medication would you most likely give a 19 y/o binge drinking alcoholic?
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100mg Thiamine slow IVP or IM with D50
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How many drops per minute to infuse 35mL in 40min. with a micro drip set?
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35 x 60
----------- = 52 gtt/min 40 |
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There is a 2 car MVA on the highway, one on its side, and hte other hanging off of the road, what should you do to the vehicles?
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Secure both vehicles
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What reason would you or your partner miss injuries on a patient?
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Distracting injuries
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What is the common pneumonic for patient assessments?
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DCAP-BTLS
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What is it called when paramedics have a "gut feeling" about a patient?
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Field Diagnosis
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What type of psychiatric patient is less likely to commit suicide?
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Bipolar Patient
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What would cause blood pH levvel to go down?
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Respiratory Acidosis
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What could a paramedic be charged with if he failed to do CPR on an AIDS patient?
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Failure to Act
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At what time interval do you perform the APGAR test?
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1 minute and 5 minutes
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How would you position a pregnant patient that was punched in the stomach?
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Left Lateral Recumbant
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What is Gravidity and Parity?
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Gravidity is the number of pregnancies; Parity is the number of full-term deliveries
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What is indicated from the S3 heart sound?
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Made by a failing right ventricle; usually indicative of CHF
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What is the most likely medical problem with an army soldier running in hot weather that passed out?
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Heatstroke
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What is the recommended minimal size for med flight helicopter landing zone?
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100 x 100 ft
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What size ET tube would you use for a 12 year old?
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6.5
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At how many weeks is an infant no longer considered premature?
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37 weeks
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How do you examine a baby?
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From head to toe
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How do you stimulate a newborn?
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By flicking their feet
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What do you do if a DNR/Comfort Care is produced after you have already begun CPR and/or ACLS measures?
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Leave IV's and Tube in place (chemical code)
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What is it called when your partner's girlfriend writes an article with defamation of your patients character?
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Libel
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What neck injury would you suspect in a rear-end MVA?
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Neck extension
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What are some differences between digoxin and lidocaine?
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Common medication in the elderly, almost impossible to determine digoxin level in field
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What is an initial assessment in triaging a patient?
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Motor function and ability to speak
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What do you assess first?
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Airway
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How do you care for a leg fracture?
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CSM x 3 and splint as found
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How do you control a bleeding artery?
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Proximal Pressure
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What is the acronym for checking pupils?
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PEARL (Pupils Equal And Reactive to Light)
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What is the difference in obtaining medical information from the elderly?
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Get down to there level, speak slowly, listen and gain their respect
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What is the proper care for a female patient with IUD bleeding?
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Establish IV and rapid transport
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How do you treat a powder burn patient?
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Dust off as much of the substance as possible, then wash off with COPIOUS amounts of water
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What is the correct treatment of an eye injury?
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Rinse with copious amounts of water
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What common illness is associated with skin color and eye color that is jaundiced?
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Hepatitis C
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What is the most commonly used over the counter drug to treat heat emergencies?
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Aspirin
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When is it not recommended to do digital intubation?
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Obstructed airways
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What is a secondary means of intubation?
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Combi-tube
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What is the recommended treatment of a 27 yo patient with difficulty breathing?
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Albuterol-1.25-2.5mg in 3mL via Nebulizer
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What is located in teh warm zone of a chemical scene?
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Decontamination Station
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What percentage of oxygen do you achieve with a bag valve mask?
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90% or highest answer
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What is a common blood disease associated with continuous bleeding?
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Hemophilia
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How would you handle suspected child abuse?
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Report it and secure the area as a crime scene
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What area of the spinal cord is associated with "breathing neck injuries"?
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C2 --> C5
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At a HAZMAT scene, what type of responder are we classified as?
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First Responder/Assessment
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What is the universal decontamination agent?
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Water
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At a possibly violent scene, where would you wait until police arrived to secure the scene?
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Wait away from the scene until police have secured it
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Who would you NOT call to identify a chemical at a spill?
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Medical Control
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Who would you call to identify a chemical at a spill?
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CHEMTREK
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How would you treat a knife wound to the stomach?
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Sterile moist dressing
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Where would you most likely see pain associated with the pancreas?
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Mid-sternum, radiating to the back
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What is one of the characteristics of the heart in the elderly?
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More elasticity
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What is the recommended treatment for a sucking chest wound?
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3 sided occlusive dressing
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What injury would you suspect a golfer with a tearing feeling in his belly has?
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AAA
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What injury would you suspect a pregnant woman with a tearing feeling and associated bleeding has?
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Abruptio Placenta
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How many mL bolus would you give if your order was 3mg and the medication came packaged 10mg in 5mL?
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3
------------- = 1.5 mL 10 x 5 |
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What is the burn percentage on an adult patient with burns to chest, back, abdomen, and left arm?
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45%
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What is the minimal staffing for ALS interfacility transport truck?
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TWO paramedics
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What type of consent do we use to treat an unconscious patient?
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Implied Consent
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What type of ambulance is a type 2?
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Standard Van
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What type of ambulance is a type 1?
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Conventional truck cab with modular ambulance body
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What does surfactant do?
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Regulates (decreases) surface tension of fluid that lines the alveoli
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What happens at the alveolar level?
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Gas exchange
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What are some common causes associated with rectal bleeding in the elderly?
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Liver Cancer, Hemorrhoids, and Chronic Diseases
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What is a common drug that can be associated with elderly patients and overdoses?
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Beta-Blockers
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What is the job of the team-leader?
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Obtain history, physical exam, present patient to the hospital, documentation, EMS commander at an MCI
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What is the burn percentage on an adult patient with burns to chest, back, abdomen, and left arm?
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45%
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What is the minimal staffing for ALS interfacility transport truck?
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TWO paramedics
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What type of consent do we use to treat an unconscious patient?
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Implied Consent
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What type of ambulance is a type 2?
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Standard Van
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What type of ambulance is a type 1?
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Conventional truck cab with modular ambulance body
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What does surfactant do?
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Regulates (decreases) surface tension of fluid that lines the alveoli
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What happens at the alveolar level?
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Gas exchange
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What are some common causes associated with rectal bleeding in the elderly?
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Liver Cancer, Hemorrhoids, and Chronic Diseases
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What is a common drug that can be associated with elderly patients and overdoses?
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Beta-Blockers
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What is the job of the team-leader?
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Obtain history, physical exam, present patient to the hospital, documentation, EMS commander at an MCI
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What is the job of the patient care provider?
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Scene cover, talks to bystanders, vital signs, performs interventions, triage group leader at an MCI
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What is the best method of ventilation of a needle cricothyrotomy?
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Jet Ventilation
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How is TB spread?
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Air born
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What do you call a cheek and bone fracture?
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Zygomatic fracture
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What do kinetics tell us?
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Index of suspicion
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What injury would you suspect with a patient who fell yesterday and today presents with nausea, vomiting, change in mental status, and one pupil larger than the other?
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Subdural Hemorrhage
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What size BP Cuff is recommended for 5-7 yo patients?
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7 cm
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What size BP Cuff is recommended for 1-3 yo patients?
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5 cm
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What is the recommended treatment for blunt eye trauma?
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Cover both eyes
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What size blade is recommended for 3-10 yo patients?
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2 miller
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What is cardiac output defined as?
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Stroke Volume x Hear Rate
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How would you tag a patient with a hand burn at an MCI?
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Yellow
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Where do you clamp the cord of a newborn?
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10" then 2-3" prior
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What injury is most common in up and over trauma?
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Bilateral femur fracture
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What is a comminuted fracture?
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Multiple breaks on one bone
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Why are elderly patients more likely to have lumbar fractures?
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Because of osteoporosis and sponylosis
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What is a contra croup head injury?
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Injury to opposite part of brain than impact
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What sign indicates a patient has meningitis?
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Kernig's Sign (Unable to extend knee when supine with hip bent and knee at 90 deg. angle)
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What heart rhythm is dogixin contraindicated in?
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V-fib
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What is hypernaturemia?
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Increased sodium level
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What is hyperkalemia?
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Increased potassium level
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Female with burns?
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13.5% rule of nines
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What are the recommended response times?
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BLS o/s 4min; ALS o/s 8 min
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Name the places where a central line can be placed?
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Basilar, Subclavian, Internal Jugular and Femoral Areas
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What are the peripheral IV sites?
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Basilar, External Jugular, and Long Saphenous Veins
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What are some common characteristics of a Maniac?
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Increased speed and increased talk
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Uncuffed tubes are used for what aged patients?
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Children under 8
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A sign of chronic emphysema?
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Clubbed fingers
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How do you infuse Lidocaine?
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1g in 250cc @ 1-4mg/min (1mg more than that of the initial bolus)
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What are the most common injuries from accidents?
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Cervical and lumbar injuries
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A patient that falls from a roof and lands on his feet, commonly has what type of injuries?
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Hip dislocation and spinal compression
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A patient whose skin color has a yellow tint may suffer from?
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Hepatitis B
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The order in which a hospital report should be reported to CMED is?
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Age, gender, Chief complaint, etc.
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The most important part of report is?
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Chief complaint
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How should you treat a patient with Bradycardia and PVC's?
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atropine before lidocaine (rate before rhythm)
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A female jogger who has experienced fluid loss is in what type of shock?
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Hypovolemic shock
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A child who has been sick for a few days with a fever has a seizure. What kind of seizure is it?
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Febrile seizure
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After delivery of a baby, the normal amount of blood loss experienced by the mother is?
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500cc
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An epidural hematoma is a bleed that occurs within what two portions of the brain?
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The Dura and the cranium
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A patient that was in a high speed MVA that hit a wall, you should suspect what type of injury?
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Ruptured Aorta
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Your patient is an 18 y/o F who has been spotting a fe drops, her last period was 6-8 weeks ago, you should suspect?
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Ectopic Pregnancy
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A written statement defaming someones character is known as?
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Libel
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A bicyclist accident victim... (Must list symptoms).. pick out the worst symptom of the patient?
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Not breathing
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In an epidural hematoma, the bleeding originates most often from the?
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Middle meningeal artery
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TIA within 24 hours OK?
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TIA's usually resolve within 24 hours, CVA's do not
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Cardiac output is defined as?
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Stroke volume x heart rate
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When splinting an elbow you should remember to splint it in the?
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Position found
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When dealing with a stabbing victim (must list injury type)?
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Treat the wound with a pressure dressing and transport immediately
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The guide for fluid resuscitation in children is to?
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Administer 20mL/kg for children older than 1 and.... 10mL/kg for children under 1
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Based on the fluid resuscitation formula (given this patient)?
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You should administer 360mL of fluid
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Your patient is a football player who has muffled heart tones on auscultation?
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You should consider pericardial tamponade
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How long does it take to send an EKG strip to a hospital?
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15 - 30 seconds
|
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Who takes command in the ICS?
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The person that is the most experienced, that is familiar with ICS, and knows the level of training of the responding companies
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In regards to animal bites, your patient was bitten by a snake, your treatment should be?
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Keep the patient at rest, immobilize the affected area in a neutral position
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Mild hypothermia is...?
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93.2 - 96.8 degrees
|
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Moderate hypothermia is...?
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86 - 93 degrees
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Severe hypothermia is...?
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below 86 degrees
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The location for needle decompression is?
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Midclavicular line, between the 2nd and 3rd rib (over the 3rd)
|
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How should you care for an amputated part?
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Clean wound surface, control bleeding, bulky dressing, direct pressure, place amputated part wrap in guaze dry or with NS/LR, place in pastic bag, place on ice
|
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Epiglotitis is?
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A life-threatening bacterial infection in children ages 3 - 7 but can occur at any age. Symptoms: edema/swelling of epiglottis & supraglottic structures. Pt. may experience inspiratory stridor.
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