School of EMS exam 1 questions with elaborated answers

Department of Transportation - correct answers In the national highway safety act who was put in charge with developing EMS services and standards We want to make sure our patient is trending in the right direction - correct answers What is the point of taking multiple sets of vitals on a patient Medical Director - correct answers Who assumes the ultimate responsibility for patient care? Pancreas - correct answers In diabetes which organ produces insulin? Title volume - correct answers normal amount of air in/out of lungs with normal breath 500mL air in/out of lungs at any given time Mitochondria - correct answers What is the powerhouse of the cell? aerobic metabolism - correct answers The cellular process in which oxygen is used to metabolize glucose. Energy is produced in an efficient manner with minimal waste products. anaerobic metabolism - correct answers The metabolism that takes place in the absence of oxygen; the principle product is lactic acid. carbon dioxide - correct answers What is the byproduct of aerobic cellular metabolism? How the chest and lungs operate on a mechanical level - correct answers To inspire air the diaphragm contracts Down your intercostal muscles the ribs expand causing a negative pressure to fill the lungs with air. 21% oxygen - correct answers How much oxygen are we breathing in room air? Anemia - correct answers A condition in which the blood is deficient in red blood cells, in hemoglobin, or in total volume. Tachycardia - correct answers A pulse rate that is greater than 100 beats/min Shock - correct answers A patient who is pale and diaphoretic (wet skin) they are normally experiencing? Reduced - correct answers Someone who is breathing to shallow their title volume is going to be remarkably______________? Events: what they're doing prior to this chief complaint - correct answers What does the E in sampler history stand for? Slowly - correct answers A patient who has depressed brain functions pupils react ? Severe chest pain, pale skin diaphoretic and uncontrolled bleeding - correct answers What kind of situations are conditions require immediate transport? Wheezing breath sounds - correct answers suggest obstruction of lower airways, high pitched whistling sounds most prominent on expiration. Patients with asthma, COPD Stridor - correct answers The harsh, high-pitched breath sound generally heard during inspiration that was caused by partial blockage or narrowing of the upper airway most commonly heard from people who are choking, children with whopping cough or pertussis Single area of the body determined by our chief complaint - correct answers The Secondary assessment of our patient is always focusing on what? No, you're trying to keep your patient alive - correct answers If you are constantly dealing with a patient with life threatening "XABC " are you going to have time to do a secondary assessment? Ventilate the Patient - correct answers What should you do If you have an unconscious patient who is not breathing , respirations are rapid and shallow No - correct answers If you have a patient that is complaining of pain of a certain area of the body are you going to palpate it? Side of your mouth to the earlobe - correct answers How do you size an OPA? Middle of the nose to the ear lope - correct answers How do you size an NPA? Tongue - correct answers What is the most common airway obstruction in an unconscious patient? Chest rising and falling. - correct answers What is the most reliable indicator of good BVM ventilation Nearly 100% oxygen - correct answers If you're a patient with a BVM connected to 100% oxygen how much oxygen is the patient getting Cover it - correct answers if you're ventilating a patient with stoma and air is escaping from their mouth and nose, how do you prevent air from escaping? Repeater radio equipment - correct answers Special radio station that receives messages and signals on one frequency and then automatically transmits them on a second frequency, able to go long distances Scene Safety - correct answers What is the first thing we do when we roll up onto a scene? cyanosis - correct answers a bluish discoloration of the skin resulting from poor circulation or inadequate oxygenation of the blood. Hypoxia - correct answers Lack of oxygen Check the airway for obstruction Do five backflows with the baby face down and five chest thrust always reassessing for obstruction. If they become unresponsive we start CPR - correct answers if you have a choking baby, who has a pulse and is not breathing appropriately what do you need to do? Subjective objective assessment and plan - correct answers What does soap stand for Engineering: something that directly modifies a equipment with the system administrative: Requiring other services within your jurisdiction to change something PPE: requiring the resident in your jurisdiction to - correct answers What are the three different types of initiatives of EMS Anything under 94% - correct answers What is a low pulse oximetry reading? Is there every time when you should withhold oxygen from someone who can't breathe - correct answers No crackle breath sounds - correct answers Crackling moist breath sounds signal fluid in the smaller air passages of the lungs. Patients with emphysema CHF