Podcast
Questions and Answers
What are the components of a scene size-up? (Select all that apply)
What are the components of a scene size-up? (Select all that apply)
What are the components of a primary assessment? (Select all that apply)
What are the components of a primary assessment? (Select all that apply)
What are the components of a secondary assessment for a medical patient? (Select all that apply)
What are the components of a secondary assessment for a medical patient? (Select all that apply)
What are the components of a secondary assessment for a trauma patient? (Select all that apply)
What are the components of a secondary assessment for a trauma patient? (Select all that apply)
Signup and view all the answers
What is assessed under airway/breathing during the primary assessment?
What is assessed under airway/breathing during the primary assessment?
Signup and view all the answers
Assess airway patency by examining for the presence/absence of ____ symptoms such as abnormal ____ ____ or injuries of the ____ and ____.
Assess airway patency by examining for the presence/absence of ____ symptoms such as abnormal ____ ____ or injuries of the ____ and ____.
Signup and view all the answers
If the airway is not patent, open the airway with a -/- maneuver for patients without suspected spinal injury and with a - maneuver if spinal injury is suspected.
If the airway is not patent, open the airway with a -/- maneuver for patients without suspected spinal injury and with a - maneuver if spinal injury is suspected.
Signup and view all the answers
What are two additional methods for managing airway patency? (Select all that apply)
What are two additional methods for managing airway patency? (Select all that apply)
Signup and view all the answers
Assess breathing by looking for adequate ____ / and feeling for ____ ____.
Assess breathing by looking for adequate ____ / and feeling for ____ ____.
Signup and view all the answers
If breathing rate and/or depth are insufficient, what can be provided?
If breathing rate and/or depth are insufficient, what can be provided?
Signup and view all the answers
During the primary assessment, what is evaluated in circulation?
During the primary assessment, what is evaluated in circulation?
Signup and view all the answers
During a rapid trauma assessment, what is assessed in the mouth?
During a rapid trauma assessment, what is assessed in the mouth?
Signup and view all the answers
During a rapid trauma assessment, what is assessed in the nose?
During a rapid trauma assessment, what is assessed in the nose?
Signup and view all the answers
During a rapid trauma assessment, what is assessed in the nose and ears?
During a rapid trauma assessment, what is assessed in the nose and ears?
Signup and view all the answers
What is assessed in the neck during a rapid trauma assessment?
What is assessed in the neck during a rapid trauma assessment?
Signup and view all the answers
While palpating the thorax, have the patient ____ to check for ____ ____.
While palpating the thorax, have the patient ____ to check for ____ ____.
Signup and view all the answers
Palpate ____ __ ____ of the abdomen, checking for ____, ____, and ____, while also looking for ____ ____, ____ ____, or ____.
Palpate ____ __ ____ of the abdomen, checking for ____, ____, and ____, while also looking for ____ ____, ____ ____, or ____.
Signup and view all the answers
What is the compression-ventilation ratio without an advanced airway for adults and adolescents during CPR?
What is the compression-ventilation ratio without an advanced airway for adults and adolescents during CPR?
Signup and view all the answers
What is the recommended compression depth for adults and adolescents during CPR?
What is the recommended compression depth for adults and adolescents during CPR?
Signup and view all the answers
What does DRGERM stand for? (Select all that apply)
What does DRGERM stand for? (Select all that apply)
Signup and view all the answers
The cardiovascular system can be assessed by palpating the ____ for pain and examining the neck for ____, the extremities for ____, the skin for ____, and the lungs for ____ ____ ____.
The cardiovascular system can be assessed by palpating the ____ for pain and examining the neck for ____, the extremities for ____, the skin for ____, and the lungs for ____ ____ ____.
Signup and view all the answers
Pedal edema is suggestive of?
Pedal edema is suggestive of?
Signup and view all the answers
Crackles (rales) and JVD are suggestive of?
Crackles (rales) and JVD are suggestive of?
Signup and view all the answers
If a patient complains of 'tearing' pain, what condition may you suspect?
If a patient complains of 'tearing' pain, what condition may you suspect?
Signup and view all the answers
Apneic patients with a pulse should be ventilated at a rate of 1 breath every - seconds, for a total of - breaths per minute.
Apneic patients with a pulse should be ventilated at a rate of 1 breath every - seconds, for a total of - breaths per minute.
Signup and view all the answers
The patient should be ventilated at an ____ volume to achieve ____ ____ ____.
The patient should be ventilated at an ____ volume to achieve ____ ____ ____.
Signup and view all the answers
A suction tip should initially be inserted (with/______) suction on (e.g. finger on/off the hole).
A suction tip should initially be inserted (with/______) suction on (e.g. finger on/off the hole).
Signup and view all the answers
A tourniquet is adequately tightened when?
A tourniquet is adequately tightened when?
Signup and view all the answers
With a traction splint, the first strap applied should be the?
With a traction splint, the first strap applied should be the?
Signup and view all the answers
Study Notes
Scene Size-Up Components
- Six components: BSI/PPE, scene safety, MOI/NOI, number of patients, additional help, spinal considerations.
Primary Assessment Components
- Seven components: general impression, AVPU, chief complaint/life threats, airway/breathing, circulation, decision to transport, EMS update.
Secondary Assessment for Medical Patients
- Seven components: vitals, OPQRST, SAMPLE, general impression, interventions, reassessment, radio report.
Secondary Assessment for Trauma Patients
- Seven components: SAMPLE, rapid head-to-toe exam, vitals, injury management, interventions, reassessment, radio report.
Airway/Breathing Evaluation
- Airway/breathing assessed by airway patency and ventilatory adequacy.
Airway Patency Assessment
- Check for obstructive symptoms: abnormal breath sounds or injuries to face and neck.
Airway Opening Techniques
- Use head-tilt/chin-lift for patients without spinal injury; jaw-thrust if spinal injury suspected.
Airway Management Methods
- Additional methods: suctioning and airway adjuncts.
Breathing Assessment
- Evaluate adequate chest rise/fall and feel for air movement.
Supplemental Oxygen Delivery
- If breathing is inadequate, deliver supplemental oxygen via:
- Nasal cannula at 6 L/min
- Nonrebreathing mask at 15 L/min
- Bag-valve mask at 15 L/min
Circulation Evaluation
- Assess pulse quality, external bleeding, and skin condition.
Rapid Trauma Assessment Components
- Check mouth for oral trauma, nose for singed hairs, leakage of blood or CSF from nose/ears, neck for JVD or tracheal deviation.
Thorax and Abdomen Assessment
- Palpate thorax while patient breaths to check for flail segments.
- Palpate all 4 quadrants of abdomen for distention, rigidity, guarding, pulsating masses, rebound tenderness, eviscerations.
CPR Compression-Ventilation Ratio
- Without an advanced airway for adults/adolescents, the ratio is 30:2.
CPR Compression Depth
- Recommended compression depth is at least 2 inches.
DRGERM Mnemonic
- Used for abdomen assessment: Distention, Rigidity, Guarding, Eviscerations, Rebound tenderness, Masses.
Cardiovascular System Assessment
- Palpate chest for pain, examine neck for JVD, extremities for edema, skin for hypoperfusion, and lungs for abnormal breath sounds.
Pedal Edema Significance
- Suggestive of congestive heart failure (CHF).
Lung Sounds and Signs of Heart Failure
- Presence of crackles (rales) and JVD indicates heart failure.
Aortic Dissection Signs
- "Tearing" pain and blood pressure difference between arms may indicate aortic dissection.
Ventilation for Apneic Patients
- Ventilation at a rate of 1 breath every 5-6 seconds (10-12 breaths per minute).
Adequate Ventilation Volume
- Achieve visible chest rise for adequate volume.
Suctioning Technique
- Insert suction tip without suction initially (finger off the hole).
Tourniquet Application
- Adequately tightened when bleeding has stopped.
Traction Splint Application
- The first strap applied should be the ischial strap.
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.
Description
Test your knowledge on the essential components of patient assessment in the New York State EMT-B curriculum. This quiz covers the critical elements of scene size-up, primary assessment, and secondary assessment necessary for EMT exams. Perfect for those preparing for their EMT-B practical skills assessment.