EMT FISDAP Study guide

Assessment of respiratory distress - Answer- -important to perform early assessment of level of respiratory distress 1. is patient speaking in full sentences? 2. are they short of breath when they talk -if yes, you need to manage sxms first and obtain HPI later Classification of breath sounds - Answer- Breath sounds are classified into normal tracheal sound, normal lung sound or vesicular breath sounds, and bronchial breath sound. Bronchial breath sounds are further subdivided into three types: Tubular, cavernous, and amphoric. Signs and symptoms of emphysema - Answer- barrel chest pursed lip breathing dyspnea on exertion Signs and symptoms of epiglottitis - Answer- Fever, drooling, difficulty swallowing **tripod position - child leans over and jaw is thrust out to take in air, child refuses to lie down** enlarged round epiglottis on lateral neck x-ray Signs and symptoms of pneumonia - Answer- exertional dyspnea, a productive cough, chest discomfort and pain, wheezing, headache, nausea and vomiting, musculoskeletal pain, weight loss, and confusion Signs and symptoms of simple pneumothorax - Answer- shortness of breath. chest pain, which may be more severe on one side of the chest. sharp pain when inhaling. pressure in the chest that gets worse over time. blue discoloration of the skin or lips. increased heart rate. rapid breathing. Treatment of an asthma patient - Answer- open constricted airways, dry secretions and reduce inflammation. Nebulized albuterol, connected to oxygen at 6-8 LPM, is the first EMS treatment for asthma. Albuterol stimulates beta-2 receptor sites to causes rapid bronchodilation. Fundamentals of operating an AED - Answer- 1). Turn on the AED and follow the visual and/or audio prompts. 2). Open the person's shirt and wipe his or her bare chest dry. If the person is wearing any medication patches, you should use a gloved (if possible) hand to remove the patches before wiping the person's chest. 3). Attach the AED pads, and plug in the connector (if necessary). 4). M