Term
| What you do when you’re not on the job ... |
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Definition
| ... will make EMS look bad to the public |
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Term
| Patients may make decisions that the paramedic does not agree with, but ... |
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Definition
| ...the paramedic must respect that patient’s wishes |
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Term
| What should you do if you are told by a physichian to perform a function that you are untrained, unapporoved or uncomfortable doing? |
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Definition
Let the physician know that the procedure may or may not be performed in your standing orders and if an alternative is available OR if you are working under a different medical director tell the doctor that you can only perform a procedure your medical director approves. |
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Term
Why is a organized report to the hospital important?
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Definition
| Sloppy report means doctor might withhold orders |
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Term
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Definition
| Do not resuscitate (DNR) order are written orders designed to tell EMS providers when resuscitation is or is not appropriate. |
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Term
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Definition
| generally require some kind of precondition to activate, such as terminal illness or an irreversible coma, and should spell out exactly the types of treatment a patient wishes to be given. Continue full resuscitation on the scenario when the son comes home and tells you to stop CPR until he can present you with the right documentation. |
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Term
Health care power of attorney (durable power of attorney) – |
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Definition
| typically designated in a living will and gives another person the ability to make health care decisions for the patient at any time the patient is unable to make those decisions. |
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Term
________/______ are not appropriate for organ donation after _____ ___________/______ |
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Definition
Kidneys/liver are not appropriate for organ donation after long hypotension/CPR |
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Term
| In order to be an organ donor, the pt. must ... |
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Definition
| ... have written informed consent, usually in writing. Family may request organ donation. |
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Term
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Full resucitation of 29yr old.
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Definition
| Vitals organs can be harvested |
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Term
When do you withhold resuscitation |
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Definition
Use common sense and ethics |
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Term
Ethic related question related to consent |
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Definition
Paramedics must respect a patients decision to refuse treatment and or transport |
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Term
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Definition
| refusal or failure on the part of the caregiver to provide life necessities such as food, water, clothing , shelter, personal hygiene, medicine, comfort, and personal safety |
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Term
Brusing to a child’s shins is ... |
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Definition
| ... not an inflicted injury by abuser. |
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Term
| Child looks to parent for reassurance is ... |
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Definition
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Term
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Definition
Elderly: lives with the victim, has drug or alcohol dependency problems, has to be older then 50!, depends on victim for financial support, poor impulse control, ill prepare/reluctant to provide care, hx of domestic violence. (p43.7)Answer is younger then 50yrs old |
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Term
Effects of abuse on elderly
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Definition
Patient lets the caregiver answer questions regarding pt. when they are competent is a sign of elder abuse.
Parkison's pt would not be scared to report abuse |
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Term
| Presentation of SNF elder abuse |
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Definition
Undocumented decubitus ulcers, tied-off catheters, dangerous use of restraint |
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Term
| Effects of males abused by felmales |
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Definition
Humiliated to report incident, guilt, loss of control, and shame |
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Term
| Clinical signs of spousal abuse |
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Definition
The abused spouse usually protects the abuser in regards to information regarding the incident |
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Term
| Profile of child sexual preditors |
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Definition
| In most cases the person who abused the child is an adult who knows the child and lives with them |
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Term
| Problem with identifying sexual assalt |
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Definition
commonly leaves no visible signs |
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Term
| Scanario about what to do on scene with abuse |
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Definition
| Conduct a detailed physical exam of the pt. with your partner. |
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Term
| What is something that does not indicate hearing loss? |
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Definition
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Term
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Definition
| restore hearing to normal |
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Term
Interaction with a hearing-impaired patient
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Definition
| Use one person to assess the pt. Avoid rapid fire questions. |
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Term
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Definition
| ... gets worse with stress |
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Term
| Cause and definition of obesity |
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Definition
| The imbalance between foot eaten and calories used. 50-100lbs over ideal weight. |
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Term
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Definition
| hypoventilation syndrome in morbidly obese pts |
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Term
First treatment for Pickwickian syndrome
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Definition
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Term
| What is not an Abnormalities associated with Down syndrome: |
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Definition
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Term
| What is an Abnormalities associated with Down syndrome: |
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Definition
Small mouth - Thus itis hard to intubate |
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Term
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Definition
| autoimmune disorder that causes inflammation and destruction of the joints and connective tissue. |
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Term
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Definition
| nonprogressive, bilateral neuromuscular disorder in which volunteary muscles are poorly controlled. |
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Term
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Definition
Caused by a defective gene making it difficult for chloride to move through cells, causing unusually high sodium loss, breathing difficulties and provides an ideal growing medium for bacteria
Thickened secretions |
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Term
Multiple Sclerosis “MS” – |
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Definition
| chronic disease of the central nervous system characterized by destruction of myelin and nerve axons within the brain and spinal cord. |
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Term
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Definition
During the 1st mo. of preg. the fetus’s spinal column does not close properly or completely and vertebrae do not develop, leaving a portion of the spinal cord exposed |
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Term
To find the extent of disability or deficits in a Pt with a pre-existing brain injury you need to |
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Definition
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Term
clues that a pt. has a communicable disease include |
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Definition
| rashes, coughing, ill appearance, health history, & medications |
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Term
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Definition
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Term
causes of dementia may include: |
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Definition
| Alzheimer’s, pick disease, Parkinson’s disease, & stroke |
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Term
If delirium is related to injury or chronic illness, ... |
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Definition
| ... they usually return to normal after. |
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Term
| Patient’s w/ pickwickian syndrome are ... |
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Definition
... usually extremely obese and present w/ S&S of headache, apnea (espec. during sleep), sleepiness, red face, muscle twitching, and signs of rt. sided heart failure |
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Term
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Definition
- Works on expiratory pressure so pt. might tell you that they might not be able to exhale all the way.
- Changes the hemodynamics of venous return
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Term
central vascular catheter is ... |
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Definition
| ... a venous access device w/ the tip of the catheter in the vena cava |
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Term
| Prior to any infusion thru a central line |
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Definition
Aspirate 5 ml of blood prior to any infusion and discard appropriately |
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Term
- To minimize the risk of regurgitation and aspiration in a pt. w/ a gastric tube...
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Definition
| ... the pt. should be upright, at least to 30 degrees when medications or nutrition is being infused. |
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Term
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Definition
| pus, white blood cells, liquefied dead tissue, and bacteria. Patient presents with a fever, chills, and area is hot to the touch |
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Term
| In regards to pain, the brain has ... |
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Definition
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Term
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Definition
apply a sterile dressing, place pt. in POC, and transport appropriately.
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Term
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Definition
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Term
If the presence of crowds, too many people, or unruly bystanders, makes it difficult for you to do your job, politely ask them to wait elsewhere or release the extra responders from the scene. You might also |
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Definition
| move your patient into the back of the ambulance |
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Term
Effective presentation and communication is essential for |
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Definition
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Term
Scenario
when the father of the son is present and you suspect child abuse; |
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Definition
| your partner should help you perform a detailed physical exam of the pt |
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Term
Use _________________and _________________ to protect your patient from you and protect you from your pt.
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Definition
Use ppe (mask, gloves, etc) and good hand washing to protect your patient from you and protect you from your pt.
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Term
EMS research of critically ill or injured patients is an |
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Definition
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Term
___________ is most common progressing symptom associated with degenerative joint disease.
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Definition
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Term
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Definition
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Term
The difference between a peripherally inserted central catheter and a central venous catheter is |
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Definition
| you can’t infuse fluids over a period of time.Use peripheral to infuse fluid |
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Term
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Definition
| may be medically related. |
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Term
____ if you lose venous access to the heart.
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Definition
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Term
Poor pt. presentation to the hospital assumes |
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Definition
| poor pt. assessment and RX |
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Term
Start ___on side that is not paralyzed
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Definition
Start IV on side that is not paralyzed
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Term
____ from _____ having direct opening to urinary tract
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Definition
UTI from cath tube having direct opening to urinary tract
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Term
Have ______ ready for pt with trach tube
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Definition
Have suction ready for pct with trach tube
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Term
When dealing with a Blind pt
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Definition
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Term
The best way to properly treat a pt is with
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Definition
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Term
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Definition
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