EMT FISDAP Study guide
Assessment of a patient with suicidal thoughts - 1). Do you want to hurt yourself or anyone else?
2). If yes, do you have a plan on how you want to do it?
3). If you have a plan, do you have the means to carry out that plan?
Assessment of carbon monoxide poisoning - symptoms include
Flu-like illness
Fatigue
Chest pain
Lethargy
Depression
Nausea
Vomiting
Headaches
treatment it provde oxygen in safe location
Assessment of meconium staining - to reduce the risk of aspiration, do not stimulate the infant before
suctioning the oropharynx.
suction the mouth then the nose.
maintain an open airway.
provide artificial ventilation and or chest compressions as indicated by the infant's efforts of breathing
and heart rates.
transport as soon as possible.
Assessment of neonatal resuscitation - typically, preterm newborns will require smaller ET tubes than
full-term. Having a selection of ET tubes sized down to 2.5 mm will address all possible resuscitation
scenarios. An emerging alternative to ET intubation is the laryngeal mask airway (LMA) and other
supraglottic airways,
, Assessment of pediatric circulation - airway and appearance
working of breathing
Circulation to skin color
Assessment of respiratory distress - -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
Assessment of tension pneumothorax - Tension pneumothorax is classically characterized by
hypotension and hypoxia. On examination, breath sounds are absent on the affected hemothorax and
the trachea deviates away from the affected side. The thorax may also be hyperresonant; jugular venous
distention and tachycardia may be present.
Assessment of tuberculosis - If your patient has signs of TB, protect yourself with an N95 respirator face
mask. If you learn during your patient history that a patient is taking isoniazid (INH) and rifampin,
assume they are being treated for TB and do the same. TB can be treated by taking several drugs for 6-12
months.
Assisting with a normal delivery - 1). There may be a gush of fluid as the amniotic sac breaks and labor
begins, as well as a bloody show — the mucous plug covering the cervix drops away during a
contraction.
2). The mother experiences intermittent contractions that become longer and more regular.
3). Contractions become very strong as delivery begins; the cervix is now fully dilated.
4). The baby's head emerges first, face down.
5). The head drops down slightly as the next contraction occurs. Very quickly, the shoulders pop past the
pubic bone and the newborn is delivered.
6). Continue to dry and warm the newborn.
7). Note the time of birth and evaluate the newborn's APGAR score at 1 minute and 5 5 minutes after
birth.
The highest score is a 10; the lowest is zero. A score of 7 or greater in the first minute is considered
normal.
Assessment of a patient with suicidal thoughts - 1). Do you want to hurt yourself or anyone else?
2). If yes, do you have a plan on how you want to do it?
3). If you have a plan, do you have the means to carry out that plan?
Assessment of carbon monoxide poisoning - symptoms include
Flu-like illness
Fatigue
Chest pain
Lethargy
Depression
Nausea
Vomiting
Headaches
treatment it provde oxygen in safe location
Assessment of meconium staining - to reduce the risk of aspiration, do not stimulate the infant before
suctioning the oropharynx.
suction the mouth then the nose.
maintain an open airway.
provide artificial ventilation and or chest compressions as indicated by the infant's efforts of breathing
and heart rates.
transport as soon as possible.
Assessment of neonatal resuscitation - typically, preterm newborns will require smaller ET tubes than
full-term. Having a selection of ET tubes sized down to 2.5 mm will address all possible resuscitation
scenarios. An emerging alternative to ET intubation is the laryngeal mask airway (LMA) and other
supraglottic airways,
, Assessment of pediatric circulation - airway and appearance
working of breathing
Circulation to skin color
Assessment of respiratory distress - -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
Assessment of tension pneumothorax - Tension pneumothorax is classically characterized by
hypotension and hypoxia. On examination, breath sounds are absent on the affected hemothorax and
the trachea deviates away from the affected side. The thorax may also be hyperresonant; jugular venous
distention and tachycardia may be present.
Assessment of tuberculosis - If your patient has signs of TB, protect yourself with an N95 respirator face
mask. If you learn during your patient history that a patient is taking isoniazid (INH) and rifampin,
assume they are being treated for TB and do the same. TB can be treated by taking several drugs for 6-12
months.
Assisting with a normal delivery - 1). There may be a gush of fluid as the amniotic sac breaks and labor
begins, as well as a bloody show — the mucous plug covering the cervix drops away during a
contraction.
2). The mother experiences intermittent contractions that become longer and more regular.
3). Contractions become very strong as delivery begins; the cervix is now fully dilated.
4). The baby's head emerges first, face down.
5). The head drops down slightly as the next contraction occurs. Very quickly, the shoulders pop past the
pubic bone and the newborn is delivered.
6). Continue to dry and warm the newborn.
7). Note the time of birth and evaluate the newborn's APGAR score at 1 minute and 5 5 minutes after
birth.
The highest score is a 10; the lowest is zero. A score of 7 or greater in the first minute is considered
normal.
