When does an EMT begin treatment for a patient?
Apr 14, 2021 · Tension pneumothorax is a critical condition that can occur with chest trauma when air is trapped in the pleural cavity leading to rapid deterioration of …
What are the chapters in EMS?
10. Which of the following statements regarding the EMS system is correct? A) The paramedic is usually the public's first contact with the EMS system. B) The paramedic is a public servant who often responds to non-emergency calls. C) The public's perception of an emergency is often the same as the paramedic's.
Where should the EMT begin when performing a rapid physical examination?
Jan 13, 2021 · Treatment. Treatment initially focuses on stabilizing your condition. If your bleeding is caused by a ruptured brain aneurysm, your doctor might recommend: Surgery. The surgeon makes an incision in your scalp and locates the brain aneurysm. A metal clip is placed across the aneurysm's neck to stop the blood flow to it. Endovascular embolization.
What is the difference between red flag and EMS diagnosis?
What is true about a concussion? - A concussion is a type of traumatic brain injury . You are giving first aid to a person with a muscle, bone or joint injury. Emergency medical services (EMS) has been called. What should you do until they arrive? - Apply cold if the person can tolerate it, and watch the person for signs and symptoms of shock.
What is the primary goal of the EMS approach to diagnosis?
Rapid Trauma Assessment is a quick method (usually 60 to 90 seconds), most commonly used by Emergency Medical Services (EMS), to identify hidden and obvious injuries in a trauma victim. The goal is to identify and treat immediate threats to life that may not have been obvious during an initial assessment.
When the EMS calls to receive an order from medical direction?
When the EMT calls to receive an order from medical direction to assist the patient with his bronchodilator treatment, it is important to: "echo" or immediately repeat the order back for verification.
Which of the following terms best describes a list of potential diagnoses that is compiled?
A differential diagnosis is a list of potential diagnoses that is compiled early in the assessment of the patient.
Which of the following is the technique of physical examination that requires the use of a stethoscope?
Auscultation. This is an important physical examination technique used by your healthcare provider, where he or she will listen to your heart, lungs, neck or abdomen, to identify if any problems are present. Auscultation is often performed by using a stethoscope.
Which of the following is a way for an EMT to have a role in the quality improvement process?
Which of the following is a way for an EMT to have a role in the quality improvement (QI) process? lift and carry up to 125lbs.
When receiving orders from medical direction you should do all of the following except?
When receiving orders from medical direction, you should do all of the following EXCEPT: give the patient's name over the radio. When communicating with an elderly patient: remember that many elderly patients are well-oriented and physically able.
Which of the following represents the correct order of assessment for the EMT?
The order of a primary assessment is: form a general impression, determine mental status, assess airway, assess breathing, assess circulation, and determine patient priority for transport.
When an EMT forms a field diagnosis on the scene of an emergency how do the steps differ from the traditional approach to diagnosis?
While an EMT forms a field diagnosis on the scene of an emergency, how do the steps differ from the traditional approach to diagnosis? The EMT must rule in or out the most serious conditions associated with the patient's presentation.
Which of the following is not a consideration that should be used by the EMT in establishing the size of the danger zone?
Which of the following is NOT a consideration that should be used by the EMT in establishing the size of the danger zone? rural highway. The vehicles are just beyond a curve in the roadway and there is a distinct odor of diesel fuel.
Which of the following statements about the diaphragm of the stethoscope is true?
Which statement is true regarding the diaphragm of the stethoscope? The diaphragm: ANS: is used to listen for high-pitched sounds. The diaphragm of the stethoscope is best for listening to high-pitched sounds such as breath, bowel, and normal heart sounds.
Which of the following is the technique of physical examination?
WHEN YOU PERFORM a physical assessment, you'll use four techniques: inspection, palpation, percussion, and auscultation. Use them in sequence—unless you're performing an abdominal assessment. Palpation and percussion can alter bowel sounds, so you'd inspect, auscultate, percuss, then palpate an abdomen.
What is physical examination of a patient?
Definition. Physical examination is the process of evaluating objective anatomic findings through the use of observation, palpation, percussion, and auscultation. The information obtained must be thoughtfully integrated with the patient's history and pathophysiology.
What is critical thinking in EMS?
Critical thinking is the process of using reasoning to arrive at an appropriate conclusion.
What is a sample in medical terminology?
SAMPLE is a mnemonic that is used to assist in obtaining a history. History of the present illness describes the situations leading up to the problem of the moment. A 66-year-old male patient has slipped on the ice, fallen, and broken his ankle. During your assessment, he states that he has diabetes.
What is a mnemonic memory aid?
A mnemonic or memory aid that is used to help the EMS provider remember the information that must be included in a patient history is: SAMPLE. When your patient tells you that he had a heart valve replaced two years ago, this is considered: pertinent past medical history.
What is an illusion correlation?
Illusory correlation is the perception of a relationship between two choices when only an insignificant or absolutely no relationship actually exists. The emergency department physician is assessing a patient when she is told that the patient has a sudden onset of tearing pain in the abdomen that radiates to the back.
What is a pneumothorax?
A pneumothorax means air in the chest cavity. This occurs when air, either from the lungs or outside the body, enters the pleural space that is normally occupied by the lung. It is called a closed pneumothorax when the chest wall is intact. With an intact chest wall, a pneumothorax can be caused by several things, but the most frequently encountered cause is from trauma resulting in a rib fracture that punctures a lung, releasing air into the pleural space. The signs and symptoms for a closed pneumothorax are: 1 Chest pain 2 Tachypnea 3 Dyspnea
What is tension pneumothorax?
Tension pneumothorax is a critical condition that can occur with chest trauma when air is trapped in the pleural cavity leading to rapid deterioration of a patient's ability to maintain oxygenation. Treatment may include thoracic decompression, often called needle thoracostomy or needle decompression. Recognizing and treating it quickly is ...
How to perform needle decompression?
When inserting the needle, it should be inserted at a 90-degree angle to the chest wall.
Can pneumothorax be caused by trauma?
This is particularly true for combat and tactical team medics who are working in tactical environments and may often encounter thoracic trauma. Tension pneumothorax is more likely to occur with trauma involving an opening in the chest wall.
What causes a closed pneumothorax?
With an intact chest wall, a pneumothorax can be caused by several things, but the most frequently encountered cause is from trauma resulting in a rib fracture that punctures a lung, releasing air into the pleural space. The signs and symptoms for a closed pneumothorax are: Chest pain. Tachypnea. Dyspnea.
What happens when a patient cannot compensate for a pneumothorax?
A tension pneumothorax occurs when the patient cannot compensate, and several events begin to occur that can lead to death. As air fills the pleural space on inspiration through the opening with an open pneumothorax, the wound can act as a one-way valve and not allow the air to exit.
What happens when a lung collapses?
Once the lung has collapsed, pressure begins to compress the heart, shifting the mediastinum toward the uninjured lung. This triad of a collapsing lung, shift in the mediastinum, and rebreathing is the beginning of a rapid deterioration of a patient's ability to maintain oxygenation.
How to diagnose subarachnoid hemorrhage?
To diagnose a subarachnoid hemorrhage, your doctor is likely to recommend: 1 CT scan. This imaging test can detect bleeding in your brain.Your doctor may inject a contrast dye to view your blood vessels in greater detail (CT angiogram). 2 MRI. This imaging test also can detect bleeding in your brain. Your doctor might inject a dye into a blood vessel to view the arteries and veins in greater detail (MR angiogram) and to highlight blood flow. 3 Cerebral angiography. You doctor inserts a long, thin tube (catheter) into an artery in your leg and threads it to your brain. Dye is injected into the blood vessels of your brain to make them visible under X-ray imaging. Your doctor might recommend cerebral angiography to obtain more-detailed images or if a subarachnoid hemorrhage is suspected but the cause isn't clear or doesn't appear on other imaging.
What is a lumbar puncture?
Lumbar puncture. Your doctor inserts a needle into your lower back to withdraw a small amount of fluid that surrounds your brain and spinal cord (cerebrospinal fluid). The fluid is examined for the presence of blood, which can indicate a subarachnoid hemorrhage. Repeated imaging.
What to do if you have a brain aneurysm?
If your bleeding is caused by a ruptured brain aneurysm, your doctor might recommend: Surgery. The surgeon makes an incision in your scalp and locates the brain aneurysm. A metal clip is placed across the aneurysm's neck to stop the blood flow to it. Endovascular embolization.
How does a surgeon insert a catheter into an aneurysm?
The surgeon inserts a catheter into an artery in your groin and threads it to your brain. Detachable platinum coils are guided through the catheter and placed in the aneurysm. The coils fill the aneurysm, reducing blood flow into the aneurysm sac and causing the blood to clot. Other endovascular treatments.