Chapter 14 EMT

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Which of the following would appear in the secondary assessment of a medical patient with no signs of trauma or significant mechanism of injury?

Assess history of present illness

Paradoxical motion is most commonly associated with:

Chest injury

After the rapid trauma assessment, the more thorough assessment that an EMT performs is the:

Detailed physical exam

Areas that an EMT will assess in the detailed physical examination that were not assessed during the rapid trauma assessment include the:

Ears, eyes, nose and mouth

The only thing that should prevent an EMT from performing the reassessment of a patient is:

Life saving interventions

The decision to do a rapid trauma assessment is based on:

Mechanism of injury

The Q in OPQRST stands for

Quality

The patient's statement. "I feel like I just can't get enough air when I breathe" best relates to what letter of the SAMPLE mnemonic?

S

When gathering a history directly from a child, it is often best if the EMT starts by getting on the ___ ___ with the patient

Same level

Crepitation refers to the:

Sound or feel of broken bones rubbing

In trauma situations the "S" in SAMPLE history can stand for what?

Story, symptoms and signs

With any unresponsive medical patient, the EMT must also be alert for signs of possible ____

Trauma

___ means injury and injuries can range from slight to severe, from a cut finger to a massive wound.

Trauma

In which situation would the past medical history NOT lead to important prehospital treatment?

a 30 year old post-seizure patient with a history of chest pain

It is important to observe and reobserve your patient, not only to determine his condition when you first see him but to note __ ___

any changes

Flat neck veins in a patient who is lying flat indicate:

blood loss

The EMT's physical examination of the responsive medical patient is usually ___

brief

When assessing the circulation of a young child or infant, the EMT should remember to check:

capillary refill

The __ ___ is what the patient tells you is the problem

chief complaint

Which of the following would you be LEAST likely to obtain with an unresponsive medical patient?

chief complaint

Information about a patient's drug or alcohol use should be considered ___ by the EMT

confidential

The medical term for bruising is _____

contusions

When performing the rapid trauma assessment, the EMT should examine the patient for wounds, tenderness, and:

deformities

When examining a patient, you are looking for ____, ____, and ____

deformities, abrasion, and lacerations

The assessment procedure usually performed on seriously injured or ill patients en route to the hospital is the:

detailed physical exam

The recommended interval for conducting the reassessment for stable patients is:

every 15 minutes

The best way to calm a frightened trauma patient is through:

explanation of the procedures

In a rapid assessment of the body, the areas that an EMT would examine last is(are) the:

extremities

All of the following would be considered a significant mechanism EXCEPT:

fall from a standing position, less than 6 feet

The physical examination of the responsive medical patient is a:

focused exam on the area of complaint

The EMTs findings during the reassessment are particularly important for the:

hospital staff

When you assess areas of the patient's body, you will evaluate them in two main ways:

inspecting and palpating

During the reassessment, attempt to look at a patient as if you had never seen him before when checking:

interventions

Cut, open wounds that sometimes cause significant blood loss are known as ___

lacerations

During the reassessment, ___ ___ must be watched for continually and managed immediately when discovered

life threats

The first step of the focused history and physical exam is to reconsider the ___ __ ____.

mechanism of injury

The most common medical identification device is the ___ ___ ___

medic alert tag

Try to ask ___-____ questions when gathering a history of the present illness

open ended

On most runs by EMT crews, most of the history of the present illness for a child is usually gathered from the:

parents

Just how often to conduct the reassessment is determined by the

patient's condition

For the unresponsive medical patient, the EMTs would begin by:

performing a rapid physical exam

During the ___ you will repeat key elements of assessment procedures you have already performed

reassessment

When reassessing oxygen delivery to a patient you should check the ___ the ___ the tubing and the mask

regulator, flow meter

To be able to accurately assess a medical patient, it is easiest if the patient is _____

responsive

Make sure the cervical collar is the right ___ for the patient

size

Begin the assessment of infant and child trauma patients at the:

toes

After assisting a patient with her prescribed medications, the EMT should still expect to ____ the patient

transport

Reassessment is a means of determining:

trending

Often found on the refrigerator door, the ___ ___ ____ is commonly used to convey important medical information to EMS personnel at times when the patient cannot

vial of life


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