Presentation on theme: "Refresher Review David Schnitker ETPT 2020"— Presentation transcript:
1 Refresher Review David Schnitker ETPT 2020 References
2 Medical Emergency Review Unit 19: EMS Specialization: Medical Emergencies(Industry-Driven Authentic Assessment, See Appendix A)BIL: EssentialCompetency 19.1: Assess and manage a patient with special needs.Descriptors:Discuss the special needs patient (e.g. physical, mental, medical).Assess the injury/illness as well as the special needs of the patient.Provide appropriate care in regard to the injury/illness and special needs
3 Menu Slide A. Pediatrics B. OB/Gyn Slides 11,12, 13 C. Behavioral Slide 14,15,16D. Geriatric Slide 17,18,19E. Medical Slide 20,F. References Slide 21
5 B: Cool, pale extremities. C: Delayed capillary refill. Which of the following signs would you expect to see in a pediatric patient who is currently in compensated shock but would not expect to see in a pediatric patient in decompensated shock?: Tachycardia.B: Cool, pale extremities.C: Delayed capillary refill.D: Normal systolic pressureD: Normal systolic pressure
6 Which of the following is a common lower airway issue in the pediatric patient? A: Bronchiolitis.B: Emphysema.C: Epiglottitis.D: Croup.A: Bronchiolitis.
7 Stable infants and toddlers should be assessed which of the following ways? A: From head to toe.B: By visualization only.C: From toe to head.D: By obtaining vital signs first.C: From toe to head.
8 B: 5-year-old with difficulty breathing. During treatment in the following pediatric cases, which patient will MOST likely benefit from parental presence in the ambulance during transport?A: 10-year-old with a stomach ache.B: 5-year-old with difficulty breathing.C: 16-year-old female with vaginal bleeding.D: 13-year-old who has possibly overdosedB: 5-year-old with difficulty breathing.
9 C: Placing padding under the shoulders. Which of the following needs to be performed for the immobilized pediatric patient who is less than 8 years of age?A: Using a pediatric long board.B: Applying a no-neck cervical collar.C: Placing padding under the shoulders.D: Immobilizing the head before the torso.C: Placing padding under the shoulders.
10 A: Hypoxia. B: Overdose. C: Hypo-perfusion. D: High temperature A babysitter explains she witnessed a child seizing and called 911 a minute after it started. What is the MOST common cause for a child to have a convulsion?A: Hypoxia.B: Overdose.C: Hypo-perfusion.D: High temperatureD: High temperature
11 D: Ectopic pregnancy A: Gall stones. B: Kidney stones. When we are assessing a young, adult female with abdominal pain, which of the following is our biggest concern?A: Gall stones.B: Kidney stones.C: Endometriosis.D: Ectopic pregnancy.D: Ectopic pregnancy
12 D: Administering high-concentration oxygen Your young female patient suggests she might be pregnant. She complains of severe abdominal pain under the left diaphragm. Your most appropriate action is to:A: Placing the patient on her right side.B: Looking for signs of imminent delivery.C: Controlling any bleeding from the vagina.D: Administering high-concentration oxygenD: Administering high-concentration oxygen
13 Which of the following is MOST consistent with imminent delivery? A: The mother's urge to move her bowels.B: Contractions that are 3-5 minutes apart.C: Rupture of the bag of waters.D: Contractions lasting approximately 30 secondsA: The mother's urge to move her bowels.
14 B: Assessing the mental status of the patient should be done first. You are called to assess a conscious patient having a behavioral emergency. Which of the following is a correct technique regarding physical assessment of this patient?A: Obtaining vital signs should be done immediately.B: Assessing the mental status of the patient should be done first.C: You should stand above the patient to gain a position of authority.D: Rapid assessment and treatment are critical in this patient population.B: Assessing the mental status of the patient should be done first.
15 B: You anticipated the patient could be violent or dangerous. On an EMS run, your partner asks you to explain why you called for the police for the "crazy" woman on Liberty Street who was just suicidal. What is the BEST reason for calling the police on a psychiatric problem?A: You needed them to secure a knife on the scene.B: You anticipated the patient could be violent or dangerous.C: To serve as a witness in case the patient accuses you of wrongdoing.D: To protect the patient's civil rights in the event you had to restrain herB: You anticipated the patient could be violent or dangerous.
17 While awaiting transport of an older female described as sick by the nursing home staff, the patient's children ask what is wrong with their mom. You are not sure because her symptoms are so vague. What should you tell the family?A: Suggest to the family that it could be the flu or some type of infection.B: Tell the family that you are still trying to diagnose the medical problem.C: Tell the family you don't know, as the nursing home staff is not helping very much.D: Be honest and tell the family you are not sure but you are taking good care of their mom.D: Be honest and tell the family you are not sure but you are taking good care of their mom.
18 Which scenario would most likely be deemed psychological abuse in a court of law? A family is in court because the daughter is suspected of committing elder abuse on her father.A: Pushing her father down the stairs or out of the bed every time she gets frustrated with him.B: Threatening to take her father away from the home if he doesn’t follow her instructions.C: Routinely restraining her father to his bed and wheelchair without regard for his safety.D: Stealing and misusing her father’s money without proper permission from her father.B: Threatening to take her father away from the home if he doesn’t follow her instructions.
19 D: They often have spinal curvatures that will need to be padded. You are called to care for a geriatric patient who has fallen down a short set of steps. What is a major concern when assisting with the immobilization of this patient on a long backboard?A: They often have pain in multiple areas.B: Geriatric patients do not like to hold still.C: It might be difficult to communicate with this patient.D: They often have spinal curvatures that will need to be padded.D: They often have spinal curvatures that will need to be padded.
20 In the case of a behavioral emergency, which of the following would be a physiological cause? A: Aspirin overdose.B: Low blood sugar.C: Reaction to stress.D: Loss of a loved one.B: Low blood sugar.
21 References: Trash Truck Distraction: Unknown source no longer on You Tube.Other References:Brady Emergency Medical Care 12th Edition.