Podcast
Questions and Answers
- Pulmonary edema management includes nitro every 5 minutes, dangling feet, and CPAP if possible; discontinue use if patient becomes ______ or unconscious.
- Pulmonary edema management includes nitro every 5 minutes, dangling feet, and CPAP if possible; discontinue use if patient becomes ______ or unconscious.
altered
- Nitro is a smooth muscle relaxant that causes vasodilation and is indicated in chest pain with possible cardiac cause; contraindicated in inferior wall MIs and patients taking ED or pulmonary ______ medications.
- Nitro is a smooth muscle relaxant that causes vasodilation and is indicated in chest pain with possible cardiac cause; contraindicated in inferior wall MIs and patients taking ED or pulmonary ______ medications.
hypertension
- Fentanyl is an opioid analgesic with rapid onset indicated in patients with pain levels 4-10; contraindicated in patients with known sensitivity and those with systolic blood pressure under ______.
- Fentanyl is an opioid analgesic with rapid onset indicated in patients with pain levels 4-10; contraindicated in patients with known sensitivity and those with systolic blood pressure under ______.
100mmHg
- Amiodarone increases the cardiac refractory period and is given in VTACH with a pulse or VTACH/VFIB pulseless arrests; contraindicated in hypokalemia, cardiogenic shock, sinus brady, 2nd or 3rd degree heart ______.
- Amiodarone increases the cardiac refractory period and is given in VTACH with a pulse or VTACH/VFIB pulseless arrests; contraindicated in hypokalemia, cardiogenic shock, sinus brady, 2nd or 3rd degree heart ______.
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- Atropine is an anticholinergic indicated in symptomatic 1st degree heart blocks, bradycardia secondary to vasalvagal episode, and spinal cord shock; contraindicated in 2nd or 3rd degree blocks, MI, closed angle glaucoma, GI obstruction, and ______.
- Atropine is an anticholinergic indicated in symptomatic 1st degree heart blocks, bradycardia secondary to vasalvagal episode, and spinal cord shock; contraindicated in 2nd or 3rd degree blocks, MI, closed angle glaucoma, GI obstruction, and ______.
Signup and view all the answers
- Dopamine is a sympathomimetic indicated in cardiogenic shock, septic shock, and neurogenic shock hypotension; SE include hypertension, n/v, headache, tachydysrhythmias, and tissue necrosis if ______.
- Dopamine is a sympathomimetic indicated in cardiogenic shock, septic shock, and neurogenic shock hypotension; SE include hypertension, n/v, headache, tachydysrhythmias, and tissue necrosis if ______.
Signup and view all the answers
- Sickle cell disease is a hereditary condition that causes elongated RBCs and can lead to various crises such as vasoocclusive, acute chest, and splenic ______.
- Sickle cell disease is a hereditary condition that causes elongated RBCs and can lead to various crises such as vasoocclusive, acute chest, and splenic ______.
Signup and view all the answers
- Heat emergencies can range from cramps and exhaustion to stroke, and can be managed with fluids, cooling, and monitoring for ______.
- Heat emergencies can range from cramps and exhaustion to stroke, and can be managed with fluids, cooling, and monitoring for ______.
Signup and view all the answers
- Hypothermia can range from mild to severe, and can lead to afterdrop phenomenon and internal rewarming need, with proper handling and cautious drug ______.
- Hypothermia can range from mild to severe, and can lead to afterdrop phenomenon and internal rewarming need, with proper handling and cautious drug ______.
Signup and view all the answers
- Pulmonary edema management includes nitro every 5 minutes, dangling feet, and CPAP if possible; discontinue use if patient becomes ______ or unconscious.
- Pulmonary edema management includes nitro every 5 minutes, dangling feet, and CPAP if possible; discontinue use if patient becomes ______ or unconscious.
Signup and view all the answers
- Nitro is a smooth muscle relaxant that causes vasodilation and is indicated in chest pain with possible cardiac cause; contraindicated in inferior wall MIs and patients taking ED or pulmonary ______ medications.
- Nitro is a smooth muscle relaxant that causes vasodilation and is indicated in chest pain with possible cardiac cause; contraindicated in inferior wall MIs and patients taking ED or pulmonary ______ medications.
Signup and view all the answers
- Fentanyl is an opioid analgesic with rapid onset indicated in patients with pain levels 4-10; contraindicated in patients with known sensitivity and those with systolic blood pressure under ______.
- Fentanyl is an opioid analgesic with rapid onset indicated in patients with pain levels 4-10; contraindicated in patients with known sensitivity and those with systolic blood pressure under ______.
Signup and view all the answers
- Amiodarone increases the cardiac refractory period and is given in VTACH with a pulse or VTACH/VFIB pulseless arrests; contraindicated in hypokalemia, cardiogenic shock, sinus brady, 2nd or 3rd degree heart ______.
- Amiodarone increases the cardiac refractory period and is given in VTACH with a pulse or VTACH/VFIB pulseless arrests; contraindicated in hypokalemia, cardiogenic shock, sinus brady, 2nd or 3rd degree heart ______.
Signup and view all the answers
- Atropine is an anticholinergic indicated in symptomatic 1st degree heart blocks, bradycardia secondary to vasalvagal episode, and spinal cord shock; contraindicated in 2nd or 3rd degree blocks, MI, closed angle glaucoma, GI obstruction, and ______.
- Atropine is an anticholinergic indicated in symptomatic 1st degree heart blocks, bradycardia secondary to vasalvagal episode, and spinal cord shock; contraindicated in 2nd or 3rd degree blocks, MI, closed angle glaucoma, GI obstruction, and ______.
Signup and view all the answers
- Dopamine is a sympathomimetic indicated in cardiogenic shock, septic shock, and neurogenic shock hypotension; SE include hypertension, n/v, headache, tachydysrhythmias, and tissue necrosis if ______.
- Dopamine is a sympathomimetic indicated in cardiogenic shock, septic shock, and neurogenic shock hypotension; SE include hypertension, n/v, headache, tachydysrhythmias, and tissue necrosis if ______.
Signup and view all the answers
- Sickle cell disease is a hereditary condition that causes elongated RBCs and can lead to various crises such as vasoocclusive, acute chest, and splenic ______.
- Sickle cell disease is a hereditary condition that causes elongated RBCs and can lead to various crises such as vasoocclusive, acute chest, and splenic ______.
Signup and view all the answers
- Heat emergencies can range from cramps and exhaustion to stroke, and can be managed with fluids, cooling, and monitoring for ______.
- Heat emergencies can range from cramps and exhaustion to stroke, and can be managed with fluids, cooling, and monitoring for ______.
Signup and view all the answers
- Hypothermia can range from mild to severe, and can lead to afterdrop phenomenon and internal rewarming need, with proper handling and cautious drug ______.
- Hypothermia can range from mild to severe, and can lead to afterdrop phenomenon and internal rewarming need, with proper handling and cautious drug ______.
Signup and view all the answers
Study Notes
EMS Exam Review Key Points
-
Understand scope of practice and standard of care, and authority to practice is given by the Medical Director.
-
Proper lifting techniques and understanding the difference between decontamination and sterilization.
-
Negligence is provable by four components: Duty to Act, Breach of Duty, Willful Intent, and Damages.
-
Types of consent: Implied, Informed, Expressed. DNR must be signed by three people and confidentiality is key.
-
Assault, battery, slander, libel, and false imprisonment are all important legal concepts to understand.
-
Understanding electrolytes and acid-base balance is important in treating patients.
-
Know the functions of ADH, RAAS cycle, and catecholamines in regulating bodily functions.
-
Shock is defined as a situation where there is a decrease in aerobic metabolism and normal function of the body.
-
Hypovolemia, cardiogenic, neurogenic, and anaphylactic shock are the main types.
-
Knowing the 5 rights of medication administration, drug schedules, and drug actions is important.
-
Proper IV access and medication administration techniques are crucial.
-
Intubation techniques, including nasotracheal intubation and surgical cric, are important to know.EMS Cardiology and Trauma Review
-
Body's response to burns can include drop in BP, peaked T waves, and widening QRS due to potassium influx
-
Compartment syndrome can occur from pressure build-up in small spaces, causing nerve damage and limb loss if untreated
-
Rule of nines and rule of palms used to estimate burn surface area
-
Different types of burns include electrical, thermal, chemical, radiation, and inhalation
-
Treatment for burns includes cooling with tepid water, covering with dry, sterile gauze, and fluid management
-
Inhalation burns treated with high flow oxygen, inspection for airway compromise, and possible intubation
-
C-spine injuries can cause EKG changes, cover wounds with dry dressings, and monitor for ICP symptoms
-
Dental injuries can cause airway obstruction and significant bleeding, and different types of facial fractures have specific names and potential complications
-
Treatment for eye injuries includes tetracaine, patching both eyes, and understanding the differences between glaucoma and macular degeneration
-
Pelvic fractures can hold up to 2L of blood and require immobilization, IV fluids, and surgery
-
Different respiratory conditions include asthma, emphysema/chronic bronchitis, pneumonia, hyperventilation syndrome, spontaneous pneumothorax, and non-cardiogenic pulmonary edema
-
Lethal rhythms include asystole, v-fib, and vtach, and different types of blocks include 2nd degree type 1 and 2, and 3rd degree heart block
-
Stable angina occurs when a portion of the heart muscle is temporarily deprived of blood, and can be relieved by relaxation or nitro, while unstable angina requires immediate medical attentionMedical Emergency Management: Cardiac, Neurological, and Endocrine Emergencies
-
Unstable angina is chest pain that occurs at rest or does not subside with nitro administration; treated with nitro, ASA, and pain management.
-
AMI findings include ST elevation or depression in 2 or more contiguous leads; treated with nitro, ASA, and defib pads if applicable.
-
Right heart failure is caused by left heart failure and causes fluid to back up into the extremities; left heart failure causes fluid to back up into the lungs.
-
Pulmonary edema management includes nitro every 5 minutes, dangling feet, and CPAP if possible; discontinue use if patient becomes altered or unconscious.
-
Nitro is a smooth muscle relaxant that causes vasodilation and is indicated in chest pain with possible cardiac cause; contraindicated in inferior wall MIs and patients taking ED or pulmonary hypertension medications.
-
ASA is an antiplatelet indicated in any chest pain patient who is not allergic or taking Brilinta; contraindicated in patients taking Brilinta and those with GI bleeds.
-
Fentanyl is an opioid analgesic with rapid onset indicated in patients with pain levels 4-10; contraindicated in patients with known sensitivity and those with systolic blood pressure under 100mmHg.
-
Vasopressin is an artificial ADH used in codes in place of the first or second round of epi for fluid retention purposes only.
-
Amiodarone increases the cardiac refractory period and is given in VTACH with a pulse or VTACH/VFIB pulseless arrests; contraindicated in hypokalemia, cardiogenic shock, sinus brady, 2nd or 3rd degree heart blocks.
-
Atropine is an anticholinergic indicated in symptomatic 1st degree heart blocks, bradycardia secondary to vasalvagal episode, and spinal cord shock; contraindicated in 2nd or 3rd degree blocks, MI, closed angle glaucoma, GI obstruction, and IVR.
-
Dopamine is a sympathomimetic indicated in cardiogenic shock, septic shock, and neurogenic shock hypotension; SE include hypertension, n/v, headache, tachydysrhythmias, and tissue necrosis if infiltrated.
-
Stroke is classified as hemorrhagic or ischemic; CSS includes facial droop, arm drift, and slurred speech; managed by taking to a primary stroke center and obtaining last known well.Medical Emergencies: Symptoms, Management, and Treatment
-
Allergic reactions can cause local or systemic symptoms such as redness, swelling, hives, wheezing, and respiratory distress.
-
Abdominal pain can be caused by various conditions such as appendicitis, diverticulitis, and colitis, with different symptoms and causes.
-
Renal failure can be reversible or irreversible, caused by various factors such as hypovolemia, obstruction, and diabetes, and can lead to end-stage renal disease.
-
Dialysis patients may experience complications such as hypotension, potassium imbalance, and disequilibrium syndrome.
-
Kidney stones are common and extremely painful, caused by the crystallization of insoluble salts in the urine, and can cause UTI symptoms.
-
Substance abuse can cause various toxidromes such as depressant, stimulant, and hallucinogen, with different symptoms and treatments.
-
Carbon monoxide poisoning can cause headache, nausea, and AMS, and is treated with high-flow oxygen and IV fluids.
-
Coagulation disorders can be caused by various factors such as vitamin K deficiency, hemophilia, and thrombocytopenia, and can lead to DIC.
-
Sickle cell disease is a hereditary condition that causes elongated RBCs and can lead to various crises such as vasoocclusive, acute chest, and splenic sequestration.
-
Spider bites can cause neurotoxic reactions, while snake bites can cause neurotoxic venom and should not be iced or elevated.
-
Heat emergencies can range from cramps and exhaustion to stroke, and can be managed with fluids, cooling, and monitoring for rhabdomyolysis.
-
Hypothermia can range from mild to severe, and can lead to afterdrop phenomenon and internal rewarming need, with proper handling and cautious drug pushing.
-
Drowning can cause respiratory problems and fluid in the lungs, and all patients should be transported even if recovered at the scene.
EMS Exam Review Key Points
-
Understand scope of practice and standard of care, and authority to practice is given by the Medical Director.
-
Proper lifting techniques and understanding the difference between decontamination and sterilization.
-
Negligence is provable by four components: Duty to Act, Breach of Duty, Willful Intent, and Damages.
-
Types of consent: Implied, Informed, Expressed. DNR must be signed by three people and confidentiality is key.
-
Assault, battery, slander, libel, and false imprisonment are all important legal concepts to understand.
-
Understanding electrolytes and acid-base balance is important in treating patients.
-
Know the functions of ADH, RAAS cycle, and catecholamines in regulating bodily functions.
-
Shock is defined as a situation where there is a decrease in aerobic metabolism and normal function of the body.
-
Hypovolemia, cardiogenic, neurogenic, and anaphylactic shock are the main types.
-
Knowing the 5 rights of medication administration, drug schedules, and drug actions is important.
-
Proper IV access and medication administration techniques are crucial.
-
Intubation techniques, including nasotracheal intubation and surgical cric, are important to know.EMS Cardiology and Trauma Review
-
Body's response to burns can include drop in BP, peaked T waves, and widening QRS due to potassium influx
-
Compartment syndrome can occur from pressure build-up in small spaces, causing nerve damage and limb loss if untreated
-
Rule of nines and rule of palms used to estimate burn surface area
-
Different types of burns include electrical, thermal, chemical, radiation, and inhalation
-
Treatment for burns includes cooling with tepid water, covering with dry, sterile gauze, and fluid management
-
Inhalation burns treated with high flow oxygen, inspection for airway compromise, and possible intubation
-
C-spine injuries can cause EKG changes, cover wounds with dry dressings, and monitor for ICP symptoms
-
Dental injuries can cause airway obstruction and significant bleeding, and different types of facial fractures have specific names and potential complications
-
Treatment for eye injuries includes tetracaine, patching both eyes, and understanding the differences between glaucoma and macular degeneration
-
Pelvic fractures can hold up to 2L of blood and require immobilization, IV fluids, and surgery
-
Different respiratory conditions include asthma, emphysema/chronic bronchitis, pneumonia, hyperventilation syndrome, spontaneous pneumothorax, and non-cardiogenic pulmonary edema
-
Lethal rhythms include asystole, v-fib, and vtach, and different types of blocks include 2nd degree type 1 and 2, and 3rd degree heart block
-
Stable angina occurs when a portion of the heart muscle is temporarily deprived of blood, and can be relieved by relaxation or nitro, while unstable angina requires immediate medical attentionMedical Emergency Management: Cardiac, Neurological, and Endocrine Emergencies
-
Unstable angina is chest pain that occurs at rest or does not subside with nitro administration; treated with nitro, ASA, and pain management.
-
AMI findings include ST elevation or depression in 2 or more contiguous leads; treated with nitro, ASA, and defib pads if applicable.
-
Right heart failure is caused by left heart failure and causes fluid to back up into the extremities; left heart failure causes fluid to back up into the lungs.
-
Pulmonary edema management includes nitro every 5 minutes, dangling feet, and CPAP if possible; discontinue use if patient becomes altered or unconscious.
-
Nitro is a smooth muscle relaxant that causes vasodilation and is indicated in chest pain with possible cardiac cause; contraindicated in inferior wall MIs and patients taking ED or pulmonary hypertension medications.
-
ASA is an antiplatelet indicated in any chest pain patient who is not allergic or taking Brilinta; contraindicated in patients taking Brilinta and those with GI bleeds.
-
Fentanyl is an opioid analgesic with rapid onset indicated in patients with pain levels 4-10; contraindicated in patients with known sensitivity and those with systolic blood pressure under 100mmHg.
-
Vasopressin is an artificial ADH used in codes in place of the first or second round of epi for fluid retention purposes only.
-
Amiodarone increases the cardiac refractory period and is given in VTACH with a pulse or VTACH/VFIB pulseless arrests; contraindicated in hypokalemia, cardiogenic shock, sinus brady, 2nd or 3rd degree heart blocks.
-
Atropine is an anticholinergic indicated in symptomatic 1st degree heart blocks, bradycardia secondary to vasalvagal episode, and spinal cord shock; contraindicated in 2nd or 3rd degree blocks, MI, closed angle glaucoma, GI obstruction, and IVR.
-
Dopamine is a sympathomimetic indicated in cardiogenic shock, septic shock, and neurogenic shock hypotension; SE include hypertension, n/v, headache, tachydysrhythmias, and tissue necrosis if infiltrated.
-
Stroke is classified as hemorrhagic or ischemic; CSS includes facial droop, arm drift, and slurred speech; managed by taking to a primary stroke center and obtaining last known well.Medical Emergencies: Symptoms, Management, and Treatment
-
Allergic reactions can cause local or systemic symptoms such as redness, swelling, hives, wheezing, and respiratory distress.
-
Abdominal pain can be caused by various conditions such as appendicitis, diverticulitis, and colitis, with different symptoms and causes.
-
Renal failure can be reversible or irreversible, caused by various factors such as hypovolemia, obstruction, and diabetes, and can lead to end-stage renal disease.
-
Dialysis patients may experience complications such as hypotension, potassium imbalance, and disequilibrium syndrome.
-
Kidney stones are common and extremely painful, caused by the crystallization of insoluble salts in the urine, and can cause UTI symptoms.
-
Substance abuse can cause various toxidromes such as depressant, stimulant, and hallucinogen, with different symptoms and treatments.
-
Carbon monoxide poisoning can cause headache, nausea, and AMS, and is treated with high-flow oxygen and IV fluids.
-
Coagulation disorders can be caused by various factors such as vitamin K deficiency, hemophilia, and thrombocytopenia, and can lead to DIC.
-
Sickle cell disease is a hereditary condition that causes elongated RBCs and can lead to various crises such as vasoocclusive, acute chest, and splenic sequestration.
-
Spider bites can cause neurotoxic reactions, while snake bites can cause neurotoxic venom and should not be iced or elevated.
-
Heat emergencies can range from cramps and exhaustion to stroke, and can be managed with fluids, cooling, and monitoring for rhabdomyolysis.
-
Hypothermia can range from mild to severe, and can lead to afterdrop phenomenon and internal rewarming need, with proper handling and cautious drug pushing.
-
Drowning can cause respiratory problems and fluid in the lungs, and all patients should be transported even if recovered at the scene.
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Description
Test your knowledge on emergency medical services with our comprehensive EMS Exam Review Quiz! This quiz covers key points on scope of practice, legal concepts, shock types, medication administration, intubation techniques, and much more. Additionally, our EMS Cardiology and Trauma Review section covers burns, respiratory conditions, lethal rhythms, and various injuries. Lastly, our Medical Emergency Management section covers cardiac, neurological, and endocrine emergencies, as well as various medical conditions and their management. Test your skillset and see
