Term
consent
(expressed and implied) |
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Definition
permission from the patient for care or other action by the emt
expressed consent: consent given by adults who are of legal age & mentally competent (can make rational decisions in regard to their health and well being)
Implied: based on presumption that a pt or pt's guardian would give permission if able to |
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| self explanatory.. get pt to sign a release |
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Do Not Resuscitate
a LEGAL document. signed by pt and physician |
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| facing forward, palms out |
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| position closest to midline of body |
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| further from midline (opposite of Medial) |
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| extends vertically from middle of armpit to ankle |
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| further from torso (op of proximal) |
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| runs along the clavicle. obviously. |
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| Musculoskeletal body system |
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Definition
cranium
nasal bones
orbits (eyes)
maxillae (top of jaw)
zygomatic arches (cheek bones)
vertebrae (33 in body)
Thorax (chest)
pelvis
lower extremities (femur, tibia, fibula, patella, tarsals, metatarsals)
upper extremities (clavicle, scapula, humerus, radius, ulna, meta/carpals) |
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Term
Respiratory system
path of air |
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Definition
larynx (voice box)
lungs (3 lobes in right, 2 in left)
bronchi (branch from trachea into right and left lungs)
alveoli(small sacs in lungs, where gas exchange occurs)
diaphragm (muscular structure that divides chest cavity from abdominal cavity)
1-air through oropharynx & nasopharynx
2-proceeds towards lungs
3- passes epiglottis (<---keeps food, water, etc from entering lungs) |
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Patient Assessment steps
ABCDE |
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Definition
airway, breathing, circulation, deformity, environment
1)identify victim & chief complaint
2)pt appearance
3)vitals
4)when pt has pain= "what does it feel like? Does the pain move anywhere? Does anything make it worse? When did it start?"
5)Questions- on meds? allergies? last oral intake? events leading up to..? weight, past med history. |
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anti-platelet aggregator
keeps blood cells smooth, no sticking |
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signs and symptoms
allergies
meds
past medical history
last oral intake
events leading up to |
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onset (what were you doing when it started?)
provocation (does anything make it worse?)
Quality (of pain; sharp/dull)
Radiate (only important for chest pains)
Severity (1-10. the WONG-BAKER scale)
Time |
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Alert&oriented
Verbal (if you can hear me...)
Pain (does pt respond to it
Unresponsive |
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Glasgow Coma Scale
3-15, 3 is dead, 15 is completely a&o.
If pt loses points during transport, it's a critical loss |
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deformity
contusion (bruises)
abrasions
penetration/puncture
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Burns
tenderness
laceration
swelling |
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pupils equally reactive to light
pinpoint pupils: narcotics
unequal pupils: head trauma/ stroke
blown: dead
sluggish |
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respiratory or cardiac arrest
stroke (nasal cannula)
shock
blood loss
fractures
basically everything |
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non re-breather
for breathing pts
12-15 L/min |
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2-8 L/min
5 mg albuterol for adults
2.5 mg for peds |
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15 L/min
for agonal breathing (9 or less, or 29 or more)
1 breath every 5 sec |
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| reduction of breathing to point where O2 intake isn't sufficient to support life |
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| breathing stops completely |
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adults= 12-20
children= 15-30
peds= 25-50 |
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| measuring opa's and npa's |
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opa= corner of mouth to earlobe
npa= nostril to earlobe |
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no more than 15 seconds at a time
suction on the way out
can hyperventilate pt before and after to compensate for O2 not going to them during |
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| insufficiency in O2 supply to body's tissues |
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| order of operations for responsive medical pt |
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opqrst questions
SAMPLE
Phys exam
Vitals
interventions&transport |
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