




Study with the several resources on Docsity
Earn points by helping other students or get them with a premium plan
Prepare for your exams
Study with the several resources on Docsity
Earn points to download
Earn points by helping other students or get them with a premium plan
EMS1055 MIDTERM (HUNT UF) STUDY GUIDE
Typology: Exams
1 / 8
This page cannot be seen from the preview
Don't miss anything!





Pulse points and their required BP to be palpated - Answers - Carotid: 60 systolic Femoral: 70 systolic Radial: 80 systolic Pedal: 90-100 systolic FIO2 - Answers - Percent of O2 being delivered BVM - Answers - FIO2: 90- 100 15 LPM ET tube - Answers - FIO2: 50- 60 10 - 15 LPM NRBM - Answers - FIO2: 70- 90 10 - 15 LPM Venturi mask - Answers - FIO2: 24- 50 2 - 15 LPM Nasal cannula - Answers - FIO2: 25- 40 0.5-6 LPM (normally 2-4) Primary blast injuries - Answers - Ears Lungs GI tract Hollow organs Secondary blast injuries - Answers - Penetration from debris Tertiary blast injuries - Answers - Fractures Blunt injuries Crush injuries Similar injuries to those of being ejected Quarternary blast injuries - Answers - Burns Asphyxia Quinary blast injuries - Answers - Caused by biological, chemical, or radiological substances Rhonchi - Answers - Rattling noise of mucous in the lungs Wheezing - Answers - Asthma
Anaphylaxis Rales - Answers - Crackles Pulmonary edema CHF Stridor - Answers - Upper airway obstruction High pitched, whistling sound Reasons to stop a primary survey - Answers - Scene becomes unsafe Exsanguinating hemorrhage Airway obstruction Cardiac arrest ITLS primary survey - Answers - Scene size up Initial assessment Either rapid trauma survey or the focused exam Make critical interventions and transport decision Contact medical direction ITLS secondary survey - Answers - Repeat initial assessment Repeat vital signs and consider monitors Perform neurological exam Perform detailed head-to-toe exam DCAP-BLS-TIC - Answers - Deformities Contusions Abrasions Penetrations Burns Lacerations Swelling Tenderness Instability Crepitus 3 phases of shock - Answers - Compensated Decompensated Irreversible Compensated shock - Answers - SBP > 15 - 25% blood volume Weakness Tachycardia Pallor
Flail chest - Answers - Fracture of two or more adjacent ribs in two or more places that allows for free movement of the fractured segment Signs & symptoms of flail chest - Answers - Paradoxical movement Exaggerated chest rise and fall Treatment for flail chest - Answers - Ensure open airway Assist ventilations High-flow O Stabilize with hand or circumferential compression bandage Monitor for shock Load and go Open pneumothorax - Answers - "Sucking chest wound" Signs of open pneumothorax - Answers - Proportional to size of defect Ventilation impaired Treatment for open pneumothorax - Answers - Close chest wall defect with either asherman seal or 4 sided sticker Oxygen/ventilation Load and go Signs of pericardial tamponade - Answers - Paradoxical pulse Beck's triad: hypotension, JVD, muffled heart sounds Treatment for pericardial tamponade - Answers - Ensure open airway High-flow O Treat for shock Monitor for hemothorax and pneumothorax Load and go Signs of tension pneumothorax - Answers - Anxiety Distended neck veins Tracheal deviation Breath sounds diminished Signs of shock Treatment for tension pneumothorax - Answers - Ensure open airway High-flow O Load and go Different kinds of shock - Answers - Hypovolemic Obstructive Cardiogenic
Neurogenic Septic Anaphylactic Insulin Hypovolemic shock - Answers - Shock resulting from blood or fluid loss Obstructive shock - Answers - Shock that occurs when there is a block of blood flow in the heart or great vessels Causes insufficient blood supply to the body's tissues Cardiogenic shock - Answers - Shock caused by inadequate function of the heart, or pump failure Most commonly caused by AMI Types of distributive shock - Answers - Neurogenic Septic Anaphylactic Neurogenic shock - Answers - Circulatory failure caused by paralysis of the nerves that control the size of the blood vessels Leads to widespread dilation Shock typically seen in patients with spinal cord injuries - Answers - Neurogenic Septic shock - Answers - Shock caused by severe infection, usually bacterial Anaphylactic shock - Answers - Severe allergic reaction Insulin shock - Answers - The result of too much insulin which causes a dangerous drop in blood glucose Signs and symptoms of hypovolemic shock - Answers - Rapid weak pulse Low BP Cyanosis Cool, clammy skin Dehydration/thirsty Tachycardia Signs and symptoms of cardiogenic shock - Answers - Decreased cardiac output Distended neck veins Hypotension Paradoxical pulse Signs and symptoms of neurogenic shock - Answers - Hypotension Bradycardia
Battle signs Treatment of basilar skull fractures - Answers - Prevent hypoxia High-flow O Indications of nitroglycerin - Answers - Chest pain or discomfort associated with angina or suspected MI Contraindications of nitroglycerin - Answers - SBP < Taken ED meds Sign and symptoms of AMI - Answers - SOB Substernal chest pain N/V Tachycardia Lavine's sign Treatment for patient with MI - Answers - Apply O 324mg ASA 0.4mg nitro SL High fowlers Load and go Stable angina - Answers - Chest pain that occurs when a person is active or under severe stress Relieved by nitro and/or rest Unstable angina - Answers - Chest pain that occurs while a person is at rest and not exerting himself Treat with blood thinners because it may not respond to nitro Signs and symptoms of supraventricular tachycardia - Answers - HR > Chest pain Palpitations Treatment for supraventricular tachycardia - Answers - Perform vagal maneuvers Subarachnoid hemorrhage - Answers - Bleeding into the subarachnoid space Signs and symptoms of subarachnoid hemorrhage - Answers - Thunderclap headache Same as CVA 2 types of CVA - Answers - Ischemic Hemorrhagic CVA vs TIA - Answers - CVA lasts longer than 24 hours
TIA resolves in 24 hours Tonic-clonic seizure - Answers - "Grand mal" seizure Tonic - Answers - Muscle stiffness, rigidity Clonic - Answers - Repetitive jerking movements Signs and symptoms of intra-abdominal hemorrhage - Answers - Abd distension Cullen's sign Grey-turner's sign Seatbelt sign Cullen's sign - Answers - Occurs due to tracking of hemorrhagic fluid from retro- peritoneum to umbilicus Grey-Turner's sign - Answers - Bruising in flank area (lower back area) Kehr's sign - Answers - Referred pain on left shoulder Typically indicated ruptured spleen