Chapter 12 Medical Overview

HERPES SIMPLEX

VIRUS CAUSED BY HUMAN HERPESVIRUS 1 AND 2, CHARACTERIZED BY SMALL BLISTERS WHOSE LOCATION DEPENDS ON THE TYPE OF VIRUS. TYPE 2 RESULTS IN BLISTERS ON THE GENITAL AREA, WHILE TYPE 1 RESULTS IN NON GENITAL AREAS.

INDEX OF SUSPICION

AWARENESS THAT UNSEEN LIFE-THREATENING INJURIES OR ILLNESS MAY EXIST

MEDICAL EMERGENCIES

LIFE THREATS THAT REQUIRE EMS ATTENTION BECAUSE OF ILLNES OR CONDITIONS NOT CAUSED BY AN OUTSIDE FORCE

MENINGITIS

AN INFLAMMATION OF THE MENINGEAL COVERS OF THE BRAIN AND SPINAL CORD; IT IS USUALLY CAUSE BY A VIRUS OR BACTERIUM.

NATURE OF ILLNESS (NOI)

THE GENERAL TYPE OF ILLNESS A PATIENT IS EXPERIENCING

SARS (SEVERE ACUTE RESPIRATORY SYNDROME)

POTENTIALLY LIFE THREATENING VIRAL INFECTION THAT USUALLY STARS WITH FLULIKE SYMPTOMS

TRAUMA EMERGENCIES

INJURIES THAT ARE THE RESULT OF PHYSICAL FORCES APPLIED TO THE BODY.

TUBERCULOSIS

A CHRONIC BACTERIAL DISEASE, CAUSED BY MYCOBACTERIUM TUBERCULOSIS, THAT USUALY AFFECTS THE LUNGS BUT CAN ALSO AFFECT OTHER ORGANS SUCH AS THE BRAIN AND KIDNEYS.

VIRULENCE

THE STRENGTH OR ABILITY OF A PATHOGEN TO PRODUCE DISEASE.

Your awareness and concern for potentially serious underlying and unseen injuries or illness is called the

index of suspicion

You should form your general impression of the patient during the

primary assessment

What mnemonic is used to evaluate a patient's pain?

OPQRST

Salmonella is an example of what type of organism?

bacteria

Juandice is a symptom of what disease?

Hepatitis

Is a fall a medical emergency?

no

What underlying factor may complicate a patient's chief complain?

tobacco, alcohol, and caffein

It may be appropriate to place a mask on the patient if you suspect he or she is suffering form

pertussis

The "M" in SAMPLE history stands for:

Medications

You are dispatched to an unknown medical emergency in an apartment complex. On arrival, you find a 65 year old man sitting at the kitchen table. From the doorway, he appears to be pale. He is complaining of feeling weak, and he states that he has been sic

Flu

What mnemonic is used to gather a patient's information?

SAMPLE

What does OPQRST stand for?

onset, provocation, quality, radiation, severness, time

What are the six infectious diseases of concern for EMS personnel?

HIV, Hep B, Meningitis, TB, SARS, and H1N1

What are trauma emergencies?

injuries that are the result of physical forces applied to the body.

Shortness of breath or difficulty breathing is known as

dyspnea

Remember, the sensation of not getting enough air is terrifying, regardless of the cause. As an EMT, you should be prepared to treat not just the symptoms and underlying problem, but also

the anxiety is produces

Patients with congestive heart failure often take several medications. In addition to obtaining a list of those medications, be sure to pay special attention to

the events that lead up to the present problem

It is important to establish your patient's baseline status. In other words,

his usual condition and it's difference

Is oxygen via non-rebreathing mask at 24 L/min or higher advised for patients with respiratory problems?

NO

If the patient's condition is stable and no life threats exist, vital signs should be obtained at least every

15 minutes

What is the first step listed to help a patient self administer medication from an inhaler?

obtain an order from medical control or local protocol

Like most dyspnea patients. those with a spontaneous pneumothorax are usually more comfortable in what position?

sitting up

Because a considerable amount of lung tissue may not be functioning, what is the mandatory care for a patient with pulmonary embolism?

give supplemental oxygen

What position may indicate difficult breathing?

tripod position

Is croup a respiratory condition seen primarily in pediatric patients?

yes

When wheezing is hear on auscultation of breathing sounds, what condition may be present?

asthma, pneumonia, bronchitis

If an injury distracts an EMT from assessing a more serious underlying illness, he has suffered from:

Tunnel Vision

Your Patient is having respiratory difficulty and is not responding to your treatment. What is the best method of transport?

With lights and sirens, to the closes hospital

When assessing a patient with an infectious disease, what is the first action you should perform?

Scene size up and BSI/PPE

Your patient believes he has hepatitis and is now exhibiting signs of cirrhosis of the liver. He most likely has:

Hepatitis C

Your patient is complaining of fever, headache, stiffness of the neck, and red blotches on his skin. He most likely has

Meningitis

What should you do if you are exposed to a patient whois found to have pulmonary TB?

Get a tuberculin skin test

Antibiotic therapy, prolonged hospital stays, and exposure to infected patients are all factors for developing what?

MRSA

What are the six infectious diseases of special concern?

HIV, hep B, meningitis, TB, SARS, and H1N1