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Emergency Care -- 13th edition -- Chapter 12 Flashcards

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3904703873What is primary assessment?the first element in a patient assessment in which you focus exclusively on life threats.0
3904707763What are the 6 parts of the primary assessment?1. form a general impression 2. assess the patient's mental status 3. assess the patient's airway 4. assess the patient's breathing 5. assess the patient's circulation 6. determine the patient's priority1
3904717444What is the purpose of the primary assessment?to focus on potential life threats to your patient2
3904725709What is an intervention?actions taken to correct or manage a patient's problems3
3904728345What is the general impression?an impression of the patient's condition that is formed on the first approaching the patient based on the patient's environment, chief complaint, and appearance.4
3904731709On what three things do EMT's gain their general impression of a patient?1. patient's environment 2. chief complaint 3. patient's appearance5
3904734502Define chief complaintthe reason EMS was called6
3904743920Define mental statusthe patient's level of responsiveness7
3904745437What is the memory aid for classifying a patient's mental status?AVPU8
3904745961What are the 4 levels of AVPU?1. alert 2. verbal response 3. painful response 4. unresponsive9
3904747351Describe the "A" in AVPU.alert -- patient is awake and will talk and answer questions10
3904753403Describe the "V" in AVPU.verbal response -- patient will respond to talking or shouting11
3904755129Descrive the "P" in AVPU.painful response -- patient will respond to a painful stimuli such as pinching a toe or squeezing the shoulder12
3904756747Describve the "U" in AVPU.unresponsive -- patient will not respond with shouting or a painful stimulus13
3904761967ABC's stands for what?airway, breathing, and circulation14
3904766219What two ways to open a patient's airway?jaw-thrust / head-tilt, chin-lift15
3904777780If suspected c-spine injury or an unresponsive patient, what technique should NEVER be used open a patient's airway?head-tilt, chin-lift16
3904784739Define clinical judgementjudgement based on experience in observing and treating patients17
3904788825How should a patient be treated if their level of responsiveness is lower than alert?high-concentration oxygen by nonrebreather mask and consided the patient a high priority18
3904797214Define interventionsactions taken to correct or manage a patient's problems19
3904830884What three things do EMT's do to form a general impression?look, listen, and smell20
3904840320What is suggested if the patient has pale and clammy skin?shock21
3904851241What is one way to quickly assess a patients circulation?capillary refill22
3904854809About how long should a nail bed return to normal (pinkish) once released from pressure?no more than 2 seconds23
3904856460What are some ways in which checking capillary refill is unreliable?--age of the patient -- elderly take longer --cold weather (especially if the fingers are cold)24
3904862062How do you check the responsiveness in a child?flicking the feet25
3904883815What does the tripod position usually indicate in a patient?significant difficulty in breathing26
3904886179What does the Levine's sign usually indicate in a patient?significant chest pain or discomfort27
3904888643What is the Levine's sign?a fist clinched over the chest28
3904889416What is the tripod position?a patient sitting upright, leaning forward, and supporting themselves with arms locked in front of them29
3904892521What type of distress does the tripod position show?respiratory30
3904893664What type of distress does the Levine sign show?cardiac31
3904899581EMT's perform the ABC's in that order for patients unless they are suffering from what issue?cardiac arrest32
3904903564Instead of ABC's, which order should be performed on a patient suffering from cardiac arrest?CAB33
3904906096When should an EMT perform manual C-spine stabilization?As soon a c-spine injury is suspected or if the patient is unconcious34
3904908844What is considered an EMT's "sixth sense?"clinical judgement35
3904916938What type of approach is the primary assessment?systematic36
3904929467heart rate -- infant?140-16037
3904930173respiratory rate -- infant?40-60 / 30-4038
3904931038systolic -- infant?70-9039
3904932448heart rate -- toddler?80-13040
3904933129respiratory rate -- toddler?20-3041
3904934380systolic -- toddler?70-10042
3904935693heart rate -- preschool80-12043
3904936304respiratory rate -- preschool20-3044
3904936305systolic -- preschool80-11045
3904942151heart rate -- school age70-11046
3904943574respiratory rate -- school age20-3047
3904943575systolic -- school age80-12048
3904944403heart rate -- adolescence55-10549
3904945192respiratory rate -- adolescence12-2050
3904945810systolic -- adolescence80-12051
3904946713heart rate -- early adult7052
3904947651respiratory rate -- early adult12-2053
3904948015systolic -- early adult12054
3904705500What do you do for a child having difficulty breathing?place a towel under his shoulder blades55
3906189020What do you assume for an unresponsive patient with unknown MOI/NOI?spinal injury56
3906215785What is a rapid pulse?tachycardia -- above 100 beats/minute57
3906218813What is the normal pulse for an adult at rest?60-1058
3906218814What is a slow pulse?bradycardia -- below 60 beats/minute59
3906224993What does a thready pulse mean?weak60
3906231180Which is more of a concern in a child/infant -- high pulse or low pulse?low pulse -- may indicate imminent cardiac arrest61
3906237604Define arterial spraybright red spurting blood62
3906240700What must be done if you hear gurgling sounds?suction the airway63
3906245696Rapid, regular, full pulseexertion, fright, fever, high blood pressure64
3906248863rapid, regular, thready pulseshock, later stages of blood loss65
3906249985slow pulsehead injury, drugs, poison, heart problems66
3906252244no pulsecardiac arrest67
3906262455What is the first thing to do in patient assessment?verbalize BSI / scene safe68
3906266531What is the order of the patient assessment?1. BSI 2. Scene size-up 3. primary assessment 4. history taking 5. secondary assessment 6. vital signs 7. reassessment69
3906272240What are the components of scene size-up?1. determine if scene is safe 2. MOI / NOI 3. number of patients 4. additional EMS assistance if necessary 5. stabilize c-spine70
3906284264What are the components of the primary assessment?1. general impression 2. responsiveness (AVPU) 3. chief complaint 4. Airway 5. breathing 6. circulation 7. patient priority71
3906294071What are the components of the Secondary Assessment?1. head 2. neck 3. chest 4. abdomen 5. abdomen/pelvis 6. lower extremities 7. upper extremities 8. posterior (back)72
3906302940What are the components of the vital signs?1. take baseline vitals 2. manage secondary wounds73
3906308733What is the component of reassessment?demonstrate how and when to reassess the patient74
3906360599How often should you open the airway on a patient?ALWAYS75
3906398833What are the 4 components of circulation in patient assessment?1. checks pulse 2. assess skin (condition, color, temp) 3. assess for and control major bleeding 4. initiate shock management76

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