Term
|
Definition
| Identified by a red hourglass on the abdomen |
|
|
Term
|
Definition
| Presentation of this kind of injury includes spasm of the large muscle groups (stomach and thigh muscles). Treated with Diazepam and Calcium Gluconate. |
|
|
Term
|
Definition
| This spider's venom is necrotic and it's bite generally requires surgical intervention. |
|
|
Term
| Brown Recluse Spider bite |
|
Definition
| Painless at first, but after 8 hours you will experience localized pain, redness and swelling of the site. |
|
|
Term
| Draw a circle to mark the boundary of the bite and to track any surrounding inflammation. |
|
Definition
| What is one action we can take upon arrival if presented with a possible insect bite? (this action will help the ER personnel determine trending of the injury) |
|
|
Term
| Carbon Monoxide Poisoning |
|
Definition
| S/S include: headache, nausea and vomiting, confusion, tachypnea, agitation, loss of coordination, chest pain, loss of consciousness, seizures, cyanosis and a late sign is cherry red skin. |
|
|
Term
| Incomplete combustion of fossil fuels |
|
Definition
| How is carbon monoxide produced? |
|
|
Term
| Hemoglobin's affinity for CO is 200 times greater than it's affinity for O2. |
|
Definition
| Does Oxygen or Carbon Monoxide bind more readily to hemoglobin? At what rate does one exceed the other? |
|
|
Term
Hyperbaric Chamber
Give O2 and Remove from the environment |
|
Definition
| What is the definitive treatment for Carbon Monoxide Poisoning? What can we do for it in the field? |
|
|
Term
Headache and Nausea among the residents of the home.
Looks like flu symptoms |
|
Definition
| What are the most common signs of Carbon Monoxide poisoning? For what can they be mistaken? |
|
|
Term
|
Definition
| What condition presents with Wenckebach arrhythmia and PVCs on the monitor and may be further indicated by a bruise on the chest? |
|
|
Term
| Treat what symptoms the patient suffers from (treat the pt) |
|
Definition
| How is a cardiac contusion normally treated in the field? |
|
|
Term
|
Definition
| What condition occurs due to increased pressure on the heart due to fluid in the pericardial sac? |
|
|
Term
|
Definition
| Signs and Symptoms: Dyspnea and orthopnia (sob when lying flat), clear lung sounds, rapid thready pulse, decreasing systolic pressure, pulsus paradoxus and narrowing pulse pressure with muffled or faint heart sounds? |
|
|
Term
|
Definition
| What condition includes presentation of Beck's Triad - JVD, Muffled Heart Tones, Narrowing Pulse Pressure? |
|
|
Term
|
Definition
| What condition requires the definitive treatment of pericardial centesis? |
|
|
Term
Tamponade = normal lung sounds
Tension Pneumo = diminished or absent lung sounds |
|
Definition
| Cardiac Tamponade and Tension Pneumo can present very similar. What is the key difference between them from an assessment standpoint? |
|
|
Term
|
Definition
| What condition presents with S/S: Acute onset chest pain or SOB, Altered mental status or LOC, General weakness, restlessness, confusion, coma (severe), dyspnea, productive cough, labored breathing, paroxysmal nocturnal dyspnea, tripoding and tachycardia? |
|
|
Term
|
Definition
| What is the #1 drug used to treat non rate induced cardiogenic shock? |
|
|
Term
Flail Chest
Moves IN upon inspiration (rather than the normal OUT) |
|
Definition
What injury presents as a section of the chest wall that moves paradoxical to the rest of the chest?
Upon Inspiration, which way will that segment of chest move? |
|
|
Term
(First, occlude the wound with a gloved hand, then:) Occlusive dressing sealed on 3 sides
Monitor for loss of compliance while bagging the pt |
|
Definition
What is the field treatment for a sucking chest wound?
How do you monitor the effectiveness of this intervention? |
|
|
Term
| Stabilize with bulky dressing. Never use a sandbag - too much weight will affect respirations. |
|
Definition
| What is the field treatment of a flail segment? |
|
|
Term
|
Definition
| What pathogen is responsible for Chicken Pox (and later in life, Shingles)? |
|
|
Term
|
Definition
| What condition presents with: Respiratory symptoms, malaise, low grade fever and most notably a rash that originates on the face and trunk? |
|
|
Term
|
Definition
| What condition presents with S/S of productive cough for at least 3 months per year for 2 or more years, overweight, cyanotic, rhonchi, Right side heart failure if they have JVD, ankle edema and hepatic congestion? |
|
|
Term
| All COPD patients are hypercarbic |
|
Definition
| If a person has COPD, what do you expect their acid / base issue to be? |
|
|
Term
|
Definition
| What is the classic sign(s) of Right side failure? |
|
|
Term
| Smoking and subsequent bronchial injury |
|
Definition
| What is the #1 cause of chronic bronchitis? |
|
|
Term
| Overproduction of mucus / the inability to move that mucus from destruction of the sciliated cells. |
|
Definition
| What is the pathophysiology of Chronic bronchitis? |
|
|
Term
|
Definition
| The production of the mucus prevalent in chronic bronchitis is being produced where? |
|
|
Term
| Coral bite is non symptomatic for 6-12 hours, causing people to be lax in seeking immediate treatment. |
|
Definition
| Why is the Coral Snake bite so often deadly? |
|
|
Term
|
Definition
| You are presented with a patient exhibiting localized numbness, drowsiness, ataxia (aka dystaxia or loss of muscle coordination), slurred speech and excessive salivation, paralysis of the tongue and larynx, drooping eyelids, double vision, dilated pupils, abdominal pain, nausea and vomiting, LOC, seizures, respiratory failure and hypotension. What do you suspect is the cause? |
|
|
Term
|
Definition
| What is unique about the venom of a Coral Snake? |
|
|
Term
| Limit movement / activity of patient (more movement spreads venom faster), Place a light constricting band between the patient and the bite. |
|
Definition
| What is the field treatment for a Coral Snake bite? |
|
|
Term
|
Definition
| If presented with a patient whose S/S include GI Bleeding, recent weight loss, intermittent abdominal cramping and pain, nausea and vomiting with diarrhea and fever, what do you suspect is the cause? |
|
|
Term
|
Definition
| This condition is caused by a destruction of the lining of the intestine that sometimes produces fissures and a lot of cramping. Also increases the incidence of colon cancer in it's victims. |
|
|
Term
|
Definition
| Presented with a patient who exhibits a loud, seal-like barking cough, tachypnea, grunting while breathing, wheezing, acute respiratory distress especially at night. What do you suspect? |
|
|
Term
|
Definition
| This condition is viral in origin and comes on more gradually than epiglottitis? |
|
|
Term
Racimic Epinephrine
Due to the danger of rebound congestion within 30-60 minutes |
|
Definition
Croup is treated with what medication?
Why is this medication not administered in the field? |
|
|
Term
Cyanide Poisoning.
Burning sensation in the mouth or throat. |
|
Definition
What condition presents with a burning sensation in the mouth and throat, headache, combative behavior, hypertension, tachycardia, seizures, coma, pulmonary edema?
Among these, which is the most telling symptom? |
|
|
Term
| encountered as a by product of combustion |
|
Definition
| How does cyanide poisoning most often occur? |
|
|
Term
| Fruit seeds (apple, peach pit, etc) |
|
Definition
| The national registry presents cyanide poisoning in this unusual manner of encounter? |
|
|
Term
Amyl Nitrate, Sodium Nitrite, Sodium Theosulfate
(generally knowing amyl nitrate will be the tip you need) |
|
Definition
| Treatment of Cyanide poisoning requires what 3 drugs? |
|
|
Term
|
Definition
| Cyanide kills by what mechanism? |
|
|
Term
|
Definition
| What smell is generally associated with cyanide? |
|
|
Term
|
Definition
What condition is indicated by three signs including either hypertension, bradycardia, and irregular respiration, or less commonly a widening pulse pressure (with elevated systolic and a either decreased or normal diastolic BP), irregular respiration, and bradycardia?
When found together, they indicate increased intracranial pressure. |
|
|
Term
Babinski's Sign
Indicates significant neurological deficit in the upper brain stem. |
|
Definition
| Fanning of the toes when stroked on the plantar surface of the foot indicates what? What is this sign called? |
|
|
Term
Chaddock's Sign
Indicative of significant neurologic deficit in the upper brain stem. |
|
Definition
| Fanning of the toes when the external malleolar skin is touched. What is this sign called and what does this indicate? |
|
|
Term
Brudinski's Sign
Meningitis |
|
Definition
A patient is positive for this sign if a passive flexion of the leg on one side causes a similar movement of the opposite leg?
Indicative of what? |
|
|
Term
Brudinski's Sign
Meningitis |
|
Definition
A patient is positive for this sign if a passive flexion of the neck causes flexion of the legs?
What is this sign looking for? |
|
|
Term
|
Definition
This sign is positive if the patient's leg will not straighten once the hip is rotated to 90 degrees (performed while lying supine)?
What does a positive test indicate? |
|
|
Term
Spasming of the hamstrings
(due to inflammatory exudates around the roots of the lumbar theca). |
|
Definition
| When testing for Kernig's sign, why will the patient's leg not straighten out? |
|
|
Term
Doll's Eye
Multiple Sclerosis or Head Trauma |
|
Definition
What sign is indicated by a total lack of coordination between the eyes and head?
What does it indicate? |
|
|
Term
Joffroy's Sign
Grave's Disease |
|
Definition
What sign is positively indicated by a lack of forehead wrinkles with the eyeballs rolled up?
What does this indicate? |
|
|
Term
Cullen's Sign
Example: Ectopic Pregnancy or Abdominal Trauma |
|
Definition
What sign is positive by bruising around the belly button, indicating blood in the abdomen?
What can that be attributed to? |
|
|
Term
Grey Turner's Sign
Trauma, damaged kidneys |
|
Definition
What sign is indicated by bruising along the flanks due to the presence of blood in the soft tissues?
What does this sign indicate? |
|
|
Term
Rovsing's Sign
Appendicitis |
|
Definition
What sign is indicated by pain in the right abdomen (at McBurney's Point) when pressure is applied on the left?
What does this indicate? |
|
|
Term
Kussmaul's Sign
Cardiac tamponade
(puts pressure on the heart, preventing it from filling) |
|
Definition
What sign is indicated by bilateral or paradoxical increase in JVD with inspired breath?
What does this indicate? |
|
|
Term
Levine's Sign
Examples of pain: Angina Pectoris, Chest wall pain, esophageal pain |
|
Definition
| What sign is indicated by the placement of a fist or hand over the sternum to indicate pain and sometimes type? |
|
|
Term
Kehr Sign
Ruptured Spleen (referred pain)
(Special note: this sign is often overlooked or attributed to injuries / spinal trauma) |
|
Definition
This sign is indicated by violent pain in the left shoulder (right at the point of the shoulder) and sometimes pain in the LUQ?
What does it indicate? |
|
|
Term
| Braxton Hick's Contractions (aka Practice Contractions) |
|
Definition
| Uterine contractions that occur in the second or third trimester that are sporadic and usually painless? |
|
|
Term
|
Definition
| This sign is defined as bruising behind the ear or "Raccoon's Eyes" indicative of a basilar skull fracture? |
|
|
Term
|
Definition
| What bone fracture is responsible for the leakage of CSF? |
|
|
Term
|
Definition
| Landmark area of the appendix half way between the navel and the iliac crest? |
|
|
Term
Lloyd's Sign
Kidney Infection, pyelonephritis (aka UTI), renal stone |
|
Definition
This sign is CVA tenderness, also known as Murphy's Punch sign, elicited when gently tapping the area of the back overlying the kidney?
What 3 conditions can this indicate? |
|
|
Term
|
Definition
This sign is indicated by pressing on the abdomen over the liver and observing for a change in the jugular veins. A positive sign would be a rise in the Jugular veins of 4cm or greater or a fall of more than 4cm upon release of the abdominal pressure?
(In other words, pressing on the liver causes flat jugular veins) |
|
|
Term
|
Definition
Indentations that run across the nails which are indicative of a serious health threat that has passed?
(Indications can include uncontrolled diabetes, PAD, a high fever associated with Scarlet Fever, measles, mumps and pneumonia. Can also indicate zinc deficiency). |
|
|
Term
| Nail Clubbing (Club Nails) |
|
Definition
This sign is sometimes the result of low oxygen in the blood and could be a sign of various types of lung disease such as COPD, etc?
(Also associated with inflammatory bowel disease, cardiovascular disease, liver disease and AIDS) |
|
|
Term
| Venous Stasis or Venostasis |
|
Definition
| A condition of slow blood flow in the veins, usually of the legs. Veins become engorged because something is stopping the blood flow out of your lower limbs. |
|
|
Term
1. Turbulence
2. Stasis
3. Mitral Stenosis
4. Varicose Veins |
|
Definition
The first category of thrombosis development, alterations in normal blood flow refers to several situations including:
1.____________
2.____________
3.____________
4.____________ |
|
|
Term
1. Endothelial trauma
2. Shear stress
3. Hypertension |
|
Definition
| The second category of thrombosis development includes _________________ and includes damage to the veins arising from ______________ or ____________. |
|
|
Term
|
Definition
| Paralysis of the 7th cranial nerve. This condition mimics a stroke? |
|
|
Term
|
Definition
| Rapid swelling of the dermis, subcutaneous tissue, mucosa and submucosal tissues. It is very similar to uticaria, but uticaria (commonly known as hives) occurs in the upper dermis? |
|
|
Term
Coral Snake
(Red ring that touches a yellow ring) |
|
Definition
| With what creature is the phrase "red on yellow will kill a fellow" associated? |
|
|
