EMT FINAL EXAM STUDY GUIDE
Emergency Medical Services (EMS) - ✔What is the term for a team of professionals
who deliver care and transportation to sick and injured?
Continuous Quality Care is a circular system of continuous internal and external reviews
and audits of all aspects of an EMS system. - ✔What is CQI and what is its purpose?
denial, anger/hostility, bargaining, depression, acceptance - ✔What are the stages of
the grieving process?
The stages may follow one another, occur simultaneously, or a person may jump back
and forth between stages. The stages may last different amounts of time. - ✔Do the
stages of the grieving process occur one-at-a-time and/or in a specific step-wise
fashion?
Cumulative - increased in quantity, degree, or force by successive additions - ✔What
does the term 'cumulative' mean?
Occurs when you are exposed to prolonged or excessive stress. You fight to remain in
control and you are successful, but you are starting to grow tired. Now the next stressful
situation occurs and find it harder to recover because of the effects if the previous stress
is tiring. - ✔Who is at risk for a cumulative stress reaction - and why.
PCR helps ensure continuity of care. It also is a legal document, can be used for
education, gives administrative information, is essential for research records, and helps
with evaluation and continuous quality improvement. - ✔What is the purpose of the
Patient Care Report?
True - ✔True or false: "If it isn't included in the report it wasn't done."
"If the report is sloppy, the patient care was sloppy." Shows continuity of care. - ✔How
does documentation reflect on standards of care?
Medical Director - ✔Who defines the scope of practice in your emergency response
area?
Negligence is the failure to provide the same care that a person with similar training
would provide in the same or similar situation. It is deviation from the accepted standard
of care that may result in further injury to the patient. - ✔What is the term that describes
deviation from standard of care?
No. You may give a concise, well thought out report in the best method of accurately
and thoroughly describing the patient and his or her medical condition to the providers
who will be receiving the patient. Pt's age, gender, chief complaint, brief history of
problem, brief report of physical findings, brief summary of care given, brief description
,EMT FINAL EXAM STUDY GUIDE
of response, addition questions from facility. - ✔Should the components of the radio
report include your diagnosis of the patient's problem?
Treat them as anyone else - ✔How would you address a patient who is a paramedic or
physician or nurse experiencing chest pain?
Chondritis = inflammation of cartilage
itis - inflammation
chondro - cartilage - ✔What is the definition of chondritis? What us the suffix 'itis'
mean? What does 'chondro' mean?
Hemostasis
hemo - blood
stasis - to stop - ✔What is the term for stopping external bleeding?
The spleen is a blood reservoir with about 450ml of blood in it at any time. Filtering is
also a basic duty of the spleen. Worn out blood cells, foreign bodies, and bacteria are
removed from the blood and hemoglobin is recycled. - ✔Which organ of the body filters
out bacteria, some foreign substances and old blood cells?
Platelets are tiny, disc shaped elements that are smaller than cells, they are essential in
the initial formation of a blood clot, the mechanism that stops bleeding. - ✔What are
platelets and why are they important?
The retroperitoneal space is the space that lies behind the abdominal cavity
(peritoneum). The kidneys and part of the pancreas lie in this area and are considered
retroperitoneal organs. - ✔Define retro-peritoneal space? Which organ is found in this
space?
In older adults, the age related shrinkage creates a void between the brain and the
outermost layer is the meninges, which creates room for the brain to move when
stressed. - ✔Why are older patients at risk for severe bleeding into the skull?
It is often assumed that older people are hard of hearing and have difficulty seeing.
They may need eye glasses or hearing aids, but you should not assume that your older
patient is deaf or nearly blind. - ✔What happens to hearing and sight in the older
patient? How will these changes affect how you approach the older patient?
Even if your back is held properly upright adverse forces across your spinal column and
leverage against your lower back will occur if your hands are significantly anterior to
your torso. You may be injured if your back is curves because the force exerted is
across (rather than down) the spinal column. - ✔What causes injury to the back while
lifting?
, EMT FINAL EXAM STUDY GUIDE
If your move is rushed or poorly planned, it may result in discomfort or injury to the
patient, you, or your team. - ✔What can happen when you are in a rush to get the
patient on the gurney and into the ambulance?
Are there weapons present in the area to which the patient or others may have access?
Always observe for such objects, and if they are not secured, make sure to place
yourself between the patient and the potential danger, thus preventing possible access
to the object. Request assistance of law enforcement personnel if the scene is unsafe
with potential violence. - ✔So- you are assessing an older man who complains of
abdominal pain. You notice a handgun on the table near his chair. What do you do?
It takes about 60 to 90 seconds to perform a rapid exam of the patient's body to identify
other injuries that must be managed and/or protected before the patient is transported. -
✔After your primary assessment, how long should you take to complete the rapid
exam?
The purpose of the secondary assessment is to perform a systematic physical
examination of the patient. It can either be a systematic head-to-toe or a focused
assessment on a certain area or system of the body. - ✔What is the focus of the
secondary assessment?
Assuming we already know the scene is safe since we are already entering it, we begin
forming a general impression. We start by introducing ourselves to the patient. After you
introduce yourself, ask the patient about the chief complaint. - ✔What is your first action
upon entering the scene of a patient with respiratory distress?
NPA's are usually used for unresponsive patients or patients with an intact gag reflex
and is not able to maintain his or her airway spontaneously. - ✔What is the best reason
for using a nasopharyngeal airway (NPA)?
The nonrebreathing mask is preferred way of giving oxygen in the prehospital setting to
patients who are breathing adequately but are suspected of having or showing signs of
hypoxia. - ✔Which oxygen therapy is appropriate for a patient who is breathing OK but
he is very ill and may be hypoxic?
Wheezing (the production of whistling sounds during respiration) is usually indicative of
a mild lower airway obstruction. - ✔What causes wheezing?
Test the suctioning equipment, measure the catheter to the correct depth, open the
patient's mouth and insert the catheter, apply suction in a circular motion as you
withdraw from the mouth for no longer than 15 seconds (adult). - ✔List the steps for
suctioning the oropharynx of the adult patient.
Ibuprofen is also known as Advil, Motrin, and Nuprin. More listed on drug profile sheet. -
✔What are some trade names for Ibuprofen?
Emergency Medical Services (EMS) - ✔What is the term for a team of professionals
who deliver care and transportation to sick and injured?
Continuous Quality Care is a circular system of continuous internal and external reviews
and audits of all aspects of an EMS system. - ✔What is CQI and what is its purpose?
denial, anger/hostility, bargaining, depression, acceptance - ✔What are the stages of
the grieving process?
The stages may follow one another, occur simultaneously, or a person may jump back
and forth between stages. The stages may last different amounts of time. - ✔Do the
stages of the grieving process occur one-at-a-time and/or in a specific step-wise
fashion?
Cumulative - increased in quantity, degree, or force by successive additions - ✔What
does the term 'cumulative' mean?
Occurs when you are exposed to prolonged or excessive stress. You fight to remain in
control and you are successful, but you are starting to grow tired. Now the next stressful
situation occurs and find it harder to recover because of the effects if the previous stress
is tiring. - ✔Who is at risk for a cumulative stress reaction - and why.
PCR helps ensure continuity of care. It also is a legal document, can be used for
education, gives administrative information, is essential for research records, and helps
with evaluation and continuous quality improvement. - ✔What is the purpose of the
Patient Care Report?
True - ✔True or false: "If it isn't included in the report it wasn't done."
"If the report is sloppy, the patient care was sloppy." Shows continuity of care. - ✔How
does documentation reflect on standards of care?
Medical Director - ✔Who defines the scope of practice in your emergency response
area?
Negligence is the failure to provide the same care that a person with similar training
would provide in the same or similar situation. It is deviation from the accepted standard
of care that may result in further injury to the patient. - ✔What is the term that describes
deviation from standard of care?
No. You may give a concise, well thought out report in the best method of accurately
and thoroughly describing the patient and his or her medical condition to the providers
who will be receiving the patient. Pt's age, gender, chief complaint, brief history of
problem, brief report of physical findings, brief summary of care given, brief description
,EMT FINAL EXAM STUDY GUIDE
of response, addition questions from facility. - ✔Should the components of the radio
report include your diagnosis of the patient's problem?
Treat them as anyone else - ✔How would you address a patient who is a paramedic or
physician or nurse experiencing chest pain?
Chondritis = inflammation of cartilage
itis - inflammation
chondro - cartilage - ✔What is the definition of chondritis? What us the suffix 'itis'
mean? What does 'chondro' mean?
Hemostasis
hemo - blood
stasis - to stop - ✔What is the term for stopping external bleeding?
The spleen is a blood reservoir with about 450ml of blood in it at any time. Filtering is
also a basic duty of the spleen. Worn out blood cells, foreign bodies, and bacteria are
removed from the blood and hemoglobin is recycled. - ✔Which organ of the body filters
out bacteria, some foreign substances and old blood cells?
Platelets are tiny, disc shaped elements that are smaller than cells, they are essential in
the initial formation of a blood clot, the mechanism that stops bleeding. - ✔What are
platelets and why are they important?
The retroperitoneal space is the space that lies behind the abdominal cavity
(peritoneum). The kidneys and part of the pancreas lie in this area and are considered
retroperitoneal organs. - ✔Define retro-peritoneal space? Which organ is found in this
space?
In older adults, the age related shrinkage creates a void between the brain and the
outermost layer is the meninges, which creates room for the brain to move when
stressed. - ✔Why are older patients at risk for severe bleeding into the skull?
It is often assumed that older people are hard of hearing and have difficulty seeing.
They may need eye glasses or hearing aids, but you should not assume that your older
patient is deaf or nearly blind. - ✔What happens to hearing and sight in the older
patient? How will these changes affect how you approach the older patient?
Even if your back is held properly upright adverse forces across your spinal column and
leverage against your lower back will occur if your hands are significantly anterior to
your torso. You may be injured if your back is curves because the force exerted is
across (rather than down) the spinal column. - ✔What causes injury to the back while
lifting?
, EMT FINAL EXAM STUDY GUIDE
If your move is rushed or poorly planned, it may result in discomfort or injury to the
patient, you, or your team. - ✔What can happen when you are in a rush to get the
patient on the gurney and into the ambulance?
Are there weapons present in the area to which the patient or others may have access?
Always observe for such objects, and if they are not secured, make sure to place
yourself between the patient and the potential danger, thus preventing possible access
to the object. Request assistance of law enforcement personnel if the scene is unsafe
with potential violence. - ✔So- you are assessing an older man who complains of
abdominal pain. You notice a handgun on the table near his chair. What do you do?
It takes about 60 to 90 seconds to perform a rapid exam of the patient's body to identify
other injuries that must be managed and/or protected before the patient is transported. -
✔After your primary assessment, how long should you take to complete the rapid
exam?
The purpose of the secondary assessment is to perform a systematic physical
examination of the patient. It can either be a systematic head-to-toe or a focused
assessment on a certain area or system of the body. - ✔What is the focus of the
secondary assessment?
Assuming we already know the scene is safe since we are already entering it, we begin
forming a general impression. We start by introducing ourselves to the patient. After you
introduce yourself, ask the patient about the chief complaint. - ✔What is your first action
upon entering the scene of a patient with respiratory distress?
NPA's are usually used for unresponsive patients or patients with an intact gag reflex
and is not able to maintain his or her airway spontaneously. - ✔What is the best reason
for using a nasopharyngeal airway (NPA)?
The nonrebreathing mask is preferred way of giving oxygen in the prehospital setting to
patients who are breathing adequately but are suspected of having or showing signs of
hypoxia. - ✔Which oxygen therapy is appropriate for a patient who is breathing OK but
he is very ill and may be hypoxic?
Wheezing (the production of whistling sounds during respiration) is usually indicative of
a mild lower airway obstruction. - ✔What causes wheezing?
Test the suctioning equipment, measure the catheter to the correct depth, open the
patient's mouth and insert the catheter, apply suction in a circular motion as you
withdraw from the mouth for no longer than 15 seconds (adult). - ✔List the steps for
suctioning the oropharynx of the adult patient.
Ibuprofen is also known as Advil, Motrin, and Nuprin. More listed on drug profile sheet. -
✔What are some trade names for Ibuprofen?
