EMR CERTIFICATION

Bargaining

A stage in the grieving process where patients and families try to negotiate their way out of the pain.

Signs and Symptoms of Meningitis

Include stiff neck, fever, and chills.

Stages of Grief

Includes denial, anger, bargaining, depression, and acceptance.

When to Stay Away From Scene

Situations such as fire, gun violence, electrical hazards, water and ice hazards, and gas leaks.

Right Upper Quadrant Organs

Contains gallbladder.

Left Upper Quadrant Organs

Contains stomach and spleen.

Right Lower Quadrant Organs

Contains appendix.

Left Lower Quadrant Organs

Contains ovary.

Supine

Position lying on the spine.

Endocrine System Organs

Includes pancreas, testicles, thyroid, and ovaries.

HIPAA

Protects patients’ health information and ensures privacy.

Signs and Symptoms of Hypertension

Can lead to heart attack and stroke.

Common Obstruction of Upper Airway

Most often caused by the tongue.

Common Obstruction of Lower Airway

Most often caused by bronchoconstriction.

Signs and Symptoms of Shock in Pediatrics

Vital signs are generally higher.

Congestive Heart Failure

Characterized by fluid back-up.

Mechanical Heart Failure

Occurs when something prevents the heart from functioning properly.

Basket Stretcher

Used in rough terrain for patient transport.

Medically Restrain a Patient

Use restraints to hold them down.

Recovery Position

Patient is on their left side to prevent aspiration.

Blanket Drag

Technique for moving a patient by their upper body.

Barriers to Communication

Include language differences, emotional distress, and physical impairments.

Transfer of Care

Handing over a patient from one healthcare provider to another, ensuring continuity of care.

Body Language

Accounts for approximately 55% of communication.

Correcting an Error in Documentation

Draw a single line through the error, write 'error', and initial it.

Objective vs. Subjective

Objective: Measurable facts; Subjective: Based on personal feelings.

BVM vs. Nasal Cannula

BVM delivers high-flow oxygen; Nasal Cannula delivers low-flow oxygen.

Signs of Good Ventilation

Chest should rise and fall with each breath.

OPA vs. NPA

Oropharyngeal Airway is inserted in the mouth; Nasopharyngeal Airway is inserted in the nose.

Signs of Respiratory Failure

All vital signs decrease.

Nasal Cannula Flow Rate

Typically delivers 1-6 L/min.

Oxygen Regulator

Controls the amount of oxygen being delivered to the patient.

O2 Tank Safety Position

Placed on its side to prevent tipping over.

Depth of CPR

Compress to a depth of 2 inches.

CPR Location

Perform CPR on a hard, flat surface.

Agonal Breathing

Irregular gasping breaths seen at the end of life.

Common Causes of Cardiac Arrest

Heart attack and myocardial infarction.

Child vs. Adult Vitals

Children typically have higher and faster vital signs.

Sign vs. Symptom

Sign: Observable evidence; Symptom: Subjective experience by the patient.

Importance of Medical History

Essential for effective patient treatment.

Accessory Muscles in Breathing

Indicate respiratory distress.

Hazards in Emergency Situations

Include toxic substances and dog attacks.

AVPU Scale

Measures responsiveness: Alert, Verbal, Painful, Unresponsive.

Scene Size-Up

Includes assessing scene safety and using gloves.

Signs and Symptoms of Heart Failure

All vital signs may decrease.

OPQRST Method

Used to assess pain based on various factors.

Women and Renal Heart Attack Symptoms

Often present atypical symptoms.

Pursed Lip Breathing

Technique to manage gas exchange during breathing difficulties.

Expired Medications

Should never be administered.

Reading Body Language

Involves understanding the non-verbal cues in a situation.

Signs of Renal Failure

Typically includes reduced urine output.

How to Stop Bleeding

Apply direct pressure, elevation, and a tourniquet.

Signs and Symptoms of Hypoglycemia

Usually involve administering sugars.

Safe Water Rescue Techniques

May involve throwing a line or using a floatation device.

Decompression Sickness

A condition arising from scuba diving; notify dispatcher.

Hypothermia Causes

Cold water exposure, snowy conditions, and improper clothing.

Water Rescue Protocol

Enter water while secured to a stable object.

Hemostatic Dressings

Used to control severe bleeding.

How to Remove Debris from Open Wound

Must be done using sterile techniques.

Venous Blood Characteristics

Dark and oozy drainage.

Assault and Battery Definition

Verbal assault must always be reported.

Perfusion

The delivery of oxygen to the tissues, which stops during shock.

Anaphylaxis

A severe, potentially life-threatening allergic reaction.

Signs of Shock

Can include signs of panic or anxiety.

Arm Bones

Include humerus, radius, and ulna.

Femur

The largest and strongest bone in the body, located in the thigh.

Open Fracture

A bone that penetrates through the skin.

Cranial Vault and Sutures

Reference the protective structure of the skull.

Three Types of Spine

Cervical, thoracic, lumbar regions.

Helmet Removal Protocol

Requires two people to keep the head stable.

ABC and 123’s for Emergency Care

ABC: Airway, Breathing, Circulation; 123's: direct pressure, elevation, tourniquet.

High-Risk Pregnancy Factors

Include hypertension, diabetes, and old age.

Umbilical Cord Cutting Procedure

Clamping and cutting between two clamps, 6-8 inches from the baby.

Baby Not Breathing After Birth Action

Gently rub the baby's back.

Hypotensive Syndrome Definition

Blood pressure drops when laying flat.

Treat Others as You Want to Be Treated

Encourages empathy and respect.

Boiling Water Injury Medication Policy

Do not administer any medications.

Infant Not Breathing Protocol

Perform CPR if no pulse is present.

Three-Year-Old with Altered Mental Status

May indicate a febrile seizure.

Rules of Physical Exam

Respect patient privacy and communication.

Suicide Risk in Older Adults

Less likely to survive attempts compared to younger individuals.

Communicating with Short Vision Patients

Sit in front and speak clearly.

Signs of Elderly Abuse

Look for unexplained bruises or injuries.

Simple Access to Patient Definition

Refers to ease of reaching a patient.

High Voltage Wire Precaution

Wait for power to be turned off before approaching.

Check Your Trucks Every Shift

Ensure all equipment is properly stocked.

Scene Safety Priorities

Assess hazards, ensure safety, and enter only when secure.

START Triage Meaning

Simple Triage and Rapid Treatment.

ICS Purpose

To plan, manage, and coordinate emergency responses.

Incident Command Basic Definition

Used during mass casualty situations.

NIMS Purpose

National Incident Management System for emergency management.

Abdominal Injury Response

Guard the injury and protect the patient.

Bar Fight Patient Care

Cut the shirt off with scissors for access.