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First Responder Study Guide Comprehensive Q&A Exam 2024/2025, Exams of Nursing

First Responder Study Guide Comprehensive Q&A Exam 2024/2025

Typology: Exams

2023/2024

Available from 08/30/2024

Expressguide
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First Responder Study Guide
Roles and Responsibilities of the EMR - ANS>Provide care to ill/injured
person, convey info
Purposes of a CQI program - ANS>- Continuous quality improvement
(CQI): improve policies and procedures
- Improved patient safety, reduction in errors, sharpened proficiency of
skill and knowledge levels
Standard of care - ANS>- Same as someone else at the same level
- Through patient assessment, general assessment of the entire body,
and a focused assessment of the area causing the EMS response,
documentation to correlate findings
Implied consent principles - ANS>- Unconscious would want treatment
- Responder initiates care and the patient fails to resist, presumed to
have consented to the care that a reasonable person would want under
similar circumstances
Preventing exposure to disease - ANS>Standard precautions and PPE
(gloves, goggles, masks, and gowns), proper removal of gloves
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First Responder Study Guide

Roles and Responsibilities of the EMR - ANS>Provide care to ill/injured person, convey info Purposes of a CQI program - ANS>- Continuous quality improvement (CQI): improve policies and procedures

  • Improved patient safety, reduction in errors, sharpened proficiency of skill and knowledge levels Standard of care - ANS>- Same as someone else at the same level
  • Through patient assessment, general assessment of the entire body, and a focused assessment of the area causing the EMS response, documentation to correlate findings Implied consent principles - ANS>- Unconscious would want treatment
  • Responder initiates care and the patient fails to resist, presumed to have consented to the care that a reasonable person would want under similar circumstances Preventing exposure to disease - ANS>Standard precautions and PPE (gloves, goggles, masks, and gowns), proper removal of gloves

Five stages of grief - ANS>1) Denial- shock of death, deny that person passed

  1. Anger- yelling, hitting a wall, quiet or cry
  2. Bargaining- "I'd trade my life for theirs"
  3. Depression- realize that loved one is no longer in their life
  4. Acceptance- the last stage, healing has advanced and reality set in Purpose of Triage - ANS>- Prioritize
  • Sorting patients and assigning them to treatment categories associated with their need for care Steps of START Triage - ANS>- Red = priority 1 (immediate life threats)
  • Yellow = priority 2 (delayed or urgent care)
  • Green = priority 3 (delayed care/walking)
  • Black = priority 4 (dead or no care) Three conditions for fire - ANS>Fuel, heat, oxygen Federal law and HazMat - ANS>- OSHA 29 CFR 1910.
  • Title 49 CFR = regulates the transportation of hazardous materials and requires specific training, markings, and documentation of these materials

Purpose of jaw-thrust maneuver - ANS>- Open airway if there is a suspected cervical spine injury

  • When a patient is suspected of having an injury to the cervical spine; MV crashes, diving injuries, or high potential for neck injury Nasal Cannula - ANS>Supplemental oxygen provider: can provide 24- 44% inspired oxygen when the flow meter is set at 1-6 LPM Recognizing cardiac arrest - ANS>Asthma, anaphylaxis, pregnancy, morbid obesity, pulmonary embolism, electrolyte imbalance, toxic ingestion, hypothermia, avalanche, drowning, electrical shock, lightning strike, PCI, cardiac tamponade, cardiac surgery Chain of Survival - ANS>Early access, early CPR, early defibrillation, early advanced care, post-arrest care How does the heart compensate for fluid loss - ANS>Adrenaline, blood vessels constrict to maintain pressure on the blood life inside them, and heart rate increases to circulate blood faster Indications for nitroglycerin - ANS>Chest pain (angina, ischemic heart disease) or history of heart disease

What to do when EMS arrival is delayed - ANS>Scene size up, primary assessment, ABCs, correct life-threatening problems as they are identified, thorough medical history, begin completing secondary assessment, head to toe evaluation, reassess every 5-15 min depending on patient What happens to the patient right after a seizure - ANS>- Very confused at first then the patient will become more oriented but will be exhausted and want to rest

  • Postictal state Cincinnati Stroke Scale - ANS>- An accurate way to determine if the patient is having or had a stroke
  • Facial Droop (have patient show teeth/smile) Normal = both sides of the face move equally, Abnormal = one side of the face does not move as well as the other side
  • Arm Drift (patient closes eyes and holds both arms straight out for 10 seconds) Normal = both arms move the same or both arms do not move, Abnormal = one arm does not move or drifts downward compared to the other
  • Speech (say "You can't teach an old dog new tricks) Normal = uses correct words with no slurring, Abnormal = slurs words, uses wrong words, is unable to speak

Heatstroke v. Heat exhaustion - ANS>- Heat stroke: elevated temperature, less sweating/dry skin, seizures/unconsciousness

  • Heat exhaustion: normal temperature, cool, sweating skin, alert or slightly confused Treatment for Hypothermia - ANS>Remove patient from environment, stop further heat loss, warm patient Sign of arterial bleeding - ANS>Spurting, bright red blood First step in managing shock - ANS>Recognize shock, control severe bleeding Controversy over TCCC - ANS>- EMS governed by state's scope of practice and limits of certification & liability
  • Implementation may be inconsistent with civilian training and licensure Trauma Center Levels - ANS>Level 1 = immediate first aid at the front line self-aid Level 2 = surgical intervention by mobile surgical teams that directly support

Level 3 = provided through combat support hospitals that offer more advanced medical, surgical, and trauma care, similar to civilian trauma centers Level 4 = definitive surgical management outside the combat zone, for current conflicts Level 5 = major military centers in the continental US, where definitive stabilization, reconstruction, or amputation of an injured extremity is performed Priority with soft tissue injuries - ANS>Scene safety, securing any persons and weapons involved may supersede taking care of the patient, situational awareness takes priority Signs of a fracture - ANS>Pain, swelling, bruising, or lack of ability to move affected area Rules of applying a bandage, not too tight - ANS>- Bandage should not restrict movement or circulation

  • Hold dressings in place which can be adhesive, roller gauze, cravats, or tape, and build on the initial dressing in place, once bleeding has been controlled, the bandage should be applied, and verify that the bandage is not restricting movement or circulation Identifying a superficial burn - ANS>- Sunburn: swelling and redness of the skin
  • Identify yourself, speak at a reasonable pace, and articulate your words Considerations with elderly patients (causes of falling) - ANS>- Medical problems?
  • Provide extra support, lend a helping hand or supporting arm, allow enough time for them to move safely, be aware of limitations, and plan accordingly
  • Medical problems = strokes, heart attack, sepsis, medical reactions Behavioral emergency priorities of actions - ANS>- Safety
  • Avoid placing yourself or your patient in danger, follow your instincts, the scene becomes unsafe providing aid assume the patient could be dangerous and act accordingly How best to work with patients with behavioral problems - ANS>- Communicate
  • Speak/attempt to be at eye level, soft but firm voice, avoid yelling, and maintain a comfortable and safe distance