EMT-Basic-Test 1 Questions and answers, 2022, Rated A+
Levels of EMS Training - ✔✔First Responder
EMT-Basic
EMT-Intermediate
EMT-Paramedic
Roles and Responsibilities of the EMT Basic - ✔✔Personal Safety
Safet
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EMT-Basic-Test 1 Questions and answers, 2022, Rated A+
Levels of EMS Training - ✔✔First Responder
EMT-Basic
EMT-Intermediate
EMT-Paramedic
Roles and Responsibilities of the EMT Basic - ✔✔Personal Safety
Safety of the crew, patient & bystanders
Patient care based on assessment findings
Lifting and moving patient safely
Transport/Transfer of Patient
Record Keeping-Data Collecting
Patient Advocacy
Quality Improvement - ✔✔A system of internal & external reviews and audits of all aspects of the EMS system so as to identify those aspects needing improvement to ensure that the public receives the highest quality of prehospital care.
Medical Direction - ✔✔A physician responsible for the clinical and patient care aspects of an EMS System. Every ambulance/rescue squad must have physician medical direction
BSI (Body Substance Isolation) - ✔✔Assumes that all substances are infectious, procedures are set by OSHA and local policy.
Critical Stress Incident Debriefing - ✔✔Open discussion about thought, feelings & reactions following a traumatic event. Held within 24-72 hours post incident.
5 Stages of Grief - ✔✔Denial
Anger
Bargaining
Depression
Acceptance
Scene Safety - ✔✔Only do what you are trained to do. Know how to recognize situations and call for proper help. DOT Emergency Response Guidebook (Haz Mat Reference) is required on all ambulances.
Scope of Practice - ✔✔A collective set of rules and duties that define your roles as an EMT-N
Ethical Responsibilities - ✔✔Makes patient's needs a priority. Maintain skills & knowledge. Critically review performance. Prepare honest reports.
Expressed Consent - ✔✔Must be obtained from a conscious, competent adult before treatment. Parent must be legal age and rational. Patient must be informed.
Implied Consent - ✔✔Based on the assumption that a patient would consent if conscious.
Assault/Battery - ✔✔Unlawful touching of a patient without consent can be batter. Providing care without consent.
Patient Refusal - ✔✔Patients (of legal age that are competent and informed of the consequences of not receiving treatment) have the right to refuse treatment. Patients can revoke consent at any time. Must sign a release form. Most common reason for EMS lawsuits.
Advance Directive - ✔✔DNR- Patient has the right to refuse resuscitative efforts. Must be signed by a physician and patient. Paperwork must be with patient.
Abandonment - ✔✔Termination of care of a patient without assuring continuation of care at the same level or higher
Negligence - ✔✔Deviation from accepted standard of care, resulting in injury to a patient. Components include: Duty to Act, Breach of Duty, Injury or Damages inflicted, actions or omissions by EMT-B caused damages.
Duty to Act - ✔✔A legal or contractual requirement to provide care.
Confidential Information - ✔✔Patient history, assessment finding, care rendered, written release required to give out information. Exceptions to a written release include: other treating healthcare professionals, subpoena, mandatory reporting, and insurance.
Crime Scenes - ✔✔Do not enter until scene safe. Patient care is a priority. Remain alert for evidence and signs of repeated violence. Be observant & remember what you touch and minimize your impact at the scene, communicate with police.
Special Reporting Situations - ✔✔Abuse,
Sexual Assault
Gunshot Wound
Infectious Disease Exposure
Treating a Patient you Suspect has Committed a Crime
Anatomical Position - ✔✔This position is the basis for the description of the anatomy. Person is standing facing forward, palms fating forward (hands down), feet on floor.
Anatomical Planes - ✔✔Divide the body into right and left halves
Midline - ✔✔Imaginary plane dividing the body into right and left halves
Mid-Clavicular - ✔✔Imaginary line from head to toe just inside the nipples or in the middle of the clavicle or collar bone.
Mid-Axillary Line - ✔✔Imaginary plane dividing the body front and back (From armpits down to feet)
Proximal - ✔✔A directional term used for comparison. Means closer to the main body or trunk
Distal - ✔✔A directional term used for comparison. Means further away from the body or trunk.
Lateral - ✔✔A directional term used for comparison. Means away from the midline.
Medial - ✔✔A directional term used for comparison. Means toward the midline
Ventral or Anterior - ✔✔Front of the body
Dorsal or Posterior - ✔✔Back of the Body
Superior - ✔✔Toward the head
Inferior - ✔✔Toward the feet
Supine - ✔✔Lying on one's back (face up)
Prone - ✔✔Lying on one's stomach (face down)
Autonomic Nervous System - ✔✔Parallels spinal code but is separately involved in control of endocrine glands, blood vessels, viscera and external genitalia.
Skin - ✔✔Protects the body from the environment and organisms. Helps regulate body temperature. Senses heat, cold, touch, pressure and pain.
Epidermis - ✔✔Top layer of skin
Dermis - ✔✔Second layer of skin. Holds nerve endings, capillary network, hair follicles, pores, etc
Subcutaneous - ✔✔Third layer of skin. Fatty tissue
Endocrine System - ✔✔Secretes chemicals that regulate body activities and functions. Includes glands of the body.
Lifting (of Patient) considerations - ✔✔Patient's weight
Communication with lifting partners
identify need for assistance before lifting
Leading injury for EMTs - ✔✔Back injuries.
Emergency Moves - ✔✔Used when the scene is dangerous, life threatening conditions requires the move, or a patient must be moved to reach a critical patient. Clothes drag, incline drag, firefighter's drag, firefighter's carry, one rescuer assist and tow rescuer are all emergency moves.
Urgent Moves - ✔✔Treatment of a patient's condition requires a move or factors at the scent cause the patient's decline.
Non-Urgent Moves - ✔✔Used when there is no threat to life and when the patient's condition allows for assessment and care.
Baseline Vital Signs - ✔✔Respirations, Pulse, Skin, Blood Pressure, Pupils
Left Lateral Recumbent - ✔✔Also known as the recovery position. Lying on one's left side. Allows for drainage and keeps tongue off back of throat. Prevent hypotension in pregnant women
Fowler's Position - ✔✔Patient on cot with head slightly raised, almost a sitting position
Trendelenburg Position - ✔✔Feet raised 10-12 inches. Also known as the shock position
Musculoskeletal System - ✔✔Gives body shape,
Protects body organs
provides for body movement
Zygoma - ✔✔Cheek bone
Maxilla - ✔✔Upper jaw, holds upper teeth
Mandible - ✔✔Lower jaw
Orbit - ✔✔eye socket
Spinal Column - ✔✔33 Vertebrae-
-7 cervical
-12 thoracic
-5 lumbar
-5 sacral
-4 coccyx
4 types of bones - ✔✔Irregular (Vertebrae)
Long bone (Femur)
Short bone (Wrist)
Flat bone (ribs)
Skeletal muscles - ✔✔Also called voluntary muscles. Attaches to bone, responsible for body movement under conscious control.
Smooth muscle - ✔✔Also called involuntary muscles. Found in the gastrointestinal tract, urinary system and blood vessels. NO Conscious control
Cardiac Muscle - ✔✔A type of involuntary muscle with an electrical component (automaticity). Found only in the heart. Has its own blood supply. Cannot tolerate an interruption of blood supply for a long time
Umbilicus - ✔✔Reference point for dividing the abdomen into four quadrants. The belly button
Upper Right Quadrant - ✔✔Most of the liver, pancreas, gallbladder, colon
Upper Left Quadrant - ✔✔Part of Liver, spleen, stomach, pancreas, colon
Lower Right Quadrant - ✔✔Colon, small intestines, appendix, ureter, major artery and vein of the right leg
Lower Left Quadrant - ✔✔Colon, small intestines, ureter, major artery and vein of left leg
Respiratory System - ✔✔Moves oxygen into the bloodstream through inhalation. Picks up carbon dioxide to be excreted though exhalation.
Inhalation - ✔✔The diaphragm and intercostals muscles contract, expanding the chest cavity. The volume of the lungs is increased which decreased the air pressure. Air rushes in to equalize the pressure difference.
Exhalation - ✔✔The diaphragm and intercostal muscles relax, decreasing the chest cavity. The column of the lungs is decreased which increases the air pressure. Air rushes out to equalize the pressure difference.
Adequate Breathing - ✔✔Breathing in a normal range.
Adult 12-20
Child 15-30
Infant 25-50
Rate, rhythm, quality and depth all need to be evaluated
Signs & Symptoms of Inadequate Breathing - ✔✔Pale or cyanotic,
Cool, clammy skin
use of accessory muscles
noisy respiration,
impaired mental status
numbness & tingling in hands and feet
in children >2 seconds on capillary refill
Circulatory System - ✔✔A closed container consisting of heart, blood, blood vessels. The heart pumps blood throughout the body. The blood delivers oxygen to body cells and removes waste from the body cells.
Path of blood through body - ✔✔Enters heart through Vena Cava into Right Atrium-through tricuspid valve into Right Ventricle through Pulmonary Artery into lungs through Pulmonary Vein into Left Atrium through Bicuspid valve into Left Ventricle through Aorta, continues through Arteries on through Arterioles to Capillaries (gas exchange takes place) to Venules to Veins back to Vena Cava
Arteries - ✔✔Carry blood away from heart. Mostly carries oxygenated blood except for pulmonary artery which carries deoxygenated blood
Arterioles - ✔✔Smallest arteries
Veins - ✔✔Carry blood to the heart. Mostly carry deoxygenated blood except for pulmonary vein which carries oxygenated blood.
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