NEW COMPLETE SOLUTION EMR EXAM 1 2021-2022
blood borne diseases - HIV/Aids and Hepatitis
respiratory borne diseases - Meningitis and Tuberculosis treat all body fluids as if they are
contaminated with blood or resp borne diseases
Risk for contracting infectious disease - unprotected exposure (broken skin or orifice), pt has disease,
enough of disease to overpower immune system
Personal Protective Equipment (PPE) - gloves, eye protectant, and fluid barriers
Critical Incident Stress Debriefing (CISD) - a session held 24-72 hours after an incident, counselor with
training but same occupation, only people on the same call, voluntary participation
Employee Assistance Programs - long term counseling
EMS assessments - make pre hospital assessments similar to assessments first made in ER
Public Safety Answering Point (PSAP) - 911 dispatcher, forwards info to pertinent agencies, and gives
pre arrival instructions, Enhanced 911 phone # and address appear with call non E911 nothing
EMR - 70 hours, on scene assmt and stabilization, police, firefighters, and on scene medical personnel
EMT - 150 hours and on scene and transporting assmts
Advanced EMT - EMT plus 250 hours, intravenous therapy and advanced airway mgmt
Paramedic - EMT plus 1000 hours EKG interpretation, IV therapy, meds, more advanced airway,
invasive procedures, and electrical therapies
EMS govt agency - Dept of Transportation
, Online v Offline Med control - physician who oversees offline= standards of care no permission needed
everytime, online= gives permission when not sure what to do
ABCs - Airway Breathing and Circulation in this order! Assess, manage, move on
patency - airway is open and clear
compromised airway - prone position, hyperflexion of neck, unresponsive and supine, and obstructions
Signs of obstructed airway - fluids or objects in airway, skin color (skin loses first), patient distress,
sounds and effort of breathing
Airway management - suction or airway adjuncts
suction - no more than 15 seconds pt needs to breathe
Oropharangeal Airway - only when pt is unresponsive (NO gag reflex) don't when there is an
obstruction or severe facial trauma
Nasopharyngeal Airway - for unresponsive patients, don't with obstructions, facial trauma, suspected
skull fracture, or resistance on insertion
Agonal breathing - not true breathing, gasps
apnea - no breathing aka respiratory arrest
dyspnea - difficulty breathing
hypoxia - low O2
adequate breathing - 8-24 breaths/ minute
blood borne diseases - HIV/Aids and Hepatitis
respiratory borne diseases - Meningitis and Tuberculosis treat all body fluids as if they are
contaminated with blood or resp borne diseases
Risk for contracting infectious disease - unprotected exposure (broken skin or orifice), pt has disease,
enough of disease to overpower immune system
Personal Protective Equipment (PPE) - gloves, eye protectant, and fluid barriers
Critical Incident Stress Debriefing (CISD) - a session held 24-72 hours after an incident, counselor with
training but same occupation, only people on the same call, voluntary participation
Employee Assistance Programs - long term counseling
EMS assessments - make pre hospital assessments similar to assessments first made in ER
Public Safety Answering Point (PSAP) - 911 dispatcher, forwards info to pertinent agencies, and gives
pre arrival instructions, Enhanced 911 phone # and address appear with call non E911 nothing
EMR - 70 hours, on scene assmt and stabilization, police, firefighters, and on scene medical personnel
EMT - 150 hours and on scene and transporting assmts
Advanced EMT - EMT plus 250 hours, intravenous therapy and advanced airway mgmt
Paramedic - EMT plus 1000 hours EKG interpretation, IV therapy, meds, more advanced airway,
invasive procedures, and electrical therapies
EMS govt agency - Dept of Transportation
, Online v Offline Med control - physician who oversees offline= standards of care no permission needed
everytime, online= gives permission when not sure what to do
ABCs - Airway Breathing and Circulation in this order! Assess, manage, move on
patency - airway is open and clear
compromised airway - prone position, hyperflexion of neck, unresponsive and supine, and obstructions
Signs of obstructed airway - fluids or objects in airway, skin color (skin loses first), patient distress,
sounds and effort of breathing
Airway management - suction or airway adjuncts
suction - no more than 15 seconds pt needs to breathe
Oropharangeal Airway - only when pt is unresponsive (NO gag reflex) don't when there is an
obstruction or severe facial trauma
Nasopharyngeal Airway - for unresponsive patients, don't with obstructions, facial trauma, suspected
skull fracture, or resistance on insertion
Agonal breathing - not true breathing, gasps
apnea - no breathing aka respiratory arrest
dyspnea - difficulty breathing
hypoxia - low O2
adequate breathing - 8-24 breaths/ minute
