Term
|
Definition
| As a Paramedic the most important skill you will develop is the ability to... |
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Term
| Your overall job as a Paramedic is to... |
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Definition
| identify pt problems, set your care priorities, develop a patient care plan & quickly and efficiently execute your plan. |
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Term
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Definition
| A determination of what you think is the patients current problem. |
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Term
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Definition
| The two basic categories of patient problems are... |
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Term
| Scene Size-Up Consists of... |
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Definition
| Scene safe, Determine MOI/NOI,Standard Precautions,Number of Patients,Consider additional resources |
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Term
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Definition
| The 1st step before any patient care is initiated is to take a look around and evaluate the overall safety and stability of the emergency scene. |
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Term
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Definition
| Your main focus is to ensure the ______ and ___ _____ of your EMS team. |
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Term
| Mechanism of Injury (MOI) |
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Definition
| the way in which traumatic injuries occur - the forces that act on the body to cause damage. |
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Term
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Definition
| is the general type of illness a patient is experiencing. |
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Term
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Definition
| Your first and foremost concern on any call is ensuring your ____ ______ and the safety of the other EMS team members. |
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Term
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Definition
| Any patient with whom you come into contact should be treated as... |
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Term
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Definition
| When inhaled particles are a risk factor wear a ______ mask. |
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Term
| Primary Assessment consists of... |
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Definition
| Forming a General impression, assess LOC, Assess ABC's, preform rapid exam, determine priority patients. |
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Term
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Definition
| Focuses on the identification and management of life threatening problems and usually take 60-90 seconds. |
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Term
AVPU - Alert to person place and day
Responsive to verbal
Responsive to pain
Unresponsive |
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Definition
| The quickest and simplest way to assess the patients mental status or level of consciousness (LOC)is to use |
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Term
|
Definition
| If you hear Snoring respiration think... |
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Term
|
Definition
| If you hear gurgling or bubbling sounds think... |
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Term
| Basic to Advanced or Simple to Complex |
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Definition
| When you are considering airway management options move your thinking along a line from... |
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Term
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Definition
| The easiest problem to solve with airway management is ______ the airway... |
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Term
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Definition
| As a general rule ___ breaths per minute is too fast. |
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Term
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Definition
| As a general rule ___ breaths per minute is too slow. |
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Term
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Definition
| ____ is evaluated to assess the ability of the circulatory system to restore blood to the capillary system. |
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Term
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Definition
| Assessment of capillary refill is most often used in... |
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Term
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Definition
| Fever, Hypertension, Allergic reactions, Carbon monoxide poisoning all present with _____ color skin |
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Term
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Definition
| Excessive blood loss and fright present with _____ color skin |
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Term
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Definition
| Hypoxemia, oxygen desaturation present with ______ color skin. |
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Term
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Definition
| Cardiovascular embarrassment (as in Shock), disseminated intravascular coagulopathy present with _______ color skin. |
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Term
| Sympathetic Nervous System |
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Definition
| The dryness or moisture of the skin is largely determined by the... |
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Term
|
Definition
| Stimulation of the sympathetic nervous system (shock or pain) causes... |
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Term
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Definition
| Depression of the sympathetic nervous system (spine injury) can cause the skin in the affected area to become abnormally... |
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Term
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Definition
| The apparent absence of a palpable pulse in a responsive patient is indicative of a... |
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Term
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Definition
| is the process of touching or feeling the patient for abnormalities, such as swelling or structures that are anatomically out of place. |
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Term
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Definition
| is the process of listening to sounds the body makes by using a stethoscope. |
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Term
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Definition
| Deformities, Contusions, Abrasions, Punctures, Burns, Tenderness, Lacerations, Swelling |
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Term
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Definition
| A grating or grinding sensation or sound made when two pieces of broken bone are rubbed together. |
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Term
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Definition
| gaining information about the patient and learning about the events surrounding the incident are parts of the... |
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Term
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Definition
| Health Information Portability and Accountability Act |
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Term
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Definition
| the most serious thing that the patient is concerned about. This is the reason the patient called 9-1-1. |
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Term
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Definition
| Onset, Provocation, Quality, Region/Radiate/Referral, Severity and Time |
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Term
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Definition
| objective observations or measurements that you make |
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Term
|
Definition
| Subjective information that the patient tells you |
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Term
| Medical Identification devices |
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Definition
| may take the form of bracelets, necklaces or wallet cards. |
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Term
|
Definition
| pertinent or chronic underlying medical conditions the patent may have. |
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Term
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Definition
| a composite picture that includes numerous factors in the patients life. |
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Term
| Pediatrics and Geriatrics |
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Definition
| Two of the most difficult groups of patients are |
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Term
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Definition
| With pediatric patients patient history gathering from the patent usually does not work well until they are... |
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Term
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Definition
| Roughly ____% of elderly who fall and break a hip will not survive the event. |
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Term
| 10' or 2 to 3 times the child's height |
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Definition
| a fall from more than ____ constitutes a high priority pediatric patient |
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Term
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Definition
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Term
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Definition
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Term
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Definition
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Term
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Definition
| sensation of the room spinning |
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Term
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Definition
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Term
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Definition
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Term
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Definition
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Term
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Definition
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Term
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Definition
| waking up in the middle of the night to urinate |
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Term
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Definition
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Term
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Definition
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Term
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Definition
| a working hypothesis of the nature of the problem |
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Term
|
Definition
| a psychological gift that allows you to feel what your patient is feeling - putting yourself into his or her shoes |
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Term
|
Definition
| using techniques that encourage your patient to feel open to giving you any information you need. |
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Term
|
Definition
| pausing to consider something significant that you've just been told. |
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Term
|
Definition
| the technique of asking your patients for more information when some aspect of the history is vague or unclear to you. |
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Term
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Definition
| making you patient aware that you perceive something that is not consistent with his or her behavior, the actual scene, or the information the patient is giving you. |
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Term
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Definition
| inferring the cause of the patients distress, then asking the patient if you are right. |
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Term
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Definition
| Around the age of ___ to ___ children become very capable of providing history of the current problem. |
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Term
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Definition
| This patient population is growing and frequently represents the primary customer for EMS. |
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Term
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Definition
| illnesses caused by medications can mask other condition that may need immediate medical attention |
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Term
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Definition
| is the process by which quantifiable, objective (based on fact or observable) information is obtained from a patient about his or her overall state of health. |
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Term
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Definition
| observed or perceived by the patient |
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Term
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Definition
| also known as physical examination, obtaining vital signs that measure overall body function and performing a head to toe survey that evaluates the workings of specific body organ systems. |
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Term
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Definition
| involves looking at the patient, either in general or at a specific area. |
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Term
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Definition
| physical touching for the purpose of obtaining information |
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Term
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Definition
| involves gently striking the surface of the body typically where it overlies various body cavities. |
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Term
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Definition
| involves listening with a stethoscope |
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Term
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Definition
| in infants younger than 1 year you should palpate the _____ artery |
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Term
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Definition
| is the measurement of the force exerted against the walls of the blood vessels |
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Term
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Definition
| is the product of cardiac output and peripheral vascular resistance |
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Term
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Definition
| is created by the left ventricle while it is contracting |
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Term
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Definition
| is the result of residual pressure in the system while the left ventricle is relaxing |
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Term
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Definition
| coronary arteries receive blood flow during |
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Term
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Definition
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Term
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Definition
| measures the percentage of hemoglobin saturation and can provide inaccurate information in certain situations. |
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Term
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Definition
| allows you to look into a patient's eyes and view the retina and aqueous fluid. |
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Term
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Definition
| is used to evaluate the ears of a patient |
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Term
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Definition
| is a systematic head to toe examination |
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Term
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Definition
| generally performed on patients who have sustained non-significant MOI's and on responsive medical patients. |
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Term
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Definition
| a tough highly elastic layer of connective tissures |
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Term
|
Definition
| cells that secrete collagen, elastin and ground substance |
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Term
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Definition
| is a result of poor red blood cell per-fusion to the capillary beds of the skin |
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Term
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Definition
| indicates a relative lack of oxygen perfusion although red blood cells may be adequate |
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Term
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Definition
| is localized bruising or blood collection within or under the skin |
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Term
| Head Eyes Ears Nose Throat |
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Definition
|
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Term
|
Definition
| the head is divided into two parts: |
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Term
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Definition
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Term
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Definition
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Term
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Definition
| the patients ability or inability to see |
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Term
|
Definition
| the standard device for checking visual acuity is the... |
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Term
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Definition
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Term
|
Definition
| brain natriuretic peptide |
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Term
| ST Elevation Myocardial Infarction |
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Definition
|
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Term
|
Definition
| is used to provide verification of correct endotracheal tube placement. |
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Term
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Definition
| A by product of cellular metabolism |
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Term
|
Definition
| includes a measurement of carbon dioxide output but also provides a wave form that gives you further insight into the overall ventilatory status of your patient. |
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Term
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Definition
| wandering or shaking eye movements |
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Term
|
Definition
| alternating convergence for divergence creating a crossed eye appearance |
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Term
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Definition
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Term
|
Definition
| dark bluish pigmentation over the buttocks and lower lumbar regions |
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Term
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Definition
| length of time for rapid exam |
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Term
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Definition
| an acute sudden change in mental status, secondary to some significant underlying aberration. |
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Term
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Definition
| representative of a gradual and pervasive deterioration of cognitive cortical functions, typically secondary to the slow progression of some disease state. |
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Term
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Definition
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Term
|
Definition
| tingling or sensory changes |
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Term
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Definition
| distinct areas of skin that correspond to specific spinal or cranial nerve levels where sensory nerves enter the CNS |
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Term
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Definition
| the patients understanding and interpretation of the positioning of an extremity and is a function of the cerebellum |
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Term
| consciousness,orientation,activity,speech,thought,memory,affect,perception |
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Definition
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Term
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Definition
| test used to check neurological function |
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Term
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Definition
| involuntary motor responses to specific sensory stimuli |
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Term
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Definition
| promotes rapid transmission of impulses along the nerve |
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Term
| olfactory,optic,oculomotor,trochlear,trigeminal,abducens,facial,vestibulocochlear,glossopharyngeal,vagus,spinal accessory,hypoglossal |
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Definition
|
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Term
|
Definition
| two portions of the nervous system |
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Term
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Definition
| consists of the brain and spinal cord |
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Term
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Definition
| includes all other motor and sensory nerves outside of the CNS |
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Term
|
Definition
| comprises the cerebrum, cerebellum and medulla (brainstem) |
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Term
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Definition
| takes charge of all of the brains conscious processes |
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Term
| frontal,temporal,parietal and occipital |
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Definition
| the four lobes of the cerebrum |
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Term
|
Definition
| this part of the brain is responsible for coordinating balance |
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Term
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Definition
| handles all unconscious deeper processes |
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Term
| sympathetic and parasympathetic |
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Definition
| the two parts of the autonomic nervous system |
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Term
|
Definition
|
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Term
|
Definition
| a sideways curvature of the spine |
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Term
|
Definition
| refers to the inward curve of the lumbar spine just about the buttocks |
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Term
|
Definition
| refers to the outward curve of the thoracic spine |
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Term
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Definition
| number of vertebrae of the spine |
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Term
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Definition
| inability to maintain a constant core body temperature |
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Term
| intermittent claudication |
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Definition
| cramp like pain in the lower legs due to poor circulation or low potassium |
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Term
|
Definition
| this type of fracture occurs when abnormal forces are applied to normal bone structures |
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Term
|
Definition
| this type of fracture occurs when normal forces are applied to abnormal bone structure I.E disease |
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Term
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Definition
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Term
|
Definition
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Term
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Definition
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Term
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Definition
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Term
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Definition
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Term
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Definition
| the distal orifice of the alimentary canal |
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Term
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Definition
| a localized weakening of the abdominal wall musculature |
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Term
|
Definition
| the patient who contracts his or her abdominal muscles shows the sign called... |
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Term
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Definition
| a collection of fluid within the peritoneal cavity |
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Term
|
Definition
| bp increase of 20, bp decrease of 10 or hr increase of 20 |
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Term
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Definition
| sense changes in blood pressure |
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Term
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Definition
| also called the tilt test, are measurement of a patients blood pressure and pulse that are taken in the supine and sitting or standing position |
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Term
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Definition
|
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Term
|
Definition
| cyanosis in the extremities |
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Term
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Definition
| the tricuspid valve is auscultated over the lower left sternal border |
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Term
|
Definition
| the mitral valve can be assessed over the cardiac apex |
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Term
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Definition
| the large dome shaped muscle used for respiration |
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Term
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Definition
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Term
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Definition
| sounds related to blood pressure |
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Term
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Definition
| the abnormal whoosh like sounds that indicates turbulent blood flow moving through a narrowed artery |
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Term
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Definition
| is an abnormal whoosh like sound heard over the heart that indicates turbulent blood flow around a cardiac valve |
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Term
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Definition
| the two systems through which blood flows in the body |
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Term
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Definition
| carries oxygen rich blood from the left ventricle through the body and back to the right atrium |
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Term
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Definition
|
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Term
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Definition
| separates the right and left ventricles |
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Term
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Definition
| a depression that represents the former location of the foramen ovale, an opening between the two atria that is present in the fetus. |
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Term
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Definition
|
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Term
|
Definition
| place the diaphragm over the area of decreased breath sounds and ask the patient to saw "ee" |
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Term
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Definition
| accomplished by placing the diaphragm of the stethoscope over the area of potential consolidation and asking the patient to say the words "ninetynine" |
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Term
|
Definition
| moist crackling, usually on inspiration and expiration |
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Term
|
Definition
| continuous sounds with a lower pitch and rattling quality and are indicative of fluid in the larger airways in the lungs |
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Term
|
Definition
| a brassy crowing sound often heard without a stethoscope. |
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Term
|
Definition
|
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Term
|
Definition
| stridor often indications a life threatening problem and approx _____% reduction in airway size |
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Term
|
Definition
| a high pitched whistling sound that is most prominent on expiration |
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Term
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Definition
| wet breath sounds that often represent cardiac failure or infection |
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Term
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Definition
| the pathway by which the spinal cord makes its way out of the brain and into the torso |
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Term
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Definition
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Term
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Definition
|
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Term
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Definition
| anisocoria (can be found in 20% of the population) |
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Term
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Definition
| the #3 cranial nerve also responsible for eyes and pupil reaction |
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Term
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Definition
| the chamber inside the brain where CSF is produced |
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Term
|
Definition
| the inner two layers of the meninges |
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Term
|
Definition
| the tough, fibrous outer layer that resembles leather and forms a sack that contains CSF. |
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Term
|
Definition
| the brain connects to the spinal cord through the ___ ____ a large opening at the base of the skull. |
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Term
|
Definition
| localized bruising or blood collection within the skin |
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Term
|
Definition
| a tough highly elastic layer of connective tissue. This complex material is composed chiefly of collagen fibers, elastic fibers, elastic fibers and a mucopolysaccharide gel. |
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Term
|
Definition
| the outermost layer and the bodys first line of defense |
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Term
|
Definition
| disposable plastic earpiece used with an otoscope |
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Term
|
Definition
|
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Term
|
Definition
| a working hypothesis of the nature of the problem |
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Term
|
Definition
|
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Term
|
Definition
|
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Term
|
Definition
| Using techniques that encourage your patient to feel open to giving you and information you need. |
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Term
|
Definition
| Pausing...to consider something significant that youve just been told. |
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Term
|
Definition
| Asking your patient for more information when you suspect the history is vauge or unclear. |
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Term
|
Definition
| Inferring the cause of the patients distress, then asking the patient if you are right. |
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Term
| Olfactory-the sensory nerve responsible for smell |
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Definition
|
|
Term
| Optic - the sensory nerve responsible for vision |
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Definition
|
|
Term
| Oculomotor - Motor nerve responsible for pupil constriction and eye movement |
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Definition
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|
Term
| Trochlear - Motor nerve responsible for eye movement |
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Definition
|
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Term
| Trigeminal - Motor and Sensory nerve responsible for chewing and sensory to the face. |
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Definition
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Term
| Abducens - Motor nerve responsible for eye movement |
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Definition
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Term
| Facial - Motor nerve responsible for facial movement |
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Definition
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Term
| Vestibulocochlear - Sensory nerve responsible for hearing |
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Definition
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Term
| Glossopharyngeal - motor and sensory nerve responsible for the throat and swallowing and feeling of the toung |
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Definition
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Term
| Vagus - Motor and sensory nerve responsible for the heart, lungs, palate, pharynx, larynx,trachea,bronchi, GI tract external ear |
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Definition
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Term
| Spinal accessory - motor nerve responsible for the neck and shoulders |
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Definition
|
|
Term
| Hypoglossal - Motor nerve that is responsible for movement of the tounge, throat and neck |
|
Definition
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