EMT-B

What are the step to controll epistaxis

Sitting position, leaning forward and pinch the nostrils together.

Signs and symptoms of a pt you suspect internal bleeding

Pain and distentionSwellingTachycardiaHypotensionHematoma beneath the skinOther signs includeHematemesisMelenaHemoptysisPain,tenderness bruising, guarding, swellingBroken ribs

What are the different characteristics of bleeding

Bleeding from an open artery is brighter red ( high oxygen ) and spurts in time with the pulseBlood from an open vein is darker ( low oxygen ) and flows steadilyBleeding from damaged Capillary vessels is dark red oozes from a wound steadily but slowly

Compensation of shock (pg 684)

Low BpIrreversible shock is a terminal sign of shock

Define PASG

Pneumatic antishock garment Used if the pt has inujuries to the lower extremities or pelvis as a splinting device.To stabilze fractures of the pelvis and proximal femursTo control significant bleeding associated with fractures of the pelvisTo control massive soft tissue bleeding of the lower extremities when direct pressure is not effective

Tourniquet

use nothing narrow ( use the opposite )

First signs of hypoperfusion

LOC'S

For a pt with severe trauma where do you take them?

Trauma Center WITH A SURGEON

How do you treat a pt with a penetrating hand wound?

Immobilize and transport

When you put an occlusive dressing how many sides should you tape down?

3 sides

What are the two layers of skin

Epidermis and the dermis

A heavy item fell on a pt, eyes blood shot

Traumatic asphyxia

Burns

Full thickness

IF a dressing soaks threw?

Apply additional dressing over the soaked dressing and bandage.

Name 3 open wounds

Evisceration, laceration, avulsion, abrasion

If you find a pt that has fell and has fractures, whats the first thing we do?

C-spine

Whats after C-spine, ABC,...

Control bleeding, add oxygen

Before and after adding something to the body

PMSC

Splinting?

we splint above and below injury

Wheres the humerus on your arm

Bicep area

pt with a pelvic fracture

All of the above

Someone with a injured shoulder

Use a sling to immobilize and secure with a triangular bandage

What is indirect and direct force?

Example if you fall and you put your hand out to break the fall and fracture your forearm, that is indirect

Complication of bone fracture

Bleeding, swelling and nerve damage

What are the benefits of splinting?

Prevents further damage to the muscles, the spinal cord, peripheral nerves and blood vessels from broken bone endsReduces pain, and makes it easier to transport

Whats the best way to package a motorcycle accident

Scoop and run, splint in route

Whats the function of smoothe muscle

Peristolisis

You should consider and know what happens if you put a C-collar that is to large?

Could allow further to occur

Sequence for securing straps to a backboard

Torso, legs and head

Where do the ribs lay in the section of the spine?

Thora

On a motor vehicle collision, what are possible injury

Head, spine and abdominal cavity for internal injuries

When someone falls when would you assess the GCS

Enroute

Whats the lower part and upper part of the jaw

Mandible and maxilla

Head injury, how do your vitals indicate

high blood pressure, pulse bradycardia

Left side of the brain effects what side of the body?

Right

What does a skull fracture involve

Facial bones include skull fracture

What is degloving?

Skin is torn and flesh leaving the bone, also happens in the skull.

You find someone in a car with a dead passenger

High Priority

A bull stepped on a cowboy, what is your first action?

Scene safety

Amputated leg, whats the first thing you do?

Scene safety

Someone involved in an explosion

All of the above

What is a Trauma score for>?

all of the above

Know about burns and who should get transported first

Children and elderly

Unconscious pt in the grass laying prone

ABC, you can listen for breath sounds before rolling over

Pt laying on the back unconscious with a helmet

C-spine, abc, leave helmet in place to start

any trauma

C-spine ABC's