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Exam (elaborations)

NYS EMT-B Practical Skills Assessment Already Passed

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NYS EMT-B Practical Skills Assessment Already Passed The six components of a scene size-up are: BSI/PPE Scene safety MOI/NOI Number of patients Additional help Spinal considerations The seven components of a primary assessment are: General impression AVPU Chief complaint/Life threats Airway/Breathing Circulation Decision to transport EMS update The seven components of a secondary assessment for a medical patient are: Vitals OPQRST SAMPLE General impression Interventions Reassessment Radio report The seven components of a secondary assessment for a trauma patient are: SAMPLE Rapid head-to-toe exam Vitals Injury management Interventions Reassessment Radio report During the primary assessment, airway/breathing is evaluated by assessing: airway patency and ventilatory adequacy. Assess airway patency by examining for the presence/absence of ____ symptoms such as abnormal ____ ____ or injuries of the ____ and ____. obstructive; breath sounds; face; neck If the airway is not patent, open the airway with a ____-____/____-____ maneuver for patients without suspected spinal injury and with a ____-____ maneuver if spinal injury is suspected. head-tilt/chin-lift; jaw-thrust Two additional methods for managing airway patency are: Suctioning Airway adjuncts Assess breathing by looking for adequate ____ ____/____ and feeling for ____ ____. chest rise/fall; air movement If breathing rate and/or depth are insufficient, ____ ____ can be provided via the following three means: supplemental oxygen Nasal cannula at 6L/min Nonrebreathing mask at 15 L/min Bag-valve mask at 15 L/min During the primary assessment, circulation is evaluated by assessing: pulse quality, external bleeding, and skin condition. During a rapid trauma assessment, assess the mouth for ____ ____. oral trauma During a rapid trauma assessment, assess the nose for ____ ____. singed hairs During a rapid trauma assessment, assess the nose and ears for leakage of ____ or ____. blood; CSF During a rapid trauma assessment, assess the neck for ____ or ____ ____. JVD; tracheal deviation While palpating the thorax, have the patient ____ to check for ____ ____. breath; flail segments Palpate ____ __ ____ of the abdomen, checking for ____, ____, and ____, while also looking for ____ ____, ____ ____, or ____. all 4 quadrants; distention; rigidity; guarding; pulsating masses; rebound tenderness; eviscerations When performing CPR, the compression- ventilation ratio without advanced airway for adults and adolescents is: 30:2 When performing CPR, the recommended compression depth for adults and adolescents is: At least 2 inches. DRGERM Distention Rigidity Guarding Eviscerations Rebound tenderness Masses The cardiovascular system can be assessed by palpating the ____ for pain and examining the neck for ____, the extremities for ____, the skin for ____, and the lungs for ____ ____ ____. chest; JVD; edema; hypoperfusion; abnormal breath sounds Pedal edema is suggestive of ____. CHF Crackles (rales) and JVD are suggestive of ____ ____. heart failure If a patient complains of "tearing" pain, a difference in blood pressure between the right and left arms may reinforce your suspicion of ____ ____. aortic dissection Apneic patients with a pulse should be ventilated at a rate of 1 breath every __-__ seconds, for a total of __-__ breaths per minute. 5-6; 10-12 The patient should be ventilated at an ____ volume to achieve ____ ____ ____. adequate; visible chest rise A suction tip should initially be inserted (with/without) suction on (e.g. finger on/off the hole). without A tourniquet is adequately tightened when: bleeding has stopped With a traction splint, the first strap applied should be the: ischial strap With a traction splint, mechanical traction should be applied until the patient: feels relief With a traction splint, mechanical traction should be applied (before/after) securing the support straps. before

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