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A comprehensive set of questions and answers covering various aspects of paramedicine, including patient assessment, medical emergencies, trauma care, and incident command. It serves as a valuable resource for students preparing for paramedicine exams or those seeking to enhance their knowledge in this field.
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What does APGAR stand for?
appearance, pulse, grimace, activity, respiration
How do you calculate cardiac output?
heart rate x stroke volume
What does START triage stand for?
Simple Triage and Rapid Transport
What is the constant for a D oxygen tank?
What is the constant for an E oxygen tank?
What is the constant for an M oxygen tank?
What is considered a normal adult temperature?
36.5-37.
What is the average range for adult heart rate?
60 - 100 bpm
What is the average range for an adult blood pressure?
90/60-120/
What is the average breaths per minute for adults?
12 - 24
How do you calculate IV drip rates with a drop set?
Volume/time x drop factor
How do you calculate how long an oxygen tank will last?
PSI in tank - safety PSI x constant / flow rate
cardiac tamponade
What is Cushing's Reflex? (Cushing's Triad)
Hypertension, bradycardia and bradypnea.
What causes Cushing's Reflex? (Cushing's Triad)
Increased intracranial pressure.
What position is Fowler's position?
Sitting
What does PICC stand for?
peripherally inserted central catheter
What are the contraindications for Nitro?
Systolic pressure less than 100, allergy, ED drug use in the last 36 hours
What is the dose for Nitro?
0.4mg/spray, 1-3 sprays
What is the dose for Ventolin? (Salbutamol)
5mg nebulizer, 100mcg MDI 4-6 puffs
What is the dose for Atrovent? (Ipratropium Bromide)
0.5mg nebulizer, MDI 4-6 puffs
What is the dose of epinephrine for anaphylaxis?
0.3-0.5mg 1:1000 IM
What is the dose for dimenhydrinate? (Gravol)
12.5-50mg IM/IV
What is the dose for diphenhydramine? (Benadryl)
25 - 50mg IM/IV
What are the contraindications for Glucagon?
Pheochromocytoma, allergy
What is considered a normal heart rate for an infant?
100 - 160 bpm
What are the 5 stages of grief?
denial, anger, bargaining, depression, acceptance
What are the 4 'E's of Injury Prevention?
Education, enforcement, engineering/environment, economic
What are the 3 types of consent?
Implied, informed, expressed
What 4 things must occur for a paramedic to be charged with negligence?
Duty to act, breach of duty, proximate cause, injury resulted
What 2 types of laws govern paramedics in court?
civil and criminal
Which type of Incident Command Chief is described by the following:
Responsible for documenting all expenditures at an incident for tracking and reimbursement.
A. Logistics
B. Finance
C. Operations
D. Planning
Finance
Which type of Incident Command Chief is described by the following:
Responsible for communications equipment, facilities, food & water, fuel. lighting, and medical equipment for both patients and emergency responders.
A. Finance
B. Operations
C. Planning
D. Logistics
Logistics
Which type of Incident Command Chief is described by the following:
Responsible for managing the tactical operations jobs. They supervise the people working at the scene, and who will be assigned to branches, divisions, and groups.
A. Operations
B. Finance
C. Logistics
D. Planning
Operations
Defecation, Urination, Miosis, Bradycardia/Bronchorrhea/Bronchoconstriction, Emesis, Lacrimation, Salivation
What is the mnemonic DUMBELS used to identify?
Nerve gas exposure symptoms
What percentage BSA is the head? (Adult)
9
What percentage BSA is the chest? (Adult)
18
What percentage BSA is the back? (Adult)
18
What percentage BSA is one arm? (Adult)
9
What percentage BSA is the genital region? (Adult, child and infant)
1
What percentage BSA is one leg? (Adult)
18
What are the two types of toxicological emergencies?
Intentional and unintentional
What are the 4 primary methods that toxins enter the body through?
Injection, inhalation, ingestion, absorption
What are the basic interventions needed for treating toxicological emergencies?
Maintain airway, administer high flow supplemental oxygen, establish vascular access, monitor ECG
What is the Trendelenburg position?
Patient laying head down, feet up
What position should you put someone in to prevent/treat vomiting and aspiration?
Left lateral recumbent
What two signs or symptoms must be present for someone to be diagnosed with heat stroke?
body temperature of at least 40 degrees Celsius and altered mental status
What is one of the first signs of heat stroke?
Changes in behaviour
How does a classic heat stroke patient's skin present?
Dry, red, hot
How does an exertional heat stroke patient's skin present?
Pale, sweaty
What are the three main methods used to rapidly cool a patient?
Spray the patient with tepid water and fan them, ice water body immersion, place ice packs on the neck, groin, and axillae.
What 2 parts of the body are most susceptible to frost bite?
Extremities, ears
What is the most common symptom of frostbite?
Numbness, tingling, burning.
You are treating a patient complaining of worsening loss of sensation and possible frostbite to the hands. After determining that is indeed frostbite you want to determine what kind. You gently press on the affected area and find that the tissue beneath the surface is soft. What type of frostbite is the patient suffering from?
Superficial
What are the two types of frostbite?
Superficial, deep
How does a patient's affected area present when it is affected by superficial frost bite?
White, waxy
Should you massage or rub an area of the body affected by frostbite?
No
Should the frostbitten area of a patient be elevated or lowered during transport?
Elevated
How does the skin of a deep frost bite injury present?
stumbles, mumbles, fumbles, grumbles
At what body temperature does moderate hypothermia begin?
34 - 30 degrees celsius
What are the three most common altitude illnesses?
Acute mountain sickness, high-altitude cerebral edema, high-altitude pulmonary edema
How low of an altitude can altitude sickness occur?
2000m
When do symptoms of altitude illness usually occur?
Within 6-10 hours
By how much does the temperature drop for every 1,000m of elevation?
6.5 degrees celsius
Does the percentage of oxygen in the atmosphere change with elevation?
No
What is the main symptom of AMS?
Headache
What is the main cause of altitude illnesses?
Hypoxia
Write out the basic assessment flow chart (5 major points)
Scene assessment, initial assessment, trauma or medical, focused hx and exam, ongoing assessment
What are the three components of the Pediatric Assessment Triangle?
Appearance, work of breathing, circulation
What does TICLS stand for?
tone, interactiveness, consolability, look/gaze, speech/cry
What is the TICLS mnemonic used for?
Pediatric appearance
What is the normal minimum systolic blood pressure for an infant?
60
What is the normal minimum systolic blood pressure for a toddler?
70
What is the normal minimum systolic blood pressure of a preschool aged child?
75
What is the normal minimum systolic blood pressure of a school aged child?
80
What is the normal minimum systolic blood pressure of an adolescent?
90
What is the age range for a neonate?
< 1 month
What is the age range for an infant?
< 12 months
What is the age range for toddlers?
1 - 3 years
What is the age range for preschool aged children?
3 - 6 years
What is the age range for school aged children?
6 - 12 years
What is the age range for adolescents?
12 - 18 years
What is the normal respiratory rate for an infant?
30 - 60
What is the normal respiratory rate for a toddler?
24 - 40