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What is the primary purpose of a Good Samaritan law?
What is the primary purpose of a Good Samaritan law?
What is the term for a patient who poses a danger to themselves or others?
What is the term for a patient who poses a danger to themselves or others?
What is the name of the valve that separates the right ventricle from the pulmonary artery?
What is the name of the valve that separates the right ventricle from the pulmonary artery?
What is the protocol for reporting suspected child abuse in San Diego County?
What is the protocol for reporting suspected child abuse in San Diego County?
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When do coronary arteries receive their blood supply?
When do coronary arteries receive their blood supply?
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During the primary survey, what is the primary focus of the airway assessment?
During the primary survey, what is the primary focus of the airway assessment?
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What is the primary goal of the secondary survey?
What is the primary goal of the secondary survey?
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What should you prioritize when assessing a patient with a traumatic injury?
What should you prioritize when assessing a patient with a traumatic injury?
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What is the main purpose of the ongoing assessment?
What is the main purpose of the ongoing assessment?
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What is included in the BSI (Body Substance Isolation) components?
What is included in the BSI (Body Substance Isolation) components?
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What is the primary function of an OPA adjunct?
What is the primary function of an OPA adjunct?
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What is the typical oxygen flow rate for a nasal cannula?
What is the typical oxygen flow rate for a nasal cannula?
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What is the primary symptom of myocardial infarction?
What is the primary symptom of myocardial infarction?
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What is the indication for administering nitroglycerine?
What is the indication for administering nitroglycerine?
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What is a common symptom of hypoglycemia?
What is a common symptom of hypoglycemia?
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What is a common symptom of hyperglycemia?
What is a common symptom of hyperglycemia?
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What is the primary symptom of a stroke?
What is the primary symptom of a stroke?
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What is the primary treatment for a TIA?
What is the primary treatment for a TIA?
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What is the primary treatment for seizures?
What is the primary treatment for seizures?
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What is the primary treatment for placenta previa?
What is the primary treatment for placenta previa?
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What is the characteristic of a full thickness burn?
What is the characteristic of a full thickness burn?
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What is a concerning sign or symptom in a geriatric patient?
What is a concerning sign or symptom in a geriatric patient?
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What is a complication of a drowning?
What is a complication of a drowning?
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What is a sign of imminent delivery?
What is a sign of imminent delivery?
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What is the term for a type of fracture that occurs when a bone is partially broken, but not completely broken?
What is the term for a type of fracture that occurs when a bone is partially broken, but not completely broken?
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What is the definition of SIDS?
What is the definition of SIDS?
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What is a characteristic of a Pit Viper?
What is a characteristic of a Pit Viper?
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What is a critical burn criterion?
What is a critical burn criterion?
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What is a symptom of moderate hypothermia?
What is a symptom of moderate hypothermia?
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What is the treatment for a venomous snake bite?
What is the treatment for a venomous snake bite?
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What is a sign of severe hypothermia?
What is a sign of severe hypothermia?
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What is a characteristic of Decompression Illness Type 1?
What is a characteristic of Decompression Illness Type 1?
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Which of the following patients may be placed under a 5150 hold?
Which of the following patients may be placed under a 5150 hold?
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What is the function of the tricuspid valve?
What is the function of the tricuspid valve?
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During the primary survey, what is the primary focus of the general impression?
During the primary survey, what is the primary focus of the general impression?
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During which part of the cardiac cycle do coronary arteries receive their blood supply?
During which part of the cardiac cycle do coronary arteries receive their blood supply?
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What is the purpose of informed consent in a medical setting?
What is the purpose of informed consent in a medical setting?
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What is included in the BSI (Body Substance Isolation) components?
What is included in the BSI (Body Substance Isolation) components?
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What is the primary focus of the secondary survey?
What is the primary focus of the secondary survey?
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What is the primary purpose of the pulmonic valve?
What is the primary purpose of the pulmonic valve?
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When assessing a patient for a traumatic injury, what should be prioritized based on the location of the injury?
When assessing a patient for a traumatic injury, what should be prioritized based on the location of the injury?
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What is the primary purpose of the ongoing assessment?
What is the primary purpose of the ongoing assessment?
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What type of fracture occurs when a bone is partially broken, but not completely broken?
What type of fracture occurs when a bone is partially broken, but not completely broken?
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What is a common symptom of a geriatric patient who has experienced a syncopal episode?
What is a common symptom of a geriatric patient who has experienced a syncopal episode?
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What is a complication of a drowning?
What is a complication of a drowning?
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What is the characteristic of a full thickness burn?
What is the characteristic of a full thickness burn?
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What is the term for a sudden and unexplained death of an infant?
What is the term for a sudden and unexplained death of an infant?
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What is the APGAR score used to assess in a newborn?
What is the APGAR score used to assess in a newborn?
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What is the oxygen flow rate for a non-rebreather mask?
What is the oxygen flow rate for a non-rebreather mask?
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What are the signs and symptoms of a myocardial infarction?
What are the signs and symptoms of a myocardial infarction?
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What is the main effect of Henry's Law on the human body?
What is the main effect of Henry's Law on the human body?
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What is the indication for administering nitroglycerine?
What is the indication for administering nitroglycerine?
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What is a characteristic of Croup?
What is a characteristic of Croup?
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What are the signs and symptoms of hypoglycemia?
What are the signs and symptoms of hypoglycemia?
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What is a complication of burns?
What is a complication of burns?
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What are the signs and symptoms of a stroke?
What are the signs and symptoms of a stroke?
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What is Kyphosis?
What is Kyphosis?
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What is the treatment for a TIA?
What is the treatment for a TIA?
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What is the 'Hot zone' in Haz Mat protocol?
What is the 'Hot zone' in Haz Mat protocol?
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What is the primary symptom of placenta previa?
What is the primary symptom of placenta previa?
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What is the most helpful question to ask the elderly during a patient assessment?
What is the most helpful question to ask the elderly during a patient assessment?
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What is the treatment for an ectopic pregnancy?
What is the treatment for an ectopic pregnancy?
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What is the best way to control venous bleeding?
What is the best way to control venous bleeding?
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What is the primary focus of the third stage of labor?
What is the primary focus of the third stage of labor?
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What is the purpose of implied consent in a medical setting?
What is the purpose of implied consent in a medical setting?
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What is a 5150 hold used for?
What is a 5150 hold used for?
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What is the function of the bicuspid valve?
What is the function of the bicuspid valve?
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What is the purpose of a Good Samaritan law?
What is the purpose of a Good Samaritan law?
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What is the term for a patient who is gravely disabled?
What is the term for a patient who is gravely disabled?
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What is a sign of a basilar skull fracture?
What is a sign of a basilar skull fracture?
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What is a symptom of increasing intracranial pressure?
What is a symptom of increasing intracranial pressure?
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What is Cushing's Triad?
What is Cushing's Triad?
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What is a sign of an epidural bleed?
What is a sign of an epidural bleed?
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What is the GCS score used to assess?
What is the GCS score used to assess?
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What is a BRIM?
What is a BRIM?
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What is unique about a child's anatomy compared to an adult's?
What is unique about a child's anatomy compared to an adult's?
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Why do children experience hypotension only after a certain percentage of blood loss?
Why do children experience hypotension only after a certain percentage of blood loss?
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What is the primary difference between the Rule of Nines for adults and pediatrics?
What is the primary difference between the Rule of Nines for adults and pediatrics?
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What is a characteristic of a patient with Emphysema?
What is a characteristic of a patient with Emphysema?
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What is a common symptom of Pulmonary Embolism?
What is a common symptom of Pulmonary Embolism?
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What is the primary purpose of an NPA adjunct?
What is the primary purpose of an NPA adjunct?
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What is the primary cause of heat cramps?
What is the primary cause of heat cramps?
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What is the primary mechanism of heat loss in the body?
What is the primary mechanism of heat loss in the body?
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What is a characteristic of a patient with Pulmonary Edema?
What is a characteristic of a patient with Pulmonary Edema?
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What is a common symptom of angina pectoris?
What is a common symptom of angina pectoris?
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What is the primary symptom of heat stroke?
What is the primary symptom of heat stroke?
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What is a sign of Tension Pneumothorax?
What is a sign of Tension Pneumothorax?
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What is the typical oxygen flow rate for a bag valve mask?
What is the typical oxygen flow rate for a bag valve mask?
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What is a type of shock caused by a fluid issue?
What is a type of shock caused by a fluid issue?
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What is a sign of diabetic ketoacidosis?
What is a sign of diabetic ketoacidosis?
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What is the best way to prevent the spread of infection?
What is the best way to prevent the spread of infection?
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What is the primary treatment for a seizure?
What is the primary treatment for a seizure?
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What is a complication of placenta previa?
What is a complication of placenta previa?
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What is the primary treatment for a TIA?
What is the primary treatment for a TIA?
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What is the best way to control venous bleeding?
What is the best way to control venous bleeding?
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What is the primary symptom of a stroke?
What is the primary symptom of a stroke?
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What is the primary treatment for hyperglycemia?
What is the primary treatment for hyperglycemia?
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What is the term for a person who is required to report suspected child abuse?
What is the term for a person who is required to report suspected child abuse?
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What is the term for a patient who is gravely disabled and may be placed under a 5150?
What is the term for a patient who is gravely disabled and may be placed under a 5150?
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What is the valve that separates the left ventricle from the aorta?
What is the valve that separates the left ventricle from the aorta?
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What is the term for a patient who does not want to be resuscitated in the event of a medical emergency?
What is the term for a patient who does not want to be resuscitated in the event of a medical emergency?
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What is the compression to ventilation ratio for BLS CPR?
What is the compression to ventilation ratio for BLS CPR?
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What is the primary focus of the general impression during the primary survey?
What is the primary focus of the general impression during the primary survey?
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What is assessed during the primary survey?
What is assessed during the primary survey?
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What is included in the BSI (Body Substance Isolation) components?
What is included in the BSI (Body Substance Isolation) components?
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What is the primary goal of the ongoing assessment?
What is the primary goal of the ongoing assessment?
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What should be prioritized when assessing a patient with a traumatic injury?
What should be prioritized when assessing a patient with a traumatic injury?
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What is a characteristic of a child's anatomy that increases the risk of trauma or illness?
What is a characteristic of a child's anatomy that increases the risk of trauma or illness?
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What is the primary treatment for chemical burns?
What is the primary treatment for chemical burns?
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What is a sign of heat stroke?
What is a sign of heat stroke?
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What is the method of heat transfer that occurs when there is a direct transfer of heat from one object to another?
What is the method of heat transfer that occurs when there is a direct transfer of heat from one object to another?
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What is the proportion of blood volume loss that can lead to hypotension in a child?
What is the proportion of blood volume loss that can lead to hypotension in a child?
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What is the rule used to estimate the percentage of total body surface area (TBSA) affected by a burn?
What is the rule used to estimate the percentage of total body surface area (TBSA) affected by a burn?
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What is the significance of a lucid interval in a patient with a head injury?
What is the significance of a lucid interval in a patient with a head injury?
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What is the primary focus of the GCS score?
What is the primary focus of the GCS score?
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What is a sign of increasing intracranial pressure?
What is a sign of increasing intracranial pressure?
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What is the significance of raccoon eyes in a patient with a head injury?
What is the significance of raccoon eyes in a patient with a head injury?
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What is Cushing's Triad?
What is Cushing's Triad?
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What is the purpose of knowing the terms prone, supine, recumbent, distal, and proximal?
What is the purpose of knowing the terms prone, supine, recumbent, distal, and proximal?
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What is a common sign of hypovolemic shock in a pediatric patient?
What is a common sign of hypovolemic shock in a pediatric patient?
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What is a characteristic of a Pit Viper?
What is a characteristic of a Pit Viper?
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What is a critical burn criterion?
What is a critical burn criterion?
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What is a sign of moderate hypothermia?
What is a sign of moderate hypothermia?
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What is the treatment for a venomous snake bite?
What is the treatment for a venomous snake bite?
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What is a characteristic of Decompression Illness Type 1?
What is a characteristic of Decompression Illness Type 1?
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Study Notes
Medical Emergencies and Response
Abandonment and Negligence
- Abandonment: leaving a patient without adequate care or supervision
- Assault and/or battery: intentional physical contact or threat
- Negligence: failure to provide adequate care or supervision
Good Samaritan Law and Consent
- Good Samaritan law: protection from liability for those who provide aid in emergency situations
- Duty to act: responsibility to provide aid in emergency situations
- Scope of practice: boundaries of medical care and treatment
- Informed/expressed consent: patient's informed agreement to treatment
- Implied consent: presumed consent to treatment in emergency situations
- DNR (Do not resuscitate): order to withhold CPR and other life-saving measures
Mental Health and Emergency Response
- "5150" patient: individual who is a danger to self or others, or gravely disabled
- Danger to self: suicidal or self-harming behavior
- Danger to others: violent or threatening behavior
- Gravely disabled: unable to provide for own basic needs
Suspected Child Abuse
- Mandatory reporter: healthcare provider's obligation to report suspected child abuse
- San Diego County protocol S-411: procedure for reporting suspected child abuse
BLS CPR Guidelines
- Compression to ventilation ratios: 30:2 for adult, 30:3 for child, 30:30 for infant
- Hand placement: center of chest, one hand on top of the other
- FBAO (foreign body airway obstruction): complete and incomplete obstruction
- Pulse checks: checking for pulse in cardiac arrest
- Defibrillation use: use of AED or manual defibrillator
Anatomy of the Heart
- Superior and Inferior Vena Cavae: major blood vessels
- Right atrium: upper chamber of heart
- Tricuspid valve: valve between right atrium and ventricle
- Right ventricle: lower chamber of heart
- Pulmonic valve: valve between right ventricle and pulmonary artery
- Pulmonary artery: artery carrying oxygen-depleted blood to lungs
- Lungs (alveoli): site of oxygen exchange
- Pulmonary vein: vein carrying oxygen-rich blood to heart
- Left atrium: upper chamber of heart
- Bicuspid valve: valve between left atrium and ventricle
- Left ventricle: lower chamber of heart
- Aortic valve: valve between left ventricle and aorta
- Aorta: major artery carrying oxygen-rich blood to body
- Arteries, arterioles, capillaries, venules, veins: blood vessels of varying sizes
Coronary Arteries
- Receive blood supply: during diastole, when heart is at rest
Oxygen Adjuncts
- OPA (oro-pharyngeal airway): maintains airway
- NPA (nasal-pharyngeal airway): maintains airway
- Nasal cannula: low-flow oxygen delivery (2-6 LPM)
- Non-rebreather mask: high-flow oxygen delivery (10-15 LPM)
- Bag Valve Mask: assisting ventilations (10-25 LPM)
Medical Conditions and Treatment
- Myocardial infarction (heart attack): chest discomfort, shortness of breath, nausea/vomiting
- Angina pectoris: chest discomfort, provoked by exertion, relieved by rest
- Nitroglycerine: indication, contraindication, side effects, dose
- Metered Dose inhaler: indication, contraindication, side effects, dose
- Oral glucose: indication, contraindication, side effects, dose
- Hypoglycemia: ALOC/unresponsive, pale/cold skin, labored respirations, low blood sugar
- Hyperglycemia: altered, warm/dry skin, Kussmaul respirations, fruity odor, polyuria/polydypsia
- Diabetic ketoacidosis: symptoms same as hyperglycemia, but blood sugar above 600
- Stroke (CVA): ALOC, slurred speech, unresponsive, severe headache, new onset of seizures
- TIA: slurred speech, facial droop, hemiparesis, blurred vision, symptoms relieved within 24 hours
- Charcoal (activated charcoal): indication, contraindication, side effects, dose
- Seizures: tonic/clonic type movement, "gazing off into space", may be febrile, protect airway, provide oxygen
- Status epilepticus: life-threatening seizure, manage airway and breathing
- Poisoning: absorption, ingestion, injection, inhalation
- Placenta previa: painless vaginal bleeding, occurs in third trimester, may see signs of hemorrhagic shock
- Abruptio placentae: constant abdominal pain, vaginal bleeding, pain in lower back, constant uterine contraction
- Ectopic pregnancy: acute onset of lower quadrant abdominal pain, vaginal bleeding, hypotension
- Spontaneous abortion: vaginal bleeding, abdominal pain, may present with expulsion of tissue
- Pre-eclampsia: hypertension, sudden weight gain, swelling, persistent headache, persistent vomiting
- Eclamptic seizure: symptoms as above, but patient begins to seize
Labor and Delivery
- Stages of labor: first stage (dilation), second stage (expulsion), third stage (placental)
- Breech presentation: baby's feet/buttocks are positioned to come out first
- Limb presentation: baby's arm/leg is positioned to come out first
- Prolapsed cord: umbilical cord comes out before baby
- Multiple births: more than one baby is being born
Trauma and Shock
- Compensated shock: tachycardia, tachypnea, restless, good BP
- Decompensated shock: tachycardia, tachypnea, altered/agitated, poor BP
- Control of venous bleeding: direct pressure, bandage, treat for shock
- Control of arterial bleeding: direct pressure, tourniquet, PASG
Haz Mat and OSHA
- Hazardous material: substance that poses a risk to health or environment
- OSHA trained Haz Mat: first responder awareness level
- Hot zone: area where hazardous material is present
- Warm zone: area where hazardous material is suspected
- Cold zone: area where hazardous material is not present
Pediatrics
- APGAR: assessment of newborn's overall health
- Pediatric assessment triangle: appearance, breathing, circulation
- Suspected SIDS patient: provide oxygen, manage airway, may be febrile
- Croup: low-grade fever, seal-bark cough
- Epiglottitis: stridor, drooling, high-grade fever
Geriatrics
- Most helpful questions to ask the elderly: how do you feel this week compared to last week?
- Syncopal episode: dehydration, GI bleed, MI, stroke
- New onset of confusion or ALOC: possible stroke
- Sharp, tearing, ripping abdominal pain: AAA
- Generalized weakness: unprovoked, various causes
- Unprovoked shortness of breath: PE
Burns
- Superficial burns: red/pink skin, no blisters
- Partial thickness burns: red/pink skin, blisters
- Full thickness burns: white/leathery skin, no pain
- Electrical burns: cardiac arrhythmias, significant burns
- Circumferential burns: dangerous, requires urgent attention### Trauma and Medical Emergencies
- Facial injuries:
- Airway compromise
- Neck injuries:
- Airway compromise
- Breathing compromise
- Neuro compromise
- Chest injuries:
- Breathing compromise
- Bleeding compromise
- Abdominal injuries:
- Bleeding compromise
- Sepsis
- Pelvic injuries:
- Bleeding compromise
- Extremities:
- Femurs bleeding compromise
- Threat to limb
- Back:
- Bleeding compromise
- Breathing compromise
- Neuro compromise
Respiratory Conditions
- Emphysema (COPD):
- Thin individuals
- Pink skin color
- Pursed lip breathing
- Wheezing or diminished lung sounds
- Dry cough
- Chronic Bronchitis:
- Heavy individuals
- Bluish skin color
- Excessive sputum production
- Rhonchi or diminished lung sounds
- Pulmonary Embolism:
- Acute onset of unexplained shortness of breath
- Recent history of surgery, sedentary lifestyle, or birth control pill
- Pneumonia:
- Fever
- Productive cough
- Diminished or rhonchi lung sounds
- Green or yellow sputum production
- Asthma:
- Acute onset of shortness of breath
- History of asthma
- Wheezing lung sounds
- Pneumothorax:
- Shortness of breath
- Pinpoint pain
- Diminished lung sounds
Shock
- Types of shock:
- Hypovolemic (fluid issue)
- Obstructive (obstruction)
- Cardiogenic (pump issue)
- Distributive (vessel issue)
- Anaphylaxis
- Septic
- Signs and symptoms:
- Hypotension
- Tachycardia
- Tachypnea
- Pale or cool skin
- Delayed capillary refill
Pediatrics
- Anatomy:
- Pliable ribs and chest muscles
- Weak abdominal muscles
- Smaller airways
- Larger tongue
- Proportionally larger skin surface area
- Proportionally larger head (especially the occiput)
- Smaller blood volume
- High metabolic rate:
- Burns through oxygen and sugar
- Hypotension after 30% blood loss
- Rate-dependent
Stroke and Neurological Emergencies
- Signs and symptoms of stroke:
- ALOC
- Slurred speech
- Unresponsive
- Severe headache
- Hemiparesis
- Blurred vision
- Nausea and vomiting
- Signs and symptoms of TIA:
- Slurred speech
- Facial droop
- Hemiparesis
- Blurred vision
- Symptoms relieved within 24 hours
Pregnancy and Childbirth
- Placenta Previa:
- Painless vaginal bleeding
- Occurs in third trimester
- May see excessive bleeding
- Abruptio Placentae:
- Constant abdominal pain
- Vaginal bleeding
- Pain in the lower back
- Constant uterine contractions
- Tender abdomen
- Ectopic pregnancy:
- Acute onset of lower quadrant abdominal pain
- Should pain
- Vaginal bleeding
- Hypotension
- Pre-eclampsia:
- Hypertension
- Sudden weight gain
- Swelling of face, fingers, legs, or feet
- Persistent headache
- Persistent vomiting
- Eclamptic seizure:
- Symptoms as above
- Seizures
- LIFE-THREATENING FOR MOM AND BABY
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This quiz covers key terms and concepts related to medical law and ethics, including abandonment, assault and battery, negligence, Good Samaritan law, and more.