EMT-Basic

24 July 2022
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214 test answers

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medial
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toward the midline of the body
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lateral
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to the side, away from the midline of the body
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bilateral
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on both sides
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mid-axillary line
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a line drawn vertically from the middle of the armpit to the ankle
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anterior
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the front of the body or body
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posterior
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the back of the body or body part
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ventral
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referring to the front of the body. a synonym for anterior
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dorsal
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referring to the back of the body or the back of the hand or foot. A synonym for posterior
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superior
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toward the head.
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inferior
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away from the head; usually compared with another structure that is closer to the head
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proximal
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closer to the torso
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distal
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farther away from the torso
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torso
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the trunk of the body; the body without the head and the extremities
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palmer
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referring to the palm of the hand
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plantar
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referring to the sole of the foot
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mid-clavicular
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the line through the center of the clavical
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abdominal quadrants
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four divisions of the abdomen used to pinpoint the location of a pain or injury: the right upper quadrant, the left upper quadrant, the right lower quadrant and the left lower quadrant
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supine
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lying on the back
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recovery position
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lying on the side. also called the lateral recumbent position
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Fowler's Position
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a sitting position
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Right Upper Quadrant
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Liver, Right Kidney, Colon, Pancreas, Gallbladder
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Left Upper Quadrant
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Liver, Spleen, Left Kidney, Stomach, Colon Pancreas
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Right Lower Quadrant
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Right Kidney, Colon, Small Intestines, Major artery and vein to the right leg, Ureter, Apendix
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Left Lower Quadrant
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Left kidney, colon, small intestines, major artery and vein to the left leg, ureter
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Trendelenburg Position
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a position in which the patients feet and legs are higher than the head (Shock position)
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musculoskeletal system
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system of bones and skeletal muscles that support and protect the body and permit movement
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skeleton
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the bones of the body
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muscle
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tissue that can contract to allow movement of a body part
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ligament
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tissue that connects bone to bone
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tendon
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tissue that connects muscle to bone
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skull
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the bony structure of the head
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cranium
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the top, back and sides of the skull
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mandible
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the lower jaw bone
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maxillae
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the two fused bones forming the upper jaw
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nasal bones
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the nose bones
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orbits
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the bony structures around the eyes, the eye sockets
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zygomatic arches
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form the structure of the cheeks
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vertebrae
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the 33 bones of the spinal column
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thorax
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the chest
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sternum
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breastbone
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manubrium
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the superior portion of the sternum
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xiphoid process
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inferior portion of the sternum
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pelvis
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the basin-shaped bony structure that supports the spine and is the point of proximal attachment for the lower extremities
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ilium
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the superior and widest portion of the pelvis
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ischium
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the lower, posterior portions of the pelvis
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pubis
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the medial anterior portion of the pelvis
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acetabulum
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the pelvis socket into which the ball at the proximal end of the femur fits to form the hip joint
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femur
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the large bone of the thigh
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patella
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kneecap
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tibia
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the medial and larger bone of the lower leg
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fibula
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the lateral and small bone of the lower leg
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malleolous
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protrusion on the side of the ankle.
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tarsal
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ankle bone
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metatarsal
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the foot bone
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calcaneus
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the heel bone
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phalanges
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the toe and finger bones
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clavicle
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the collarbone
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scapula
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Shoulder Blade
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acromion process
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the highest portion of the shoulder
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acromioclavicular joint
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the joint where the acromion and the clavicle meet
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humerus
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the bone of the upper arm between the shoulder and the elbow
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radius
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the lateral bone of the forearm
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carpals
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wrist bones
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metacarpals
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hand bones
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joints
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the point where two bones come together
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voluntary muscle
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muscle that can be conscious controlled; attaches to bones; forms the major muscle mass of the body, responsible for movement
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involuntary muscle
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muscle that responds automatically to brain signals but cannot be consciously controlled
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cardiac muscle
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specialized involuntary muscle found only in the heart; has its own blood supply; contracts on its own
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automaticity
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the ability of the heart to generate and conduct electrical impulses on its own
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respiratory system
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the system of the nose, mouth, throat, lungs, and muscles that bings oxygen into the body and expels carbon dioxide
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oropharynx
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the area directly posterior to the mouth
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nasopharynx
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the area directly posterior to the nose
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pharynx
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the area directly posterior to the mouth and nose. It is made up of the oropharynx and the nasopharynx
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epiglottis
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a leaf-shaped structure that prevents food and foreign matter from entering the trachea
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larynx
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the voice box
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cricoid cartilage
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the ring-structure that forms the lower portion of the larynx
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trachea
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the 'windpipe'; the structure that connects the pharynx to the lungs
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lungs
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the organs where exchange of atmospheric oxygen and waste carbon dioxide take place
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bronchi
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the two large sets of branches that come off the trachea and enter the lungs. There are right and left bronchi
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alveoli
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the microscopic sacs of the lungs where gas exchange with the bloodstream takes place
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diaphragm
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the muscular structure that divides the chest cavity from the abdominal cavity. A major muscle of respiration
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inhalation
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an active process in which the intercostal muscles and the diaphragm contract, expanding the size of the chest cavity and causing air to flow into the lungs
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exhalation
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a passive process in which the intercostal muscles and the diaphragm relax, causing the chest cavity to decrease in size and air to flow out of the lungs
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cardiovascular system/circulatory system
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the system made up of the heart and the blood vessels
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atria
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the two upper chambers of the heart, there is a right (receives unoxygenated blood returning from the body) and the left (which sends oxygen-rich blood to the body)
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ventricles
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the two lower chambers of the heart. There is a right (which sends oxygen poor blood to the lungs) and the left (sends oxygen rich blood to the body)
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venae cavae
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the superior vena cava and the inferior vena cava. Return blood from the body to the right atrium
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valve
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a structure that opens and closes to permit the flow of a fluid in only one direction
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cardiac conduction system
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a system of specialized muscle tissues which conduct electrical impulses that stimulate the heart to beat
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artery
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any blood vessel carrying blood away from the heart
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coronary arteries
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blood vessels that supply the muscle of the heart
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aorta
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the largest artery in the body. transports blood from the left ventricle to begin systemic circulation
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pulmonary arteries
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vessels that carry blood from the right ventricle of the heart to the lungs
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carotid arteries
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large neck arteries, one on each side of the neck, that carry blood blood from the heart to the head
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femoral artery
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the major artery supplying the leg
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brachial artery
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artery of the upper arm; site of the pulse checked during infant CPR
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radial artery
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artery of the lower arm. it is felt when taking the pulse at the wrist
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posterior tibial artery
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artery supplying the foot, behind the medial ankle
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dorsalis pedis artery
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artery supplying the foot, lateral to the large tendon of the big toe
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arteriole
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the smallest kind of artery
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capillary
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a thin-walled, microscopic blood vessel where the oxygen/carbon dioxide and nutrient/waste exchange with the body's cells takes place
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venule
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the smallest kind of vein
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vein
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any blood vessel returning blood to the heart
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pulmonary veins
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the vessels that carry oxygenated blood from the lungs to the left atrium of the heart
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Designated agent
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an EMT or other person authorized by a medical director to give medications and provide emergency car.
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Off-Line medical direction
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consists of standing orders issued by the medical director that allow EMT's to give certain medications or perform certain procedures without speaking to the medical director or another physician
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On-line medical direction
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consists of orders from the on-duty physician given directly to an EMT in the field by radio or telephone
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Medical director
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a physician who assumes ultimate responsibility for the patient care aspects of the EMS system
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911 System
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a system for telephone access to report emergencies. A dispatcher takes the information and alerts EMS or the fire or police department as needed
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protocols
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lists of steps, such as assessments and interventions, to be taken in different situations
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quality improvement
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a process of continuous self-review with the purpose of identifying and correcting aspects of the system that require improvement
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standing orders
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a policy or protocol issued by a medical director that authorizes EMT's and others to perform particular skills in certain situations
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contamination
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the introduction of dangerous chemicals, diseases, or infectious material
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critical incident stress management
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a comprehencive system that includes education and resources to both prevent stress and to deal with stress appropriately
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decontamination
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the removal or cleansing of dangerous chemicals and other dangerous chemicals and other dangerous or infectious materials
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hazardous-material incident
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the release of a harmful substance into the environment
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multiple-casualty incident
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an emergency involving multiple patients
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pathogens
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the organisms that cause infection, such as viruses and bacteria
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PPE
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equipment that protects the EMS worker from infection and or exposure to the dangers of rescue operations
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standard precautions
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a strict form of infection control that is based on the assumption that all blood and other body fluids are infectious
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stress
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a state of physical and/or psychological arousal to a stimulus
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abandonment
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leaving a patient after care has been initiated and before the patient has been transferred to someone with equal or great medical training
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confidentiality
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the obligation not to revel information obtained about a patient except to other health care professionals involved in the patient's care, or under subpoena, or in a court of law, or when the patient has signed a release of confidentiality
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consent
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permission from the patient for care or other action by the EMT
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crime scene
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the location where a crime has been committed or any place that evidence relating to a crime may be found
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DNR
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a legal document, usually signed by the patient and his physician, which states that the patient and his physician, which state that the patient has a terminal illness and does not wish to prolong life through resuscitation efforts
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duty to act
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an obligation to provide care to a patient
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expressed consent
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consent given by adults who are of legal age and mentally competent to make a rational decision in regard to their medical well-being
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Good Samaritan Laws
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a series of laws, varying in each state, designed, to provide limited legal protection for citizens and some health care personnel when they are administering emergency care
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HIPAA
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The Health Insurance Portability and Accountability Act, a federal law protecting the privacy of patient-specific health care information and providing the patient with control over how this information is used and distributed
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implied consent
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the consent it is presumed a patient, or patient's parent/guardian would give if they could, such as for an unconscious patient or a parent who cannot be contacted when care is needed
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liability
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being held legally responsible
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negligence
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a finding of failure to act properly in a situation in which there was a duty to act, that needed care as would reasonably be expected of the EMT was not provided, and that harm was caused to the patient as a result
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organ donor
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a person who has completed a legal document that allows for donation of organs and tissues in the event of death
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scope of practice
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a set of regulations and ethical considerations that define the scope, or extent and limits, of the EMT's job
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plasma
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the fluid portion of the blood
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RBC
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components of the blood. carry oxygen to and carbon dioxide from cells
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WBC
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components of the blood, produce substances that help the body fight infection
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platelets
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components of the blood; membrane-enclosed fragments of specialized cells
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pulse
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the rhythmic beats caused as waves of blood move through and expand the arteries
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peripheral pulses
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radial, brachial, posterior, tibial, dorsalis pedis pulses, which can be felt at peripheral points of the body
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central pulses
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the cartoid and femeral pulses, which can be felt in the center part of the body
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blood pressure
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pressure caused by blood exerting force against the walls of blood vessels, usually arterial BP is measured
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systolic BP
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pressure created in the arteries when the left ventrical contracts and forces blood out into circulation
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diastolic BP
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the pressure in the arteries when the left ventricle is refilling
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perfusion
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the supply of oxygen to and removal of wastes from the cells and tissues of the body as a result of the flow of blood through the capillaries
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hypoperfusion
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inadequate perfusion of the cells and tissues of the body caused by insufficient flow of blood through the capillaries
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Nervous system
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brain, spinal cord and nerves that govern sensation, movement and thought
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CNS
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brain and spinal cord
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PNS
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nerves that enter and leave the spinal cord and travel between the brain and organs without passing through the spinal cords
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autonomic NS
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division of the PNS that controls involuntary motor function
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digestive system
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system by which food travels through the body and is digested or broken down into absorbable form
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stomach
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musuclar sac between the esophagus and the small intestine where digestion of food begins
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small intestine
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muscular tube between the stomach and the large intestine, divided into the duodenum, jejunum and the ileum, which receives partially digested food from the stomach and continues digestion. Nutrients are absorbed by the body through its walls
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large intestine
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muscular tube that removes water from waste products received from the small intestine and removes anything not absorbed by the body toward excretion from the body
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liver
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largest internal organ of the body, produces bile to assist in breakdown of fats and assists in the metabolism of various substances in the body
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gallbladder
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a sac on the underside of the liver that stores bile produced by the liver
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pancreas
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a gland located behind the stomach that produces insulin and juices that assist in digestion of food in the duodenum of the small intestine
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spleen
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an organ located in the LUQ of the ab that acts as a blood filtering system and a reservoirs for reserves of blood
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appendix
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a small tube located near the junction of the small and large intestines in the RLQ of the ab, then function of which is not well known; best known for it's inflammation which is appendicitis
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skin
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layer of tissue between the body and the external environment
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epidermis
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outer layer of the skin
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dermis
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the inner layer of skin, rich in blood vessels and nerves, found beneath the epidermis
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subcutaneous layers
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layers of fat and soft tissues found below the dermis
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endocrine system
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system of glands that produce chemicals called hormones that help to regulate many body activities and functions
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insulin
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hormone produced by the pancreas or taken as a medication by many diabetics
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epinephrine
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hormone produced by the body, as a med it dilated the respiratory passages and is used to relieve severe allergic reactions
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body mechanics
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proper use of the body to facilitate lifting and moving and preventing injury
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direct carry
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a method of transferring a patient from bed to stretcher, during which two or more rescuers curl the patient to their chests, then reverse the process to lower the patient to the stretcher
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draw-sheet method
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a method of transferring a patient from bed to stretcher by grasping and pulling the loosened bottom sheet of the bed
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extremity lift
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a method of lifting and carrying a patient during which one rescuer slips hands under patient's armpits and grasps the wrists, which another rescuer grasps the patient's knees
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power grip
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gripping with as much hand surface as possible in contact with the objects being lifted, all fingers bent at the same angle, hands at least 10 inches apart
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power lift
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a lift from a squatting position with weight to be lifted close to the body, feet apart and flat on the ground, body weight on or just behind balls of feet, back locked in. the upper body is raised before the hips
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TRAMP
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Time, Route, Amount, Medication, Patient
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Activated Charcoal
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Trade Names: Superchar, Insta-char, liqui-char Action: Binds to some poisons preventing absorpotion Indications: Ingested poison Don't give if (contraindications): altered mental status, ingested acids or alkalis, inability to swallow Side Effects: black stool, vomiting Dose:1g/kg of body weight Oral supplied: suspension
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Oxygen
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Action:increases levels of O2 in the blood indications: hypoxia, known or suspected dose: 6lpm NC (44%), 12 lpm NRB (90%), 15 lpm BVM (100%) Inhaled supplied: compressed gas
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Albuterol
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Trade name: proventil, ventolin Action: B-2 adrenergic receptor agonist, smooth muscle relaxant Indication: Respiratory distress in pts diagnostic with asthma Contraindications:angina, MI, arrhythmia, CHF (Congestive heart failure) side effects: headache, palpitations, diziness, insomnia, tremors, sweating, N&V, dry mouth Dose: 1 dose from MDI, 2.5 mg in 3ml w/ nebulizer inhaled supplies: MDI (meter dose inhaler)- powdered med and propellant, 2.5mg in 3 ml saline
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glucose
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Trade name:insta-glucose Action: increases blood sugar levels indications:altered mental status AND history of diabetes Contraindications: unresponsive, inability to swallow dose: one tube Oral Supplies: gel
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Aspirin (Acetylsalicyclic acid)
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Action: pain reliever, fever reducer, anti-inflammatory, antiplatelet indication: cardiac related chest pain Contraindication: allergy, recently taken the med, recent GI bleed Side effects: upset stomach, heartburn Dose: 81 mg up to 324 mg (1-4 tablets) oral supplied: chewable pills
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Epinephrine
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Trade name: adrenaline Actions: causes bronchiole dilation and contraction of blood vessels (Vasoconstrictor and broncodialator) Indiction: anaphylaxis-respiratory distress, hypoperfusion side effects: increased heart rate, chest pain, dissiness, headache, nausea, vomiting, excitability dose: .3mg adults, .15 mg children intramuscular supplied: .3 in auto injector (adult or greater than 66 lbs) .15 in auto injector (child or 33-66 lbs)
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nitroglycerin
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Trade Name: nitrostat, nitrolingual Action: relaxes blood vessels, decreases workload of heart indication: chest pain and history of cardiac problems and prescribed Nitro Contraindication: bradycardia, tachycardia, head injury, systolic BP greater than 120, recently taken med for erectile dysfunction Side effect: hypotension, headache .4 mg pill or 1 spray sublingual supplied: tablet, sublingual spray
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Bradycardia
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heart beating too slow
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tachycardia
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High heart rate (Above 160)
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Levels of EMS training
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First Responder, EMT, EMT-intermediate, EMT paramedic
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QI
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continuous self-review to identify aspects of the system that require improvement to ensure that the public receives the highest quality prehospital care
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concealment
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hides body
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cover
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hides and protects your body
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assault/battery
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unlawfully touching a patient without consent can be considered battery; providing care without consent
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anatomy
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study of the structure or form of living things
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physiology
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study of function
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Left Lateral Recumbent
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Recovery position, patient ends up on their left side, with their left arm folded under their head
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Fowler's Position
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In a stretcher sitting up
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Trendelenburg Position
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Laying down with their legs elevated (Shock)
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Breathing Rates
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Adults: 12-19 Children: 15-30 Infants: 25-50
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cyanosis
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lips turning blue
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arteries
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carry blood away from the heart
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Veins
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carry blood toward the heart
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arterioles
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smallest arteries
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venules
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smallest veins
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From the body--> Vena Cava-->SA Node-->Right atrium-->Right Ventricle-->AV Node-->pulmonary artery-->lungs-->pulmonary vein-->left atrium-->left ventricle-->Aorta-->body
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Blood's pathway
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pulse
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60-100 bpm
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7
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the number of bones in the Cervical spine
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12
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Number of bones in the thoracic spine
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5
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number of bones in lumbar spine
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5
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number of bones in the sacral spine
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4
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number of bones in the coccyx spine
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smooth muscle
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found in gastrointestinal tract, urinary system, blood vessels; controls the flow of materials through these structures; carris out automatic muscular functions; no conscious control; responds to stimuli such as heat, cold and stretching
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12-29 breaths/min
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Adult breathing rate
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15-30 b/m
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children breathing rate
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25-50 b/m
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infants breathing rate
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inadequate breathing
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breathing effort; increased use of accessory muscles especially in infants and children; cyanotic skin, cool, clammy; agonal respirations
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trachea narrower, trachea softer, more flexible, airway structures smaller, cricoid not well developed, chest wall softer, tongue proportionally larger than an adults
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pediatric airway
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scene is hazardous, life-threatening condition requires move, patient must be moved to reach a critical patient
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Use emergency moves when....
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scene factors cause a decline in patient condition, treatment of patient's condition requires a move
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urgent moves are done when....