Supine hypotensive syndrome
o Pregnant lady lying supine; uterus compresses descending aorta and inferior
vena cava, thus reducing amount of blood that is returned to
hearthypotension results (patients in third trimester should be
transported on left side)
Signs of inadequate breathing
o RR less than 12 breaths/min or more than 20 breaths/min in presence of
dyspnea
o Irregular rhythm (Cheyne-Stokes, Kussmaul)
o Diminished, absent, or noisy auscultated breath sounds
o Reduced flow of expired air at nose and mouth
o Unequal or inadequate chest expansion (reduced tidal volume)
o Increased effort or breathing (accessory muscles)
o Shallow depth (reduced tidal volume)
o Pale, cyanotic, cool, or moist (clammy) sin
o Retractions
Acceptable methods of restraining a patient
o At least 4 people (extremities)
o Never put face down
o Access pulse on extremities
o Often use police to help
Meds you can assist with
o Epi-pen
o Nitroglycerin
o Inhaler
Who can start an IV
o AEMT
o Paramedic
o BEMT under Medical control
Most frequently transplanted organ
o Kidney
Define poison
o Substance whose chemical action can damage body structures or impair
body function
How many parts in a standard radio report
o 12
Geriatric patients face what kind of challenges
o Debilitating illnesses
o Numerous health problems
o Fear of being alone/of hospital
o Many medications a day
o Cannot regulate body temperature as well
o Bleeding more
o Thinner skin
, o Bruise easier
Signs of shock
Rapid ascent problem for divers
o Decompression sickness (the bends)
o Nitrogen bubbles (sort of air embolism) thus cutting off blood flow
o Nitrogen goes into tissues during increased pressure, and then turns back
into bubbles when pressure decreases
Define hypertrophy
o Increase in volume of an organ or tissue due to enlargement of its component
cells
Positive stroke scale means what percent chance of a stroke
What to do if an airbag is deployed
Rule of nines for children and infant’s head
o 18 for infant
o 12 for children
o 9 for adult
Purpose of quality improvement
o Designed to identify areas of improvement and, if necessary, assign remedial
training or develop some other educational activity
How to verify adequate ventilation on a tracheostomy patient
o Chest expansion
o Bag and oxygen put together appropriately
Types of chemical weapons
o Respiratory agent
o Metabolic agent
o Nerve agent
o Vesicant
Trauma assessment order
Medical assessment
MOI
Patient to a trauma center
Medical identification devices
o Bracelet
o Necklace
o Card
o DNR order, allergies, diabetes, epilepsy
When to cut an umbilical cord
o Deliver baby and suction mouth then nostrils
o Keep baby at level of umbilical cord
o Clamp 2’’ to 4’’ apart and cut between them
Volatile chemicals
o Lewisite (L)vesicant
o Phosgene oxime (CX)vesicant
o Sarin (GB)nerve
o Pregnant lady lying supine; uterus compresses descending aorta and inferior
vena cava, thus reducing amount of blood that is returned to
hearthypotension results (patients in third trimester should be
transported on left side)
Signs of inadequate breathing
o RR less than 12 breaths/min or more than 20 breaths/min in presence of
dyspnea
o Irregular rhythm (Cheyne-Stokes, Kussmaul)
o Diminished, absent, or noisy auscultated breath sounds
o Reduced flow of expired air at nose and mouth
o Unequal or inadequate chest expansion (reduced tidal volume)
o Increased effort or breathing (accessory muscles)
o Shallow depth (reduced tidal volume)
o Pale, cyanotic, cool, or moist (clammy) sin
o Retractions
Acceptable methods of restraining a patient
o At least 4 people (extremities)
o Never put face down
o Access pulse on extremities
o Often use police to help
Meds you can assist with
o Epi-pen
o Nitroglycerin
o Inhaler
Who can start an IV
o AEMT
o Paramedic
o BEMT under Medical control
Most frequently transplanted organ
o Kidney
Define poison
o Substance whose chemical action can damage body structures or impair
body function
How many parts in a standard radio report
o 12
Geriatric patients face what kind of challenges
o Debilitating illnesses
o Numerous health problems
o Fear of being alone/of hospital
o Many medications a day
o Cannot regulate body temperature as well
o Bleeding more
o Thinner skin
, o Bruise easier
Signs of shock
Rapid ascent problem for divers
o Decompression sickness (the bends)
o Nitrogen bubbles (sort of air embolism) thus cutting off blood flow
o Nitrogen goes into tissues during increased pressure, and then turns back
into bubbles when pressure decreases
Define hypertrophy
o Increase in volume of an organ or tissue due to enlargement of its component
cells
Positive stroke scale means what percent chance of a stroke
What to do if an airbag is deployed
Rule of nines for children and infant’s head
o 18 for infant
o 12 for children
o 9 for adult
Purpose of quality improvement
o Designed to identify areas of improvement and, if necessary, assign remedial
training or develop some other educational activity
How to verify adequate ventilation on a tracheostomy patient
o Chest expansion
o Bag and oxygen put together appropriately
Types of chemical weapons
o Respiratory agent
o Metabolic agent
o Nerve agent
o Vesicant
Trauma assessment order
Medical assessment
MOI
Patient to a trauma center
Medical identification devices
o Bracelet
o Necklace
o Card
o DNR order, allergies, diabetes, epilepsy
When to cut an umbilical cord
o Deliver baby and suction mouth then nostrils
o Keep baby at level of umbilical cord
o Clamp 2’’ to 4’’ apart and cut between them
Volatile chemicals
o Lewisite (L)vesicant
o Phosgene oxime (CX)vesicant
o Sarin (GB)nerve
