EMR Midterm

What is the name of David Sutton’s cat?

Jimmi Hendrix

How long has David Sutton been a firefighter paramedic?

10 years

A patient who has experienced cardiac arrest:

is unconscious, not breathing, and pulseless

By compressing a patient’s sternum during CPR, you:

change pressure in the patient’s chest and force blood through the body.

In addition to CPR, many EMRs are also trained to perform:

automated external defibrillation (AED)

Obvious signs of death are:

decapitation, muscle stiffening, dependent lividity

What is the proper location for performing chest compressions on a child or adult patients?

center of the chest, in between the nipples.

What is a possible complication during CPR?

Ribs or cartilage may be broken despite proper CPR technique.

Should an AED be applied when the patient is not breathing, but has a weak pulse?

No

Should an AED be applied when a patient has an UNWITNESSED cardiac arrest?

Yes

A patient in cardiac arrest stands the greatest chance for survival if he or she:

receives early defibrillation

The MOST detrimental effect that passive vomiting can have on a cardiac arrest patient is:

aspiration into the lungs

It is NOT abandonment when:

-A licensed physician orders you to stop CPR. -You turn over care of your patient to a paramedic. -You are too physically exhausted to continue CPR.

The exchange of carbon dioxide for oxygen occurs:

without conscious effort on your part.

The rate of a person’s breathing increases when:

the body generates additional carbon dioxide.

What artery produces a pulse at the groin.

Femoral

What is ‘a wave of pressure is created by the heart as it forces blood into the arteries’?

A pulse

Normal adult blood pressure:

systolic less than 120, diastolic less than 80

Normal adult resting respiratory rate typically ranges between:

12 to 24 breaths/min

Normal adult resting heart rate typically ranges between:

60-100 beats/min

In contrast to veins, arteries:

carry blood away from the heart under high pressure

Primary vital signs

blood pressure, respiratory rate, pulse rate

A patient is in the anatomic position when he or she is:

standing facing you with arms at the sides and the palms of the hands facing outward.

In relation to the nose, the eyes are:

lateral (away from the midline)

During your assessment of a 21-year-old man who fell from a roof, you note the presence of bruising on the medial aspect of the anterior trunk. What part of the body is this describing?

toward the midline on the front part of the torso.

Scene size-up entails:

-strict adherence to standard precautions at all times -determining the need for additional resources -ensuring that the scene is safe for you to enter

What is the purpose of noting the mechanism of injury (MOI)?

predict what injuries the patient may have

During the primary assessment, you should:

identify and correct all life-threatening conditions

You enter the residence of an unconscious 30-year-old man. As you are approaching the patient, who is lying motionless on the floor, you should:

note the patient’s position and any unusual odors or sounds

The first part of determining a conscious patient’s level of responsiveness is to:

introduce yourself to the patient, if patient is unresponsive gently shake to elicit a response

If you are unable to feel a carotid pulse in an unconscious, nonbreathing adult within 5 to 10 seconds, you should:

begin cardiopulmonary resuscitation (CPR) at once.

A patient presents with yellow skin color. You should suspect:

problems with the liver

The MOST sensitive cells in the human body are in the:

the brain

The main purpose of the respiratory system is to:

provide oxygen to and remove carbon dioxide from the red blood cells.

A snoring sound heard when an unconscious patient is breathing is MOST often the result of:

partial blockage of the airway by the tongue.

The purpose of the jaw-thrust maneuver is to:

open a patient’s airway without manipulating the neck.

The main purpose of the oral airway is to:

maintain the airway after it has been opened manually

Nasal airways can be used:

in both conscious and unconscious patients.

You should NOT insert a nasal airway in a patient:

with a possible head injury.

While ventilating a nonbreathing patient with a bag-mask device, you do not see the chest rise. Which of the following is the MOST likely cause of this?

Air is leaking around the mask.

In a healthy patient, the oxygen saturation should be at least _____ when breathing room air.

95%

A nonrebreathing mask works by:

storing oxygen in the reservoir bag, which the patient inhales during each breath.

Benefits of having someone with EMR training on scene:

-Initiating NIMS or ICS -Early application of CPR -Application of a tourniquet on arterial bleeding -Information gather to save responders time and prevent biasing a call

NIMS

National Incident Management System, started in 2004 by department of homeland security. It is the standardized way of dealing with large scale incidents.

Public Health and Public Safety outreach programs

-Community medicine -Car seat installation -Programs to encourage bicycle use -Blood pressure settings -Diabetes screenings