EMR CERTIFICATION

Bargaining - Stages of Grief: Patient and family, providers go through stages of stress

Signs and Symptoms of Meningitis: Stiff neck, Fever and chills

How Do People Deal With Death: Stages of Grief, denial, anger, bargaining, depression, acceptance

When to Stay Away From Scene: Fire, shooting guns violence, electrical, water and ice, gas

What Organs Live in What Quadrant: Right Upper Quadrant: gallbladder, Left Upper Quadrant: Stomach, spleen, Right Lower Quadrant: Appendix, Left Lower Quadrant: ovary

Supine: On your spine

Endocrine System and Organs: Hormones: pancreas, testicles, thyroid, ovaries

HIPAA: protects patients’ health information and ensures privacy, patient trusts you

Signs and Symptoms of Hypertension (High Blood Pressure): Heart attack, and stroke

Most Common Obstruction of Upper and Lower Airway: Upper Airway: Tongue, Lower Airway:bronchioconstriction

Signs and Symptoms of Shock in Pediatrics: Everything is higher

Heart Failure: Congestive: backing up of fluid, Mechanical: something that prevents it from working properly

Basket Stretcher: Used in a rough terrain.

How to Medically Restrain a Patient: Have the retrains to hold them down

Recovery Position: On left side, aspiration, tongue, takes pressure off of the aorta for pregnant people

Blanket Drag: Take them by their upper body

Barriers to Communication: Language differences, Emotional distress, Physical impairments

Transfer of Care: The process of handing over a patient from one healthcare provider equal or higher than us to another, ensuring continuity of care. Giving them a report

Body Language is What Percent of a Message?: Studies suggest 55% of communication is body language

Fill in bubble Document / Computer: Using bubble in to report patient.

How to Correct an Error: Draw a single line through the error. Write “error” and initial it. Correct the mistake nearby.

Objective vs. Subjective: Objective: Measurable and observable facts. Subjective: Information based on a patient’s personal feelings or experiences.

BVM vs. Nasal Cannula: Bag-Valve Mask: Delivers high flow of oxygen. Nasal Cannula: Delivers low-flow oxygen.

How to Tell If Giving Good Breaths (BVM or Ventilation): Chest rise and fall with each breath.

Mouth-to-Mask Ventilations: Safe if you using barrier devices properly

OPA vs. NPA: Oropharyngeal Airway: mouth, Nasopharyngeal Airway: nose

Respiratory Failure Signs and Symptoms  Everything goes down

Nasal Cannula LPM (Liters Per Minute): 1-6 L/min

Oxygen Regulator: How much oxygen our patient is getting at a time

Why Do You Put an O2 Tank on Its Side?: To prevent it from tipping over and becoming a missle

Depth of CPR: 2 inches

CPR Location: On a hard flat surface

Agonal Breathing: End of life breathing, gasping sounds

Common Causes of Cardiac Arrest: Heart attack, myocardial infarction

Child vs. Adult Vitals: Kids higher and faster

Sign vs. Symptom: Sign: something you can see or measure, Symptom: something the patient can feel.

Medical Historym To help treat the patient

Accessory Muscles: Sign of distress

Hazards: Toxic substances, dog attacks

AVPU: A: Alert, V: Verbal, P: Painful, U: Unresponsive

Scene Size-Up: Scene safety, gloves BSI

Signs and Symptoms of Heart Failure: Everything goes down

OPQRST: Used to assess pain, O: Onset – When did it start? P: Provocation – What makes it better or worse? Q: Quality – Describe the pain. R: Radiation – Does the pain spread? S: Severity – Rate the pain on a scale of 1-10. T: Time – Has it changed over time?

Women and Renal Heart Attack Patients: Atypical symptoms women and renal patients

Pursed Lip Breathing: Trying to balance gas exchange

Expired Medications: Don’t give to people

Read Body Language: Read the room, understand the situation

Respiratory Failure: Everything goes down

Poison Control: We call poison control

Signs and Symptoms of Renal Failure: Reduce urine

How to Stop Bleeding: 1. Direct Pressure, 2. Elevation, 3. Tourniquet

Signs and Symptoms of Hypoglycemia: Giving them sugars

Safe Techniques for Water Rescue: Throwing something out or utilizing something else.

Decompression Sickness: Tell dispatcher this is a scuba diving patient.

Hypothermia: Cold water, snow, not wearing proper clothes.

How to Reach Water Patients: Go in sometimes when we are secured to another thing and go in

Hemostatic Dressings: Controls the bleeding by stopping the blood

Open Wound – How to Remove Matter: Has to have sterile

Venous Blood: Dark and oozy

Assault: Assault and battery go hand and hand, if you feel that assault has taken place always report, verbal.

Perfusion: Flow of oxygen to the blood, stops in shock

Anaphylaxis: Life threatening allergic reaction.

Signs and Symptoms of Shock: Panic attack state, or anxiety attack state.

Arm Bones: Humerus, Radius, Ulna, extremities

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

Open Fracture: bone that goes through the skin.

Cranial Vault / Cranial Sutures: Skull

3 Types of Spine: 1. Cervical Spine: Neck region. 2. Thoracic Spine: Upper back. 3. Lumbar Spine: Lower back.

How to Safely Remove a Helmet: 2 people, holding head straight and taking helmet off

ABC and 123’s: ABC: Airway, Breathing, Circulation. 123’s: direct pressure, elevation and tourniquet.

High-Risk Pregnancy: Risk Factors: High blood pressure or diabetes, Preterm labor, Placenta previa, Multiple gestation, old age.

How to Cut Umbilical Cord: Place two clamps about 6-8 inches from the baby. Cut at 7 inches

Baby Not Breathing After Birth: Rub his back rough

Hypotensive Syndrome: When they lay flat on their back their blood pressure goes down. Recovery position.

Treat Everyone the Way You Want to Be Treated: We listen and we don’t judge

Boiling Water Injury – Never Give Medications: Never give medicine

Infant Not Breathing, No Pulse – SIDS: No breathing no pulse, CPR

3-Year-Old with Altered Mental Status: Febrile Seizure

Rules of Physical Exam: Respect patient privacy, talk to them how you would want to be talk.

Suicide in Older Adults: Suicide attempts by older adults result in death less than younger people

Person with Short Vision: Sit in front of them don’t yell at them.

Elderly Abuse: Bruises on elder

Simple Access to Patient: Easy to get to

High Voltage Wire Situation: Wait for energy to come

Check Your Trucks Every Shift for Best Care: Stock up on everything

Scene Safety: Priorities: 1. Assess for hazards. 2. Ensure personal and team safety. 3. Only enter when the scene is secure.

START: Simple Triage and Rapid Treatment

ICS: Plan, Manage, and Coordinate Incident Command System

Incident Command: Mass casualties

NIMS: National Incident Management System

Abdominal injury: guard it, fetal position, bruising  swellin

Bar fight: cut his shirt off with scissors