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