Final Course Review
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Transcript of Final Course Review
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Final Course Review
Final Exam Preparation
Section-by-section, take-home points.
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Section 1 – Intro to EMS
EMS Delivery models Distribution of EMS
providers EMT Responsibilities Confidentiality Priorities – Who’s Quality Improvement Rights of Refusal Emancipated Minor Assault/Battery
Adv. Direct./DNR/DNAR Consent – Types of Standard of Care Suicide Attempt –
Refusal EMT Legal Defense Negligence Scope of Practice Protocols On-Line/Off-line Med Dir
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Section 1 – Intro to EMS
EMT Response to stress– While responding
Scene Size up– Sequence of Actions
Critical Incident– Warning Signs
Stages of Grieving Protective Equipment
– What & When
Perfusion Major Arteries – Names Relative Terms
– Distal, Prox. Lat, Med...– Ant, Post, Supine,
Prone Respiratory System Digestive System Thoracic Cavity Abdominal Cavity Blood Products &
Function Sternum
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Section 1 – Intro to EMS
Flow of blood– LV –Body – RA – RV –
Lung – LA– Aorta – Artery –
Arterioles – Cap’s – venules – veins – VC
Ulna Wrist Bones Muscle Types &
Examples Vertebrae in spine SAMPLE
Skin Conditions Pediatric Vital Signs Pupil Reactions
(Light/Dark…) Vital Signs Respiratory Exam
– Labored Breathing– Accessory Muscles– Amount of air exchanged– Aerobic vs Anaerobic– Wheezing/Rales– Alveoli
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Section 1 – Introduction to EMS
Types & Stages of Shock– Cardiogenic/Hypovolemic– Early/Late (S/S)
Ficke Principle (Shock) Types of Bleeding PASG Usage (Ind/Cont.) OPA/NPA Sizing Rescue Breathing
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Section 2 Non-Traumatic Emergencies Components of a drug
Label Bronchodilators The Drugs
(Ind./Cont./SE, rte)– Oral Glucose– Oxygen– Epinephrine– AC– NTG
Asthma (S/S) Pulmonary Edema
(S/S)
AtherosclerosisArteriosclerosis
Chain of Survival Steps in treating CHF Cardiogenic Shock
(s/s) CVA vs TIA Treating a Diabetic GCS (3-15 (4,5,6)) Left side brain
damage = right side signs
CO Poisoning (s/s)
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Section 2Non-Traumatic Emergencies Placenta (function) Presenting Part Miscarraige Wrapped Cord
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Section 3Traumatic Emergencies Kinetic Energy KE = ½ mV2
Contusion/Abrasion/Avulsion/Crush Chemical Burns (Eye = 20 minutes) SYMPTOMS vs SIGNS of Injury Pneumothorax (S/S)
– Trachea Deviates? Abd injuries (organ vs quadrant) Short Board Immobilization PMS Distal to injuries % Burns
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Section 4Special Patient Populations Pediatric BLS (FBAO procedures) Common injuries in kids Heat conservation
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Section 5EMS Operations Interpersonal Communications Hospital reports = speak clearly… Role of dispatcher Types of Moves
– (Emergency/Urgent…)
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Section 6Special Topics NREMT Recertification
– Skills maintenance– CE
Blood borne pathogens
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Almost the End of the Course
3/06/04– Second Midterm EXAM—includes
Module 6 & Behaviour & OB from Module 4
– TAKE MAKE-UP EXAMS Finish Lab skills sheets
– Instructor sign off’s– Practice
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3/13/04
LAST LAB– Written Final Exam—Module 7 included
Last chance to submit Clinical Hours Verification Sheets and SOAP charts—these are required.
Practice for the Certification Exam
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The Skills Stations(Facts, Figures & Pitfalls) Trauma Medical Airway / BVM Spinal (Supine especially, but know
KED too) Cardiac Arrest / AED Random Skills
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Trauma
Most fail in the first minute or two of the station
C/C (critical criteria often affected)– BSI– Safety– C-Spine with airway– Oxygen– Secondary before primary– Ran out of time
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Medical
C/C– Harmful Measures– NTG & Low B/P– No medical direction– Primary before secondary– Wrong intervention– Oxygen
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Airway BVM
20 Seconds!!!
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Spinal Immobilization
Immediate Immobilization Wrong Size C-collar NO C-Collar Poor Strapping Movement CMS/SMV/PMS Before & After
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Cardiac Arrest / AED
CPR (Stop & Restart) Clear Patient Didn’t use defibrillator
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Random Skills Traction
– Sager/Hare Oxygen Delivery Bleeding-Wounds-Shock Suction CPR/FBAO any combination of ages Long Bone Immobilization Joint Injury Mouth-to-mask (just like BVM only you are
the bag)
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Paperwork
MUST HAVE ON 3/13/02– CWE Verification form (signed x 3)– SOAP Chart
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Grades Posted Online
– Web Page • http://newterra.chemeketa.edu/
faculty/ems/n/basic.htm
– Points Accumulation Grades in to registrar
– Sunday 3/14/2004 Pulled from DHS Roster 3/15/2004
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State/Certification Exam Written Exam
– 03/17/2004 Wednesday– 6 PM– ***Building ?? – Main Campus***– Bring Photo ID
Practical Exam– 03/20/2004 & 03/21/2004– 8 AM– Building 8 Rm112– Bring Photo ID– Bring lunch, this is all day and no one leaves
B-8
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State Exam How to dress How to act Same day retests… Later retests. Certifying Officer… If any candidate loses control/acts
inappropriately, ie “goes off on the CO etc”, no one will get results that day and no re-tests that day.