contraindication
reasons not to use a medication
aspirin
prevents platelets in the blood from clotting
boots and back braces
accessories that EMTs use when lifting a pateint
actions in controlling airway
opening and securing
hypoperfusion
inadequate supply of oxygen, glucose, and other nutrients
examples of PPE (personal protective equipment)
pocket mask (covers mouth and part of your nose)
mask (whole face)
gloves
gown
basic skills for emt
infection control
airway control
ventilation
bleeding control
parenteral
inhalation and injection of medience
6 emergency way to carry a patient
rescuer assist
pack strap
cradle carry
the firefighter carry
seat carry
chair carry
oropharyngeal
disposable molded plastic device designed to help keep the tongue off the roof of the mouth
diastolic
pressure in the arteries immediately after the pulse
on-line medical control
physician is there with the EMT
neurogenic shock
vessels are dilated losing pressure and ability to pump blood against gravity
extrinsic diseases
diseases that are contagious and able to spread
bronchodilators
increases airflow by increasing bronchioles diameter (i.e. inhaler)
direct lift
from floor to bed
discs
shock absorbers in the back that can cause pain
what do you administer if there is respiratory difficulty or patient suspected to be in shock, had stroke or seizure
oxygen
Vector
a living creature involved in the transmission of the disease (humans, dogs, cats, chicken)
crowing
a sound that can occur when muscles around the larynx spasm
Auscultation
the act of listening
vital signs
should be repeated every 10-15 minutes
snoring
tongue blocks the airway
septic shock
caused by an infection that results in dilated blood vessels
EMTs should be able to lift at least ____lbs
125
signs of shock
tachycardia (rapid heart rate)
tachypnea (rapid breathing)
nausea
thirst
confusion
cool and pale skin
questions when handling medication
right medication? right patient? right route? right date? right dose?
tracheostomy and stoma
holes that are surgically created and used to create airways
normal breathing rate (adult)
12-20 bpm
normal breathing rate (child)
15-30 bpm
normal breathing rate (infant)
25-50 bpm
sequence for basic airway control
open
asses
suction
secure
OPQRST (history of present illness)
onset - what were u doing when it started?
provokes - triggers?
quality of discomfort
radiation - where is the pain? did it spread?
severity- 1 to 10
time - when did it start?
SAMPLE (past medical history)
Signs and Symptoms
Allergies
Medication
Past medical history
Last oral intake
Events leading to the illness
systole
pressure in the arteries during the contraction phase
cardiogenic shock
result of inadequate pumping of the heart
neurological, brain, and eye injures alters ______
pupil dialation
normal blood pressure
90-150/60-90
prophylaxis
treatment after exposure to prevent the likelihood of EMT becoming ill
treatment of shock
reduce heat loss, control bleeding, and oxygenation
reassessment
should be done five minutes after the medication is administered
enteral
ingestion of medications
nitroglycerin
dilates blood vessels, can be used during a heart attack, can reduce blood pressure
anaphylaxis
brought on by exposure to something to which the patient is extremely allergic
epinephrine
dilates airways and constricts blood vessels, creates a simulated fight or flight reaction, used to treat extreme allergies
normal pulse rate (adults)
60-110 bpm
four emergency ways to drag a pateint
clothing, blanket, arm, firefighters
cricoid pressure
shouldn't be used during cardiac arrect
what can determine an obstruction of the airway
abnormal sounds
compression rate
100 compressions per min
Braxton Hicks contractions
Irregular prelabor contractions of the uterus
Placenta previa
Condition in which the placenta is formed in an abnormal location that will not allow for normal delivery of the fetus causing an excessive amount of pre-birth bleeding
Preeclampsia
A complication of pregnancy in which the women retains large amounts of fluid and has hypertension. She may also experience seizures and or comas during birth which is very dangerous to the infant
Premature infant
Any newborn wingless in 5 1/2 pounds or born before the 37th week of pregnancy
Amount of blood in adult
4 Liters
Amount of blood in a newborn
335 mL
AVPU
Alert voice pain unresponsiveness
Hyphema
Blood that is in front of the eye
Hypoxia
Insufficient amount of oxygen in the body's tissues
Diaphoretic
Induced perspiration (sweat)
Avulsion
Flaps of skin and tissue are torn loose or pulled off completely
Hematoma
Swelling of blood
Phlebo-
Vein
Cephalo-
Head
Entero-
Intestines
PCR
Patient Care Report
Dilated pupils
May indicate , blood loss, drugs, prescription eyedrops
Constricted pupils
Drugs (narcotics), prescription eyedrops
Unequal pupils
Stroke, head injury, artificial eye, prescription eyedrops
Lack of reactivity in the pupils
Drugs, lack of oxygen to the brain
Where do you palpate last
The area that the patient indicated was hurting
Jaundice
Deliver becomes overwhelmed by the breakdown in red blood cells resulting in the yellowish pigmentation of body tissue
Renal failure
Occurs when kidneys lose their ability to adequately filter the blood and remove toxins in excess fluid from the body
Dialysis
The process by which toxins in excess fluid are removed from the body by medical system independent of the kidneys
Shunt
Drange device that runs from the brain to the abdomen to relieve excess cerebrospinal fluid
Perfusion
Supply of oxygen to, and removal of waste from the body cells and tissues as a result of the flow of blood through the capillaries
Direct pressure
Most common and effective way to control external bleeding
Central rewarming
Application of heat to the lateral chest, neck, armpits, and groin of the hypothermic patient
At about what temperature does electrical activity in the brain become abnormal
91.5°F
Supine
Lying on the back
Prone
Lying facedown
Recovery position(lateral recombent)
Lying on the side
Fowler position
A sitting position
assess ventilations on adult patients when
Patients are breathing less than 8 bpm and over 24 bpm
COPD
Progressive disease that makes it hard to breathe
Pulmonary edema
Fluid in the lungs
CPR Should be
Five cylces of 30 compressions to two breaths or for two minutes
Fibrillation
Irregular contractions or impulses from the heat
30%
Amount of normal bloodflow CPR provides
Asystole
Heart stops breathing and there is no electrical activity
Contraindications for AED
Children under 1, patients suffering from trauma
Trauma
Most serious injuries that threaten life or limb and usually involves blood loss
No pulse
Indicates perform CPR
AED
Can be used with an artificial pacemaker
Medication patches
Should be removed before AED is used
Thrombus
Blood clot
Noncardiac chest pain
Pneumonia, rib fracture, pneumothorax, pleurisy, esophageal spasm, gastric ulcer disease.
Assessment for patient in respiratory distress (unresponsive)
Primary assesment, rapid physical examination, baseline vital signs, and history
Congestive heart failure causes
Fluid swelling
Hypoglycemia (low blood sugar)
Sudden, cool moist skin, pupils dilated, elevated blood pressure