| Term 
 | Definition 
 
        | A type of radio signal in the ultra-high frequency range that allows splitting a frequency into individual talk groups used as a communication link with other system users. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A set of three numbers that automatically sends the call to the emergency dispatch center. E9-1-1 is  enhanced  9-1-1,  which  gives  the  dispatcher  the ability to determine the caller's location by routing the call through several CAD systems.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Terminating care when it is still needed and desired by the patient and without ensuring that appropriate care continues  to be provided by another qualified health care professional.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A shorter way of writing something. |  | 
        |  | 
        
        | Term 
 
        | Abdominal compartment syndrome |  | Definition 
 
        | Syndrome caused by diffuse intestinal edema,  a result of fluid accumu lation in the bowel wall. It may be caused by overre suscitation  with crystalloids  and results in shock and renal failure.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | An injury in which a severe laceration or incision  of the abdomen  breaches through all layers of muscle to allow abdominal contents,  most often the intestines,  to protrude above the surface of the skin.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 
        | The  ending  of  a  pregnancy  for  any  reason before 20 weeks' gestation; the lay term miscarriage is referred to as a spontaneous abortion |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Separation of the placenta from the uterine wall after the twentieth week of gestation.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 
        | A generalized seizure characterized  by a blank stare and an alteration of consciousness. |  | 
        |  | 
        
        | Term 
 
        | Absolute refractory period |  | Definition 
 
        | Corresponds with the onset of  the  QRS  complex   to  approximately   the  peak of the T wave; cardiac cells cannot be stimulated  to conduct  an electrical  impulse.  no matter  how strong the stimulus. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Movement of small organic molecules, elec trolytes, vitamins, and water across the digestive tract and into the circulatory system. Also the movement of a drug from the site of input into the circulation
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Use of a substance for other than its approved, accepted  purpose  or in a greater  amount  than prescribed |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Inflammation of the gallbladder in the absence of gallstones. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A grief  stage in  which  the individual  has come to terms with the reality of his or her (or a loved one's) imminent death. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Muscles of the neck, chest, and abdomen that become active during labored breathing. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | An extra bundle of working myocar dial tissue that forms a connection between the atria and ventricles outside the normal conduction system. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Recognition   given  to  an  EMD  center by an independent auditing agency for achieving a consistently high level of performance based on indus try best practice standards.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A mechanism in which a drug is processed by enzymes
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A  body  chemical  that  stops  the action of acetylcholine (a neurotransmitter involved in the stimulation of nerves) |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Fluid  produced  in the stomach;  breaks  down  the food material within the stomach into chyme. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Delicate balance between the body's acidity and alkalinity |  | 
        |  | 
        
        | Term 
 | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 
        | Materials  that  have  a  pH  value  less  than  7.0 (e.g., hydrochloric acid, sulfuric acid).
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Specific immunity directed at a particular  pathogen  that develops  after the body has been exposed to it once (e.g., immunity to chickenpox after first exposure). |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Listening  to the words that the patient is saying as well as paying attention to the significance of those words to the patient. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | The  degree  of  movement  at a joint as determined by the patient's own voluntary movements.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A  process  used  to  move  substances against the concentration  gradient or toward the side that has a higher concentration; requires the use of energy by the cell but is faster than diffusion
 
 A  process  used  to  move  substances
 against the concentration  gradient or toward the side that has a higher concentration; requires the use of energy by the cell but is faster than diffusion
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A sudden blockage of arterial blood flow that occurs because of a thrombus, embolus, tumor, direct trauma to an artery, or an unknown cause |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Short-term  medical    treatment   usually provided in a hospital for patients who have an illness or injury or who are recovering from surgery.
 |  | 
        |  | 
        
        | Term 
 
        | Acute  coronary syndrome (ACS) |  | Definition 
 
        | A term used to refer to patients presenting with ischemic chest discomfort. Acute coronary syndromes consist of three major syndromes: unstable  angina, non-ST-segment elevation  myocardial infarction and ST-segment elevation myocardial infarction.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | An exposure that occurs over a short timeframe  (less  than  24 hours);  usually  occurs  at a spill or release. |  | 
        |  | 
        
        | Term 
 
        | Acute  renal  failure  (ARF) |  | Definition 
 
        | When the kidneys suddenly stop functioning, either partially or completely, but even tually recover full or nearly full functioning over time. |  | 
        |  | 
        
        | Term 
 
        | Acute	respiratory    distress   syndrome   (ARDS) |  | Definition 
 
        | Collection of fluid in the alveoli of the lung, usually as a result of trauma or serious illness. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | The  involvement   in  a  repetitive   behavior (gambling, substance abuse, etc.). In physical addiction
 the individual has become dependent on an external substance and develops physical withdrawal symptoms if the substance is unavailable.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | The involvement in repetitive behavior such as gambling or substance abuse. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | The combined effect of two drugs given at the same time that have similar effects. |  | 
        |  | 
        
        | Term 
 
        | Adenosine  triphosphate (ATP) |  | Definition 
 
        | Formed  from metabolism of nutrients in the cell; serves as an energy source throughout the body. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A fat cell; a connective tissue cell that has differentiated and become specialized in the synthesis (manufacture)  and storage of fat. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | connective  tissue   Tissue   that   stores lipids; acts as an insulator and protector of the organs of the body.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A branch  of  law  that  deals  with rules, regulations, orders, and decisions created by governmental agencies. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Having  the  characteristics   of  the  sympathetic division of the autonomic nervous system. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Hormones   released   by  the adrenal cortex essential for life; assist in the regulation
 of  blood  glucose  levels,  promote  peripheral  use  of lipids, stimulate the kidneys to reabsorb sodium, and have antiinflammatory  effects.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | To gather  or stick to a surface in a condensed layer. |  | 
        |  | 
        
        | Term 
 
        | Acute  respiratory distress syndrome (ARDS) |  | Definition 
 
        | A life threatening  condition  that causes  lung  swelling  and fluid buildup in the air sacs. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A document in which a competent person gives instructions  to be followed regarding his or  her  health  care   in  the  event  the  person   later becomes incapacitated and unable to make or commu nicate those decisions to others. |  | 
        |  | 
        
        | Term 
 
        | Advanced emergency medical technician (AEMT) |  | Definition 
 
        | An EMS professional who provides basic and limited advanced   skills   to  patients   who  access   the  EMS system. |  | 
        |  | 
        
        | Term 
 
        | Adverse  effect (reaction) |  | Definition 
 
        | An unintentional, undesirable, and often unpredictable effect of a drug used at therapeutic doses to prevent, diagnose, or treat disease.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A person who assists another person in carry ing out desired wishes; a paramedic should function as a patient's advocate in all aspects of prehospital care.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A collection of particles dispersed in a gas. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Description of the patient's visible emotional state. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Nerve fibers that send impulses from the periphery to the central nervous system.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | The  intensity   or  strength   of  the  attraction between a drug and its receptor. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Pressure  or resistance  against  which  the ventricles must pump to eject blood. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Stereotypical   and  often  negative  bias  against older adults. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Slow, shallow, irregular respirations resulting from anoxic brain injury. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A drug that causes a physiologic response in the receptor to which it binds. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A  drug   that   blocks   a  receptor. It may  provide  a partial  agonist  activity, but it also prevents an agonist from exerting its full effects
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Consistent anxiety   and   avoidance   of places  and  situations  where  escape  during  a  panic attack would be difficult or embarrassing. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Bubble of air that has entered the vasculature. Emboli can result in damage similar to a clot in the vasculature, typically resulting in brain injury or pulmonary emboli when neck vessels are damaged.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Introduction of air into venous circulation, which can ultimately enter the right ventricle, closing off circulation to the pulmonary artery and leading to death. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A respiratory  pattern  associated  with an obstruction  in the pulmonary  tree; the breathing  rate increases to overcome resistance in getting air out, the respiratory  effort becomes  more shallow, the volume of trapped air increases, and the lungs inflate. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | The various shapes, sizes, colors, and styles of visual identification labels indicating that an airbag is present |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Inflatable  nylon bags designed  to supplement the protection of occupants during crashes; one of the most common new technology items confronting responders at crash scenes; also known as supplemental restraint systems. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Materials  that    react    with atmospheric  moisture and rapidly decompose.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | The  body's  autonomic,  sympathetic nervous   system   response   to  stimuli   designed   to prepare the individual to fight or flee. |  | 
        |  | 
        
        | Term 
 
        | Alcoholic ketoacidosis (AKA) |  | Definition 
 
        | Condition found in patients who chronically abuse alcohol accompanied by vomit ing, a built-up of ketones in the blood, and little or no food intake. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Addiction and dependence on ethanol; often develops over many years. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A hormone responsible for the reabsorption of sodium and water from the kidney tubules. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A substance with a pH above 7.0; also known as a base or caustic. |  | 
        |  | 
        
        | Term 
 | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 
        | A group of plant-based substances containing nitrogen and found in nature. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A substance that can provoke an allergic reaction. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | An  abnormal   immune   response, mediated by immunoglobulin E antibodies, to an allergen that should not cause such a response and to which the patient has already been exposed; usually involves excessive release of immune agents, espe cially histamines.
 |  | 
        |  | 
        
        | Term 
 
        | All-hazards emergency preparedness |  | Definition 
 
        | A cross-cutting approach in which all forms of emergencies, including manmade and natural disasters, epidemics, and physical or biologic terrorism, are managed from a common template that uses consistent language and structure. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Transplanting organs or tissues from geneti cally nonidentical members of the same species.
 |  | 
        |  | 
        
        | Term 
 
        | All-terrain vehicle (ATV) |  | Definition 
 
        | Any of a number of models of small open motorized vehicles designed for off road and wilderness use; three-wheeled (all-terrain cycles) and four-wheeled (quads) versions are most often used for personnel insertion; six- and eight wheeled models exist for specialized applications. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A positively charged particle emitted by certain radioactive materials. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Disruption of a person's emotional and intellectual functioning.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A syndrome associated with the relatively low partial pressure of oxygen in the atmosphere at altitudes encountered during mountain climb ing or travel in unpressurized aircraft. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | In contrast to dead air space, alve olar volume is the amount of air that does reach the alveoli for gas exchange (approximately 350 mL in the adult male). It is the difference between tidal volume and dead-space volume.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Functional units of the respiratory system; area in the lungs where the majority of gas exchange takes place; singular form is alveolus. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Progressive dementia seen mostly in the elderly and marked by decline of memory and cognitive function. |  | 
        |  | 
        
        | Term 
 
        | Amniotic sac (bag of waters) |  | Definition 
 
        | The fluid-filled protective sac that surrounds the fetus inside the uterus. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Height (voltage) of a waveform on the ECG. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A sealed sterile container that holds a single dose of liquid or powdered medication. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Almond-shaped structure at the end of each hippocampus that attaches emotional significance to incoming stimuli; has a large role in the fear response; plural form is amygdale.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Enzyme in pancreatic juice. |  | 
        |  | 
        
        | Term 
 
        | Amyotrophic lateral  sclerosis  (ALS) |  | Definition 
 
        | Autoimmune disorder affecting the motor roots of the spinal nerves, causing progressive muscle weakness and eventually paralysis. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Area between the rectum and the anus. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A state in  which pain is controlled or not perceived. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | An unusual or exaggerated allergic reaction to a foreign substance. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Reaction that clinically mimics an allergic reaction but is not mediated by immunoglobulin E antibodies, so not a true allergic reaction.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Life-threatening allergic reaction. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Massive generalized body edema. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | The relation of internal body structures to the surface of the body; imaginary straight line divisions of the body.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | The position of a person standing erect with his or her feet and palms facing the examiner |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Study of the body's structure and organization. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A single secure connection for an anchor. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | The means of securing the ropes and other elements of the high-angle system. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Deficiency in red blood cells or hemoglobin; most common form is iron-deficiency anemia. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A process in which pain is prevented during a procedure. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Localized  dilation  or  bulging  of  a  blood vessel wall or wall of a heart chamber. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A stage in the grieving process in which the individual is upset by the stated future loss of life. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Chest  discomfort  or  other  related symptoms of sudden onset that may occur because the increased oxygen demand of  the heart temporarily exceeds the blood supply.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Symptoms of myocardial ischemia other than chest pain or discomfort.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Swelling  of  the  tissues,  including  the dermal layer; often found in and around the mouth, tongue, and lips.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | An angulation of the sternum that indicates the point where the second rib joins the sternum; also called the manubriosternal  junction. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Lack of enjoyment in activities one used to find pleasurable. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A negatively charged ion. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Eating disorder characterized by a preoccupation that one is obese; drastic, intentional weight loss; and bizarre attitudes and rituals associ ated with food and exercise.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A  total  lack  of  oxygen  availability  to  the tissues. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A drug that does not cause a physiologic response when it binds with a receptor. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | The inability to remember short-term memory information after an event during which the head was struck. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | The period before childbirth. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | The front, or ventral, surface. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Collection  of symptoms seen after the compression, death, or transection of the anterior portion of the spinal cord. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | An  acute  bacterial infection   caused  by inhalation, contact, or ingestion of Bacillus anthracis organisms. Three forms of anthrax disease may occur depending   on  the  route  of  exposure.   Inhalational anthrax disease occurs after the inhalation of anthrax spores.  Cutaneous anthrax  disease  is the most common form and occurs after the exposure of compromised  skin to anthrax spores. Gastrointestinal anthrax  disease  occurs  after  the  ingestion  of  live B. anthracis in contaminated  meat.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Medications  used  to correct  irregular heartbeats and slow hearts that beat too fast. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Medication  that kills or limits bacteria. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | In common  medical terms, a drug  that kills bacteria. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Agents   produced   by  B  lymphocytes  that bind  to  antigens,  thus  killing  or  controlling   them and slowing or stopping an infection; also called immunoglobulin. |  | 
        |  | 
        
        | Term 
 
        | Antidiuretic hormone (ADH) |  | Definition 
 
        | A hormone  released  in response  to  detected  loss  of  body  water;  prevents
 further loss of water through the urinary tract by promoting the reabsorption of water into the blood.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A  substance   that  can  reverse  the  adverse effects of a poison. |  | 
        |  | 
        
        | Term 
 | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 
        | A marker  on a cell  that identifies  the cell as "self' or "not self'; antigens are used by antibodies to identify cells that should be attacked as not self. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Medication  that  reduces  the  effects  of histamine. |  | 
        |  | 
        
        | Term 
 
        | Antiinflammatory mediators |  | Definition 
 
        | Protein  entities,  often produced  in the liver, that  act as  modulators  of  the immune response to the proinflammatory  response to injury; also called cytokines. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A  medication  that  reduces  or eliminates a fever.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Prevention of sepsis by preventing or inhibiting  the  growth  of causative  microorganisms; in the field, the  process  used  to  cleanse  local  skin  areas before needle puncture with products that are alcohol or iodine based. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A  substance   that  can  reverse  the  adverse effects of a venom by binding to it and inactivating it. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Medication  that kills or impedes a virus. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A  root  word,  prefix,  or  suffix  that  has  the opposite meaning of another word. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Cells of the body that do not have a central nucleus, such as those in cardiac muscle. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | The end of the anal canal. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | The sometimes  vague feeling of apprehension, uneasiness, dread, or worry that often occurs without a specific source or cause identified. It is also a normal response to a perceived threat.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Delivers blood from the left ventricle of the heart to the body. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Semilunar  valve on the left of the heart; separates the left ventricle from the aorta. |  | 
        |  | 
        
        | Term 
 | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 
        | Lower portion of the heart, tip of the ventricles  (approximately   the  level  of  the  fifth  left intercostal space); points leftward, downward, and forward.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A scoring system applied to an infant after delivery; key components include appearance, pulse, grimace, activity, and respiration. |  | 
        |  | 
        
        | Term 
 | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 
        | A technologic  aid used to warn of cessation of breathing in a premature infant; also may warn of bradycardia and tachycardia. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Sweat glands that open into hair follicles, including in and around the   genitalia, axillae, and anus; secrete an organic substance (which is odorless      until acted upon by surface bacteria) into the hair follicles. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A tubular process that extends from the colon. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Area that includes the extremities (e.g., arms, pelvis, and legs).
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Consists of all the bones not within the axial skeleton: upper and lower extremities, the girdles, and their attachments. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Accessory structure of the cecum. |  | 
        |  | 
        
        | Term 
 
        | Application of principles |  | Definition 
 
        | The step at which the para medic applies critical thinking in a clinical sense and arrives at a field impression or a working diagnosis. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Fluid that fills the anterior chamber of the eye; maintains intraocular pressure. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Second layer of the meninges. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Weblike middle layer of the meninges |  | 
        |  | 
        
        | Term 
 
        | Areolar connective tissue |  | Definition 
 
        | A loose tissue found in most organs of the body; consists of weblike collagen, reticulum, and elastin fibers. |  | 
        |  | 
        
        | Term 
 
        | Arnold-Chiari malformation |  | Definition 
 
        | A complication  of spina bifida in which the brainstem and cerebellum  extend down through the foramen magnum into the cervical portion of the vertebrae. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Smooth muscle that surrounds each follicle; responsible for "goose bumps," which pull the hair upwards. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Term often used interchangeably with dysrhythmia; any disturbance or abnormality in a normal rhythmic  pattern;  any  cardiac  rhythm  other than a sinus rhythm. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Accidental puncture into an artery instead of a vein. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Small arterial vessels; supply oxygenated blood to the capillaries |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A chronic disease of the arterial system characterized  by abnormal  thickening and hardening of the vessel walls. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Inflammation of a joint that results in pain, stiffness, swelling, and redness. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Distortion of an ECG tracing by  electrical activity that is noncardiac in origin (e.g., electrical interference, poor electrical conduction, patient movement). |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | The use of specially  designed  hard ware to create anchors where good natural anchors do not exist. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Six paired cartilages stacked on top of each other in the larynx.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Part of the large intestine. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Marked abdominal swelling from a buildup  of fluid in the peritoneal cavity. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Sterile;  free  from  germs, infection,  and  any form of life. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Chemicals that impair the body's ability to either get or use oxygen. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Inhalation of foreign contents into the lungs. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Inflammation  of  the  bronchi and alveoli caused by inhaled foreign objects, usually acids such as stomach acid. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A threat of imminent bodily harm to another person by someone with the obvious ability to carry out the threat. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A test of a substance to determine its components. |  | 
        |  | 
        
        | Term 
 
        | Assessment-based  management |  | Definition 
 
        | Taking the information you obtain from your assessment and using it to treat the patient. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Allergic response of the airways causing wheezing and dyspnea. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Fixed-rate pacemaker that continuously  discharges at a preset rate regardless of the patient's intrinsic activity. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A total absence of ventricular electrical activity. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Inability to control voluntary muscle movements; unsteady movements and staggering gait. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | An abnormal condition characterized by the collapse of alveoli, preventing the respiratory exchange of carbon dioxide and oxygen in a part of the lungs. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A form of arteriosclerosis  in which the thickening   and  hardening   of  the  vessel  walls  are caused  by  a  buildup  of  fatty  deposits  in  the  inner lining  of  large  and  middle-sized   muscular  arteries (from athero, meaning gruel or paste, and sclerosis, meaning hardness).
 |  | 
        |  | 
        
        | Term 
 | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 
        | A genetic disposition  to an allergic reaction that is different from developing an allergy after one or more exposures to a drug or substance. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Absence of a normal opening. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Two receiving chambers of the heart;  singular form is atrium. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Remaining 20% to 30% of blood forced into the right ventricle during atrial contraction. |  | 
        |  | 
        
        | Term 
 
        | Atrioventricular  junction |  | Definition 
 
        | The atrioventricular node and the nonbranching portion of the bundle of His. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A group of cells that conduct an electrical impulse through the heart; located in the floor of the right atrium immediately behind the tricuspid valve and near the opening of the coronary sinus. |  | 
        |  | 
        
        | Term 
 
        | Atrioventricular sequential pacemaker |  | Definition 
 
        | Type of dual-chamber pacemaker that stimulates  first the atrium, then the ventricle, mimicking normal cardiac physiology. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Valve located between each atrium and ventricle; the tricuspid separates   the right atrium from the right ventricle, and the mitral (bicuspid)   separates the left atrium from the left ventricle. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Decrease in cell size that negatively affects function. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A vaccine prepared from a live virus or bacteria that has been physically or chemically weak ened to produce an immune response without causing the severe effects of the disease. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Qualities or characteristics  of a person. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Three  small  bones  (malleus,  incus, and stapes) that articulate with each other to transmit sounds waves to the cochlea.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Leads aVR, aVL, and aVF; these leads  record the difference in electrical  potential at one location relative to zero potential rather than rela tive to the electrical potential of another extremity, as in the bipolar leads. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Sensory disturbances caused by a partial seizure; may precede a generalized seizure. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Outer ear; also called the pinna. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | The  process  of  listening  to  body  sounds with a stethoscope. |  | 
        |  | 
        
        | Term 
 
        | Authority having jurisdiction |  | Definition 
 
        | The local agency having legal authority for the type of rescue and the location at which it occurs. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Antibodies  produced by B cells that mistakenly attack and destroy "self' cells belonging to the patient; autoantibodies are the pathophysiologic agent of most autoimmune  disorders. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Transplanting  organs or tissues within the same person. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | The temperature at which a material ignites and bums without an ignition source. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | The transplantation of skin of one patient from its original location to that of a wound on the same patient, such as a bum. Autologous means "derived from the same individual." |  | 
        |  | 
        
        | Term 
 
        | Automatic location identification |  | Definition 
 
        | Telephone technology used to identify the location of a caller immediately. |  | 
        |  | 
        
        | Term 
 
        | Automatic number identification |  | Definition 
 
        | Telephone technology that provides immediate identification of the caller's 10-digit telephone number. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Ability of cardiac pacemaker cells to initiate an electrical impulse spontaneously without being stimulated from another source (such as a nerve). |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Massive sympathetic stimulation   unbalanced by the parasympathetic  nervous system because of spinal cord  injury, usually at or above T6. |  | 
        |  | 
        
        | Term 
 
        | Autonomic dysreflexia syndrome |  | Definition 
 
        | A condition characterized by hypertension superior to an SCI site caused by overstimulation of the sympathetic nervous system. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Provides unconscious control of smooth muscle organ and glands. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Mnemonic for awake, verbal, pain, unresponsive; used to evaluate a patient's mental status. |  | 
        |  | 
        
        | Term 
 
        | Axial compression (loading) |  | Definition 
 
        | The application of a force of energy along the axis of the spine, often resulting in compression fractures of the vertebrae. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Application of excessive pressure or weight along the vertical axis of the spine. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Area that includes the head, neck, thorax,and abdomen. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Part of the skeleton composed of the skull,hyoid bone, vertebral column, and thoracic cage. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Imaginary line joining the positive and negative electrodes of a lead. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Branching extensions of the neuron where impulses exit the cell. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | The increase in nitrogen-containing waste products in the blood secondary to renal failure. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Cells present in the lymphatic system that mediate humoral immunity (also   known as B cells). |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | The structural roof support  member on  a vehicle located at the rear edge of the front door; also referred to as the B post.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | An abnormal finding indicated by the presence of great toe extension with the fanning of all other toes on stimulation of the sole of the foot when it is stroked with a semi-sharp object from the heel to the ball of the foot.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A gram-positive, spore-forming bacterium that causes anthrax disease in human beings and animals. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | The presence of bacteria in the blood. This condition could progress to septic shock. Fever, chills, tachycardia, and tachypnea are common manifesta tions of bacteremia. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Prokaryotic microorganisms capable of infect ing and injuring patients; however, some bacteria, as part of the normal flora, assist in the processes of the human body. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A potentially serious bacterial infection of the lower portions of the upper airway: larynx, trachea, and bronchi. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A range of radio frequencies. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A stage of the grieving process. The individual may attempt to "cut a deal" with a higher power to accomplish a specific goal or task. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Ambulance designed to transport morbidly obese patients.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | An injury resulting from rapid or extreme changes in pressure. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A thin film of material placed on the patient's face used to prevent direct contact with the patient's mouth during positive-pressure ventilation. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Top of the heart; located at approxi mately the level of the second intercostal space.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Straight line recorded on  ECG graph  paper when no electrical activity is detected.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Materials  with  a  pH  value  greater  than  7.0 (e.g., sodium hydroxide, potassium hydroxide). |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Loss of  integrity to  the bony structures of the base of the skull.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Type of granulocyte (white blood cell or leukocyte) that releases histamine. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Touching or contact with another person without that person's consent.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Significant bruising around the mastoid process (behind the ears).
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Classic signs of cardiac tamponade that include jugular venous distention, hypotension, and muffled heart sounds. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | The conduct and activity of a person that is observable by others. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Actions or ideations by the patient that are harmful or potentially harmful to the patient or others. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A safety technique used to safeguard personnel exposed to the risk of falling; the belayer is the person responsible for operation of the belay. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | An inflammation of the facial nerve (cranial nerve VII) that often is preceded by a viral upper respiratory tract infection. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Comparison of operating policies, procedures, protocols, and performance with those of other agencies in an effort to improve results. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Any of a group of minor tranquilizers with a common molecular structure and similar phar macologic activity, including antianxiety, sedative, hypnotic, amnestic, anticonvulsant, and muscle-relaxing effects.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Disease caused by a deficiency of  thiamine and characterized by neurologic symptoms, cardiovascular abnormalities, and edema. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A negatively charged particle emitted by certain radioactive materials. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | The slanted tip at the end of the needle. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Left atrioventricular valve in the heart; also called the mitral valve. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Manufactured  in  the  liver;  composed  of electrolytes and iron recovered from red blood cells when they die. |  | 
        |  | 
        
        | Term 
 
        | Bilevel  positive  airway   pressure  (BiPAP) |  | Definition 
 
        | The delivery  of  two  (bi)  levels  of  positive-pressure ventilation; one during inspiration (to keep the airway open as the patient inhales) and the other (lower) pressure during  expiration  to  reduce  the  work  of exhalation.
 |  | 
        |  | 
        
        | Term 
 
        | Bilevel positive airway pressure (BiPAP) device |  | Definition 
 
        | Breathing device that can be set at one pressure for inhaling and a different pressure for exhaling. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A test that determines the effects of  a substance on an organism and compares the result with some agreed standard. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | The speed with which and how much of a drug reaches its intended site of action.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Accumulation of bacteria in a wound; does not necessarily imply an infection is present. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A disease-causing pathogen or a toxin that may be used as a weapon to cause disease or injury to people. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Irregular   respirations   varying  in rate and depth and interrupted by periods of apnea; associated with increased intracranial pressure, brain damage at the level of the medulla, and respiratory compromise from drug poisoning. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Waveform that is  partly positive and  partly negative. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | An illness of extremes of mood, alter nating between periods of depression and episodes of mania (type I) or hypomania (type II).
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | ECG lead consisting of a positive and negative electrode; a pacing lead with two electrical poles that are external from the pulse generator; the nega tive pole is located at the extreme distal tip of the pacing lead, and the positive pole is located several millimeters proximal to the negative electrode. The stimulating pulse is delivered through the negative electrode. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Part  of  the  female  reproductive   tract through which the fetus is delivered; includes the lower part of the uterus, the cervix, and the vagina. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Injuries to the body from an explosion, characterized by anatomic and physiologic changes from the force generated by the blast wave hitting  the  body's  surface  and  affecting  primarily gas-containing structures (lungs, gastrointestinal tract, and ears). |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Escape of blood from a blood vessel. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A chemical used as a weapon designed specifically to injure the body tissue internally and externally of those exposed to its vapors or liquid; the method of  injury  is  to  cause  painful  skin  blisters or  tissue  destruction  of  the  exposed  surface  area (e.g., mustard, lewisite).
 |  | 
        |  | 
        
        | Term 
 
        | Blocked premature atrial complex |  | Definition 
 
        | Premature atrial contraction not followed by a QRS complex. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A position that places the emergency vehicle at an angle to the approaching traffic, across several lanes of traffic if necessary; this position begins to shield the work area and protects the crash scene from some of the approaching traffic. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Liquid connective tissue; allows transport of nutrients, oxygen, and waste products. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Chemicals absorbed into the body through the action of breathing, skin absorption, or ingestion (e.g., hydrogen cyanide, cyanogen chloride). |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Milligrams of ethanol per deciliter of blood divided by 100; a fairly standard measure of how intoxicated a person is. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A layer of tightly adhered cells that protects the brain and spinal cord from exposure to medications, toxins, and infectious particles. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Force exerted by the blood against the walls of the arteries as the ventricles of the heart contract and relax.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Passage of the protective blood and mucus plug from the cervix; often is an early sign of labor. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A calculation strongly associated with subcutaneous and total body fat and with skinfold thickness measurements. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Area of the body covered by skin; measured in square meters.
 |  | 
        |  | 
        
        | Term 
 
        | Boiling liquid expanding vapor explosion |  | Definition 
 
        | An explosion that can occur when a vessel containing a pressurized liquid ruptures. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | The temperature at which the vapor pressure of the material being heated equals atmospheric pressure (760 mm Hg); water boils to steam at 100° C (212° F). |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Hard connective tissue; consists of living cells and a matrix made of minerals. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Hyperactivity of bowel sounds. |  | 
        |  | 
        
        | Term 
 
        | Borderline personality disorder |  | Definition 
 
        | Cluster B disorder marked by unstable emotions, relationships, and attitudes. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A severe neurologic illness caused by a potent toxin produced by Clostridium  botulinum  organisms; the three forms are food borne, wound, and infant (also called intestinal) botulism. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | The noises made by the intestinal smooth muscles as they squeeze fluids and food products through the digestive tract. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Located in the renal corpuscle. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Gas law that demonstrates that as pressure increases, volume decreases; explains the pain that can occur in flight in the teeth and ears and baro trauma in the gastrointestinal tract. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Heart  rate  slower  than  60  beats/min(from brady, meaning "slow"). |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Abnormal slowness of muscular movement. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A respiratory rate that is persistently slower than normal for  age; in adults, a rate slower than 12 breaths/min.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A traumatic insult to the brain capable of producing  physical,  intellectual, emotional, social, and vocational changes. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Part of the brain that connects it to the spinal cord; responsible for many of the autonomic functions the body requires to survive (also called vegetative functions). |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A descending device consisting of a U-shaped metal bar to which several metal bars are attached that create friction on the rope. Some racks are limited to use in personal rappelling, whereas others also may be used for lowering rescue loads. |  | 
        |  | 
        
        | Term 
 
        | Braxton-Hicks contractions (false labor) |  | Definition 
 
        | Benign and painless contractions that usually occur after the third month of pregnancy. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Violation  by  the  defendant  of  the standard of care applicable to the circumstances. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Presentation of the buttocks or feet of the fetus as the first part of the infant's body to enter the birth canal.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Smallest of the air passages. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | An acute, infectious, inflammatory disease of the upper and lower respiratory tracts that results in obstruction of the small airways.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Inflammation  of the lower airways,  usually with mucus production. Often chronic and related to tobacco abuse. |  | 
        |  | 
        
        | Term 
 
        | Bronchopulmonary dysplasia BPD) |  | Definition 
 
        | Respiratory condition in infants usually arising from preterm birth. |  | 
        |  | 
        
        | Term 
 | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 
        | Group of symptoms that develop after the herniation  or transection  of half of the spinal cord manifested with unilateral damage. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | The blowing or swishing sound created by the turbulence within a blood vessel. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Relating to an inflamed, enlarged lymph gland. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | An  administration   route  in  which  medication is  placed  in  the  mouth  between  the  gum  and  the mucous membrane of the cheek and absorbed into the bloodstream. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Compensatory    mechanisms   that  act together to control pH.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Pair of small glands that manu facture a mucous-type secretion that unites with the prostate fluid and spermatozoa to form sperm. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Eating disorder consisting of a pattern of eating large amounts of food in one sitting (hing ing) and then forcing oneself to regurgitate (purging), with associated guilt and depression. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Large containers and tanks used to transport large quantities of hazardous materials. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A localized, fluid-filled lesion usually greater than 0.5 cm.
 |  | 
        |  | 
        
        | Term 
 
        | Bundle branch block (BBB) |  | Definition 
 
        | Abnormal conduction of an electrical  impulse through either the right or left bundle branches. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Fibers located in the upper portion of the interventricular septum that conduct an electrical impulse through the heart. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Exhaustion to the point of not being  able to perform one's job effectively. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Chronic or acute inflammation of the small synovial sacs known as bursa. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Three or more sequential ectopic beats; also referred to as a salvo or run. |  | 
        |  | 
        
        | Term 
 
        | Cadaveric transplantation |  | Definition 
 
        | Transplantation of organs from an already deceased person to a living person. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Regulation of an ECG  machine's stylus sensitivity so that a 1-mV electrical   signal will produce a deflection  measuring exactly 10 mm.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | The elapsed time from the moment a call is received by the communications center to the time the responding unit is alerted.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A group of diseases that allow  unrestrained growth of cells in one or more of the body organs or tissues. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Venules that have the capability of holding large amounts of volume. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Tiny vessels  that connect  arterioles to venules; deliver blood to each cell in the body. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Loss of intravascular fluid (plasma, water) from a loss of capillary integrity or an opening of gap May  be  caused  by  thermal  injury  to  capillaries  or the intense inflammatory reaction to burn injury, infection, or physical trauma. junctions between the cells of the capillaries. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A tablet with an oblong shape and a film-coated covering. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A device that provides a numerical reading of exhaled C02 concentrations and a waveform (tracing). |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Continuous analysis and recording of C02 concentrations in respiratory gases. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A device used to measure the concentration of C02 at the end of exhalation. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A numeric reading of exhaled C02 concentrations  without a continuous  written record or waveform. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Layer of protein enveloping the genome   of a virion; composed of structural units called the capsomeres. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A membranous shell surrounding certain microorganisms, such as the pneumococcus bacterium.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Ability of a pacing stimulus to depolarize successfully the cardiac  chamber being paced; with one-to-one capture, each pacing stimulus results in depolarization of the appropriate chamber. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A pesticide that inhibits acetylcholinesterase. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Condition mostly seen in patients with chronic obstructive pulmonary disease, in whom carbon dioxide is excessively retained, causing mental status changes and decreased respirations. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Glass or plastic bottles commonly used  to transport corrosive products. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A series of abscesses in the subcutaneous tissues that drain through hair follicles. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Absence of  cardiac  mechanical activity confirmed by the absence of a detectable pulse, unresponsiveness, and apnea or agonal, gasping respirations. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Period from the beginning of one heart beat to the beginning of the next; normally consisting of PQRST waves, complexes, and intervals. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Amount of blood pumped into the aorta each minute by the heart. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | An acute traumatic perforation of the ventricles or atria.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Circular muscle that controls the movement of material into the stomach. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A condition in which heart muscle function is severely impaired, leading to decreased cardiac output and inadequate tissue perfusion. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A disease of the heart muscle. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A collection of diseases and conditions that involve the heart (cardio) and blood vessels (vascular). |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Area in the bronchial tree that separates into the right and left mainstem bronchi. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | The noise made when blood in the carotid arteries passes over plaque buildups. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A medical condition in which the median nerve is compressed at the wrist(within the carpal tunnel),  resulting  in  pain  and  numbness of the hand. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Spasm of the muscles of the hand when a blood pressure cuff is inflated. Can occur in the feet if the cuff is placed on the leg. A result of hyperventilation. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Connective tissue composed of chondrocytes; exact makeup depends on the location and function in the body. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Unites two bones with hyaline cartilage or fibrocartilage. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Interpretations of constitutional, statutory, or administrative law made by the courts; also known as common law or judge-made law. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Refers to the metabolic  breakdown of proteins, lipids, and carbohydrates by the body to produce energy. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Process of breaking down complex substances into more simple ones. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Abnormal state characterized by a trancelike level of consciousness and postural rigidity; occurs in hypnosis and in certain organic and psychological disorders such as schizophrenia, epilepsy, and hysteria.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A partial or complete opacity on or in the lens or lens capsule of the eye, especially one impairing vision or causing blindness. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A state of psychologically induced immobility with muscular rigidity, at times interrupted by agitation. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A form of schizophrenia characterized  by alternating periods of extreme withdrawal and extreme excitement. During the withdrawal stage stupor, waxy flexibility, muscular rigidity, mutism, blocking, negativism, and catalepsy may be seen; during the period of excitement, purposeless and impulsive activity may range from mild agitation to violence. See Catatonia. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Substances that decrease the time a poison spends in the gastrointestinal  tract by increasing bowel motility. |  | 
        |  | 
        
        | Term 
 
        | Catheter shear/catheter fragment embolism |  | Definition 
 
        | Breaking off the tip of the intravenous catheter inside the vein, which then travels through the venous system; it can lodge in pulmonary circulation as a pulmonary embolism. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A positively charged ion. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Peripheral nerve bundles descending through the spinal column distal to the conus medullaris. Cauda equina are not spinal nerves. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A group of symptoms associated with the compression of the peripheral nerves still within the spinal canal below the level of the  first  lumbar  vertebra, characterized  by  lumbar back pain, motor and sensory deficits, and bowel or bladder incontinence.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A position toward the distal end of the body; usually inferior. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | In a negligence case, the negligence of the defendant must have caused or created the harm sustained by the plaintiff; also referred to as proximate cause. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A substance with a pH above 7.0; also known as a base or alkali. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | First segment of the large intestine; the appendix is its accessory structure. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Portion of the neuron containing the organelles, where essential cellular functions are performed. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Form of acquired immunity; results from activation of T lymphocytes that were previously sensitized to a specific antigen. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Swelling of cellular tissues, usually from injury. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | An inflammation of the skin. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A layer of tough tissue that anchors the root of a tooth to the periodontal membrane/ligament. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Collection of symptoms seen after the death of the central portion of the spinal cord. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | The brain and spinal cord. |  | 
        |  | 
        
        | Term 
 
        | Central neurogenic hyperventilation |  | Definition 
 
        | Similar to Kussmaul respirations; characterized as deep, rapid breathing; associated with increased   intracranial pressure.
 |  | 
        |  | 
        
        | Term 
 
        | Central retinal  artery  occlusion |  | Definition 
 
        | A condition in which the blood supply to the retina is blocked because of a clot or embolus in the central retinal artery or one of its branches. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A major vein of the chest, neck, or abdomen. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A catheter through a vein to end in the superior vena cava or right atrium of the heart for medication or fluid administration. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Paired, rodlike structures that exist  in  a specialized area of the cytoplasm known as the centro some.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Specialized area of the cytoplasm; plays an important role in the process of cell division. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A position toward the head; usually superior. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Area of the brain involved in fine  and gross coordination; responsible for interpretation of actual movement and correction of any movements that interfere with coordination and the body's position. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A brain injury in which brain tissue is bruised in a local area but does not puncture the pia mater. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Neuromuscular condition in which the patient has difficulty controlling the voluntary muscles because of damage to a portion of the brain. |  | 
        |  | 
        
        | Term 
 
        | Cerebral  perfusion  pressure |  | Definition 
 
        | Pressure inside the cerebral arteries and an indicator of brain perfusion; calculated by subtracting intracranial pressure from mean arterial pressure (CPP =MAP- ICP).
 |  | 
        |  | 
        
        | Term 
 
        | Cerebrospinal fluid (CSF) |  | Definition 
 
        | Fluid that bathes, protects, and nourishes the central nervous system.
 |  | 
        |  | 
        
        | Term 
 
        | Cerebrovascular accident (CVA) |  | Definition 
 
        | Blockage or hemorrhage of the blood vessels in the brain, usually causing focal neurologic deficits; also known as a stroke.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Largest part of the brain, divided into right and left hemispheres. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | An external verification of the competencies that an individual has achieved and typically involves an  examination process; in healthcare these processes are typically designed to verify that an individual has   achieved minimal competency to ensure safe and effective patient care. |  | 
        |  | 
        
        | Term 
 
        | Certified Flight Paramedic (FP-C) |  | Definition 
 
        | A certification obtained by paramedics  on successful completion of the Flight Paramedic Examination. |  | 
        |  | 
        
        | Term 
 
        | Certified  Flight Registered Nurse   (CFRN) |  | Definition 
 
        | A nurse who has completed education, training, and certification beyond a registered nurse with a focus on air medical transport of potentially critically ill or injured patients.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 
        | Glands lining the external auditory canal; produce cerumen or earwax. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Degeneration of two or more cervical vertebrae, usually resulting in a narrowing of the space between the vertebrae. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | First seven vertebrae in descending order from the base of the skull. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Inferior portion of the uterus. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A small bump on the eyelid caused by a blocked oil gland. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Law stating that oxygen cylinders can have variations in pressure readings in different ambient temperatures.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A substance that can bind metals; used as an antidote to many heavy metal poisonings. |  | 
        |  | 
        
        | Term 
 
        | Chemical Abstracts Services (CAS)  number |  | Definition 
 
        | Unique identification number of chemicals, much like a person's Social Security number. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Chemicals that prevent the transportation of oxygen to the cells  or the use of oxygen at the cellular level. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A precise description of a drug's chemical composition and molecular structure. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Agents such as sedatives that can suppress a patient's neurologic and/or motor capabilities and reduce the  threat to the paramedic; also known as pharmacologic restraints. |  | 
        |  | 
        
        | Term 
 
        | Cheyne-Stokes respirations |  | Definition 
 
        | A pattern of gradually increasing rate and depth of breathing that tapers to slower and shallower breathing with a period of apnea before the cycle repeats itself; often described as a crescendo-decrescendo pattern or periodic breathing. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | The reason the patient has sought medical attention. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | An all-encompassing term for all types of child abuse and neglect, including physical abuse, emotional abuse, sexual abuse, and neglect.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Tear gas; commercially known as Mace.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Narrowing or blockage of one or both nares by membranous or bony tissue. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | An industrial chemical used as a weapon to kill those who inhale the vapors or gases; the method of injury is asphyxiation resulting from lung damage from  hydrochloric acid bums (e.g., chlorine, phosgene); also known as a pulmonary agent. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Inflammation of the bile duct. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Inflammation of the gallbladder. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | The presence of gallstones in the common bile duct. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | The presence of stones in the gallbladder. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Having the characteristics  of the parasym pathetic division of the autonomic nervous system. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A chemical that blocks the action of acetylcholinesterase; thus the neurotransmitter acetylcholine is allowed to send its signals continuously to innervate nerve endings. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Fibrous bands of tissue in the valves that attach to each part or cusp of the valve. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Infection of the amniotic sac and its contents.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Vascular layer of the eyeball |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Group of specialized cells in the ventricles of the brain; filters blood through cerebral capillaries to create the cerebrospinal  fluid. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Material within a cell nucleus from  which the chromosomes are formed. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Any of the threadlike structures in the nucleus of a cell that function  in the transmission of genetic information; each consists of a double strand of DNA attached to proteins called histones. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Long,drawn out; applied to a disease that is not acute. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | An exposure to low concentrations over a long period.
 |  | 
        |  | 
        
        | Term 
 
        | Chronic obstructive pulmonary disease  (COPD) |  | Definition 
 
        | A progressive and irreversible condition characterized by diminished  inspiratory and expiratory capacity  of the lungs. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | The gradual, long-term deterioration of kidney function. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | The arrangement of events in time. |  | 
        |  | 
        
        | Term 
 | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 
        | The time required to get a unit en route to a call from dispatch. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Semifluid mass of partly digested food expelled by the stomach into the duodenum. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Consists of muscles that change the shape of the lens in the eye;  includes a network of capillaries that produce aqueous humor. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A daily rhythmic activity cycle based  on 24-hour intervals or events that occur at approximately 24-hour intervals, such as certain physiologic occurrences.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | The 24-hour cycle that relates to work and rest time. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Division of the left coronary artery. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A feeling of tingling around the lips and mouth caused by hyperventilation. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Adding  detours and extra details to conversations but eventually returning to the main topic. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A chronic degenerative disease of the liver. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A branch of law that deals with torts  (civil wrongs) committed by one individual, organization, or group against another. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Asking the speaker to help you understand. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Heat stroke caused by environmental exposure that results in core hyperthermia greater than 40° C. (104oF). |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | To wash with soap and water. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Incomplete closure of the upper lip. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Incomplete closure of the hard and/or soft palate of the mouth. |  | 
        |  | 
        
        | Term 
 
        | Clinical performance indicator |  | Definition 
 
        | A definable, measurable, skilled task  completed by the dispatcher that has a significant impact on the delivery of patient care. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Small, erectile structure at the entrance to the vagina. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A form of interview question that limits a patient's response to simple, brief words or phrases (e.g., "yes or no," "sharp or dull"). |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Fracture of the bone tissue that has not broken the skin tissue. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A bacterium  that produces a powerful toxin that causes botulism disease in human beings, waterfowl, and cattle. |  | 
        |  | 
        
        | Term 
 
        | Cluster A personality disorders |  | Definition 
 
        | Odd and eccentric type of personality disorders, including paranoid, schizoid, and schizotypal;  characterized by social isolation and odd thought processes. |  | 
        |  | 
        
        | Term 
 
        | Cluster B personality disorders |  | Definition 
 
        | Emotional and dramatic type of personality disorders, including histrionic, borderline, antisocial,   and   narcissistic; characterized   by  impulsive,  unpredictable  behavior, and manipulation of others.
 |  | 
        |  | 
        
        | Term 
 
        | Cluster C personality disorders |  | Definition 
 
        | Anxious and fearful type of personality disorders, including avoidant, dependent, and compulsive; marked by anxiety, shyness, and avoidance of conflict. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A migraine-like condition characterized by attacks of intense unilateral pain. The pain occurs most often over the eye and forehead and is accompanied by flushing and watering of the eyes and nose. The attacks occur in groups, with a duration of several hours. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | An acronym for central nervous system padding: pia matter, arachnid  matter, dura matter. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Formation of blood clots with the associated increase in blood viscosity. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A set of interactions of the circulating clotting factors. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Dead or dying tissue that forms a scar or eschar.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Fine, white powdered form of   cocaine, a  powerful central nervous   system stimulant; typically snorted intranasally. |  | 
        |  | 
        
        | Term 
 
        | Coccyx (coccygeal vertebrae) |  | Definition 
 
        | Terminal end of the spinal column; a tail-like bone composed of three to five vertebra. No nerve roots travel through the coccyx. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Bony structure in the inner ear resembling a tiny snail shell. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A guide for interactions between members of a specific profession (such as physicians) and the public. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A psychological concept defined as exhibiting too much and often inappropriate caring behavior. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Operation of the mind by which one becomes aware of objects of thought or perception; includes all aspects of perceiving, thinking, and remembering. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | An impairment that affects an individual's awareness and memory as well as his or her ability to learn,  process information, communicate, and make decisions. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | In the phases of immune response, the stage at which a foreign antigen is recognized to be present. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | The occurrence of increased urine production on exposure to cold. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | The mechanism associated with cold water in which individuals can survive extended periods of submersion. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A safe area isolated from the area of contam ination; also called the support zone. This zone has safe and  easy  access.  It contains  the command post and staging areas for personnel,  vehicles, and equipment.  EMS personnel are stationed in the cold zone. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A fibrous protein that provides elasticity and strength to skin and the body's connective tissue. |  | 
        |  | 
        
        | Term 
 | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 
        | Incision in the colon for the purpose  of making a temporary or permanent opening between the bowel and the abdominal wall. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Using a mix of geographic coverage and demand posts to best serve the community given the number of ambulances available at any one time. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A word root followed by a vowel. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A vowel that is added to a word root before a suffix. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Medical care intended to provide relief from pain and discomfort, such as the control of pain with medications. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | The location from which incident operations are directed. |  | 
        |  | 
        
        | Term 
 
        | Comminuted skull fracture |  | Definition 
 
        | Breakage of a bone or bones of the skull into multiple fragments. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | The period after infection during which the diease may be transmitted to another host. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | The exchange of thoughts, messages, and information.
 |  | 
        |  | 
        
        | Term 
 
        | Compartment syndrome (CS) |  | Definition 
 
        | A condition in which compartment  pressures increase in an injured extremity to the point that capillary  circulation  is stopped; often only correctable through surgical opening of the compartment. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Pause for which the normal beat after a premature complex occurs when  expected; also called a complete pause. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Passage of all fetal tissue before 20 weeks of gestation.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 
        | A seizure affecting only one part of the brain that does alter consciousness.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | The resistance  of the patient's  lung  tissue to ventilation.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Presentation of an extremity beside the major presenting fetal part. |  | 
        |  | 
        
        | Term 
 | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 
        | Word that contains more than one root. |  | 
        |  | 
        
        | Term 
 
        | Computer-aided dispatch (CAD) |  | Definition 
 
        | A computer-aided system that automates dispatching by enhanced data collection, rapid recall of information, dispatch mapping, as well as unit tracking  and the ability  to track and dispatch resources. |  | 
        |  | 
        
        | Term 
 
        | Concealment To hide or put out of site; provides no ballistic protection. |  | Definition 
 
        | To hide or put out of site; provides no ballistic protection. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | The initial formation  of an overall concept  of care for a particular  patient  begins  when the paramedic arrives on location of the incident.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | The    act   or   process    of   fertilization; beginning of pregnancy.
 |  | 
        |  | 
        
        | Term 
 
        | Concurrent   medical  direction |  | Definition 
 
        | Consultation with  a physician  or other advanced  health care professional by telephone, radio, or other electronic means, permitting the physician and paramedic to decide together  on the best course  of action in the delivery of patient care. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A brain injury with a transient impairment of consciousness followed by a rapid recovery to baseline neurologic activity. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Large   arteries    of   the   body (e.g., aorta and the pulmonary trunk); have more elas tic tissue and less smooth muscle; stretch under great pressures and then quickly return back to their origi
 nal shapes.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A system of pathways in the heart composed of specialized electrical (pacemaker) cells. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Type of deafness  that occurs where there is a problem  with the transfer of sound from the outer to the inner ear.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Ability of a cardiac cell to receive an elec trical stimulus and conduct that impulse to an adjacent cardiac cell. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Protection of patient information in any form  and  the disclosure of  that information only  as needed for patient care or as otherwise permitted by law.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | By  Occupational   Safety  and  Health Administration  (OSHA)   definition,   a  space   large
 enough and configured so that an employee can enter and perform assigned work but has limited or restricted means  for  entry  or  exit  (e.g.,  tanks,  vessels,  silos, storage bins, hoppers, vaults, and pits are spaces that may have limited means of entry); not designed for continuous employee occupancy.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Focusing   on  a  particular   point  made during the interview.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Present at or before birth. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Thin, transparent mucous membrane that covers the inner surface of the eyelids and the outer surface of the sclera. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Inflammation  of the conjunctiva. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Most   abundant   type  of  tissue   in the body; composed of cells that are separated by a matrix. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A  medication  or  combination   of medications  that  allows  a  patient  to  undergo  what could be an unpleasant experience by producing an altered level of consciousness but not complete anesthesia. The goal is for the patient to breathe spon taneously and maintain his or her own airway. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Formula  used to calculate  the volume of fluid needed to properly resuscitate  a burn patient. The formula is 2 to 4 mL!kg/% total body surface area burned. This is the formula currently regarded by the American Burn Association as the standard of care in adult burn patients. Several other, similar formulas exist that also may be used. |  | 
        |  | 
        
        | Term 
 | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 
        | Emotion shown in degrees less than expected. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | The deposition or absorption of chemical, biologic,  or  radiologic  materials  onto  personnel  or other materials. |  | 
        |  | 
        
        | Term 
 
        | Contamination reduction zone |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Continuing education  (CE) |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Continuous positive airway  pressure (CPAP) |  | Definition 
 
        | The delivery of slight positive pressure throughout the respiratory cycle to prevent airway collapse, reduce the work of breathing, and improve alveolar ventilation. |  | 
        |  | 
        
        | Term 
 
        | Continuous positive airway pressure (CPAP)  device |  | Definition 
 
        | Breathing device that allows delivery of slight positive pressure to prevent  airway collapse and improve oxygenation and ventilation in spontaneously breathing patients. |  | 
        |  | 
        
        | Term 
 
        | Continuous quality improvement (CQI) |  | Definition 
 
        | Programs designed to improve the level  of care; commonly driven by quality assurance. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Ability to shorten in length actively. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Rhythmic   tightening    of   the   muscular uterine  wall  that  occurs  during  normal  labor  and leads to expulsion of the fetus and placenta from the uterus.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | The time from the beginning of one contraction to the beginning of the next contraction
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | The time from  the beginning  to the end of a single uterine contraction.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Use of a drug for a condition when it is not advisable. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | An  injury  at  another  site,  usually opposite the point of impact. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | An injured  plaintiff's  failure to exercise due care that, along with the defendant's negligence, contributed to the injury.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Terminal end of the spinal cord. |  | 
        |  | 
        
        | Term 
 
        | Conus medullaris syndrome |  | Definition 
 
        | Complications resulting from injury to the conus medullaris. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A vertical structure used to store ensiled plant material in a aerobic environment. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Right-sided heart failure caused by pulmonary disease. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | The measured body temperature within the core of the body; generally measured with an esophageal probe; normal is 98.6° F. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Avascular, transparent structure that  permits light through to the interior of the eye. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Disease of the arteries that supply the heart muscle with blood. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Disease of the coronary arteries and their resulting complications, such as angina pectoris or acute myocardial infarction. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Venous drain for the coronary circulation into the right atrium. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A substance  able to corrode tissue or metal (e.g., acids and bases). |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | See Adrenocortical steroids. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Of or referring to the improvement of physical appearance. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | The angle formed by the margins of the ribs at the sternum. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Inflammation  of the cartilage in the anterior chest that causes chest pain. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A protective mechanism usually induced by mucosal irritation; the forceful,  spastic expiration experienced  during coughing aids in the clearance of the bronchi and bronchioles.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | An injury most often associated  with a blow to the skull in which the force of the impact is transmitted  through  the  skull  bones  to the opposite side of the head, where the bruise, fracture,  or other sign of injury appears. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | An injury directly below the point of impact. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Two consecutive premature complexes. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A type of concealment  that hides  the body  and offers ballistic protection. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Solid, brownish-white crystal form of cocaine, a powerful central nervous system stimulant; typically smoked. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | As the name implies, when fluid accumulates in the smaller airway passages, air passing through the fluid creates a moist crackling or popping sound heard on inspiration. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Twelve pairs of nerves that exit the brain and innervate the head and face; some also are part of the visceral  portion of the peripheral nervous system. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | The vaultlike portion of the skull, behind and above the face. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | End product of creatine metabolism; released during anaerobic metabolism. Elevated levels of creatinine are common in advanced stages of renal failure. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | An enzyme in skeletal and cardiac muscles that is released into circulation as a result of tissue damage. Can be used as a laboratory  indicator of muscle damage.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A local process by which an individual is permitted by a specific entity (e.g., medical director) to practice in a specific setting (e.g., EMS agency). |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A crackling sound indicative of bone ends grinding together. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | The grating, crackling, or popping sounds and sensations experienced  under skin and joints. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Most inferior cartilage of the larynx; only complete ring in the larynx.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A fibrous  membrane located between the cricoid and thyroid cartilages. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | An emergency procedure performed to allow rapid entrance to the airway (by the cricothyroid membrane) for temporary oxygenation and ventilation.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A location where any part of a criminal act has  occurred  or  where  evidence relating to a crime may be found. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A branch of law in which the federal, state, or local government prosecutes   individuals on behalf of society for  violating laws designed to safeguard society.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Decreasing responsiveness to the effects of a drug in a drug classification (such as narcotics) and the likelihood of development of decreased responsiveness to another drug in that classification. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | The process by which blood compatibility is determined by mixing  blood samples from the donor and recipient. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A viral infection of the upper airway that is notorious for causing a "seal bark" cough. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | The visible part of a tooth. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | The appearance of the first part of the infant at the vaginal opening during delivery. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Formed when two objects are moving toward each other or when one object  is moving toward a stationary object  and the gap between the two is decreasing. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Renal failure and shock after crush injuries. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A collection of cellular debris or dried blood; often called a scab. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Pertaining to extremely low temperatures. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A mnemonic for circulation, sensation, and movement. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Yellow-blue ecchymosis surrounding  the umbilicus. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Values and perspectives common to a racial, religious, or social group of people.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | The tendency to impose your beliefs,   values, and patterns of behavior on an individual from another culture. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Increased intensity of drug action evident after administration  of several doses. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Flow of electrical charge from one point to another. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Focus on the environmental and personal  habits of the patient that may influence the patient's general state of health. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Disorder caused by the overproduction of corticosteroids; characterized by a "moon face," obesity, fat accumulation on the upper back, increased facial hair, acne, diabetes, and hypertension. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Characteristic pattern of vital signs during rising intracranial pressure, presenting as rising hypertension, bradycardia, and abnormal respirations.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A practice or set of practices followed  by a group of people. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A highly toxic blood agent. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A bluish coloration of the skin as a result of hypoxemia, or deoxygenation of hemoglobin. |  | 
        |  | 
        
        | Term 
 
        | Cyclohexyl methyl phosphonofluoridate |  | Definition 
 
        | G nerve agent. The G agents tend to be nonpersistent, volatile agents. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A less-severe form of bipolar disorder marked by more frequently alternating periods of a dysphoric mood that does not meet the criteria for depression and hypomania.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Process of phagocytes adhering to capillary and venule walls in the early phases of inflammation. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Dried mixture of  shredded leaves, stems, and seeds of the hemp plant that usually are smoked and contain many psychoactive compounds, most notably tetrahydrocannabinol (THC). |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Self-injected nerve agent antidote kit consisting of atropine and 2-pralidoxime (2-PAM). |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Connective tissue cell that contains histamine; important in initiating the inflammatory response. |  | 
        |  | 
        
        | Term 
 
        | Material  safety  data  sheet  (MSDS) |  | Definition 
 
        | A document that contains information about the specific identity of a hazardous chemical; information includes exact name and synonyms, health effects, first aid, chemical and physical properties, and emergency telephone numbers.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Nonliving material that separates cells in the connective tissue. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Physical manipulation and breakdown of food. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | The manner in which a drug works to produce its intended effect. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | The  way an  injury occurs  on the body. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A dark green substance that represents the infant's first bowel movement. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A position toward the midline of the body. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | The dose that kills 50% of the drug tested population.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Infection of the mediastinum; a serious medical condition. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Surgical procedure of looking into the mediastinum with an endoscope.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Area that includes the trachea, esophagus, thymus gland, heart, and great vessels. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Medically clean, not sterile; the goal in prehospital care because complete  asepsis is not always possible. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Physician oversight of paramedic practice; also called medical control. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A physician responsible for the oversight of the EMS system and the actions of the paramedics; also known as a physician advisor.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A field of study that evaluates the decisions, conduct, policies, and social concerns of medical activities. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Legislation that governs the practice of medicine; may prescribe how and to what extent a physician may delegate authority to a  paramedic to perform medical acts; varies from state to state. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Greek- and Latin-based words (typically) that function as a common language for the medical community.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 
        | Most inferior part of the brainstem; responsible for some vegetative functions. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Lowest portion of brain tissue and the interface between the brain and the spinal cord; responsible for  maintenance of basic life functions such as heart rate and respirations.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Encapsulated nerve endings in the superficial dermis responsible for sensing vibrations and light touch. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | An episode of dysphoric mood with disruptions of homeostasis, including alterations in appetite, activities, and sleep  patterns; also called major  or severe depression
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Foul-smelling, dark,  and  tarry  stools  stained with blood pigments or with digested blood, often indicating gastrointestinal bleeding. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | The temperature at which a solid changes to a liquid (e.g., ice melting to water at oo C (32° F). |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Difference in electrical charge across the cell membrane. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A girl's first menstruation. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Covering of the brain and spinal cord; layers include the dura mater, arachnoid, and pia mater. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Irritation of the connective tissue covering the central nervous system, often from infection or hemorrhage |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A type of spina bifida in which the spinal cord develops normally but a saclike cyst that contains the meninges and cerebrospinal fluid protrudes from an opening in the spine, usually in the lumbosacral area. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | The severest form of spina bifida in which the meninges, cerebrospinal fluid, and a portion of the spinal cord protrude from an opening in the spine and are encased in a sac covered by a thin membrane; also called myelomeningocele. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Cessation of menstruation in the human female |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Shedding of endometrial lining. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Any form of psychiatric disorder. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Developmental disability characterized by a lower than normal IQ. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Sweat glands that open directly to the surface of the body; produce a fluid (mainly water) when the temperature rises that allows the body to dispel large amounts of heat through the evaporation process. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Layers of connective tissue found in  the peritoneal cavity. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Sum of all physical and chemical changes that occur within an organism. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | The smaller molecules from the breakdown that occurs during metabolism. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | The transformation of one type of mature differentiated cell into  another type of mature differentiated cell
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Spread of cancerous cells to a distant site. |  | 
        |  | 
        
        | Term 
 
        | Metered-dose  inhaler  (MDI) |  | Definition 
 
        | A handheld device that disperses a measured dose of medication in the form of a fine spray directly into the airway. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A powerful, highly addictive central nervous system stimulant found in either a white powder form or a clear crystal form ("crystal meth"). |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | The oxidation of hemoglobin from the ferrous iron to the ferric iron state. |  | 
        |  | 
        
        | Term 
 
        | Methicillin-resistant Staphylococcus  aureus |  | Definition 
 
        | Any of several bacterial strains of S. aureus resistant to methicillin (a penicillin) and related drugs; typically acquired in the hospital. |  | 
        |  | 
        
        | Term 
 | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 
        | Lies below the diencephalon and above the pons; works with the pons to route information from higher within the brain to the spinal cord and vice versa. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Air-filled chamber within the temporal bone; contains the auditory ossicles. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A recurring vascular headache characterized by unilateral onset, severe pain, sensitivity to light, and autonomic disturbances during the acute phase, which may last for hours or days. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Unit of measure of electrical current needed to elicit depolarization of the myocardium. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Difference in electrical charge between two points in a circuit.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | In most states, a person younger than 18 years. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Amount of gas moved in and out of the respiratory tract per minute. Tidal volume multiplied by ventilatory rate equals minute volume. The minute volume is the true measurement of a patient's ventila tory status and is vital in assessing pulmonary func tion. It ascertains the ventilatory rate and the depth of each inhalation. |  | 
        |  | 
        
        | Term 
 | Definition 
 | 
        |  | 
        
        | Term 
 
        | Miscarriage (spontaneous abortion) |  | Definition 
 
        | Loss of the products of conception before the fetus can survive on its own. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Performing a legal act in a harmful manner. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Power plant of the cell and body; site of aerobic oxidation.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Process of division and multiplication in which one cell divides into two cells. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Left atrioventricular valve in the heart; also called the bicuspid valve. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Pain occurring at time of ovulation. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A period of manic-like energy and agitation coupled with the pessimism and dysphoria of severe depression. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A device used in an ambulance or first responder vehicle to retrieve and send call information; has its own memory storage and process ing capability. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A device used like a mobile data computer but without its own memory storage and processing capability. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A radio installed in an emergency vehicle; usually transmits by higher wattage than a portable radio. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Deployment that considers work load and how available resources can achieve a balance among coverage, response times, and crew satisfaction. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A multicellular type of fungus that grows hyphae. |  | 
        |  | 
        
        | Term 
 | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 
        | Type of white blood cell (leukocyte) designed to consume foreign material and fight pathogens; generally become  macrophages within a few days after release into the bloodstream. |  | 
        |  | 
        
        | Term 
 | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 
        | A hair-covered fat pad overlying the symphysis pubis. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | The dominant and sustained emotional state of a patient; the emotional lens through which a patient views the world |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Social standards that help a person define right (what a person ought to do) versus wrong (what a person ought not to do). |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Having a body mass index of 40 or more; equates to approximately 100 lb more than ideal weight. |  | 
        |  | 
        
        | Term 
 | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 
        | The number of patients who have died from a disease in a given period. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Area of brain tissue on the frontal lobe that controls voluntary movements. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Layer of cells lining body cavities or organs (e.g., the lining of the mouth and digestive tract); generally implies a moist surface. |  | 
        |  | 
        
        | Term 
 
        | Multiformed  atrial  rhythm |  | Definition 
 
        | Cardiac dysrhythmia that occurs because of impulses originating from various sites, including the sinoatrial node, the atria, and/or the atrioventricular junction; requires at least three
 different P waves seen in the same lead for proper diagnosis.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A woman who has given birth multiple times |  | 
        |  | 
        
        | Term 
 
        | Multiple-casualty incident |  | Definition 
 
        | An incident involving 26 to 99 persons. |  | 
        |  | 
        
        | Term 
 
        | Multiple organ dysfunction syndrome |  | Definition 
 
        | Altered organ function in an acutely ill person in whom homeostasis cannot be maintained without intervention. |  | 
        |  | 
        
        | Term 
 
        | Multiple-patient incident |  | Definition 
 
        | An incident involving two to 25 persons. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Autoimmune disorder in which the immune system attacks the myelin sheath surrounding neurons, causing   widespread motor problems and pain. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | This system allows the crew to transmit voice and data at the same time, enabling the crew to call in a patient report while transmitting an ECG strip to the hospital. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | An inspiratory pause when the right upper quadrant is palpated. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Contractile tissue that is the basis of movement.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Hereditary condition causing malformation of muscle tissue and leading to malformation of the musculoskeletal system and physical disability. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | To change in an unusual way. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A condition in which a person will not speak. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Autoimmune disorder affecting acetylcholine receptors throughout the body, causing widespread muscle weakness.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Diseases caused by fungi. |  | 
        |  | 
        
        | Term 
 | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 
        | Developmental anomaly of the central nervous system in which a hernial sac containing a portion of the spinal cord, the meninges, and cerebrospinal fluid protrudes through a congenital cleft in the vertebral column; occurs in approximately two of every 1000 live births, is readily apparent, and is easily diagnosed at birth. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Working cells of the myocardium that contain contractile filaments and form the muscular layer of the atrial walls and the thicker muscular layer of the ventricular walls.
 |  | 
        |  | 
        
        | Term 
 
        | Myocardial  depressant  factor |  | Definition 
 
        | An inflammatory mediator (cytokine) produced as a result of significant bum injury; known to affect the contractile function of the cardiac ventricles. |  | 
        |  | 
        
        | Term 
 
        | Myocardial infarction (MI) |  | Definition 
 
        | Necrosis of some mass of the heart muscle caused by an inadequate blood supply. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Inflammation of the middle and thickest layer of the heart, the myocardium.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Middle and thickest layer of the heart; contains the cardiac muscle fibers that cause contraction of the heart as well as the conduction system and blood supply. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A pigment in muscle tissue that serves as an oxygen carrier (also known as myohemoglobin). |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Presence of myoglobin in  the  urine; almost always a result of a pathologic (disease) state such as widespread muscle injury.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Muscular region of the uterus. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Nearsightedness; difficulty seeing objects at a distance. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A rare muscle disease in which the body's immune system is activated, resulting in inflammation and pain of muscle tissue. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Areas of the body controlled by specific motor spinal nerves. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Severe form of hypothyroidism characterized by hypothermia and unresponsiveness. |  | 
        |  | 
        
        | Term 
 
        | N-95 particulate mask (medical) |  | Definition 
 
        | A facial mask worn over the nose and mouth that removes particulates from the inspired and expired air. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Widening of the nostrils on inhalation; an attempt to increase the size of the airway and increase the amount of available oxygen. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Small, saclike growths consisting of inflamed nasal mucosa. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | The administration route used when a nasagastric tube is in place; bypasses the voluntary swallowing reflex. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A tube placed by way of the nose into the stomach. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Opening at the medial comer of the eye that drains excess fluid into the nasal cavity. |  | 
        |  | 
        
        | Term 
 | Definition 
 | 
        |  | 
        
        | Term 
 
        | National  Disaster  Medical  System |  | Definition 
 
        | An organized response to an event that includes field units, coordination of  patient transportation, and provision  of hospital beds. The field component is composed of many volunteer teams of medical professionals. |  | 
        |  | 
        
        | Term 
 
        | National Fire Protection	Association (NFPA) |  | Definition 
 
        | International voluntary membership organization that promotes improved fire protection and prevention and establishes safeguards against loss of life and property by fire; writes and publishes national voluntary consensus standards.
 |  | 
        |  | 
        
        | Term 
 
        | National Flight Paramedics Association (NFPA) |  | Definition 
 
        | Association established in 1984 to differentiate the critical care paramedic from the flight paramedic; has developed a position statement recommending the training considered necessary to perform the duties of a flight paramedic. |  | 
        |  | 
        
        | Term 
 
        | National Highway Traffic Safety Administration (NHTSA) |  | Definition 
 
        | An agency within the U.S. Department of Transportation that was first given the authority to develop EMS systems, including the development of curriculum. |  | 
        |  | 
        
        | Term 
 
        | National  Medical Response Team |  | Definition 
 
        | Quick response specialty teams trained and equipped to provide mass casualty decontamination and patient care after the release of a chemical, biologic, or radiologic agent. |  | 
        |  | 
        
        | Term 
 
        | National Registry of EMTs (NREMT) |  | Definition 
 
        | A national organization developed to ensure that graduates of EMS training programs have met minimal standards by measuring competency through a uniform testing process. |  | 
        |  | 
        
        | Term 
 
        | National Standard  Curriculum (NSC) |  | Definition 
 
        | Document providing information or course planning and structure, objectives, and detailed lesson plans. It also suggests hours of instruction for the EMT-A. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Nonspecific immunity that mounts a generalized response to any foreign material or pathogen (e.g., inflammation). |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Specialized lymphocytes capable of killing infected or malignant cells. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A machine that turns liquid medication into fine droplets in aerosol or mist form. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Death of an area of tissue. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Causing the death (necrosis) of tissue. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | An electrical power cable that allows the vehicle's electrical system to be grounded or neutral as an electrical circuit. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Pressure that acts as a vacuum, pulling more fluid from the vascular space at a faster rate than before, further depleting the intravascular volume; also known as inhibition pressure. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Failure of a parent or other person with responsibility for the child to provide needed food, clothing, shelter, medical care, or supervision such that the child's health, safety, and well-being are threatened with harm. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | The failure to act as a reasonably prudent and careful person would under similar circumstances. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Conduct that may be declared and treated as negligent without having to prove what would be reasonable and prudent under similar circumstances, usually because the conduct violates a law or regulation. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | The stinging cells many marine creatures use to envenomate and immobilize prey. |  | 
        |  | 
        
        | Term 
 
        | Neonatal abstinence syndrome |  | Definition 
 
        | Withdrawal symptoms that occur in newborns born to opioid-addicted mothers. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | An infant from birth to 1 month of age, also called a newborn infant. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Cancerous growth; a tumor that may be malignant or benign. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | New blood vessel growth to support healing tissue. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Functional unit of the kidney. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Chemicals, medications, or other substances that can be toxic to the kidneys. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Neurons and blood vessels wrapped together with connective tissue; the body's information highways. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Tissue that can conduct electrical impulses. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Congenital anomalies that involve incomplete development of  the  brain,  spinal cord, and/or their protective coverings. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Pain caused by chronic nerve damage. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Interface between a neuron and its target tissue. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Shock with hypotension caused by a sudden loss of control over the sympathetic nervous system. Loss can be caused by a variety of mechanisms from traumatic injury to disease and infection.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Supporting cells of nervous tissue; functions include nourishment, protection, and insulation. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Conducting cells of nervous tissue; composed of a cell body, dendrites, and axon. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A protein that may interact with a  receptor after circulation through the blood. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Mental diseases related to upbringing and personality in which the person  remains "out of touch" with reality. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A chemical released from one nerve that crosses the synaptic cleft to reach a receptor. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A substance that counteracts the effects of acids or bases; brings the pH of a solution back to 7.0. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Penetrating radiation that can result in whole-body irradiation.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A form of granulocyte that is short lived but often first to arrive at the site of injury; capable of phagocytosis. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | The inability of a newborn to begin and continue breathing at birth.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | An infant in the first minutes to hours after birth. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | An elevated, solid lesion in the deep skin or subcutaneous tissues. |  | 
        |  | 
        
        | Term 
 
        | Noncardiogenic pulmonary edema |  | Definition 
 
        | Fluid collection in the alveoli of the lung that does not result from heart failure. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Failure to perform a required act or duty. |  | 
        |  | 
        
        | Term 
 | Definition 
 | 
        |  | 
        
        | Term 
 
        | Nonsteroidal antiinflammatory drug (NSAID) |  | Definition 
 
        | Medications used primarily to treat inflammation, mild to moderate pain, and fever. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Expressions, motions, gestures, and body language that may be used to communicate other than with words. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Nonthreatening bacteria found naturally in the human body that, in some cases, are necessary for normal function. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | The outer boundary between the nucleus and the rest of the cell to the endoplasmic reticulum for protein synthesis. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Membrane in the cell that surrounds the nucleus. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Protoplasm of the nucleus as contrasted with that of the cell.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Area within a cell where the genetic material is stored. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A woman who has not borne a child. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | The number or mathematic expression written above the line in a fraction; the numerator is a portion of the denominator. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Involuntary rapid movement of the eyes in the horizontal, vertical, or rotary planes of the eyeball. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | An excessively high amount of body fat or adipose tissue in relation to lean body mass. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Verifiable findings, such as information seen, felt, or heard by the paramedic. |  | 
        |  | 
        
        | Term 
 
        | Obsessive-compulsive disorder (OCD) |  | Definition 
 
        | An anxiety disorder marked by frequent, intrusive, unwanted, and bothersome thoughts (obsessions) and repetitive ritu als (compulsions). |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Blocking with an emergency vehicle to stop the flow of traffic in the lane in which the damaged vehicle is positioned plus one additional lane or the shoulder of the roadway. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Most rearward portion of the cerebrum; mainly responsible for processing the sense of sight.
 |  | 
        |  | 
        
        | Term 
 
        | Occupational Safety and Health  Administration (OSHA) |  | Definition 
 
        | A unit of the U.S. Department of Labor that establishes protective standards, enforces those standards, and reaches out to employers and employees through technical assistance and consultation programs. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A drug's name as listed in the United States Pharmacopoeia.
 |  | 
        |  | 
        
        | Term 
 
        | Offline medical direction |  | Definition 
 
        | Prospective and retrospective medical direction. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | In medicine, substances extracted from  flowers, leaves, stems, roots, seeds, or bark for use therapeutic treatments. |  | 
        |  | 
        
        | Term 
 | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 
        | Desensitization of the sense of smell. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Located within the nasopharynx; contains receptors that enable the ability of smell (olfaction). |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Protrusion of abdominal organs into the umbilical cord. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | The net effect of opposing osmotic pressures in the capillary beds.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Direct voice communication by a medical director (or designee) to a prehospital professional while he or she is attending to the patient; also called direct medical direction. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | The female gamete; product of the female reproductive system. |  | 
        |  | 
        
        | Term 
 | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 
        | A form of interview question that allows patients to respond in narrative form so that they may feel free to answer in their own way and provide details and information that they believe to be important. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Fracture of the bone tissue that breaks the skin and may or may not still be exposed.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Injury to the thoracic cavity in which  the cavity is breached, allowing air  into the space between the lung and the chest wall. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Carries out the tactical objectives of  the incident commander. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Route of administration in which medications are applied to the eye, such as antibiotic eye drops. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | An instrument used to examine the inner parts of the eye; consists of an adjustable light and multiple magnification lenses. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Powerful pain-relieving drugs derived from the seed pods of the poppy plant or drugs that are similar in molecular structure.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A route of administration in which the medication is placed in the mouth and swallowed; the drug is absorbed through the gastrointestinal  tract. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | First part of the gastrointestinal  tract; includes salivary glands, teeth, and tongue. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A structure composed of two or more  kinds of tissues organized to perform a more complex function than any one tissue alone can. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Organ of hearing located in the cochlea. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | The coordination  of several organs working together. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Numerous structures within the cell. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | An etiology of an illness that stems  from a biologic cause, such as a stroke or electrolyte imbalance. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | An entity composed of cells and capable of carrying on life functions. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A pesticide that inhibits acetylcholinesterase. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A tube placed by way of the mouth into the stomach. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Starts at the uvula; back of the oral cavity that extends down to the epiglottis. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Products developed for the diagnosis and/or treatment of rare diseases or conditions, such as sickle cell anemia and cystic fibrosis. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Dyspnea relieved by a change in position (either sitting upright or standing). |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Serial measurements of the patient's   pulse and blood pressure taken with  the patient recumbent, sitting, and standing. Results are used to assess possible volume depletion; also called the tilt test or postural vital signs. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | The number, or concentration, of solute per liter of water. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | The passive movement of water from a higher to a lower concentration. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | The difference in the concentration from one side of a membrane to the  other in the presence of an imbalance in the ionic concentration.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | The pressure exerted by the concentration of the solutes in a given space. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A disorder in which the cartilaginous covering of the joint surface starts to wear away, resulting in pain and  inflammation of a joint; also known as degenerative joint disease.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 
        | Reduction in the amount of bone mass, which leads to fractures after minimal trauma. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Hole; usually refers to a surgically made hole in some  part of  the  body  (e.g., tracheostomy, gastrostomy, colostomy). |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Route of administration in which medications are applied to the ear, such as antibiotic drops. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A condition manifested  by redness and irritation of the external auditory  canal; also called swimmer's  ear. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Abnormal growth of bone that prevents structures in the ear from working properly; thought to be a hereditary disease. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | An instrument used to examine the inner ear; consists of a light source and magnifying lens; the tip is covered with a disposable cone. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A membranous structure that separates the middle ear from the inner ear.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | The ovum and its surrounding cells. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Inner portion of the ovary. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Twisting of an ovary on its axis such that the venous flow to the ovary is interrupted.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Site of egg production in females. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | The accidental or intentional ingestion  of an excess of a substance with the potential for toxicity. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Drugs that can be purchased without a prescription. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | State of increased body weight in relation to height. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Mid-cycle release of an ovum during the menstrual cycle.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Human egg that, when fertilized, implants in the lining of the uterus  and results in pregnancy. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A normal chemical process in the body caused by the release of oxygen atoms created during normal cell metabolism.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | The ability of a substance to readily release oxygen to stimulate combustion.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A vertical structure  used to store ensiled plant material in an anaerobic environment. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Hemoglobin that has oxygen molecules bound to it. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | First wave in the cardiac cycle; represents atrial depolarization and the spread of the electrical impulse throughout the right and left atria. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Artificial pulse generator that  delivers an electrical current to the heart to stimulate depolarization. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Specialized cells of the heart's electrical  conduction system capable of spontaneously generating and conducting electrical impulses. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Placing the injured or ill patient in a litter and securing him or her for evacuation. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Any stimulus that causes discomfort to the patient, triggering some sort of response. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Provision of comfort measures(physical, social, psychological, and spiritual)  to terminally ill patients.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Pale, washed-out coloration of skin.  Often a result of extreme anemia or chronic illness. A patient with pallor can be referred to as pallid. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | The process of applying pressure against the body with the intent of gathering information.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | An unpleasant awareness of one's heartbeat. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Inflammation of the pancreas. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A disease that affects the majority of the population of a single region or that is epidemic at the same time in many different regions. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A sudden, paralyzing anxiety reaction char acterized by an overwhelming  sense of fear, anxiety,
 and impending doom, often with physical symptoms such as chest pain and difficulty breathing.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Section  of  the dermis  composed  of loose connective tissue that contains vasculature that feeds the epidermis. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Muscles attached to the chordae tendineae   of  the  heart  valves  and  the  ventricular muscle of the heart. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | An  elevated,   solid   lesion   usually   less   than 0.5 centimeters in diameter; may arise from the epider
 mis, dermis, or both.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | The number of pregnancies carried to term. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Method   of  intercellular communication  in which cells communicate with cells in close  proximity  through  the release  of  paracrine
 factors, or cytokines.
 |  | 
        |  | 
        
        | Term 
 
        | Paradoxic motion  (of a segment of the chest wall) |  | Definition 
 
        | Part of the chest moves in an opposite direction from the rest during respiration. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | False  perceptions   of  persecution and the feeling that one is being hunted or conspired against; this is the most common type of delusion. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A form of schizophrenia char acterized by persistent preoccupation with illogical, absurd, and changeable delusions,  usually of a perse cutory, grandiose, or jealous nature, accompanied by related hallucinations.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Tight, constricting  band caused by the foreskin when it is retracted behind the glans penis. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Paralysis of the lower limbs and trunk. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | An organism  that lives within or on another organism  (the  host)  but  does  not  contribute  to  the host's survival.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A division of the autonomic nervous  system;  responsible  for  the relaxed  state of the body known as "feed and breed."
 |  | 
        |  | 
        
        | Term 
 
        | Parasympathetic  nervous system |  | Definition 
 
        | The  subdivision  of the autonomic nervous system usually involved in activating vegetative functions, such as digestion, defecation, and urination. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Drugs that block or inhibit the function of the parasympathetic receptors. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Drugs     that    mimic    the parasympathetic  division  of  the  autonomic  nervous system.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Administration route used for systemic effects and given by a route other than the digestive tract. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Abnormal   sensation   described   as  numb ness, tingling, or pins and needles.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Section   of   the  cerebrum   responsible for the integration  of most sensory information  from the body.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Lining of the pleural cavity attached tightly to the interior of the chest cage. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | The number of pregnancies that have resulted in a viable infant.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Progressive movement disorder caused by dysfunction in the cerebellum; rigidity, tremor, bradykinesia, and postural instability are characteristic. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A  National  Park  Service  ranger  who  has undergone additional wilderness medical training and who operates in certain parks under the medical direc tion   of  emergency   physicians   from  University   of Southern  California-Fresno;  scope  of  practice  lies between  a  traditional  EMT-Intermediate  and  EMT Paramedic, with additional wilderness medical training. |  | 
        |  | 
        
        | Term 
 
        | Paroxysmal atrial tachycardia |  | Definition 
 
        | Atrial tachycardia  that starts or ends suddenly.
 |  | 
        |  | 
        
        | Term 
 
        | Paroxysmal nocturnal dyspnea (PND) |  | Definition 
 
        | A sudden onset of difficulty breathing that awakens the patient from sleep. |  | 
        |  | 
        
        | Term 
 
        | Paroxysmal supraventricular  tachycardia (PSVT) |  | Definition 
 
        | A regular,  narrow QRS  tachycardia  that starts  or ends
 suddenly.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A drug that when  bound  to a receptor may elicit a physiologic  response,  but it is less than that of an agonist; may also may block the response of a competing agonist. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | The pressure exerted by an individual gas in a mixture.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A seizure  confined  to one area  of  the brain.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Bums that involve any layer of the  dermis.   The  depth  of  these  bums  varies  and depends  on  location,  so they  are further  subcatego rized as superficial partial-thickness or deep partial thickness burns. Also called second-degree bums. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Level of  vision in  persons  who have some type of visual problem and may need assistance.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Induced immunity  that only lasts as long  as  the  injected  immune  agents  are  alive  and active (e.g., immunoglobulin injection). |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Degree of movement at a joint determined  when the examiner  causes the movement with the patient at rest. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | The ability of a substance to traverse a barrier  without any energy  input; generally  occurs from a higher to a lower concentration.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A summary of  all past health related events.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A flat, circumscribed, discolored lesion. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Fractures that occur as a result of an underlying disease process that weakens the mechanical properties of the bone.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Functional changes that accompany a particular syndrome or disease. |  | 
        |  | 
        
        | Term 
 
        | Patients  with terminal  illness |  | Definition 
 
        | Patients with advanced stage of illness or disease with an unfavorable progno sis and no known cure. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Gathering  patient  information, relating it to the health care professional's knowledge of pathophysiology and the signs and symptoms of illnesses and injuries, and determining whether the patient's presentation fits a particular pattern.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Anticipating the equipment and emer gency care interventions needed on the basis of the patient's history and physical examination findings. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Those  that  leave  a  distinctive mark, indicating that an object was used in the assault (e.g., cigarette bums, electrical cord whipping, human
 bites, glove injuries, attempted strangulation, and slaps).
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | The greatest rate of airflow that can be achieved during forced expiration beginning with the lungs fully inflated.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A device used to assess the severity of respiratory distress.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Human infestation with lice. |  | 
        |  | 
        
        | Term 
 
        | Pelvic  inflammatory  disease  (PID) |  | Definition 
 
        | An  infection  of a woman's reproductive organs, usually from a bacterial infection, that spreads from the vagina to the upper parts of the reproductive tract. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Any mechanism of injury that causes a cut or piercing of skin. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Male sex organ with three columns of erectile tissue; transfers sperm during copulation. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A diagnostic technique that uses tapping on the body to differentiate air, solids, and fluids. |  | 
        |  | 
        
        | Term 
 
        | Performance-based response system |  | Definition 
 
        | A contractual agreement between the EMS provider and the govern ment authority to  provide ambulance response to a particular municipality or region with time require
 ments for each response and total responses on a monthly basis.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Circulation of blood through an organ or a part of the body. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | The potential space between the two layers of the pericardium. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | An increase in the volume and/or character of pericardia!fluid that surrounds the heart. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Life-threatening  injury  in which blood collects within the pericardium until the increasing pressure prevents the heart from filling with blood, causing death. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A procedure in which a needle is inserted into the pericardia!space and the excess fluid is drawn out (aspirated) through the needle.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Inflammation  of  the  double-walled  sac (pericardium) that encloses the heart.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Two-layer serous membrane lining the pericardial cavity. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | From  the  twenty-eighth  week  of  gestation through the first 7 days after delivery.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 
        | The tissue between the mother's vaginal and rectal openings; may be tom during delivery.
 |  | 
        |  | 
        
        | Term 
 
        | Periodontal membrane/ligament |  | Definition 
 
        | Ligamentous attach ment between the root of a tooth and the socket of the bone within which it sits.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Fibrous connective tissue rich in nerve endings that envelops bone. |  | 
        |  | 
        
        | Term 
 
        | Peripheral nervous system |  | Definition 
 
        | All the nerves outside the central nervous system. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A vein outside the chest or abdomen, such as the veins of the upper and lower extremities. |  | 
        |  | 
        
        | Term 
 
        | Peripherally inserted  central  catheter (PICC)  line |  | Definition 
 
        | A thin tube inserted into a peripheral vein (usually the
 arm) and threaded into the superior vena cava to allow fluid or medication administration.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | The wavelike contraction of the smooth muscle of the gastrointestinal tract. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | The space between the parietal and visceral peritoneum; also called the peritoneal space. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Double-layered serous membrane that lines the abdominal cavity and covers the organs located in it. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Inflammation of  the  peritoneum, typically caused by infection or in response to contact with blood or digestive fluids.
 |  | 
        |  | 
        
        | Term 
 
        | Peritonsillar  abscess   (PTA) |  | Definition 
 
        | An  infection  of  tissue between the tonsil and pharynx, usually the result of a significant infection in the tonsils.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Ability of a membrane channel to allow passage of electrolytes once it is open. |  | 
        |  | 
        
        | Term 
 
        | Permissible exposure limit |  | Definition 
 
        | Allowable air concentration of a substance in the workplace as established by the Occupational Safety and Health Administration; these values are legally enforceable.
 |  | 
        |  | 
        
        | Term 
 
        | Permit-required  confined   space |  | Definition 
 
        | A  confined  space with one or  more of  the  following characteristics: (1) contains or has a potential to contain a hazardous atmosphere; (2) contains a material with the potential
 for engulfing an entrant; (3) has an internal configura tion such that an entrant could be trapped or asphyxi ated by inwardly converging walls or by a floor that slopes downward and tapers to a smaller cross-section; or (4) contains any other recognized serious safety or health hazard.
 |  | 
        |  | 
        
        | Term 
 
        | Personal  protective equipment  (PPE) |  | Definition 
 
        | Equipment used to protect personnel; includes items such as gloves, eyewear, masks, respirators, and gowns.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | The area around an individual that the person perceives as an extension of himself or herself. In the United States, personal distance is 1.5 to 4 feet. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Patterns of interacting  with others  and  the  world  that  are  rigid  and  harmful, causing social and occupational problems.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | In  a  patient  assessment,  the  signs and symptoms found  not to be present that support a working diagnosis. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | In a patient assessment, the signs and symptoms found to be present that support a working diagnosis.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A  chemical  material  used  to  control  a  pest (insect, weed, etc.).
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A tiny pinpoint rash on the upper area of the neck and the face; may indicate near strangulation  or suffocation; caused by an occlusion of venous return from the head while arterial pressure remains normal; may be present in mothers after childbirth; reddish purple  nonblanchable  discolorations  in the skin less than 0.5 em in diameter. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A numeric assignment  used to define the hydrogen ion concentration  of a given chemical. The lower the pH, the higher the hydrogen ion concentration and the more acidic the solution. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Cells  that  are  part  of  the  body's  immune system that play a predominant role in the destruction of invading microorganisms.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Ingestion   and  digestion   of  foreign materials by phagocytes (cells, such as macrophages, designed to perform this function). |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | The science of preparing and dispensing drugs.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | The  study  of  inherited  differences (variation) in drug metabolism and response.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | The process  by which a drug is absorbed,   distributed,   metabolized,   and  eliminated by the body. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Agents such as sedatives that can suppress a patient's neurologic and/or motor capa bilities so that the threat to the paramedic is reduced; also known as chemical restraints. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | The  study   of  drugs,   including   their actions and effects on the host. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A book describing drugs, chemicals, and medicinal preparations in a country or specific geographic  area, including a description  of the drug, its formula, and dosage.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | The   training   and   organizational concept that groups all the activities that take place at a typical vehicle crash with entrapment into four cate gories, with each known as a phase of rescue. |  | 
        |  | 
        
        | Term 
 | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 
        | An intense fear of a particular object or situation. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A salt of phosphoric acid that is important in the maintenance of the acid-base balance of the blood. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A double layer composed of three types  of  lipid  molecules  that  comprise  the  plasma membrane.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Rods  and  cones  contained  in  the sensory  part  of  the  retina;  they  relay  impulses   to the optic nerve.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A  condition   in  which  the  patient's eyes are sensitive or feel pain when exposed to bright light.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Inflicting  a  nonaccidental  physical injury on another person such as punching, kicking, hitting, or biting. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Disabilities  that involve limitation of mobility.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Straps, splints, and other devices that prevent movement of all or part of the patient's body. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A physician responsible for the over sight of the EMS system and the actions of the para
 medics; also known as a medical director.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Study of how the body functions. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Last meningeal layer; adheres to the central nervous system. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A congenital anomaly charac terized by a very small lower jaw (micrognathia), a tongue that tends to fall back and downward (glossop tosis), and cleft palate. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Dried  powder  forms of  medication  in the form  of a small pellet; the term "pill" has been replaced with tablet and capsule. |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | A machinery entanglement  hazard formed when two machine  parts move together  and at least one of the parts moves in a circle. |  | 
        |  |