WEST COAST EMT Exam 2
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You have an AMA patient who is refusing transport. What should you
be doing?
When a patient is AMA, they first must be A/O 4x to show that they are
alert and oriented and
able to make their own decisions. You must inform them of all the
possible risks that come with
not being transported (such as death).
During documentation, make sure the patient signs the AMA to prove
they do not need transport
(and to not get sued). DOCUMENT EVERYTHING
All information in a PCR needs to be confidential. Why?
Patient confidentiality due to HIPAA (Health Insurance Portability and
Accountability)
What is supra ventricular tachycardia (SVT)?
irregularly fast or erratic heartbeat (arrhythmia) that affects the upper
heart chambers
The physical act of moving air into and out of the lungs is called:
,ventilation
Which of the following is the MOST common cause of airway
obstruction in the unresponsive patient?
the tongue
What should a normal patient's capillary refill be?
less than 2 seconds
After you determine a patient is unconscious, what is the next step?
Begin CPR and begin respiratory support (ie maintain their ABCs)
After compressions, ventilate and repeat cycle until ALS arrives
When a patient has signs of poor perfusion, what do you do next?
Provide high-flow O2 via BVM
Keep patient warm
Rapid transport
A 67-year-old female with severe chest pain becomes unresponsive,
pulseless, and apneic during transport. You should:
stop the ambulance, begin CPR, and attach the AED as soon as possible.
What is an aneurysm?
Defined as a swelling within a brain artery due to weakening of the
artery wall
What is HYPERglycemia? What are the signs and symptoms and the
treatment of it?
, High blood sugar
S/S:
Altered mental status (intoxicated like behavior)
Lowered level of consciousness
Polyuria, dark urine, excessive thirst
Kussmaul respirations (smells fruity)
Rapid, weak pulse
Symptoms will prevent themselves gradually
You just administered an EpiPen to your patient. The patient is
improved but is now complaining of chest pain. should:
Notify medical control
It is most important to determine the patients weight when asking
questions pertaining to a toxic ingestion because?
Activated Charcoal is given based on a patients weight.
Keep in mind scene safety and know when to call law enforcement
Remember to always do BSI, PPE scene safety as well as doing scene
size up to determine best course of action for you
Only call law enforcement when you know that patient is dangerous or
is in danger and must be restrained to be treated
If you arrive on scene and law enforcement is there, then wait until you
are able to gain entry or talk to whoever in charge to determine where
to station
Questions and Answers Latest
Versions Top Rated A+
You have an AMA patient who is refusing transport. What should you
be doing?
When a patient is AMA, they first must be A/O 4x to show that they are
alert and oriented and
able to make their own decisions. You must inform them of all the
possible risks that come with
not being transported (such as death).
During documentation, make sure the patient signs the AMA to prove
they do not need transport
(and to not get sued). DOCUMENT EVERYTHING
All information in a PCR needs to be confidential. Why?
Patient confidentiality due to HIPAA (Health Insurance Portability and
Accountability)
What is supra ventricular tachycardia (SVT)?
irregularly fast or erratic heartbeat (arrhythmia) that affects the upper
heart chambers
The physical act of moving air into and out of the lungs is called:
,ventilation
Which of the following is the MOST common cause of airway
obstruction in the unresponsive patient?
the tongue
What should a normal patient's capillary refill be?
less than 2 seconds
After you determine a patient is unconscious, what is the next step?
Begin CPR and begin respiratory support (ie maintain their ABCs)
After compressions, ventilate and repeat cycle until ALS arrives
When a patient has signs of poor perfusion, what do you do next?
Provide high-flow O2 via BVM
Keep patient warm
Rapid transport
A 67-year-old female with severe chest pain becomes unresponsive,
pulseless, and apneic during transport. You should:
stop the ambulance, begin CPR, and attach the AED as soon as possible.
What is an aneurysm?
Defined as a swelling within a brain artery due to weakening of the
artery wall
What is HYPERglycemia? What are the signs and symptoms and the
treatment of it?
, High blood sugar
S/S:
Altered mental status (intoxicated like behavior)
Lowered level of consciousness
Polyuria, dark urine, excessive thirst
Kussmaul respirations (smells fruity)
Rapid, weak pulse
Symptoms will prevent themselves gradually
You just administered an EpiPen to your patient. The patient is
improved but is now complaining of chest pain. should:
Notify medical control
It is most important to determine the patients weight when asking
questions pertaining to a toxic ingestion because?
Activated Charcoal is given based on a patients weight.
Keep in mind scene safety and know when to call law enforcement
Remember to always do BSI, PPE scene safety as well as doing scene
size up to determine best course of action for you
Only call law enforcement when you know that patient is dangerous or
is in danger and must be restrained to be treated
If you arrive on scene and law enforcement is there, then wait until you
are able to gain entry or talk to whoever in charge to determine where
to station
