Final Course Review

Final Exam Preparation

Section-by-section, take-home points.

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

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

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

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

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)

Section 2Non-Traumatic Emergencies Placenta (function) Presenting Part Miscarraige Wrapped Cord

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

Section 4Special Patient Populations Pediatric BLS (FBAO procedures) Common injuries in kids Heat conservation

Section 5EMS Operations Interpersonal Communications Hospital reports = speak clearly… Role of dispatcher Types of Moves

– (Emergency/Urgent…)

Section 6Special Topics NREMT Recertification

– Skills maintenance– CE

Blood borne pathogens

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

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

The Skills Stations(Facts, Figures & Pitfalls) Trauma Medical Airway / BVM Spinal (Supine especially, but know

KED too) Cardiac Arrest / AED Random Skills

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

Medical

C/C– Harmful Measures– NTG & Low B/P– No medical direction– Primary before secondary– Wrong intervention– Oxygen

Airway BVM

20 Seconds!!!

Spinal Immobilization

Immediate Immobilization Wrong Size C-collar NO C-Collar Poor Strapping Movement CMS/SMV/PMS Before & After

Cardiac Arrest / AED

CPR (Stop & Restart) Clear Patient Didn’t use defibrillator

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)

Paperwork

MUST HAVE ON 3/13/02– CWE Verification form (signed x 3)– SOAP Chart

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

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

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.