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EMT REGISTRY CARDS
STUDY CARDS FOR EMT REGISTRY
202
Medical
Not Applicable
07/26/2009

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Cards

Term
Chief complaint
Definition
Brief short description of why EMS was called
Term
When assessing a child the most important aspect is
Definition
The EMT"S general impression of the patient.
Term
Baseline vital signs consists of checking
Definition
pulse, breathing, blood pressure skin and pupils.
Term
Normal breathing rate for an adult
Definition
12 to 20 times per minute
Term
normal breathing rate for a child
Definition
15 to 30 times per minute
Term
normal breathing rate for an infant
Definition
25 to 50 times per minute
Term
An emt should be concerned if an adult respiratory
Definition
rate is less than 8 or greater than 24 times per minute
Term
common place to check pulse for an conscious adult
Definition
radial artery
Term
Check the pulse for
Definition
Rate and quality
Term
Quality of pulse refers to
Definition
strength and regularity
Term
Radial pulse located
Definition
lower hang
Term
Carotid pulse located
Definition
on the neck
Term
Brachial pulse located in the
Definition
upper arm
Term
Check capillary refill in patients less than
Definition
6 years old
Term
Hypoglycemia
Definition
pale complexion
Term
Heat emergency with dry skin
Definition
Flushed
Term
liver problems
Definition
jaundice
Term
normal skin color
Definition
pink
Term
late stage carbon monoxide poisoning
Definition
flushed
Term
insufficent circulation
Definition
pale
Term
inadequate oxygenation
Definition
cyanotic
Term
hypoperfusion
Definition
pale
Term
check skin color in the following areas
Definition
conjunctiva oral mucosa nail beds
Term
blood pressure should be checked on patients
Definition
older than 3 years old
Term
first sound noted when taking a blood pressure
Definition
systolic pressure
Term
diastolic pressure
Definition
pressure exerted against the walls of the arteries when the left ventricle is at rest
Term
systolic blood pressure may indicate a serious problem if it is
Definition
less than 100 mm Hg
Term
normal pulse rate for an adult
Definition
60 to 100 beats per minute
Term
normal pulse rate for a child
Definition
80 to 100 beats per minute
Term
normal pulse rate for an infant
Definition
100 to 140 beats per minute
Term
normal pupils are
Definition
equal and constrict when exposed to light
Term
deflate a blood pressure cuff at a rate of
Definition
2 to 3 mm Hg per second
Term
Pulse oximeter shows the
Definition
percentage of hemoglobin saturated with oxygen in the blood.
Term
Why does a pulse oximeters provide inaccurate information for carbon monoxide victims
Definition
the oximeter cannot differentiate carbon monoxide in the blood from oxygen in the blood
Term
An E cylinder tank will hold
Definition
625 liters of oxygen
Term
D oxygen cylinder holds
Definition
350 liters of oxygen
Term
M oxygen cylinder holds
Definition
3,000 liters of oxygen
Term
Poratable oxygen tanks
Definition
D and E
Term
on board oxygen tanks
Definition
M and G
Term
rate of supplemental oxygen with a pocket mask or bag valve mask is
Definition
15l per minute
Term
max rate for a nasal cannula
Definition
6 liters per minute
Term
Oral airway measurement
Definition
earlobe to corner of mouth
Term
Oral airway insert
Definition
upside down rotate 180 degrees
Term
Measurement of nasal airway
Definition
tip of nose to the earlobe
Term
assist rate of ventilation of an adult when rate is below
Definition
8 breaths per minute
Term
do not use flow restricted oxygen powered ventilation devices on
Definition
infant and children
Term
suction unit should have a vacumm of at least
Definition
300 mm HG
Term
Sign of cardiac arrest
Definition
chest rises and falls as each ventilation is delivered
Term
epiglottis protects the
Definition
trachea
Term
Bradycardia may occur during
Definition
intubation
Term
common endotracheal tube size for an adult is
Definition
7.5 mm
Term
after inserting endotracheal tube fill cuff with
Definition
5-10 ml of air
Term
Intubating a trauma patient you should
Definition
place head in the neutral in line position
Term
most adults can be intubated using what size curved blade
Definition
3
Term
for children under 8 years old use what kind of endotracheal tube
Definition
uncuffed endotracheal tube
Term
to determine size of tube for infant or child match tube size to
Definition
diameter of patients little finger
Term
Injuries associated with
windshield broken
broken car dashboard
accident in shallow end of pool
bent steering wheel
Definition
head cervical spine injurt
hip injury
head cervical spine injury
chest injury
Term
to open an airway for an unresponsive patient use
Definition
modified jaw thurst
Term
rapid trauma assessment is
Definition
60-90 seconds long and is a quick head to toe examination
Term
Patient with single system trauma focused and physical exam should start at the
Definition
site of injury
Term
when only 1 emt is present perform
Definition
initial assessment first then rapid trauma assessment then check vital signs and take history
Term
step after initial assessment of an unresponsive medical patient is
Definition
rapid head to toe assessment
Term
Perform detailed physical while
Definition
en route to hospital
Term
Dyspnea =
Definition
difficulty breathing
Term
patients having difficulty breathing should recieve
Definition
oxygen with a non re breather at 15liters per minute.
Term
wheezing noises may indicate
Definition
pulmonary edema or COPD
Term
actions and side effect of albuterol
Definition
dilates bronchioles and speeds up heart rate, tremors of hands
Term
patients with COPD but not in respiratory distress should receive oxygen wtih
Definition
nasal cannula 1-4 liters / minute
Term
COPD patient in severe shock due to trauma should receive oxygen via
Definition
a mask
Term
When a asthma patient is confused and irritable patient is becoming
Definition
patients is becoming hypoxic
Term
status asthmaticus
Definition
severe asthma attack unrelieved by oxygen and medication.
Term
Pulmonary edema symptoms
Definition
sudden onset of dyspena cyanoiss sharp stabbing chest pain
Term
Chest pain with a cardiac emergency patients should get oxygen
Definition
immediately via a non re breather mask. position in a postion of comfort
Term
Nitroglycerin affects
Definition
Dilates blood Vessels
Term
max dose of nitrogylcerin
Definition
3 doses
Term
IF after shock pulse returns you should assess breathing with
Definition
ventilations with bag valve mask
Term
CHF SYMPTOMs
Definition
Swelling of lower extremities difficulty lying flat distended nexk veins difficulty breathing.
Term
CHF Patients should be transported
Definition
sitting upright while receiving oxygen
Term
Consciouness stroke patients should be transported
Definition
head elevated 30 degrees to lower intracranial pressure
Term
TIA
Definition
Stroke like symptoms that are very brief.
Term
Hypoglycemia is
Definition
low blood sugar
Term
Oral glucose is administered to patients with
Definition
diabetes or alterd mental status
Term
Oral glucose dose
Definition
1 tube should be placed between cheek and gums.
Term
Normal blood glucose level
Definition
80 to 120 Mg/Dl
Term
No suspected Cervical spine seizure patient should be transported in the
Definition
recovery position.
Term
Grand mal seizure
Definition
full body convulsive activity
Term
Tonic phase
Definition
body rigid and stiff
Term
Clonic phase
Definition
body jerks violently
Term
Epin pen will
Definition
dilate bronchioles and constrict the blood vessels
Term
Epipin adult dose
Definition
.3mg
Term
infant and children dose
Definition
0.15 mg
Term
EPIPEN WILl increase what and skin color will be what color
Definition
pulse rate and pale skin
Term
Common poison route for children
Definition
ingest poisons
Term
Contraindications for activated charcoal
Definition
can not swallow altered mental ingestion of acids and alkalis
Term
adult and child dose for activated charcoal
Definition
25-50 g
12.5-25g
1g/kg of body weight
Term
Sympotoms of meth and amphetamine
Definition
incrase pulse increase breathing dilated pupils
Term
early signs of hypothermia
Definition
increase pulse and increase breathing
Term
Fetus grows in the
Definition
uterus
Term
amniotic sac
Definition
bag of water that protects the baby
Term
cervix
Definition
neck of uterus
Term
perineum
Definition
skin between vagina and anus may tear during pregnancy
Term
PPE FOR CHILD BIRTH
Definition
gloves gown eye protection and mask
Term
1st stage of labor
Definition
beginning of contractions too the cervix fully dilates
Term
2nd stage of labor
Definition
period from complete dilation of the cervix to child birth
Term
3rd stage of labor
Definition
delivery of placenta
Term
delivery is imminent when contractions are
Definition
less than 2 minutes
Term
transport unless delivery is expected in less than
Definition
5 minutes
Term
rotation of baby's head normally occurs once the head is
Definition
delivered
Term
only insert fingers inside the vagina when
Definition
prolapsed cord and during a breach birth to form an airway for the baby
Term
Steps to take immediately after delivery of head
Definition
check for prolapsed cord
check amniotic sac is not over babys face
suction the mouth than the nose
Term
steps to take after birth
Definition
dry baby off and keep warm with blanket place bloth over the babys head
Term
normal breathing rates for a new born baby
Definition
greater than 30
Term
to stimulate breathing
Definition
rub the back of the baby or tap the soles fo the feet
Term
what level should the baby be placed until the cord is clamped and cut
Definition
level of mothers vagina

too high will cause hypovolemia
too low will cause fluid over load
Term
when do you cut the cord
Definition
after pulsations in the cord have ceased
Term
where do u place the clamps
Definition
1st clamp 4 inches from the baby
2nd clamp 2 inches from the first and cut between the clamps
Term
after cord is cut where do u position the baby
Definition
with head slightly lower than the trunk
Term
if new born heart rate drops below 100
Definition
start positive pressure ventilation
Term
new born rate stays below 60 beats after 30 seconds of assisted ventilation
Definition
start chest compressions
Term
placenta will deliver when and how do u transport
Definition
20 minutes after birth warp in twoel placed in plastic bag
Term
normal blood loss during birth
Definition
500 cc or about 4 cups
Term
to control bleeding from the vagina you should never
Definition
pack the vagina instead massage the abdomen place in shock position and place sterile pad over the vagina opening
Term
Hemorrhagic shock is
Definition
hypoperfusion caused by blood loss
Term
Late sign of shock
Definition
drop in blood pressure
Term
Early indicatior of shock
Definition
increase in pulse rate
Term
Check capillary refill in
Definition
children and infants younger than 6
Term
Indicators of shock
Definition
restlessness and anxiety change in mental status increased pulse rate moist skin and dilated pupils
Term
steps to manage shock
Definition
airway and breathing maintained major bleeding controlled administer oxygen place in the shock position and keep the patient warm
Term
dangerous level of blood loss includes
Definition
1 litter of blood for an adult
500 cc for a child
100 to 200 cc for an infant
Term
dark red blood that flows steadily is called
Definition
venous bleeding
Term
bleeding that is bright red and blood spurts with each heartbeat is called
Definition
arterial bleeding
Term
slow oozing blood
Definition
capillary bleeding
Term
steps to control bleeding
Definition
direct pressure first step torniquets should only be used as a last resort
Term
technique for a tourniquet
Definition
should be wrapped twice before tightened should be 4 inches wide applied proximal to the wound and never loosened once applied
Term
after applying the tournquiet
Definition
document its use and time it was applied on the emt report write the letters tk and the time it was applied on the patients forehead
Term
Nosebleed
Definition
Epistaxis
Term
managing a nose bleed with a head injury you should
Definition
not attempt to control the bleeding
Term
Emesis looks like coffee grounds :
Definition
bleeding in the stomach
Term
Tarry looking stool
Definition
internal bleeding in the upper intestines bright red bleeding is bleeding from the lower intestines.
Term
An EMT who suspects internal bleeding must be alert for
Definition
nausea and or vomiting
Term
Indication of a PASG
Definition
pelvic injury with signs of abdominal bleeding
Term
Contraindication of a PASG
Definition
chest injury of isolated head injury chest sounds indicating fluid in the lungs
Term
Techniques of the PASG
Definition
Should lie below the last pair of ribs,
inflated untill the hook and loop tape starts to crackle or the pop off valves release. pressure reading of 60mm HG never deflate
Term
Bone injury and associated blood loss for the following:
Femur
Humerus
Pelvis
Rib
Tibia
Definition
125 cc for the rib
250 cc for the humerus
tibia 500 - 750 cc
femur 1000 cc
pelvis 1000 to 10,000 cc
Term
Bilateral femur fractures may be accompanied by
Definition
moderate to severe shock
Term
Golden hour begins
Definition
when the injury occurs
Term
Two types of shock associated with widespread vasodilation are
Definition
septic and neurogenic shock
Term
septic shock is
Definition
the vasodilation cuased by toxins released in the blood stream
Term
neurogenic shock
Definition
damage to spinal cord causes blood vessels to relax and dilate
Term
Hypoperfusion occurs because
Definition
the blood vessels lose their ability to constrict.
Term
Hematoma is an
Definition
closed soft tissue injury
Term
Type of bleeding from an abrasion is
Definition
capillary bleeding
Term
Bleeding from a laceration is
Definition
severe and can be controlled using direct pressure
Term
perforating wound is
Definition
puncture wound with and entracnce and exit wounds
Term
urticaria are
Definition
itchy wheals or hives
Term
Stellate laceration has what type of edges
Definition
irregular
Term
Early managment of an open chest wound include:
Definition
seealing the wound with an occlusive dressing at the same time as supplying high flow oxygen
Term
Eviscreations should be covered with
Definition
moist sterile dressings that are then covred wtih an occlusive dressing. no not replace organs or apply direct pressure
Term
no suspected spinal injury for eviscreation patient transport on
Definition
his or her back with hips and knees flexed
Term
neck vein laceration should be covered with
Definition
occlusive dressing
Term
EYE FLUSING INCLUDES:
Definition
from the corner closest to the nose to the outside cornor can use a nasal cannula attached to intravenous tubing.
Term
Classifaction of burns :
Definition
thermal chemical electrical a steam burn is a thermal burn
Term
partial thickness burns include
Definition
reddening , blisters and intense pain.
Term
Without oxygen brain damage occurs in
Definition
4 to 6 minutes
Term
most common cause of airway obstruction in an unconscious patient
Definition
tongue
Term
steps for basic life support
Definition
scene safety, bsi, establish if patient is responsive call for help open the airway
Term
perferred method for opening the airway of a pateitn without suspected spinal injury
Definition
head tilt chin life.
Term
method for opening airway suspected cervical spine injury
Definition
modified jaw thrust
Term
adult patient who is not breathing but has a pulse should be ventialated every
Definition
5 to 6 seconds
Term
Chest compressions should be delievered to what part of the sternum
Definition
lower half
Term
one rescuer adult rate of chest compressions
Definition
30:2
Term
patients who are not breathing should be ventilated with
Definition
100 percent oxygen
Term
to relieve an airway obstruction in a pregnant woman or obese patient use
Definition
chest thrusts instead of abdominal thrust
Term
when perfroming cpr on a child
Definition
compress the lower half of the sternum with the heel of one hand or with two hands
Term
to perform cpr on a child who has a pulse but is not breathing ventilate the patient
Definition
ventilate the patient 12-20 times a minute or once every 3-5 seconds this is the same rate as for an infant.
Term
infant =
Definition
1 year or younger
Term
pulse use to assess an infant and pulse use for a child
Definition
brachial carotid
Term
when ventilatiing an infant the emt should cover the
Definition
infants mouth and nose with hisor her mouth or a mask give each breath over 1 second
Term
ratio of comressions to ventilations for an infant or child is
Definition
30:2 if only 1 emt
15:2 if 2 emts present and when an advanced airway is not in place
Term
type of thrust to perfrom on an infant
Definition
chest thrusts.
Term
to relieve airway obstruction in a conscious infant
Definition
perform cycles of five back blows followed by five chest compressions

unresponsive perform cpr do not perform blind finger swipe
Term
removal of foreign bodies obstructing infants airway only get removed if they can be
Definition
be visualized
Term
emt should keep infnats head lower than the blank when performing maneuvers to relieve an airway. infant can be straddled over the emts arm to accomplish this
Definition
trunk
Term
when 1 EMT present and unresponsive infant or child present emt should perform
Definition
CPR for 2 minutes then activate EMS and resume as quickly as possible
Term
most common cause of cardiac arrest in children
Definition
hypoxia
Term
after opening the airway the emt should
Definition
look listen and feel for breaths
Term
when assessing a child the first concern is
Definition
child breathing. respiratory arrest is more common than cardiac arrest in children.
Term
when performing a detailed physical exam on infant examine the
Definition
heart and lungs first and the head last.
Term
when performing a detailed physcial on a toddler use a
Definition
turunk to head appraoch. ariway breathing and circulation still take priority over vital signs.
Term
traumatic injury is number one cause of death among
Definition
infants and children
Term
when opening the airway of an infant or child be carefull not to
Definition
hyperextend the nexk
Term
inserting oral airways in a child should be inserted how
Definition
right side up rather than upside down adn rotated. a tongue blade should be used to assist in placementl
Term
while suctioning an infant or child continually monitor the childs
Definition
heart rate.
Term
administering oxygen to a new born or infant should be done how
Definition
nonrebreather mask or a blow by method .
Term
stridor is heard on inspiration and is a sign of
Definition
upper airway obstruction
Term
Wheezing on expiration indicated
Definition
lower airway disease.
Term
infant or chuild is considered to be in respiratory arrest when breathing rate drops
Definition
10 breaths per minute artifical ventilations hsould be started immediately.
Term
decreased uring output is a sign of
Definition
hypoperfusion in infants.
Term
hypoperfusion infants will be
Definition
pale and tears will be absent even when the child is crying.
Term
leading cause of traumaticd death in children
Definition
blunt injury
Term
emt should pad children under the blank to keep the spine in a neutral in line position.
Definition
shoulders and or upper torso
Term
when using a PASG for children
Definition
inflate the legs only.
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