What is the mallory-weiss tear?
A tear in the junction between the esophagus and stomach which causes severe bleeding and days and days of
What is the main concern with an alcoholic who is vomiting blood?
His airway is, if it’s not protected he can aspirate into the lungs which leads to respiratory failure
What is cholecystitis and where does it present
Inflammation of the gallbladder and in the RUP, abdominal pain, and right shoulder
Where does pain present in an aortic aneurysm?
In the abdomen and back
Why don’t we give anyone with severe abdominal pain/emergencies anything to eat or drink?
In case they need emergency surgery and if they eat or drink they could vomit and aspirate stomach content into their lungs
If an abdominal pain quad presents with pain , how do you palpate the rest of the abdomen without ruining the rest of the exam?
clockwise with painful one last
Is GI bleeding a disease itself, or a symptom of another disease?
It is a symptom not a disease, usually caused by another condition
In respiratory shock of a dialysis patient, would you wait on scene for a Paramedic and treat for shock, or would you load and go, treat for shock and hope to have a Paramedic intercept you?
Load and go and treat for shock
Rapid and shallow breathing , what do you do?
BVM
If the glucometer fails and the patient is breathing deep and rapid is this a sign or high glucose or low?
Sign of high glucose aka hyperglycemia which causes deep rapid breathing
What is a DVT and what do you suspect has happened if this patient has a sudden onset of trouble breathing and chest pain
Deep vein thrombosis which a blood clot in a deep vein. The sudden onset suggests a pulmonary embolism
Can we lower blood sugar in the field as an EMT
No we can’t but we can raise it with oral glucose
What is insulin and how does it work?
Insulin is produced from the pancreas and allows glucose to enter the cells
What are ketones? Do we produce them in hypoglycemia or hyperglycemia? When fat is metabolized instead of glucose, what is the product
Ketones are acidic byproducts of fat metabolism and produced during hyperglycemia when body burns fat instead of glucose
: If a patient has hyperglycemia, they’ll eventually receive what medication from the hospital to lower their BGL and fix this longterm
Insulin
You know the patient is very sick. But they have a baseball bat in their hands trying to kill you. Treat them anyways
No ensure scene safety , retreat and wait for law enforcement
The patient is dying of anaphylaxis. You dont have epi. What would you do?
Airway management and oxygen
How long can a bee stinger stay in the skin,
20 minutes
: What is the adult EPI Pens dose? What is the peds Epi Pen dose
Adult is 0.3 mg and peds is 0.15mg
What over the counter (OTC) medication can EMTs give that BLOCKS HISTAMINE
Diphenhydramine aka Benadryl
What is histamine?
Chemical released by the immune system that causes swelling, vasodilation and itching
Vasoconstriction and bronchodilation are good effects caused by what medication that the EMT can give an anaphylaxis patient
Epinephrine
You gave Epi to an anaphylaxis patient… it isnt fixing it. Can you give more doses? If so, would you call medical control and request more or just give more on your own accord
A much as needed every5 minutes and you can give more on your own accord.
A heroin user has OD’d. He’s breathing slow and shallow. What interventions in the primary assessment will fix SLOW and SHALLOW? (would you ever use a BVM without an adjunct
bvm with airway adjunct , narcan
