While using a stethoscope and b/p cuff, the cuff is pumped up until the pulse can be heard and then no longer heard. The provider slowly lets out the air and when the pulse starts again thats the top number. When the pulse then stops thats the buttom number.
What is the normal blood pressure for the adult patient at rest?
120 / 80
What is the normal heart rate for the adult patient at rest?
60 - 100 bpm
What is the normal respiration rate for the adult pt at rest?
20 - 40 bpm
What is the normal heart rate for the adolesent patient at rest?
80 - 130 bpm
What is the normal respiration rate for the adolescent patient at rest?
30 - 60 bpm
When trying to obtain vitals from an infant / toddler patient, it is important to remember that
You do not upset the child, as this will cause any issues to be worse, even if that means not taking any vitals
What best describes Cardiac Chest Pain?
Constant Sharp Stabbing Pain
Patient describes multiple cardiac symptoms, what is the NEXT thing you should do?
Give the Patient Aspirin after asking for their allergies
What is the proper full dosage of aspirin to give a cardiac patient?
81mg Chewable
How many times can you give aspirin to the Patient?
1
When do you withhold giving the patient aspirin?
Option 1 and 2 above
When should you provide oxygen to the Chest Pain Patient?
All of the above
What will the vitals signs be like, with a patient experiencing a cardiac event?
High B/P and Heart Rate
Your Patient presents with slurred speech, confusion, and weakness. What is the NEXT thing you do?
Option 4 then 3
What is the time w
indow for TPA admi
nistration from On
set of Stroke Symp
toms
3 hou
rs
When do you provide oxygen to a stroke patient?
When oxygen is below 95%
What are important things to obtain from the patient or family with a patient who has an altered mental status? (Select all that apply)
Patients Medical History
Recent traumatic injuries
Last known well time
How much sleep the patient got
Medications / Drugs taken (or not)
You walk in to an unconscious person, and you see a needle on the table next to them. What do you do NEXT?
Check pupils
How many doses of narcan is the EMR allowed to give?
1
How much time must pass before giving a second narcan dose?
How do you measure the proper fitment of an adjustable C-Collar to a patient?
Use fingers between patients shoulder and patients neck
A patient has a foreign object impaled in their right eye. What is your treatment? (select all that apply)
Cover the right eye with a cup and left eye with gauze
Tell the patient to not look around
Tell the pt to blink as little as possible
You arrive on scen
e of a motor cycle
accident. During
your initial evalu
ation you find the
abdomen is not so
ft, but hard and R
idgid. What do you
do NEXT?
Wrap in an ab
dominal pad
During your initial assessment, you find both legs are broken, and one is an open fracture. Where should this patient go?
By ground to the nearest facility
You're in charge of triage. You have 5 patients. 1 adult that is conscious, breathing, with arterial bleeds, 3 adult patients have a broken bone, and a toddler with no signs of life. Who do you have your crew start care on first?
The adult with the arterial bleed
You are dispatched for a multi vehicle collision. You arrive on scene and find 4 cars with a total of 12 patients. What do you do NEXT?
When should a PCR (Pre-Hospital/Patient Care Report) be filled out?
On any and all calls that require EMS response or assistance to any person may have been needed.
You are dispatched for a medical alarm with no voice contact. You arrive and the alarm holder is in their garden and in good health. They relate that they did not know they activated their alarm. What is this considered?
Patient contact was made
You are dispatched for a medical call. You arrive on scene, but the family will not let you in the house because they only wanted an ambulance for transport. What do you do?
Calmly explain the possibilities to the family, if they still refuse, standby outside for EMS
What are required fields on a PCR? (Select all that apply)
Patient medical history and medications
Patients allergies
Vital signs (with patient care)
Last oral intake
Last known well time
How old must a patient be to sign their own RMA
18
What conditions makes it legally okay for any patient to sign an RMA? (Select ALL that apply)
Patient is 18+ years old
Patient clears all capacity assessments
Medical control clears it
You are dispatched for a minor School bus accident. Onboard the bus is 40 children (2 per seat). There are no injuries to the children however New York State law says all minors must go to the hospital without a parent/guardian present to sign off on the RMA. Select all statements that must be present for any ONE CHILD to not be transported. (Select ALL that apply)
School Representative is present to sign
Parents have been contacted directly via phone / are on scene
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