TAMECT First Responder Clearing Test (Review session)

What is the 1st thing you assess?

ABCs

when does a patients assessment start?

when you see them

How do you check C in ABCs?

pulse and capillary refill

How is level of consciousness assessed?

A&O x4 and AVPU

can A&O x 3 refuse treatment?

no

CPR 2-person ratio adult? infant?

30:2 ; 15:2

normal blood glucose level

80-120 mg/dl

non re-breather flow rate

10-15 lpm

nasal cannula flow rate

1-6 lpm

nebulizer flow rate

6-10 lpm

BVM flow rate

15+ lpm

how often do you give breaths with BVM to someone with a pulse?

every 5 seconds

signs of hyperglycemia

flushed, warm, dry (hot and dry sugar high)

signs of hypoglycemia

cool, clammy (cold and clammy give them candy)

16 year old patient at sporting event comes in, what do you have to do first?

get consent from parents or coach

when can a 1st responder hold C-spine?

when EMT tells you to

cincinnati stroke scale components...

FAST

face drooping, arm drift, slurred speech, time to call 911

acronym for pain?

OPQRST

origin

provocation

quality

radiation

severity

time

medicine given for aches and pains

ibuprofen

key sign for anaphylaxis

dropping BP

do you drop a bucket of ice water on a heat stroke patient?

no

normal BP

120/80

normal pulse

60-100

normal blood SPO2

95-100%

normal respiratory rate

12-20

what can 1st responders administer with a mist? what for?

duoneb for asthma/respiratory arrest

head-tilt/chin lift used for?

CPR opening the airway

jaw thrust-- in trauma

When do you check PMS in backboarding?

before and after

when do you apply a tourniquet ?

bright, red squirting arterial blood on extremity

biggest priority on a scene with a patient

scene safety

What do you check in a head trauma assessment?

pupils

PEARRL

pupils, equal, and, round and, reactive to, light

What SPO2 do you start O2 therapy?

below 95%

2 airway adjuncts used to protect airway? dont forget...

NPA and OPA; lube

Tripod position shows...

respiratory distress

do you hold a seizing person down?

no

smell of acetone, rapid breathing, and AMS (altered mental status) are signs of...

hyperglycemia

AMS stands for...

altered mental status (below A&O x4)

what does SAMPLE mean?

symptoms/signs

allergies

medications

past medical history

last oral intake

events that occurred prior to emergency

normal skin condition

pink, warm, dry

list vitals

pulse, pupils, BP, SPO2, BGLS, respiratory rate, skin condition, and LOC

_____________ given for aches and pains

ibuprofen/advil

_____________ given for a fever

tylenol / avetaminophen

another name for tylenol

acetaminophen

_____________ given for chest pain

asprin / acetylsalicylic acid

acetylsalicylic acid = _____________

asprin

_____________ given for mild allergic reaction

benadryl

diphenhydramine = _____________

benadryl

_____________ given for breathing difficulty with wheezing

DuoNeb

other names for DuoNeb

albuterol and A&A

method DuoNeb is given

nebulizer

oral glucose given for...

low blood sugar

_____________ given for a severe allergic reaction

epipen

O2 given for ....

low blood oxygen levels

3 methods O2 is given...

nasal canula, non re-breather, and BVM

least severe bleeding is _____________

capillary

ASA = _____________

asprin

A&O = _____________

alert and oriented

position for someone in shock

trendelenburg

what else to grab when grabbing glucometer..

sharps container / gloves

Define chief complaint...

patients main complaint

compare sign vs symptom

sign= obvious (ex. cyanotic) symptom = patient says it (ex. nausea)