Emergency Medical Responder Latest Update with Verified Solutions
Emergency Medical Responder Latest Update with Verified Solutions EMR Emergency Medical Responder BLS basic life support ALS advanced life support CISD Critical Incident Stress Debriefing DNR do not resuscitate SAMPLE Signs & Symptoms, Allergies, Medications, Pertinant Past History, Last oral Intake, Events leading to illness or injury ABCs airway, breathing, and circulation AVPU for level of responsiveness Alert, Verbal, Pain, Unresponsive MOI mechanism of injury Three most common vital signs Pulse, Breathing, Respiration What can BLS Administer Oxygen Oral Glucose Activated Charcoal Epinepherine what can ALS administer IVs and meds List 5 things in an EMR kit Bandaids Scissors Flashlight Cold Packs Latex Gloves Offline medical control Medical training, policies and procedures Online medical control Medical direction given in real time 5 ways to relieve stress Hobbies Exercise Talking about it Sex Healthy Eating 5 Stages of Death and dying Denial Anger Bargaining Depression Acceptance Duty to Act is? An obligation to provide care. standard of care the manner in which you must act or behave scope of care actions the First Responder may legally provide 2 types of consent implied and expressed Consent for treatment approval or permission Who provides consent for minors? Parents or guardians What is the purpose of an Advanced directive? Written documentation stating what a person does or does not want done if they are unable to decide on their own What is the purpose of a DNR A written request giving permission to medical personnel not to act in the case of cardiac arrest Four ways to tell if someone is dead on scene Decapitation - Head separated from body Rigor Mortis - Stiffening of the muscles Tissue Decomposition - Flesh decay Dependent Lividity- purple and blue blood at the lowest part of the body What are the 3 most important things as an EMR? 1. Scene safety 2. BSI or PPE 3. ABCs Hyper High, above, beyond, excessive Hypo Low, below, deficient, underneath 5 things to include in a handoff report 1. How you found the patient 2. Patients Level of responsiveness 3. Patients main complaint 4. History of incident 5. Vital signs and history of incident What is one reason you would perform a rapid transport? Patient has difficulty breathing If patient is unresponsive what should you do? CPR What is the function the respiratory system? Brings in oxygen and removes waste The skeletal system provides what? Framework and support The outer layer of skin Epidermis How many bones in the human body? 206 What are two ways to open an airway? 1. Head tilt - Chin Lift 2. Jaw Thrust When should you use a jaw thrust? if you suspect a head or neck injury. What are three types of muscles and an example of each Cardiac - heart Involuntary- diaphragm voluntary- Bicep Describe the recovery position in three steps 1. Laying on leftside with left arm above head 2. Right arm guarding the chin 3. Right leg bending over left leg What are two ways to administer oxygen? Nasal Cannula and non rebreather What is a sign and give an example something you see-blood What is a symptom and give an example something the patient tells you- chest pain What are three reasons pupils could be unequal? 1. stroke 2. Head injury 3. Drug use Three signs of a stroke 1. Facial Drooping 2. Arm drifting 3. slurred speech Five steps in patient assessment sequence 1. Scene size up 2. Primary assessment 3. Sample history 4. Secondary assessment 5. Reassessment What is the number one issue with a confined space rescue? Lack of oxygen What joints need to be stabalized for broken bone? Above and below The bone Brady Slow Tachy Fast What is one reason you would need to perform a special rescue? Flooding or mass casualty True or false Documentation serves as a legal record True one example of When you might need CISD mass casualty What kind of consent is when you assume they want help implied red and purple spots along the lower part of the body? lividity What kind of consent is when they tell you they want help expressed doing what you're trained to do is what scope of practice flesh decay is also known as what tissue decomposition how you must act is what Standard of care stiffening of the muscles is what rigor mortis how much oxygen is in normal air 21% What is the function of the muscular system Movement Four ways poison can enter the body ingestion inhalation injection absorption What is ingestion? enters through mouth absorbed by digestive system What is inhalation? enters through mouth or nose absorbed by mucous membrane in respiratory tract What is injection? enters through small opening of the skin, spread circulatory What is absorption? enters through intact skin spreads circulatory where does an EPI pen go? outer thigh Color and blood flow for Capillary bleed medium red and oozing Color and blood flow for venous bleed dark ready with steady flow Color and bleed for arterial blood bright red and spurting Three ways to control bleeding 1. apply direct pressure 2. Elevate 3. Tourniquet If you have an eye injury with an impaled object, what should you do? Stabilize the object and cover both eyes to limit movement Superficial burns are what burns to the outer layer, reddened skin, moderate pain partial thickness burns are what burns to the middle layer, blistering, lots of pain full thickness burns are what burns to all the layers little to no pain What is hypertension? High blood pressure Example of MOI car accident, the car is the MOI What is hypothermia Low body temp True or false if you bandage one eye you should always bandage the other true If the family States they have a DNR order, but its at the other house, what should you do? Act as if it does not exist until paperwork is present True or false you always remove an impaled object false What is DCAPBTLS? Deformities, contusion, abrasions, punctures, bruises/burns, lacerations, swelling True or False you perform DCAPBTLS with secondary assessment for trauma? true Before and after you splint someone what do you check PMS. Pulse, Movement, and Sensation What happens in the first stage of labor? onset of Contractions What happens in the second stage of labor? the baby's head is crowning What happens in the third stage of labor? Delivery of the placenta How do you time contractions from the start of one to the start of the next True or false you are required as an officer to report child or elderly abuse true What is the middle layer of skin Dermis What are you trying to accomplish by splinting an injury? to immobile the break and the joints above and below Who is control of moiving a patient? the person holding the head What do you use when you lift your legs, not your back What is considered a significant fall twice your height What are the triage colors and what do they mean? Green - walking wounded yellow - urgent red - immediate black - dead
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