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EMT Review
Definitions
607
Anatomy
Undergraduate 1
02/06/2018

Additional Anatomy Flashcards

 


 

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Term
911 system
Definition
a system for telephone access to report
emergencies. A dispatcher takes the information
and alerts EMS or the fire or police departments as needed. Enhanced 911 has the additional capability of automatically identifying the caller's
phone number and location.
Term
abandonment
Definition
leaving a patient after care has been initiated and before the patient has been transferred to someone with equal or greater medical training.
Term
abdominal quadrants
Definition
four divisions of the abdomen used to pinpoint the location of a pain or injury: the right upper quadrant (RUQ), the left upper quadrant (LUQ), the right lower quadrant (RLQ), and the left lower quadrant (LLQ).
Term
ABC's
Definition
airway, breathing, and circulation.
Term
abortion
Definition
spontaneous (miscarriage) or induced termination of pregnancy.
Term
abrasion
Definition
a scratch or scrape.
Term
abruptio placentae
Definition
a condition in which the placenta separates from the uterine wall; a cause of prebirth bleeding.
Term
absorbed poisons
Definition
poisons that are taken into the body through unbroken skin.
Term
acetabulum
Definition
the pelvic socket into which the ball at the proximal end of the femur fits
to form the hip joint.
Term
acromioclavicular joint
Definition
the joint where the acromion and the clavicle meet.
Term
acromion process
Definition
the highest portion of the shoulder.
Term
activated charcoal
Definition
a substance that adsorbs many poisons and
prevents them from being absorbed by the body.
Term
active rewarming
Definition
application of an external heat source to rewarm the body of a hypothermic patient.
Term
acute coronary syndrome (ACS)
Definition
a blanket term used to represent any symptoms related to lack of oxygen (ischemia) in the heart muscle. Also called cardiac compromise.
Term
acute myocardial infarction (AMI)
Definition
the condition in which a portion of the myocardium dies as a result of oxygen starvation; often called a heart attack by laypersons.
Term
adolescence
Definition
stage of life between 13 to 18.
Term
advance directive
Definition
a DNR order; instructions written in advance of the event.
Term
aerobic metabolism
Definition
the cellular process in which oxygen is
used to metabolize glucose. Energy is produced in an efficient manner with minimal waste products.
Term
afterbirth
Definition
the placenta, membranes of the amniotic sac, part of the umbilical cord, and some tissues from the
lining of the uterus that is delivered after the
birth of the baby.
Term
agonal breathing
Definition
irregular, gasping breaths that precede apnea and death.
Term
air embolism
Definition
an air or gas bubble in the bloodstream. The plural is air emboli. The more accurate term is arterial gas embolism (AGE).
Term
airway
Definition
the passageway by which air enters or leaves the body. The structures of the airway are the nose,
mouth, pharynx, larynx, trachea, bronchi, and
lungs. See also patent airway.
Term
allergen
Definition
something that causes an allergic reaction.
Term
allergic reaction
Definition
an exaggerated immune response.
Term
alveolar ventilation
Definition
the amount of air that reaches the alveoli.
Term
alveoli
Definition
the microscopic sacs of the lungs
where gas exchange with the bloodstream takes
place.
Term
amniotic sac
Definition
the "bag of waters" that surrounds
the developing fetus.
Term
amputation
Definition
the surgical removal or traumatic severing of a body part, usually an
extremity.
Term
anaerobic metabolism
Definition
the cellular process in which glucose is metabolized into energy without
oxygen. Energy is produced in an inefficient
manner with many waste products.
Term
anaphylaxis
Definition
a severe or life-threatening allergic reaction in which the blood vessels dilate, causing a drop in blood pressure, and the tissues lining the respiratory system swell, interfering with the airway. Also called anaphylactic shock.
Term
anatomical position
Definition
the standard reference position for the body in the study of anatomy. In this position, the body is
standing erect, facing the observer, with arms
down at the sides and the palms of the hands
forward.
Term
anatomy
Definition
the study of body structure.
Term
anemia
Definition
lack of a normal number of red blood cells in the circulation.
Term
aneurysm
Definition
the dilation, or ballooning, of a
weakened section of the wall of an artery.
Term
angina pectoris
Definition
pain in the chest, occurring when blood supply to the heart is reduced and a portion of the heart muscle is not
receiving enough oxygen.
Term
angulated fracture
Definition
fracture in which the broken bone segments are at an angle to each other.
Term
anterior
Definition
the front of the body or body part.
Term
antidote
Definition
a substance that will neutralize the poison or its effects.
Term
aorta
Definition
the largest artery in the body. It
transports blood from the left ventricle to begin
systemic circulation.
Term
apnea
Definition
no breathing.
Term
appendix
Definition
a small tube located near the junction of the small and large intestines in the right lower quadrant of
the abdomen, the function of which is not well
understood. Its inflammation, called appendicitis,
is a common cause of abdominal pain.
Term
arterial bleeding
Definition
bleeding from an artery, which is characterized by bright red blood that is rapid, profuse, and difficult
to control.
Term
arteriole
Definition
the smallest kind of artery.
Term
artery
Definition
any blood vessel carrying blood away from the heart.
Term
artificial ventilation
Definition
forcing air or oxygen into the lungs when a patient has stopped breathing or has inadequate breathing. Also called positive pressure ventilation.
Term
aspirin
Definition
a medication used to reduce the clotting ability of blood to prevent and treat clots associated with
myocardial infarction.
Term
assault
Definition
placing a person in fear of bodily harm.
Term
asystole
Definition
a condition in which the heart has
ceased generating electrical impulses.
Term
atria
Definition
the two upper chambers of the heart. There is a right atrium (which receives
unoxygenated blood returning from the body) and
a left atrium (which receives oxygenated blood returning from the lungs).
Term
aura
Definition
a sensation experienced by a seizure patient right before the seizure, which might be a smell,
sound, or general feeling.
Term
auscultation
Definition
listening. A stethoscope is used to auscultate for characteristic sounds.
Term
autism spectrum disorders (ASD)
Definition
developmental disorders that affect, among other things, the ability to communicate, report medical
conditions, self-regulate behaviors, and interact
with others.
Term
auto-injector
Definition
a syringe preloaded with medication that has a spring-loaded device that pushes the needle through the skin when the tip of the device is pressed firmly against the body.
Term
automatic implanted cardiac defibrillator
(AICD)
Definition
a device implanted under the skin of the chest to detect any life-threatening dysrhythmia and deliver a shock to defibrillate the heart.
Term
automatic transport ventilator (ATV)
Definition
a device that provides positive pressure ventilations. It includes settings designed to adjust
ventilation rate and volume, is portable, and is easily carried on an ambulance.
Term
automaticity
Definition
the ability of the heart to generate and conduct electrical impulses on its own.
Term
autonomic nervous system
Definition
the division of the peripheral nervous system that controls involuntary motor functions.
Term
AVPU
Definition
a memory aid for classifying a patient's level of responsiveness or mental status. The letters stand for alert, verbal response, painful response, unresponsive.
Term
avulsion
Definition
the tearing away or tearing off of
a piece or flap of skin or other soft tissue. This term also may be used for an eye pulled from its socket or a tooth dislodged from its socket.
Term
bag-valve mask (BVM)
Definition
a handheld device with a face mask and selfrefilling bag that can be squeezed to provide artificial ventilations to a patient. It can deliver air from the atmosphere or oxygen from a
supplemental oxygen supply system.
Term
bandage
Definition
any material used to hold a dressing in place.
Term
bariatric
Definition
having to do with patients who are significantly overweight or obese.
Term
bariatrics
Definition
the branch of medicine that deals with the causes of obesity, as well as its prevention and treatment.
Term
base station
Definition
a two-way radio at a fixed site such as a hospital or dispatch center.
Term
battery
Definition
causing bodily harm to or restraining a person.
Term
behavior
Definition
the manner in which a person acts.
Term
behavioral emergency
Definition
when a patient's behavior is not typical for the situation; when the patient's behavior is unacceptable or intolerable to the patient, his
family, or the community; or when the patient may harm himself or others.
Term
bilateral
Definition
on both sides.
Term
bladder
Definition
the round sac-like organ of the renal system used as a reservoir for urine.
Term
blood pressure
Definition
the pressure caused by blood exerting force against the walls of blood vessels. Usually arterial blood pressure (the pressure in an artery) is
measured. There are two parts: diastolic blood pressure and systolic blood pressure.
Term
blood pressure monitor
Definition
machine that automatically inflates a blood pressure cuff and measures blood pressure.
Term
blunt-force trauma
Definition
injury caused by a blow that does not penetrate the skin or other body tissues.
Term
body mechanics
Definition
the proper use of the body to facilitate lifting and moving and prevent injury.
Term
bonding
Definition
the sense that needs to be met.
Term
bones
Definition
hard but flexible living structures that provide support for the body and protection for the vital organs.
Term
brachial artery
Definition
artery of the upper arm; the site of
the pulse checked during infant CPR.
Term
brachial pulse
Definition
the pulse felt in the upper arm.
Term
bradycardia
Definition
a slow pulse; any pulse
rate below 60 beats per minute.
Term
Braxton-Hicks contractions
Definition
irregular prelabor contractions of the uterus.
Term
bronchi
Definition
the two large sets of branches that
come off the trachea and enter the lungs. There are right and left bronchi. Singular bronchus.
Term
bronchoconstriction
Definition
the contraction of smooth muscle that lines the bronchial passages that results in a decreased internal diameter of the airway and increased resistance to air flow.
Term
calcaneus
Definition
the heel bone.
Term
capillary
Definition
a thin-walled, microscopic blood vessel where the oxygen/carbon dioxide and nutrient/waste exchange with the body's cells takes place.
Term
capillary bleeding
Definition
bleeding from capillaries, which is characterized by a slow, oozing flow of blood.
Term
cardiac conduction system
Definition
a system of specialized muscle tissues that conducts electrical impulses that stimulate the heart to beat
Term
cardiac muscle
Definition
specialized involuntary muscle found only in the heart.
Term
cardiac output
Definition
the amount of blood ejected from the heart in 1 minute (heart rate A— stroke volume).
Term
cardiogenic shock
Definition
shock, or lack of perfusion, brought on not by blood loss, but by inadequate pumping action of the heart. It is often the result of a heart attack or
congestive heart failure.
Term
cardiopulmonary resuscitation (CPR)
Definition
actions taken to revive a person by keeping the person's heart and lungs working.
Term
cardiovascular system
Definition
the system made up of the heart (cardio) and the blood vessels (vascular); the circulatory system.
Term
carotid arteries
Definition
the large neck arteries, one on each side of the neck, that carry blood from the heart to the head.
Term
carotid pulse
Definition
the pulse felt along the large carotid artery on either side of the neck.
Term
carpals
Definition
the wrist bones.
Term
cartilage
Definition
tough tissue that covers the joint ends of bones and helps to form certain body parts such as the ear.
Term
cell phone
Definition
a phone that transmits through the air instead of over wires so that the phone can be transported and used over a wide area.
Term
cellular respiration
Definition
the exchange of oxygen and carbon dioxide
between cells and circulating blood.
Term
central IV catheter
Definition
a catheter surgically inserted for long-term delivery of medications or fluids into the central
circulation.
Term
central nervous system (CNS)
Definition
brain and spinal chord
Term
central pulses
Definition
the carotid and femoral pulses, which can be felt in the central part of the body.
Term
central rewarming
Definition
when the baby appears head first during birth. This is the normal presentation.
Term
cerebrospinal fluid (CSF)
Definition
the fluid that surrounds the brain and spinal cord.
Term
cervix
Definition
the neck of the uterus at the entrance
to the birth canal.
Term
chemoreceptors
Definition
chemical sensors in the brain and blood vessels that identify changing levels of
oxygen and carbon dioxide.
Term
chief complaint
Definition
in emergency medicine, the reason EMS was
called, usually in the patient's own words.
Term
clavicle
Definition
the collarbone.
Term
closed extremity injury
Definition
an injury to an extremity with no associated opening in the skin.
Term
closed wound
Definition
an internal injury with no open pathway from the outside.
Term
cold zone
Definition
area where the Incident Command post and
support functions are located.
Term
combining form
Definition
a word root with an added vowel that can be joined with other words, roots, or suffixes to form a new word.
Term
Command
Definition
the first on the scene to establish order and initiate the Incident Command System.
Term
comminuted fracture
Definition
a fracture in which bones are broken in several places.
Term
compartment syndrome
Definition
injury caused when tissues such as blood vessels and nerves are constricted within a space as from
swelling or from a tight dressing or cast.
Term
compensated shock
Definition
when the patient is developing shock but the body is still able to maintain perfusion. See shock.
Term
compound
Definition
a word formed from two or more whole words.
Term
concussion
Definition
mild closed head injury without detectable damage to the brain. Complete recovery is usually
expected.
Term
conduction
Definition
the transfer of heat from one material to another through direct contact.
Term
confidentiality
Definition
the obligation not to reveal information obtained about a patient except to other health care
professionals involved in the patient's care, or
under subpoena, or in a court of law, or when the
patient has signed a release of confidentiality.
Term
congestive heart failure (CHF)
Definition
the failure of the heart to pump efficiently, leading to excessive blood or fluids in the lungs, the body,
or both.
Term
consent
Definition
permission from the patient for care or other action by the EMT.
Term
constrict
Definition
get smaller.
Term
contamination
Definition
contact with or presence of a material
(contaminant) that is present where it does not
belong and that is somehow harmful to persons,
animals, or the environment.
Term
continuous ambulatory peritoneal dialysis
(CAPD)
Definition
a gravity exchange process for peritoneal dialysis in which a bag of dialysis fluid is raised above the
level of an abdominal catheter to fill the abdominal cavity and then lowered below the level of the abdominal catheter to drain the fluid out.
Term
continuous cycler-assisted peritoneal dialysis
(CCPD)
Definition
a mechanical process for peritoneal dialysis in which a machine fills and empties the abdominal cavity of dialysis solution.
Term
continuous positive airway pressure (CPAP)
Definition
a form of noninvasive positive pressure ventilation (NPPV) consisting of a mask and a means of blowing oxygen or air into the mask to prevent airway collapse or to help alleviate difficulty breathing.
Term
contraindications
Definition
specific signs or circumstances under which it is not appropriate, and may be harmful, to administer a drug to a
patient.
Term
contusion
Definition
a bruise. In brain injuries, a bruised brain caused when the force of a blow to the head is great enough to rupture blood vessels.
Term
convection
Definition
carrying away of heat by currents of air, water, or other gases or liquids.
Term
coronary arteries
Definition
blood vessels that supply the
muscle of the heart (myocardium).
Term
coronary artery disease (CAD)
Definition
diseases that affect the arteries of the heart.
Term
cranium
Definition
the bony structure making up the forehead, top, back, and upper sides of the skull.
Term
crepitation
Definition
the grating sound or feeling
of broken bones rubbing together.
Term
crepitus
Definition
a grating sensation or sound made
when fractured bone ends rub together.
Term
cricoid cartilage
Definition
the ring-shaped structure that forms
the lower portion of the larynx.
Term
cricoid pressure
Definition
pressure applied to the cricoid ring to minimize air entry into the esophagus during positive pressure ventilation. Also called Sellick maneuver.
Term
crime scene
Definition
the location where a crime has been committed or any place that evidence relating to a crime may be found.
Term
critical incident stress management (CISM)
Definition
a comprehensive system that includes education and resources to both prevent stress and to deal with stress appropriately when it occurs.
Term
critical thinking
Definition
an analytical process that can help someone think through a problem in an organized and efficient manner.
Term
crowning
Definition
when part of the baby is visible through the vaginal opening.
Term
crush injury
Definition
an injury caused when force is transmitted from the body's exterior to its internal structures. Bones
can be broken; muscles, nerves, and tissues damaged; and internal organs ruptured, causing internal bleeding.
Term
cyanosis
Definition
cyanosis
Term
danger zone
Definition
the area around the wreckage of a vehicle collision or other incident within which special safety precautions should be taken.
Term
dead air space
Definition
air that occupies the space between the mouth and alveoli but that does not actually reach the area of gas exchange.
Term
decompensated shock
Definition
when the body can no longer compensate for low blood volume or lack of perfusion. Late signs such as decreasing blood pressure become evident. See shock.
Term
decompression sickness
Definition
a condition resulting from nitrogen trapped in the body's tissues, caused by coming up too quickly from a deep, prolonged dive. A symptom of
decompression sickness is "the bends," or deep pain in the muscles and joints.
Term
decontamination
Definition
a chemical and/or physical process that reduces or prevents the spread of contamination from persons or equipment; the removal of hazardous substances from employees and their equipment to the extent necessary to preclude foreseeable health effects.
Term
dehydration
Definition
an abnormally low amount of
water in the body.
Term
delirium tremens (DTs)
Definition
a severe reaction that can be part of alcohol withdrawal, characterized by sweating, trembling, anxiety, and
hallucinations. Severe alcohol withdrawal with the DTs can lead to death if untreated.
Term
dermatome
Definition
an area of the skin that is
innervated by a single spinal nerve.
Term
dermis
Definition
the inner (second) layer of skin, rich in blood vessels and nerves, found beneath the epidermis.
Term
designated agent
Definition
an EMT or other person authorized by a Medical Director to give medications and provide emergency care. The transfer of such authorization to a designated agent is an extension of the Medical Director's license to practice medicine.
Term
detailed physical exam
Definition
an assessment of the head, neck, chest, abdomen, pelvis, extremities, and posterior of the body to detect
signs and symptoms of injury. It differs from the rapid trauma assessment only in that it also includes examination of the face, ears, eyes, nose, and mouth during the examination of the head. It may be done
less rapidly, and it may be done en route to the hospital after earlier on-scene assessments and interventions are completed.
Term
diabetes mellitus
Definition
also called "sugar diabetes" or just "diabetes," the condition brought
about by decreased insulin production or the inability of the body cells to use insulin properly. The person with this condition is a diabetic.
Term
diabetic ketoacidosis (DKA)
Definition
a condition that occurs as the result of high blood sugar (hyperglycemia), characterized by dehydration, altered mental status, and shock.
Term
diagnosis
Definition
a description or label for a patient's condition that assists a clinician in further evaluation and treatment.
Term
dialysis
Definition
the process by which toxins and excess fluid are removed from the body by a medical system independent of the kidneys.
Term
diaphragm
Definition
the muscular structure that divides
the chest cavity from the abdominal cavity. A major muscle of respiration.
Term
diastolic blood pressure
Definition
the pressure remaining in the
arteries when the left ventricle of the heart is relaxed and refilling.
Term
differential diagnosis
Definition
a list of potential diagnoses compiled early in the assessment of the patient.
Term
diffusion
Definition
a process by which molecules move from an area of high concentration to an area of low concentration.
Term
digestive system
Definition
system by which food travels through the body and is digested, or broken down into absorbable forms.
Term
dilate
Definition
get larger.
Term
dilute
Definition
thinning down or weakening by mixing with something else. Ingested poisons are sometimes diluted by drinking water or milk.
Term
direct carry
Definition
a method of transferring a patient from bed to stretcher, during which two or more rescuers curl the patient to their chests, then reverse the process to lower the patient to the stretcher.
Term
direct ground lift
Definition
a method of lifting and carrying a patient from ground level to a stretcher in which two or more
rescuers kneel, curl the patient to their chests, stand, then reverse the process to lower the patient to the stretcher.
Term
disability
Definition
a physical, emotional, behavioral, or cognitive condition that interferes with a person's ability to carry out everyday tasks, such as working or
caring for oneself.
Term
disaster plan
Definition
a predefined set of instructions for a community's emergency responders.
Term
dislocation
Definition
the disruption or "coming apart” of a joint.
Term
dissemination
Definition
spreading.
Term
distal
Definition
farther away from the torso.
Term
distention
Definition
a condition of being stretched,
inflated, or larger than normal.
Term
do not resuscitate order
Definition
(DNR) a legal document, usually signed by the patient and his physician, which states that the patient has a terminal illness and does not wish to prolong life through resuscitative efforts.
Term
domestic terrorism
Definition
terrorism directed against the government or population without foreign direction.
Term
dorsal
Definition
referring to the back of the body or the back of the hand or foot. A synonym for posterior.
Term
dorsalis pedis artery
Definition
artery supplying the foot, lateral to the large tendon of the big toe.
Term
downers
Definition
depressants, such as barbiturates, that depress the central nervous system, which are often used to bring on a more relaxed state of mind.
Term
draw-sheet method
Definition
a method of transferring a patient from bed to stretcher by grasping and pulling the loosened bottom sheet of the bed.
Term
dressing
Definition
any material (preferably sterile) used to cover a wound that will help control bleeding and prevent additional contamination.
Term
drop report (or transfer report)
Definition
an abbreviated form of the PCR that an EMS crew can leave at the hospital when there is not enough time to complete the PCR before leaving.
Term
drowning
Definition
the process of experiencing respiratory
impairment from submersion/immersion in liquid, which may result in death, morbidity (illness or other adverse effects), or no morbidity.
Term
duty to act
Definition
an obligation to provide care to a patient.
Term
dyspnea
Definition
shortness of breath; labored or
difficult breathing.
Term
dysrhythmia
Definition
a disturbance in heart rate and
rhythm.
Term
early adulthood
Definition
stage of life from 19 to 40 years.
Term
eclampsia
Definition
a severe complication of pregnancy that produces seizures and coma.
Term
ectopic pregnancy
Definition
when implantation of the fertilized
egg is not in the body of the uterus, occurring
instead in the fallopian tube (oviduct), cervix, or
abdominopelvic cavity.
Term
edema
Definition
swelling associated with the movement of water into the interstitial space
causing a buildup of fluid in the tissues.
Term
electrolyte
Definition
a substance that, when dissolved in water, separates into charged particles.
Term
embolism
Definition
blockage of a vessel by a clot or
foreign material brought to the site by the blood current.
Term
embryo
Definition
the baby from fertilization to 8 weeks
of development.
Term
EMS diagnosis/EMT diagnosis
Definition
a description or label for a patient's condition, based on the patient's history, physical exam, and vital signs, that assists the EMT in further
evaluation and treatment. An EMS diagnosis is often less specific than a traditional medical diagnosis.
Term
end-stage renal disease (ESRD)
Definition
irreversible renal failure to the extent that the kidneys can no longer provide adequate filtration
and fluid balance to sustain life; survival with ESRD usually requires dialysis.
Term
endocrine system
Definition
system of glands that produce chemicals called hormones that help to regulate
many body activities and functions.
Term
enteral
Definition
referring to a route of medication
administration that uses the gastrointestinal tract, such as swallowing a pill.
Term
epidermis
Definition
the outer layer of the skin.
Term
epiglottis
Definition
a leaf-shaped structure that prevents food and foreign matter from entering
the trachea.
Term
epilepsy
Definition
a medical condition that causes
seizures.
Term
epinephrine
Definition
a hormone produced by the body. As a medication, it constricts blood vessels
and dilates respiratory passages and is used to relieve severe allergic reactions.
Term
ethical
Definition
regarding a social system or social or professional expectations for applying principles of right and wrong.
Term
evaporation
Definition
the change from liquid to gas. When the body perspires or gets wet, evaporation of the perspiration or other liquid into the air has a cooling effect on the body.
Term
evidence-based
Definition
description of medical techniques or practices that are supported by scientific evidence of their safety
and efficacy, rather than merely on supposition and tradition.
Term
evisceration
Definition
an intestine or other internal organ protruding through a wound in the abdomen.
Term
exchange
Definition
one cycle of filling and draining the peritoneal cavity in peritoneal dialysis.
Term
excited delirium
Definition
bizarre and/or aggressive behavior, shouting, paranoia, panic, violence toward others, insensitivity to pain, unexpected physical strength,
and hyperthermia, usually associated with cocaine or amphetamine use. Also called agitated delirium.
Term
exhalation
Definition
a passive process in which the intercostal (rib) muscles and the diaphragm relax, causing the chest cavity to decrease in size and air to flow out of the lungs. Also called
expiration.
Term
exposure
Definition
the dose or concentration of an agent multiplied by the time, or duration.
Term
expressed consent
Definition
consent given by adults who are of legal age and mentally competent to make a rational decision in
regard to their medical well-being.
Term
extremities
Definition
the portions of the skeleton that
include the clavicles, scapulae, arms, wrists, and hands (upper extremities) and the pelvis, thighs, legs, ankles, and feet (lower extremities).
Term
extremity lift
Definition
a method of lifting and carrying a patient during which one rescuer slips hands under the patient's armpits and grasps the wrists, while another
rescuer grasps the patient's knees.
Term
fallopian tube
Definition
the narrow tube that connects the
ovary to the uterus. Also called the oviduct.
Term
feeding tube
Definition
a tube used to provide delivery of nutrients to the stomach. A nasogastric feeding tube is inserted through the nose and into the stomach; a gastric
feeding tube is surgically implanted through the abdominal wall and into the stomach.
Term
femoral artery
Definition
the major artery supplying the leg.
Term
femur
Definition
the large bone of the thigh.
Term
fetus
Definition
the baby from 8 weeks of development
to birth.
Term
fibula
Definition
the lateral and smaller bone of the
lower leg.
Term
FiO2
Definition
fraction of inspired oxygen; the concentration of oxygen in the air we breathe.
Term
flail chest
Definition
fracture of two or more adjacent ribs in two or more places that allows for free movement of the fractured segment.
Term
flow-restricted, oxygen-powered ventilation
device (FROPVD)
Definition
a device that uses oxygen under pressure to deliver artificial ventilations. Its trigger is placed so
that the rescuer can operate it while still using both hands to maintain a seal on the face mask. It has automatic flow restriction to prevent
over-delivery of oxygen to the patient.
Term
flowmeter
Definition
a valve that indicates the flow of oxygen in liters per minute.
Term
fontanelle
Definition
a soft spot on an infant's anterior
scalp formed by the joining of not yet fused bones
of the skull.
Term
foramen magnum
Definition
the opening at the base of the skull through which the spinal cord passes from the brain.
Term
Fowler position
Definition
a sitting position.
Term
fracture
Definition
any break in a bone.
Term
gag reflex
Definition
vomiting or retching that results when something is placed in the back of the pharynx. This is tied to the swallow reflex.
Term
gallbladder
Definition
a sac on the underside of the liver that stores bile produced by the liver.
Term
general impression
Definition
impression of the patient's condition that is formed on first approaching the patient, based on the patient's environment, chief complaint, and
appearance.
Term
generalized seizure
Definition
a seizure that affects both sides of the brain.
Term
glucose
Definition
a form of sugar, the body's basic
source of energy.
Term
Good Samaritan laws
Definition
a series of laws, varying in each state, designed to provide limited legal protection for citizens and
some health care personnel when they are
administering emergency care.
Term
greenstick fracture
Definition
an incomplete fracture.
Term
hallucinogens
Definition
mind-affecting or mindaltering
drugs that act on the central nervous
system to produce excitement and distortion of perceptions.
Term
hazardous material
Definition
any substance or material in a form which poses an unreasonable risk to health, safety, and property when transported in commerce.
Term
hazardous material incident
Definition
the release of a harmful substance into the environment.
Term
head-tilt chin-lift maneuver
Definition
a means of correcting blockage of the airway by the tongue by tilting the head back and lifting the chin. Used when no trauma, or injury, is
suspected.
Term
hematoma
Definition
a swelling caused by the collection of blood under the skin or in damaged
tissues as a result of an injured or broken blood vessel. In a head injury, a collection of blood within the skull or brain.
Term
hemorrhage
Definition
bleeding, especially severe bleeding.
Term
hemorrhagic shock
Definition
shock resulting from blood loss.
Term
hemostatic agents
Definition
substances applied as powders, dressings, gauze, or bandages to open wounds to stop bleeding.
Term
herniation
Definition
pushing of a portion of the brain through the foramen magnum as a result of increased intracranial pressure.
Term
HIPPA
Definition
the Health Insurance Portability and
Accountability Act, a federal law protecting the privacy of patient-specific health care information
and providing the patient with control over how
this information is used and distributed.
Term
history of the present illness (HPI)
Definition
information gathered regarding the symptoms and nature of the patient's current concern.
Term
hives
Definition
red, itchy, possibly raised blotches on the skin that often result from allergic reactions.
Term
hot zone
Definition
area immediately surrounding a hazmat incident; extends far enough to prevent adverse effects outside the zone.
Term
humerus
Definition
the bone of the upper arm, between the shoulder and the elbow.
Term
humidifier
Definition
a device connected to the flowmeter to add moisture to the dry oxygen coming from an oxygen cylinder.
Term
hydrostatic pressure
Definition
the pressure within a blood vessel that tends to push water out of the vessel.
Term
hyperglycemia
Definition
high blood sugar.
Term
hypersensitivity
Definition
an exaggerated response by the immune system to a particular substance.
Term
hyperthermia
Definition
an increase in body temperature above normal, which is a life-threatening condition in its extreme.
Term
hypoglycemia
Definition
low blood sugar.
Term
hypoperfusion
Definition
inability of the body to adequately circulate blood to the body's cells to
supply them with oxygen and nutrients. Also called shock. See also perfusion.
Term
hypothermia
Definition
generalized cooling that reduces body temperature below normal, which is
a life-threatening condition in its extreme.
Term
hypovolemic shock
Definition
shock resulting from blood or fluid loss.
Term
hypoxia
Definition
an insufficiency of oxygen in the body's tissues.
Term
ilium
Definition
the superior and widest portion of the
pelvis.
Term
implied consent
Definition
the consent it is presumed a patient or patient's parent or guardian would give if they could, such as for an unconscious patient or a parent who
cannot be contacted when care is needed.
Term
in loco parentis
Definition
in place of the parents, indicating a person who may give consent for care of a child when the parents are not present or able to give consent.
Term
Incident Command
Definition
the person or persons who assume overall
direction of a large-scale incident.
Term
Incident Command System (ICS)
Definition
a subset of the National Incident Management System (NIMS) designed specifically for management of multiple-casualty incidents.
Term
index of suspicion
Definition
awareness that there may be injuries.
Term
indications
Definition
specific signs or circumstances under which it is appropriate to administer a drug to a patient.
Term
induced abortion
Definition
expulsion of a fetus as a result of deliberate actions taken to stop the pregnancy.
Term
infancy
Definition
stage of life from birth to 1 year of age.
Term
inferior
Definition
away from the head; usually compared with another structure that is closer to the head (e.g.,the lips are inferior to the nose).
Term
ingested poisons
Definition
poisons that are swallowed.
Term
inhalation
Definition
an active process in which the intercostal (rib) muscles and the diaphragm contract, expanding the size of the chest cavity and causing air to flow into the lungs. Also called
inspiration.
Term
inhaled poisons
Definition
poisons that are breathed in.
Term
inhaler
Definition
a spray device with a mouthpiece that contains an aerosol form of a medication that a patient can spray into his airway.
Term
injected poisons
Definition
poisons that are inserted through the skin; for example, by needle, snake fangs, or insect stinger.
Term
insulin
Definition
a hormone produced by the pancreas
or taken as a medication by many diabetics.
Term
international terrorism
Definition
terrorism that is foreign-based or directed.
Term
interventions
Definition
actions taken to correct or manage a patient's problems.
Term
intracranial pressure (ICP)
Definition
pressure inside the skull.
Term
involuntary muscle
Definition
muscle that responds automatically to brain signals but cannot be consciously controlled.
Term
irreversible shock
Definition
when the body has lost the battle to maintain when the body has lost the battle to maintain signs return, the patient may die days later due to organ failure.
Term
ischium
Definition
the lower, posterior portions of the pelvis.
Term
jaw-thrust maneuver
Definition
a means of correcting blockage of the airway by moving the jaw forward without tilting the head or neck. Used when trauma, or injury, is suspected
to open the airway without causing further injury to the spinal cord in the neck.
Term
joint
Definition
the point where two bones come together.
Term
jugular vein distention (JVD)
Definition
bulging of the neck veins.
Term
kidneys
Definition
organs of the renal system used to filter blood and regulate fluid levels in the body.
Term
labia
Definition
soft tissues that protect the entrance
to the vagina.
Term
labor
Definition
the three stages of the delivery of a baby that begin with the contractions of the uterus and end with the expulsion of the placenta.
Term
laceration
Definition
a cut. In brain injuries, a cut to the brain.
Term
large intestine
Definition
the muscular tube that removes water from waste products received from the small intestine and moves anything not absorbed by the body toward
excretion from the body.
Term
larynx
Definition
the voice box.
Term
late adulthood
Definition
stage of life from 61 years and older.
Term
lateral
Definition
to the side, away from the midline of the body.
Term
left ventricular assist device
Definition
(LVAD) a battery-powered mechanical pump implanted in the body to assist a failing left ventricle in pumping blood to the body.
Term
liability
Definition
being held legally responsible.
Term
libel
Definition
false or injurious information in written form.
Term
ligament
Definition
tissue that connects bone to bone.
Term
lightening
Definition
the sensation of the fetus moving from high in the abdomen to low in the birth canal.
Term
limb presentation
Definition
when an infant's limb protrudes from the vagina before the appearance of any other body part.
Term
liver
Definition
the largest organ of the body, which produces bile to assist in breakdown of fats and assists in the
metabolism of various substances in the body.
Term
local cooling
Definition
cooling or freezing of particular (local) parts of the body.
Term
lungs
Definition
the organs where exchange of atmospheric
oxygen and waste carbon dioxide take place.
Term
malar
Definition
the cheek bone, also called the
zygomatic bone.
Term
malleolus
Definition
protrusion on the side of the ankle.
The lateral malleolus, at the lower end of the fibula, is seen on the outer ankle; the medial malleolus, at the lower end of the tibia, is seen on
the inner ankle.
Term
mandible
Definition
the lower jaw bone.
Term
manual traction
Definition
the process of applying tension to straighten and realign a fractured limb before splinting. Also called tension.
Term
manubrium
Definition
the superior portion of the sternum.
Term
maxillae
Definition
the two fused bones forming the
upper jaw.
Term
mechanism of injury
Definition
a force or forces that may have caused injury.
Term
meconium staining
Definition
amniotic fluid that is greenish or brownish-yellow rather than clear as a result of fetal defecation; an indication of possible maternal or fetal distress during labor.
Term
medial
Definition
toward the midline of the body.
Term
medical direction
Definition
oversight of the patient-care aspects of an EMS system by the Medical Director.
Term
Medical Director
Definition
a physician who assumes ultimate responsibility for the patient-care aspects of the EMS system.
Term
medical patient
Definition
a patient suffering from one or more medical diseases or conditions.
Term
mental status
Definition
level of responsiveness.
Term
metabolism
Definition
the cellular function of converting nutrients into energy.
Term
metacarpals
Definition
the hand bones.
Term
metatarsals
Definition
the foot bones.
Term
mid-axillary line
Definition
a line drawn vertically from the
middle of the armpit to the ankle.
Term
mid-clavicular line
Definition
the line through the center of each clavicle.
Term
middle adulthood
Definition
stage of life from 41 to 60 years.
Term
midline
Definition
an imaginary line drawn down the center of the body, dividing it into right and left halves.
Term
minute volume
Definition
the amount of air breathed in during each respiration multiplied by the number of breaths per minute.
Term
miscarriage
Definition
spontaneous abortion.
Term
mobile radio
Definition
a two-way radio that is used or affixed in a vehicle.
Term
mons pubis
Definition
soft tissue that covers the pubic symphysis; area where hair grows as a woman reaches puberty.
Term
moral
Definition
regarding personal standards or principles of right and wrong.
Term
Moro reflex
Definition
when startled, an infant throws his arms out, spreads his fingers, then grabs with his fingers and arms.
Term
multiple birth
Definition
when more than one baby is born during a single delivery.
Term
multiple trauma
Definition
more than one serious injury.
Term
multiple-casualty incident (MCI)
Definition
any medical or trauma incident involving multiple patients.
Term
multisystem trauma
Definition
one or more injuries that affect more than one body system.
Term
muscles
Definition
tissues or fibers that cause movement of body parts and organs.
Term
musculoskeletal system
Definition
the system of bones and skeletal muscles that support and protect the body and permit movement.
Term
narcotics
Definition
a class of drugs that affect the nervous system and change many normal body activities. Their legal use is for the relief of pain. Illicit use is to produce an intense state of relaxation.
Term
nasal bones
Definition
the bones that form the upper third, or
bridge, of the nose
Term
nasal cannula
Definition
a device that delivers low concentrations of oxygen through two prongs that rest in the patient's nostrils.
Term
nasopharyngeal airway
Definition
a flexible breathing tube inserted through the patient's nose into the pharynx to help maintain an open airway.
Term
nasopharynx
Definition
the area directly posterior to
the nose.
Term
National Incident Management System (NIMS)
Definition
the management system used by federal, state, and local governments to manage emergencies in the United States.
Term
nature of illiness
Definition
what is medically wrong with a patient.
Term
negligence
Definition
a finding of failure to act properly in a situation in which there was a duty to act, that needed care as would reasonably be expected of the EMT was not provided, and that harm was caused to the patient as a result.
Term
neonate
Definition
a newly born infant or an infant
less than 1 month old.
Term
nervous system
Definition
the system of brain, spinal cord, and nerves that govern sensation, movement, and thought.
Term
neurogenic shock
Definition
a state of shock (hypoperfusion) caused by nerve paralysis that sometimes develops from spinal cord injuries.
Term
nitroglycerin
Definition
a drug that helps to dilate the coronary vessels that supply the heart muscle with blood.
Term
nonrebreather mask (NRB)
Definition
a face mask and reservoir bag device that delivers high concentrations of oxygen. The patient's exhaled air escapes through a valve and is not rebreathed.
Term
obesity
Definition
a condition of having too much body fat, defined as a body mass index of 30 or greater.
Term
occlusion
Definition
blockage, as of an artery by fatty
deposits.
Term
occlusive dressing
Definition
any dressing that forms an airtight seal.
Term
off-line medical direction
Definition
standing orders issued by the Medical Director that allow EMTs to give certain medications or perform certain procedures without speaking to the Medical Director or another physician.
Term
on-line medical direction
Definition
orders given directly by the on-duty physician to an EMT in the field by radio or telephone.
Term
open extremity injury
Definition
an extremity injury in which the skin has been broken or torn through from the inside by an injured bone or from the outside by something that has caused a penetrating wound with associated injury to the bone.
Term
open wound
Definition
an injury in which the skin is interrupted, exposing the tissue beneath.
Term
OPQRST
Definition
a memory aid in which the letters stand for questions asked to get a description of the present illness: onset, provokes, quality, radiation, severity, time.
Term
oral glucose
Definition
a form of glucose (a kind of sugar)
given by mouth to treat an awake patient (who is able to swallow) with an altered mental status and a history of diabetes.
Term
orbits
Definition
the bony structures around the eyes; the eye sockets.
Term
organ donor
Definition
a person who has completed a legal document that allows for donation of organs and tissues in the event of death.
Term
oropharyngeal airway
Definition
a curved device inserted through the patient's mouth into the pharynx to help maintain an open airway.
Term
oropharynx
Definition
the area directly posterior to
the mouth.
Term
ostomy bag
Definition
an external pouch that collects fecal matter diverted from the colon or ileum through a surgical opening (colostomy or ileostomy) in the abdominal wall.
Term
ovaries
Definition
egg-producing organs within the female
reproductive system.
Term
ovulation
Definition
the phase of the female reproductive cycle in which an ovum is released from the ovary.
Term
oxygen
Definition
a gas commonly found in the atmosphere. Pure oxygen is used as a drug to treat any patient whose medical or traumatic condition may cause him to be hypoxic, or low in oxygen.
Term
oxygen cylinder
Definition
a cylinder filled with oxygen under pressure.
Term
oxygen saturation (Sp02)
Definition
the ratio of the amount of oxygen present in the blood to the amount that could be carried, expressed as a percentage.
Term
pacemaker
Definition
a device implanted under the skin with wires implanted into the heart to modify the heart rate as needed to maintain an adequate heart rate.
Term
palmar
Definition
referring to the palm of the hand.
Term
palmar reflex
Definition
when you place your finger in an infant's palm, he will grasp it.
Term
palpation
Definition
touching or feeling. A pulse or blood pressure may be palpated with the fingertips.
Term
pancreas
Definition
a gland located behind the stomach that produces insulin and juices that assist in the digestion of food in the duodenum of the small intestine.
Term
paradoxical motion
Definition
movement of ribs in a flail segment that is opposite to the direction of movement of the rest of the chest cavity.
Term
parenteral
Definition
a localized, intense pain that arises from the parietal peritoneum, the lining of the abdominal cavity.
Term
partial rebreather mask
Definition
a face mask and reservoir oxygen bag with no one-way valve to the reservoir bag so that some
exhaled air mixes with the oxygen; used in some
patients to help preserve carbon dioxide levels in the blood to stimulate breathing.
Term
partial seizure
Definition
a seizure that affects only one part or one side of the brain.
Term
partial thickness burn
Definition
a burn in which the epidermis (first layer of skin) is burned through and the dermis (second layer) is damaged. Burns of this type cause reddening, blistering, and a mottled appearance. Also called a second-degree bum.
Term
passive rewarming
Definition
covering a hypothermic patient and taking other steps to prevent further heat loss and help the body rewarm itself.
Term
past medical history (PMH)
Definition
information gathered regarding the patient's health problems in the past.
Term
patella
Definition
the kneecap.
Term
patent
Definition
open and clear; free from obstruction.
Term
patent airway
Definition
an airway (passage from nose or mouth to lungs) that is open and clear and will remain open and clear, without interference to the passage of air into and out of the body.
Term
pathogens
Definition
the organisms that cause infection, such as viruses and bacteria.
Term
pathophysiology
Definition
the study of how disease processes affect the function of the body.
Term
patient outcome
Definition
the long-term survival of patients,
Term
pedal edema
Definition
accumulation of fluid in the feet or ankles.
Term
pediatric
Definition
of or pertaining to a patient who
has yet to reach puberty.
Term
pelvis
Definition
the basin-shaped bony structure that supports the spine and is the point of proximal attachment for the lower extremities.
Term
penetrating trauma
Definition
injury caused by an object that passes through the skin or other body tissues.
Term
penis
Definition
the organ of male reproduction responsible for sexual intercourse and the transfer of sperm.
Term
perfusion
Definition
the supply of oxygen to, and removal of wastes from, the cells and tissues of the body as a result of the flow of blood through the capillaries.
Term
perineum
Definition
the surface area between the
vagina and anus.
Term
peripheral nervous system (PNS)
Definition
the nerves that enter and leave the spinal cord and travel between the brain and organs without passing through the spinal cord.
Term
peripheral pulses
Definition
the radial, brachial, posterior tibial, and dorsalis pedis pulses, which can be felt at peripheral (outlying)
points of the body.
Term
peritoneum
Definition
the membrane that lines the abdominal cavity (the parietal peritoneum) and covers the organs within it (the visceral peritoneum).
Term
peritonitis
Definition
bacterial infection within the peritoneal cavity.
Term
permeation
Definition
the movement of a substance through a surface or, on a molecular level, through intact materials; penetration, or spreading.
Term
personal protective equipment (PPE)
Definition
equipment that protects the EMS worker from infection and/or exposure to the dangers of rescue operations.
Term
phalanges
Definition
the toe bones and finger bones.
Term
pharmacodynamics
Definition
the study of the effects of medications on the body.
Term
pharmacology
Definition
the study of drugs, their sources, their characteristics, and their effects.
Term
pharynx
Definition
the area directly posterior to the
mouth and nose. It is made up of the oropharynx and the nasopharynx.
Term
physiology
Definition
the study of body function.
Term
placenta
Definition
the organ of pregnancy where exchange of oxygen, nutrients, and wastes occurs between a mother and fetus.
Term
placenta previa
Definition
a condition in which the placenta is formed in an abnormal location (low in the uterus and close to or over the cervical opening) that will not allow for a normal delivery of the fetus; a cause of excessive prebirth bleeding.
Term
plane
Definition
a flat surface formed when slicing through a solid object.
Term
plantar
Definition
referring to the sole of the foot.
Term
plasma
Definition
the fluid portion of the blood.
Term
plasma oncotic pressure
Definition
the pull exerted by large proteins in the plasma portion of blood that tends to pull water from the body into the bloodstream.
Term
platelets
Definition
components of the blood; membrane-enclosed fragments of specialized cells.
Term
pneumothorax
Definition
air in the chest cavity.
Term
pocket face mask
Definition
a device, usually with a one-way valve, to aid in artificial ventilation. A rescuer breathes through
the valve when the mask is placed over the
patient's face. It also acts as a barrier to prevent
contact with a patient's breath or body fluids. It can be used with supplemental oxygen when fitted with an oxygen inlet.
Term
poison
Definition
any substance that can harm the body by altering cell structure or functions.
Term
portable radio
Definition
a handheld two-way radio.
Term
positional asphyxia
Definition
inadequate breathing or respiratory arrest caused by a body position that restricts breathing.
Term
posterior
Definition
the back of the body or body part.
Term
posterior tibial artery
Definition
artery supplying the foot, behind the
medial ankle.
Term
postictal phase
Definition
the period of time immediately
following a tonic-clonic seizure in which the
patient goes from full loss of consciousness to full
mental status.
Term
power grip
Definition
gripping with as much hand surface as possible in contact with the object being lifted, all fingers bent at the same angle, and hands at least 10 inches apart.
Term
power lift
Definition
a lift from a squatting position with weight to be lifted close to the body, feet apart and flat on the ground, body weight on or just behind the balls of
the feet, and the back locked-in. The upper body is raised before the hips. Also called the squat-lift position.
Term
preeclampsia
Definition
a complication of pregnancy in which the woman retains large amounts of fluid and has hypertension. She may
also experience seizures and/or coma during birth, which is very dangerous to the infant.
Term
prefix
Definition
word part added to the beginning of a root or word to modify or qualify its meaning.
Term
premature infant
Definition
any newborn weighing less than 5 1/2 pounds or born before the 37th week of pregnancy.
Term
preschool age
Definition
stage of life from 3 to 5 years.
Term
pressure dressing
Definition
a bulky dressing held in position with a tightly wrapped bandage, which applies pressure to help control bleeding.
Term
pressure regulator
Definition
a device connected to an oxygen cylinder to reduce cylinder pressure so it is safe for delivery of oxygen to a patient.
Term
priapism
Definition
persistent erection of the penis that may result from spinal injury and some medical problems.
Term
primary assessment
Definition
the first element in a patient assessment; steps taken for the purpose of discovering and dealing with any life-threatening problems. The six parts of primary assessment are: forming a general impression, assessing mental status, assessing airway, assessing breathing, assessing
circulation, and determining the priority of the patient for treatment and transport to the hospital.
Term
priority
Definition
the decision regarding the need for immediate transport of the patient versus further assessment and care at the scene.
Term
prolapsed umbilical cord
Definition
when the umbilical cord presents first and is squeezed between the vaginal wall and the baby's head.
Term
prone
Definition
lying face down.
Term
prolapsed umbilical cord
Definition
when the umbilical cord presents first and is squeezed between the vaginal wall and the baby's head.
Term
prone
Definition
lying face down.
Term
protocols
Definition
lists of steps, such as assessments and
interventions, to be taken in different situations. Protocols are developed by the Medical Director of an EMS system.
Term
proximal
Definition
closer to the torso.
Term
pubis
Definition
the medial anterior portion of the pelvis.
Term
pulmonary arteries
Definition
the vessels that carry deoxygenated blood from the right ventricle of the heart to the lungs.
Term
pulmonary edema
Definition
accumulation of fluid in the lungs.
Term
pulmonary respiration
Definition
the exchange of oxygen and carbon dioxide between the alveoli and circulating blood in the pulmonary capillaries.
Term
pulmonary veins
Definition
the vessels that carry oxygenated blood from the lungs to the left atrium of the heart.
Term
pulse
Definition
the rhythmic beats caused as waves of blood move through and expand the arteries.
Term
pulse oximeter
Definition
an electronic device for determining the amount of oxygen carried in the blood, known as the oxygen saturation or Sp02
Term
pulse quality
Definition
the rhythm (regular or irregular) and force (strong or weak) of the pulse.
Term
pulse rate
Definition
the number of pulse beats per minute.
Term
pulseless electrical activity (PEA)
Definition
a condition in which the heart's electrical rhythm remains relatively normal, yet the mechanical pumping activity fails to follow the electrical activity, causing cardiac arrest.
Term
puncture wound
Definition
an open wound that tears through the skin and destroys underlying tissues. A penetrating puncture wound can be shallow or deep. A perforating puncture wound has both an entrance and an exit wound.
Term
pupil
Definition
the black center of the eye.
Term
quality improvement
Definition
a process of continuous self-review with the purpose of identifying and correcting aspects of the system that require improvement.
Term
radial artery
Definition
artery of the lower arm. It is felt when taking the pulse at the wrist.
Term
radial pulse
Definition
the pulse felt at the wrist.
Term
radiation
Definition
sending out energy, such as heat, in waves into space.
Term
radius
Definition
the lateral bone of the forearm.
Term
rapid trauma assessment
Definition
a rapid assessment of the head, neck, chest, abdomen, pelvis, extremities, and posterior of the body to detect signs and symptoms of injury.
Term
reactivity
Definition
in the pupils of the eyes, reacting to light by changing size.
Term
reassessment
Definition
a procedure for detecting changes in a patient's condition. It involves four steps: repeating the primary assessment, repeating and recording vital signs, repeating the physical exam, and checking interventions.
Term
recovery position
Definition
lying on the side. also, called lateral recumbent position.
Term
red blood cells
Definition
components of the blood. They carry oxygen to, and carbon dioxide away from, the cells.
Term
red flag
Definition
a sign or symptom that suggests the possibility of a particular problem that is very serious.
Term
referred pain
Definition
pain that is felt in a location other than where the pain originates.
Term
rem
Definition
roentgen equivalent (in) man; a measure of radiation dosage.
Term
renal failure
Definition
loss of the kidneys' ability to filter the blood and remove toxins and excess fluid from the body.
Term
renal system
Definition
the body system that regulates fluid balance and the filtration of blood. Also called the urinary system.
Term
repeater
Definition
a device that picks up signals from lower-power radio units, such as mobile and portable radios, and retransmits them at a higher power. It allows
low-power radio signals to be transmitted over longer distances.
Term
reproductive system
Definition
the body system that is responsible for human reproduction.
Term
res ipsa loquitur
Definition
a Latin term meaning "the thing speaks for itself."
Term
respiration
Definition
the diffusion of oxygen and carbon dioxide between the alveoli and the blood (pulmonary respiration) and
between the blood and the cells (cellular respiration). Also used to
mean, simply, breathing.
Term
respiratory arrest
Definition
when breathing completely stops.
Term
respiratory distress
Definition
increased work of breathing; a sensation of shortness of breath.
Term
respiratory failure
Definition
the reduction of breathing to the point where oxygen intake is not sufficient to support life.
Term
respiratory quality
Definition
the normal or abnormal (shallow, labored, or noisy) character of breathing.
Term
respiratory rate
Definition
the number of breaths taken in 1 minute.
Term
respiratory rhythm
Definition
the regular or irregular spacing of breaths.
Term
respiratory system
Definition
the regular or irregular spacing of breaths.
Term
respiratory system
Definition
the system of nose, mouth, throat, lungs, and muscles that brings oxygen into the body and expels carbon
dioxide.
Term
reticular activating system (RAS)
Definition
series of neurologic circuits in the brain that control the functions of staying awake, paying attention, and
sleeping.
Term
retractions
Definition
pulling in of the skin and soft tissue between the ribs when breathing. This
is typically a sign of respiratory distress in children.
Term
retroperitoneal
space
Definition
the area posterior to the peritoneum, between the peritoneum and the back
Term
root
Definition
foundation of a word that is not a word that can stand on its own.
Term
rooting reflex
Definition
when you touch a hungry infant's cheek, he will turn his head toward the side touched.
Term
routes of entry
Definition
pathways into the body, generally by absorption, ingestion, injection, or inhalation.
Term
rule of nines
Definition
a method for estimating the extent of a burn. For an adult, each of the following areas represents 9 percent of the body surface: the head and neck, each upper extremity, the chest, the abdomen, the upper back, the lower back and buttocks, the front of each lower
extremity, and the back of each lower extremity. The remaining 1 percent is assigned to the genital region. For an infant or child, the percentages are modified so that 18 percent is assigned to the head, 14 percent to each lower extremity.
Term
rule of palm
Definition
a method for estimating the extent of a burn. The palm of the patient's own hand, which equals about 1 percent of the body's surface area, is compared with the patient's burn to estimate its
size.
Term
safe haven law
Definition
a law that permits a person to drop off an infant or child at a police, fire, or EMS station or to deliver the infant or child to any available public safety personnel. The intent of the law is to protect children who may otherwise be abandoned or harmed.
Term
SAMPLE
Definition
a memory aid in which the letters stand for elements of the past medical history: signs and symptoms, allergies, medications, pertinent past history, last oral intake, and events leading to the injury or illness.
Term
scaffolding
Definition
building on what one already knows.
Term
scapula
Definition
the shoulder blade.
Term
scene size-up
Definition
steps taken when approaching the scene of an emergency call: checking scene safety, taking Standard Precautions, noting the mechanism of injury or nature of the patient's illness, determining the number of patients, and deciding what, if any, additional resources to call for.
Term
school age
Definition
stage of life from 6 to 12 years.
Term
scope of practice
Definition
a set of regulations and ethical considerations that define the scope, or extent and limits, of the EMT's job.
Term
secondary devices
Definition
destructive devices, such as bombs, placed to be activated after an
initial attack and timed to injure emergency responders and others
who rush in to help care for those targeted by an initial attack.
Term
seizure
Definition
a sudden change in sensation, behavior, or movement. The most severe form of seizure produces violent muscle
contractions called convulsions.
Term
shock
Definition
the body's inability to adequately circulate blood to the body's cells
to supply them with oxygen and nutrients, which is a life-threatening condition. Also known as hypoperfusion.
Term
sickle cell anemia (SCA)
Definition
an inherited disease in which a genetic defect in the he moglobin results in abnormal structure of the red blood cells.
Term
side effect
Definition
any action of a drug other than the desired action.
Term
single incident command
Definition
command organization in which a single agency controls all resources and operations.
Term
skeleton
Definition
the bones of the body.
Term
skin
Definition
the layer of tissue between the body and the external environment.
Term
skull
Definition
the bony structure of the head.
Term
slander
Definition
false or injurious information stated verbally.
Term
small intestine
Definition
the muscular tube between the stomach and the large intestine, divided into the duodenum, the jejunum, and the ileum, which receives partially digested food from the stomach and continues digestion. Nutrients are absorbed by the body through its walls.
Term
sphygmomanometer
Definition
the cuff and gauge used to measure
blood pressure.
Term
spinous process
Definition
the bony bump on a vertebra.
Term
spleen
Definition
an organ located in the left upper quadrant of the abdomen that acts
as a blood filtration system and a reservoir for reserves of blood.
Term
spontaneous abortion
Definition
when the fetus and placenta deliver before the 28th week of pregnancy; commonly called a miscarriage.
Term
sprain
Definition
the stretching and tearing of ligaments.
Term
staging area
Definition
the area where ambulances are parked and other resources are held until needed.
Term
staging supervisor
Definition
person responsible for overseeing
ambulances and ambulance personnel at a multiple-casualty incident.
Term
standard of care
Definition
for an EMT providing care for a specific patient in a specific
situation, the care that would be expected to be provided by an EMT with similar training when caring for a patient in a similar situation.
Term
Standard Precautions
Definition
a strict form of infection control that is based on the assumption that all blood and other body fluids are infectious.
Term
standing orders
Definition
a policy or protocol issued by a Medical Director that authorizes
EMTs and others to perform particular skills in certain situations.
Term
status epilepticus
Definition
a prolonged seizure or
situation when a person suffers two or more convulsive seizures without regaining full consciousness.
Term
sternum
Definition
the breastbone.
Term
stillborn
Definition
born dead.
Term
stoma
Definition
a permanent surgical opening in the neck through which the patient breathes.
Term
stomach
Definition
muscular sac between the esophagus and the small intestine where digestion of food begins.
Term
strain
Definition
muscle injury resulting from overstretching or overexertion of the
muscle.
Term
strategies
Definition
broad general plans designed to achieve desired outcomes.
Term
stress
Definition
a state of physical and/or psychological arousal to a stimulus.
Term
stretch receptors
Definition
sensors in blood vessels that identify internal pressure.
Term
stridor
Definition
a high pitched sound generated from partially obstructed air flow in the upper airway.
Term
stroke
Definition
a condition of altered function caused when an artery in the brain is
blocked or ruptured, disrupting the supply of oxygenated blood or
causing bleeding into the brain. Formerly called a cerebrovascular accident (CVA).
Term
stroke volume
Definition
the amount of blood ejected from the
heart in one contraction.
Term
subcutaneous layers
Definition
the layers of fat and soft tissues found below the dermis.
Term
sucking chest wound
Definition
an open chest wound in which air is "sucked" into the chest cavity.
Term
sucking reflex
Definition
when you stroke a hungry infant's lips, he will start sucking.
Term
suctioning
Definition
use of a vacuum device to remove blood, vomitus, and other secretions or foreign materials from the airway.
Term
sudden death
Definition
a cardiac arrest that occurs within 2 hours of the onset of symptoms. The patient may have no prior symptoms of coronary artery disease.
Term
suffix
Definition
word part added to the end of a root or word to complete its meaning.
Term
superficial burn
Definition
a burn that involves only the pidermis, the outer layer of the skin. It is characterized by reddening of the skin and perhaps some swelling. A common example is a sunburn. Also called a first-degree burn.
Term
superior
Definition
toward the head (e.g., the chest is superior to the abdomen).
Term
supine
Definition
lying on the back
Term
supine hypotensive syndrome
Definition
dizziness and a drop in blood pressure caused when the mother is in a supine position and the weight of the uterus, infant, placenta, and amniotic fluid compress the inferior vena cava, reducing return of blood to the heart and cardiac output.
Term
syncope
Definition
fainting.
Term
systemic vascular resistance (SVR)
Definition
the pressure in the peripheral blood vessels that the heart must overcome in order to pump blood into the system.
Term
systolic blood pressure
Definition
the pressure created when the heart contracts and forces blood out into the arteries.
Term
tachycardia
Definition
a rapid pulse; any pulse rate above 100 beats per minute.
Term
tactics
Definition
specific operational actions to accomplish assigned tasks.
Term
tarsals
Definition
the ankle bones.
Term
tearing pain
Definition
sharp pain that feels as if body tissues are being torn apart.
Term
temperament
Definition
the infant's reaction to his environment.
Term
temporal bone
Definition
bone that forms part of the side of the skull and floor of the cranial cavity. There is a right and a left temporal bone.
Term
temporomandibular joint
Definition
the movable joint formed between the mandible and the temporal bone, also called the TMJ.
Term
tendon
Definition
tissue that connects muscle to bone.
Term
tension pneumothorax
Definition
a type of pneumothorax in which air that enters the chest cavity is prevented from escaping.
Term
terrorism
Definition
the unlawful use of force or violence against persons or property to
intimidate or coerce a government, the civilian population, or any segment thereof, in furtherance of political or social objectives (U.S. Department of Justice, FBI, definition).
Term
testes
Definition
the male organ of reproduction
used for the production of sperm.
Term
thorax
Definition
the chest.
Term
thrill
Definition
a vibration felt on gentle palpation, such as that which typically occurs within an arterial-venous fistula.
Term
thrombus
Definition
a clot formed of blood and plaque attached to the inner wall of an artery or vein.
Term
thyroid cartilage
Definition
the wing-shaped plate of cartilage that sits anterior to the larynx and forms the Adam's apple.
Term
tibia
Definition
the medial and larger bone of the lower leg.
Term
tidal volume
Definition
the volume of air moved in one cycle of breathing
Term
toddler phase
Definition
stage of life from 12 to 36 months.
Term
tonic-clonic seizure
Definition
a generalized seizure in which the patient loses consciousness and has jerking movements of paired muscle groups.
Term
torso
Definition
the trunk of the body; the body without the head and the extremities.
Term
tort
Definition
a civil, not a criminal, offense; an action or injury caused by negligence from which a lawsuit may arise.
Term
tourniquet
Definition
a device used for bleeding control that constricts all blood flow to and from an extremity.
Term
toxin
Definition
a poisonous substance secreted by bacteria, plants, or animals.
Term
trachea
Definition
the "windpipe"; the structure that connects the pharynx to the lungs.
Term
tracheostomy
Definition
a surgical incision held open by a metal or plastic tube.
Term
tracheostomy mask
Definition
a device designed to be placed over a stoma or tracheostomy tube to provide supplemental oxygen.
Term
traction splint
Definition
a splint that applies constant pull along the length of a lower extremity to help stabilize the fractured bone and to reduce muscle spasm in the limb. Traction splints are used primarily on femoral shaft fractures.
Term
transportation supervisor
Definition
person responsible for communicating with sector officers and hospitals to manage transportation of patients to hospitals from a multiple-casualty incident.
Term
trauma patient
Definition
a patient suffering from one or more physical injuries.
Term
trauma score
Definition
a system of evaluating trauma patients according to a numerical rating system to determine the severity of the patient's trauma.
Term
treatment area
Definition
the area in which patients are treated at a multiple-casualty incident.
Term
treatment supervisor
Definition
person responsible for overseeing treatment of patients who have been triaged at a multiple-casualty incident.
Term
Trendelenburg position
Definition
a position in which the patient's feet and legs are higher than the head.
Term
trending
Definition
changes in a patient's condition over time, such as slowing
respirations or rising pulse rate, that may sh
ow improvement or deterioration, and that can be shown by documenting repeated assessments.
Term
triage
Definition
the process of quickly assessing pat
ients at a multiple
-
casualty
incident and assigning each a priority for receiving treatment; from
a French word meaning "to sort."
Term
triage area
Definition
the area where secondary triage takes place at a multiple-casualty incident.
Term
triage supervisor
Definition
the person responsible for overseeing triage at a multiple-casualty incident.
Term
triage tag
Definition
color-coded tag indicating the priority group to which a patient has been assigned.
Term
trust vs. mistrust
Definition
concept developed from an orderly, predictable environment versus
a disorderly, irregular environment.
Term
ulna
Definition
the medial bone of the
forearm.
Term
umbilical cord
Definition
the fetal structure containing the blood vessels that carry blood to and from the placenta.
Term
unified command
Definition
command organization in which several agencies work independently but cooperatively.
Term
universal dressing
Definition
a bulky dressing.
Term
untoward effect
Definition
an effect of a medication in addition to its desired effect that may be potentially harmful to the patient.
Term
uppers
Definition
stimulants such as amphetamines that affect the central nervous system to excite the user.
Term
ureters
Definition
the tubes connecting the kidneys to the bladder.
Term
urethra
Definition
tube connecting the bladder to the vagina or penis for excretion of urine.
Term
urinary catheter
Definition
a tube inserted into the bladder through the urethra to drain urine from the bladder.
Term
uterus
Definition
the muscular female abdominal organ where the fetus develops; the womb.
Term
V/Q match
Definition
ventilation/perfusion match. This implies that the alveoli are supplied with enough air and that the air in the aveoli is matched with sufficient blood in the pulmonary capillaries to permit optimum exchange of oxygen and carbon dioxide.
Term
vagina
Definition
the female organ of reproduction used for both sexual intercourse and as an exit from the uterus for the fetus.
Term
valve
Definition
a structure that opens and closes to permit the flow of a fluid in only one direction.
Term
vein
Definition
any blood vessel returning blood to the heart.
Term
venae cavae
Definition
the superior vena cava and the inferior vena cava. These two major veins return blood from the body to the right Atrium. (Venae cavae is plural, vena cava singular.)
Term
venom
Definition
a toxin (poison) produced by certain animals such as snakes, spiders, and some marine life forms.
Term
venous bleeding
Definition
bleeding from a vein, which is characterized by dark red or maroon
blood and a steady, easy-to-control flow.
Term
ventilation
Definition
the process of moving gases (oxygen and carbon dioxide) between inhaled air and the pulmonary circulation of blood.
Term
ventilator
Definition
a device that breathes for a patient.
Term
ventral
Definition
referring to the front of the body. A
synonym for anterior.
Term
ventricles
Definition
the two lower chambers of the heart. There is a right ventricle (which sends oxygen-poor blood to the lungs) and a left ventricle (which sends oxygen-rich blood to the body).
Term
ventricular fibrillation (VF)
Definition
a condition in which the heart's
electrical impulses are disorganized, preventing the heart muscle from contracting normally.
Term
ventricular tachycardia (V-tach)
Definition
a condition in which the heartbeat is quite rapid; if rapid enough, ventricular tachycardia will not allow the heart's chambers to fill with
enough blood between beats to produce blood flow sufficient to meet the body's needs.
Term
Venturi mask
Definition
a face mask and reservoir bag device that delivers specific concentrations of oxygen by mixing oxygen with inhaled air.
Term
venule
Definition
the smallest kind of vein.
Term
vertebrae
Definition
the bones of the spinal column (singular vertebra).
Term
visceral pain
Definition
a poorly localized, dull, or diffuse pain that arises from the abdominal organs, or viscera.
Term
vital signs
Definition
outward signs of what is going on inside the body, including
respiration; pulse; skin color, temperature, and condition (plus
capillary refill in infants and children); pupils; and blood pressure.
Term
volatile chemicals
Definition
vaporizing compounds, such as cleaning fluid, that are breathed in by the abuser to produce a "high."
Term
voluntary muscle
Definition
muscle that can be consciously controlled.
Term
warm zone
Definition
area where personnel and equipment decontamination and hot zone support take place; it includes control points for the access corridor and thus assists in reducing the spread of contamination.
Term
water chill
Definition
chilling caused by conduction of heat from the body when the body or clothing is wet.
Term
watt
Definition
the unit of measurement of the output power of a radio.
Term
weaponization
Definition
packaging or producing a material, such as a chemical, biological, or radiological agent, so that it can be used as a weapon; for example, by dissemination in a bomb detonation or as an aerosol sprayed over an area or introduced into a ventilation system.
Term
weapons of mass destruction (WMD)
Definition
weapons, devices, or agents intended to cause widespread harm and/or fear among a population.
Term
white blood cells
Definition
components of the blood. They produce substances that help the body fight infection.
Term
wind chill
Definition
chilling caused by convection of heat from the body in the presence of air currents.
Term
withdrawal
Definition
referring to alcohol or drug withdrawal in which the patient's body reacts severely when deprived of the abused substance.
Term
xiphoid process
Definition
the inferior portion of the sternum.
Term
zoonotic
Definition
able to move through the animal-human barrier; transmissible from animals to humans.
Term
zygomatic arches
Definition
bones that form the structure of the cheeks.
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