EMT

Sample

S

Signs and symptoms

Sample

A

allergies

Sample

M

medications

Sample

P

past medical history

Sample

L

Last oral intake

Sample

E

Events leading up to the incident

OPQRST

O

onset

OPQRST

P

provocation

OPQRST

Q

quality

OPQRST

R

radiation

OPQRST

S

severity

OPQRST

T

time

DCAP-BTLS - D stands for?

Deformities

DCAP-BTLS - C stands for?

Contusions

DCAP-BTLS - A

Abrasions

DCAP-BTLS - P stands for?

Punctures/Penetrations

DCAP-BTLS - B stands for?

Burns

DCAP-BTLS - T stands for?

tenderness

DCAP-BTLS - L stands for?

Lacerations

DCAP-BTLS- s

swelling

New born blood pressure

70 systolic

New born pulse

140-160

New Born Respiratory Rate Range

40-60

Infant Blood Pressure

90 systolic

Infant pulse

100-120

infant respiratory rate

20-30

Toddler Blood Pressure

70-100 systolic

toddler pulse rate

80-130 bpm

toddler respiratory rate

20-30

pre-school blood pressure

80-110 systolic

Pre-school pulse rate?

80-120

Pre School Respiratory Rate

20-30

School Age Blood Pressure

80-120 systolic

school age pulse

70-110 bpm

school age respiratory rate

20-30

Adolescent Blood Pressure

100-120 systolic

adolescent pulse

55-105 bpm

adolescent respiratory rate

12-20

Adult Blood Pressure

120/80

Adult pulse

70

Adult respiratory rate

16-20

Positive orthostatic changes

Systolic BP drops 10-20 mmhg

Pulse increases 10 -20 mmhg

Occurs in people who are hemorrhaging, are on prolonged best rest, disease of the ANS and elderly people on antihypertensives

Normal SpO2

97-100%

Hypoxia SpO2

Severe Hypoxia SPO2:

What spo2 do you use a NRB mask

Severe hypoxia

When to use nasal cannula

90-94% spo2

Pallor (white)

Vasoconstriction, blood loss, shock, heart attack, fright, anemia, fainting, emotional distress

Cyanosis, blue-gray skin

inadequate oxygenation or perfusion (shock), inadequate respiration, heart attack

Flushing (red)

Heat exposure, carbon monoxide poisoning (late)

Jaundice (yellow)

liver disease

Hot temperate

Fever, heat exposure

Cool skin

Poor perfusion (shock), cold exposure

Cold skin

extreme cold exposure

Wet or moist skin

Shock, heat emergency, diabetic emergency

Abnormally dry

Spinal injury, dehydration, heat stroke, poisoning, hypothyroidism

When to ventilate an adult

Breathing at a rate greater than 40 per minute

When to ventilate an infant or young child

Breathing at a rate greater than 60 per minute

Normal skin characteristics

pink, warm, and dry

Most common oxygen bottle

D bottle

Hematachezia

bright red blood in stool

melena

Black tarry stool

hematuria

blood in the urine

hematemesis

blood in vomit

hemoptysis

coughing up blood

epistaxis

nosebleed

a straight break right across a bone

transverse

a fracture where at least one part of the bone has been twisted

spiral

a fracture that is diagonal to a bone's long axis

oblique

the bone partly fractures on one side, but does not break completely because the rest of the bone can bend

greenstick

the bone is shattered into many pieces

comminuted

when the bone is fractured, one fragment of bone goes into another

impacted

internal bleeding from pelvic fractures

2 liters of blood loss

internal bleeding from femur fractures

1\.5 liters of blood loss

internal bleeding from tib-fib fractures

750 ML of blood loss

internal bleeding from humerous fracture

350 ML of blood loss

where the trachea splits

carina

the folds of the stomach are the

rugae

stridor

high pitched

snoring

tongue

gurgling

suction

oral glucose

15g paste-- ONE TUBE TAKEN BUCCAL (oral)

Charcoal

1g/kg in a suspension of H2O

Nitroglycerin

.4mg spray or tablet SL (sublingual)

Albuterol (NEB)

2.5 mg in 3ml NS

Epinephrine pen

.3 mg adult .15 mg child - IM-adult is anyone over 66lbs

aspirin

4 chewable tablets 81mg each

MDI (metered dose inhaler)

ask PT

Narcan

2mg nasal, may need to repeat- USE M.A.D DEVICE (mucosal atomizer device)

ondansetron ( ZOFRAN)

4mg X1 adult 4mg child > 4yr/ 2mg 6 month- 4yr. LESS THAN 6 months call for order- ALL given sublingual

Atrovent (Ipratropium Bromide)

.5 mg in 2.5 ml NS (normal saline)

4 rights

right patient

right medication

right dose

right date and time

stimulatory effect of Alpha 1

vasoconstriction

simulation of sweat glands

symptoms of Alpha 1

pale, cool skin, narrow pulse pressure, localized sweating, and clammy skin

stimulatory effect of beta 1

increased heart rate and increased force of contraction

symptoms of beta 1

tachycardia and pounding heartrate

stimulatory effect of beta 2

smooth muscle dilation

symptoms of beta 2

decreased resistance in airway

alpha 2

regulates alpha 1