MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH OFFICE OF EMERGENCY MEDICAL SERVICES Basic EMT Practical Examination Cardiac Arrest Management

Size: px
Start display at page:

Download "MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH OFFICE OF EMERGENCY MEDICAL SERVICES Basic EMT Practical Examination Cardiac Arrest Management"

Transcription

1 Basic EMT Practical Examination Cardiac Arrest Management Station 1 RESUSCITATION & DEFIBRILLATION No Point WHILE FUNCTIONING AS FIRST RESCUER: Point 1. Verbalizes or takes body substance isolation precautions (On scene) Ensures scene is safe Assembles bag-valve-mask device correctly Connects device to oxygen supply Turns on portable oxygen supply Adjusts flowmeter to correct setting Equipment prepared correctly (functioning & ready for use) Establishes unresponsiveness Opens airway Assesses breathlessness Correctly measures and simulates insertion of oropharyngeal airway Correct placement of face mask Ventilates patient twice Assesses carotid pulse Directs 2 nd rescuer to initiate chest compressions Proper rate & ratio (2 ventilations per 30 compressions) Proper technique for delivering effective ventilations Turns S/AED unit on and attaches defibrillator pad(s) Clears patient & initiates or allows analysis of rhythm Confirms shock is indicated and presses shock button, if S/AED used Directs 2 nd rescuer to resume/continue CPR Verbalizes transport initiated as soon as possible 0 1 WHILE FUNCTIONING AS SECOND RESCUER 23. Proper land marking and hand placement Compressions vertical and compression is equal to relaxation Hands stay on or near sternum Proper rate of compressions (~100/minute) Proper ratio (30 chest compressions each cycle) Stops to allow partner to ventilate twice during each cycle (min. 2 minutes) 0 1 Max. Points 28 TOTAL POINTS Critical Criteria: * B-V-M not correctly assembled and functional with appropriate oxygen flow rate Did not assess for breathlessness, when required Did not assess for pulselessness, when required Did not use correct technique for delivering ventilations Did not deliver effective ventilations using B-V-M Did not provide adequate chest compressions Did not assess and treat Airway-Breathing-Circulation in proper sequence Did not ensure all individuals were clear of patient before delivering each shock Did not operate S/AED properly (inability to deliver shock properly) Did not direct initiation/resumption of ventilations/compressions at appropriate times Did not achieve 19 of 28 points Comments: * Failure of any one of the Critical Criteria results in Failure of Station 1, regardless of the point total. Station 1: Fail Pass

2 This page left blank intentionally.

3 Basic EMT Practical Examination Splinting Station 2A APPLICATION OF TRACTION SPLINT No Point Point 1. Verbalizes or takes body substance isolation precautions Assesses affected leg Circulation, Sensation, Motor Function Directs partner/assistant to apply manual traction Measures and adjusts splint to appropriate length Inserts splint and positions correctly Applies and secures proximal securing device Padding applied under proximal securing device strap Applies and secures distal securing device Appropriate mechanical traction applied using splint Manual traction maintained until relieved by mechanical traction Support straps fastened & evenly spaced to support leg Reassesses affected leg Circulation, Sensation, Motor Function Verbalizes securing of patient and device to long spine board 0 1 Max. Points 13 TOTAL POINT START TIME: END TIME: Stopped at 10 minutes: Yes No Fail Pass Station 2A: Critical Criteria: * Did not assess distal circulation, sensation and motor function at any time The foot is excessively rotated or extended during or after splinting Did not secure the proximal securing device prior to mechanical traction Final immobilization failed to support the femur or prevent rotation of the injured leg Excessive movement to injured extremity so as to compromise injury Secured leg to splint before applying mechanical traction Inadequate mechanical traction at completion Diagram splint/injury here (if necessary): Did not achieve 9 of 13 points Comments: Failure of any one of the Critical Criteria results in Failure of Station 2A, regardless of the point total. CONTINUED ON REVERSE Station 2A & B: (Failure of either part A or B = failure of entire station) Fail Pass

4 Basic EMT Practical Examination Splinting Candidate Name Examiner Station 2B APPLICATION OF UPPER EXTREMITY SPLINT Selected Injury Site: (Circle One) Scapula Shoulder Elbow Clavicle Mid-Shaft Humerus Wrist Mid-Shaft Forearm No Point Point 1. Verbalizes or takes body substance isolation precautions Assesses affected extremity Circulation, Sensation, Motor Function Directs manual stabilization of injury Proper selection of material Splints and/or cravats applied & positioned correctly No unnecessary movement or misalignment Any necessary padding in place Immobilization is adequate in relation to adjacent bones/joints Reassesses affected extremity Circulation, Sensation, Motor Function 0 1 Max. Points 9 TOTAL POINTS START TIME: END TIME Stopped at 10 minutes: Yes No Fail Pass Station 2B: Critical Criteria: * Excessive movement to injured extremity so as to compromise injury Did not support the joint so as not to bear distal weight (for joint injury) Did not immobilize injury, limb, or bones above/below injured joint (for joint injury) Did not immobilize injury, limb, or joints above/below injured bone (for bone injury) Did not immobilize extremity that was assessed Did not assess distal circulation, sensation and motor function at any time Did not achieve 6 of 9 points Diagram splint/injury here (if necessary): Comments: * Failure of any one of the Critical Criteria results in Failure of Station 2B, regardless of the point total. Same day retest allowance = Candidate fails Station 2A only Retest Station 2A only = Candidate fails Station 2B only Retest Station 2B only, same injury = Candidate fails Stations 2A and 2B Retest Stations 2A & 2B, same injury

5 Basic EMT Practical Examination Trauma Assessment/Management Station 3A TRAUMA ASSESSMENT - SCENARIO USED (CHECK ONE): A B C D E F G H No Point Point 1. Takes or verbalizes personal protection START TIME: Determines whether scene is safe (verbalize) Determines mechanism of injury Determines number of patients Requests additional resources/help if necessary Considers stabilization of spine (verbalize) Verbalizes general impression of patient Determines responsiveness/level of consciousness Determines chief complaint/apparent life threats Airway: Assessment Airway: Simulates insertion of naso/oropharyngeal airway Breathing: Initiates oxygen therapy and assures adequate ventilation Breathing: Injury Management Circulation: Assesses pulse Circulation: Assesses for and controls major bleeding Circulation: Assesses skin (color, temperature and condition) Identifies priority patient/ Makes transport decision TRANSPORT TIME: Selects appropriate assessment (focused or rapid) Obtains baseline vital signs Obtains S.A.M.P.L.E. history Head: Inspects and palpates the scalp and ears Head: Assesses the eyes Head: Assesses the facial area including oral and nasal area Neck: Inspects and palpates the neck Neck: Assesses for JVD Neck: Assesses for tracheal deviations Chest: Inspects Chest: Palpates Chest: Auscultates Abdomen/Pelvis: Assesses the abdomen Abdomen/Pelvis: Assesses the pelvis Abdomen/Pelvis: Verbalizes assessment of genitalia/perineum as needed Extremities: Assesses Right Leg Extremities: Assesses Left Leg Extremities: Assesses Right Arm Extremities: Assesses Left Arm Assesses Posterior Thorax Assesses Posterior Lumbar area Manages secondary injuries/wounds appropriately Verbalizes reassessment of vital signs END TIME: 0 1 Max. Points 40 TOTAL POINTS Stopped at 20 minutes: Yes NO Fail Pass (CRITICAL CRITERIA AND COMMENTS ON REVERSE) Station 3A: Station 3A & B: (Failure of either part A or B = failure of entire station) Fail Pass

6 Basic EMT Practical Examination Trauma Assessment/Management Station 3A N.B.- Steps 21 through 38 need NOT be done in any particular order. Station 3A - Trauma Assessment/Management Critical Criteria: * Trauma Assessment Did not assess cervical spine Did not provide for spinal protection when indicated Did not provide high concentration oxygen Did not evaluate or find conditions of airway, breathing or circulation (hypoperfusion) Did not manage/provide airway, breathing, hemorrhage control or treat for shock (hypoperfusion) Did not differentiate patient s needing immediate transport versus continued on-scene survey Did other detailed physical examination before assessing airway, breathing, and circulation Did not make correct transport decision within 10 minute time limit. Did not achieve 28 of 40 Points Comments:

7 Basic EMT Practical Examination 6.0 Medical Assessment/Management Station 3B MEDICAL ASSESSMENT SCENARIO USED (CHECK ONE): I J K L M N O No Point Point 1. Takes or verbalizes personal protection START TIME: Determines whether scene is safe (verbalize)_ Determines mechanism of injury Determines number of patients Requests additional resources/help if necessary Considers stabilization of spine (verbalize) Verbalizes general impression of patient Determines responsiveness/level of consciousness Determines chief complaint/apparent life threats Airway: Assessment Airway: Oral/nasal airway, initiates oxygen therapy & assures adequate ventilation Breathing: Injury Management Circulation: Assesses pulse Circulation: Assesses skin (color, temperature and condition) Identifies priority patient/ Makes transport decision TRANSPORT TIME: Signs & symptoms (Assesses history of present illness) Use box below 0 1 Respiratory Cardiac Altered Mental Status Onset? Onset? Describe episode Provokes? Provokes? Onset? Quality? Quality? Duration? Radiates? Radiates? Associated Severity? Severity? symptoms? Time? Time? Evidence of trauma? Interventions Interventions Interventions??? Seizures? Fevers? Allergic Reaction History of allergies? What was pt. exposed to? How was pt. exposed? Effects? Progression? Interventions? Poisoning/ Overdose Substance? When did pt. ingest/ become exposed? How much was ingested? Over what time period? Interventions? Estimated pt. weight? Environmental Emergency Source? Environment? Duration? Loss of consciousness? Effects general or local? Obstetrics Are you pregnant? How long? Pain or contractions? Bleeding or discharge? Do you need to push? Last menstrual period? Behavioral How do you feel? Determine suicidal tendencies. Is pt. threat to self or others? Is there a medical problem? Interventions? 17. Allergies Medications Past pertinent medical history Last oral intake Events leading to present illness Performs focused physical exam or rapid assessment if indicated Obtains baseline vital signs Performs interventions (standing orders or medical control) 0 1 Confirms right drug, right dose, right patient 25. Re-evaluates transport decision (verbalizes) Verbalizes consideration for completing detailed physical exam Repeats initial assessment aka Ongoing assessment Repeats vital signs Repeats focused assessment END TIME: 0 1 Max. Points 29 TOTAL POINTS : Stopped at 20 minutes: Yes No Critical Criteria: * Medical Assessment continued on back Station 3B: FAIL PASS

8 Station 3B Medical Assessment (continued) Candidate Description Date Examiner Critical Criteria: * Medical Assessment Did not obtain medical direction or verbalize standing orders for medication interventions Did not provide high concentration oxygen Did not evaluate or find conditions of airway, breathing or circulation (hypoperfusion) Did not manage/provide airway, breathing, or treat for shock (hypoperfusion) Did not differentiate patient s needing immediate transport versus continued on-scene survey Did other detailed physical examination before assisting with administering medication Did not assist patient in taking medication Did not achieve 20 of 29 points Comments: * Failure of any one of the Critical Criteria results in Failure of Station 3B, regardless of the point total.

9 Basic EMT Practical Examination Spine Immobilization Station 4 PATIENT POSITION: Supine Seated DEVICE USED: Long Spine Board Short Spine Board KED/ XP-1/ Other: (check device or fill in blank) SPINE IMMOBILIZATION No Point Point 1. Verbalizes or takes body substance isolation precautions Directs partner/assistant to apply & maintain stabilization to head Assesses upper & lower extremities: CIRCULATION, SENSATION, MOTOR FUNCTION Applies cervical collar: APPROPRIATE TIME APPROPRIATE SIZE Positions spine immobilization device Secures torso to spine immobilization device Uses proper strapping method Secures head to device Head maintained in neutral position Assesses upper & lower extremities: CIRCULATION, SENSATION, MOTOR FUNCTION 0 1 Max. Points 11 TOTAL POINTS: START TIME: FINISH TIME: Stopped at 15 minutes: Yes Critical Criteria: * - Spine Immobilization No Did not apply cervical collar prior to securing torso or head to spine immobilization device Cervical collar deformed by strap, or not applied as to be effective (i.e. too large) Application of any device that compromises airway Did not adequately secure torso to device Did not adequately secure head to device Secured head to device prior to final securing of torso to device Patient manipulated or moved excessively causing potential spine compromise Released or ordered release of manual stabilization before head is secured to device Did not assess distal circulation, sensation, and motor function at any time Did not achieve 8 of 11 points Comments: Failure of any one of the Critical Criteria results in Failure of Station 4, regardless of the point total. Station 4: Fail Pass

10 This page left blank intentionally.

PLEASE PRINT CLEARLY!

PLEASE PRINT CLEARLY! Indiana Emergency Medical Services Commission EMT-B Practical Examination Report Form PLEASE PRINT CLEARLY! Course Number: Course Completion Date: Name Last Name First Name Middle Initial SSN Address Street

More information

SEMINOLE COUNTY EMS PROVISIONAL EMT SKILLS VERIFICATION

SEMINOLE COUNTY EMS PROVISIONAL EMT SKILLS VERIFICATION The following individual has completed the Seminole County EMS Provisional EMT Skills Verification check in the following areas: Oxygen, Airway and Ventilation Skills ALS Assistance Trauma Management Medical

More information

BLS Practical Skills Examination

BLS Practical Skills Examination New York State Department of Health BLS Practical Skills Examination ertified First Responder and Emergency Medical Technician 2017 REQUIRED TESTING S EMT - The following skills are identified as being

More information

CHANHASSEN FIRE DEPARTMENT MEDICAL / RESCUE SKILLS

CHANHASSEN FIRE DEPARTMENT MEDICAL / RESCUE SKILLS CHANHASSEN FIRE DEPARTMENT MEDICAL / RESCUE SKILLS PRACTICAL STATIONS CHANHASSEN FIRE DEPARTMENT MEDICAL / RESCUE SKILLS 1. CARDIAC ARREST MANAGEMENT 2. AIRWAY & RESPIRATORY MANAGEMENT 3. SPINAL IMMOBILIZATION

More information

Airway Adjuncts and Suction

Airway Adjuncts and Suction Airway Adjuncts and Suction Oropharyngeal Airway Selects appropriately sized airway. Measures airway. Inserts airway without pushing the tongue posteriorly. Examiner States: patient is gagging and becoming

More information

National Registry Skill Sheets

National Registry Skill Sheets Airway, Oxygen and Ventilation Skills/Upper Airway Adjuncts and Suction Bag-Valve-Mask/Apneic Patient Bleeding Control/Shock Management Cardiac Arrest Management/AED Immobilization Skills/Joint Injury

More information

EMT-1 Skills. Practical Examination Workbook

EMT-1 Skills. Practical Examination Workbook EMT- Skills Practical Examination Workbook Merced County EMS Agency Fall 2004 TABLE OF CONTENTS FORWARD... 3 SKILLS DESCRIPTIONS AND OBJECTIVES... 4 PATIENT ASSESSMENT - TRAUMA... 8 PATIENT ASSESSMENT

More information

Shenandoah Co. Fire & Rescue. Injuries to. and Spine. December EMS Training Bill Streett Training Section Chief

Shenandoah Co. Fire & Rescue. Injuries to. and Spine. December EMS Training Bill Streett Training Section Chief Shenandoah Co. Fire & Rescue Injuries to the Head and Spine December EMS Training Bill Streett Training Section Chief C.E. Card Information BLS Providers 2 Cards / Provider Category 1 Course # Blank Topic#

More information

Hatfield & McCoy Mine Safety Competition First-Aid Contest JULY 15, Page 1

Hatfield & McCoy Mine Safety Competition First-Aid Contest JULY 15, Page 1 Hatfield & McCoy Mine Safety Competition First-Aid Contest JULY 15, 2014 Page 1 PROBLEM Billy is a maintenance person that has been conducting clean-up and service duties on the number one conveyor belt

More information

Emergency Care Progress Log

Emergency Care Progress Log Emergency Care Progress Log For further details on the National Occupational Competencies for EMRs, please visit www.paramedic.ca. Check off each skill once successfully demonstrated the Instructor. All

More information

Emergency First Response (EFR) Skills Assessment Sheets V4 June 2017

Emergency First Response (EFR) Skills Assessment Sheets V4 June 2017 Emergency First Response () Skills Assessment Sheets V4 June 2017 Airway management & ventilation Airway management & ventilation Trauma jaw thrust 1 Hand positions 2 Perform jaw thrust / mouth open 3

More information

Emergency First Response (EFR) Assessment Sheets September 2011

Emergency First Response (EFR) Assessment Sheets September 2011 Emergency First Response () Assessment Sheets September 2011 Airway Management & Ventilation Current Version: Version 2 (Sep 2011) Airway Management & Ventilation TRAUMA JAW THRUST 1 Hand position 2 Perform

More information

Overview. Overview. Chapter 30. Injuries to the Head and Spine 9/11/2012. Review of the Nervous and Skeletal Systems. Devices for Immobilization

Overview. Overview. Chapter 30. Injuries to the Head and Spine 9/11/2012. Review of the Nervous and Skeletal Systems. Devices for Immobilization Chapter 30 Injuries to the Head and Spine Slide 1 Overview Review of the Nervous and Skeletal Systems The Nervous System The Skeletal System Devices for Immobilization Cervical Spine Short Backboards Long

More information

Chapter 32. Objectives. Objectives 01/09/2013. Spinal Column and Spinal Cord Trauma

Chapter 32. Objectives. Objectives 01/09/2013. Spinal Column and Spinal Cord Trauma Chapter 32 Spinal Column and Spinal Cord Trauma Prehospital Emergency Care, Ninth Edition Joseph J. Mistovich Keith J. Karren Copyright 2010 by Pearson Education, Inc. All rights reserved. Objectives 1.

More information

Pediatric Cardiac Arrest General

Pediatric Cardiac Arrest General Date: November 15, 2012 Page 1 of 5 Pediatric Cardiac Arrest General This protocol should be followed for all pediatric cardiac arrests. If an arrest is of a known traumatic origin refer to the Dead on

More information

Competency Log Professional Responder Courses

Competency Log Professional Responder Courses Competency Log Professional Responder Courses Check off each competency once successfully demonstrated. This log may be used as a support tool when teaching a Professional Responder course. Refer to the

More information

Musculoskeletal System

Musculoskeletal System CHAPTER 28 Musculoskeletal Injuries Musculoskeletal System Anatomy & Physiology Bones provide framework. Joints allow for bending. Muscles allow for movement. Cartilage provides flexibility. Tendons connect

More information

CHAPTER 28 Musculoskeletal Injuries

CHAPTER 28 Musculoskeletal Injuries CHAPTER 28 Musculoskeletal Injuries Musculoskeletal System Anatomy & Physiology Bones provide framework. Joints allow for bending. Muscles allow for movement. Cartilage provides flexibility. Tendons connect

More information

Chapter 32. Injuries to the Spine by Pearson Education, Inc. Upper Saddle River, New Jersey

Chapter 32. Injuries to the Spine by Pearson Education, Inc. Upper Saddle River, New Jersey Chapter Injuries to the Spine Topics Anatomy and physiology of the spine Spinal injuries Guidelines for immobilization Special considerations Enrichment Introduction Injuries to the spine are among the

More information

Musculoskeletal Trauma. Lesson Goal. Lesson Objectives 9/10/2012. Recognize and manage patients with musculoskeletal trauma

Musculoskeletal Trauma. Lesson Goal. Lesson Objectives 9/10/2012. Recognize and manage patients with musculoskeletal trauma Musculoskeletal Trauma Lesson Goal Recognize and manage patients with musculoskeletal trauma Lesson Objectives Describe function of muscular system Describe composition of muscular system Describe, compare,

More information

IRECA BLS Challenge 2015 Scenario 1

IRECA BLS Challenge 2015 Scenario 1 Scenario 1 Team Name Team Number Captain Name Judge 1 # Judge 2 # JUDGE S SHEET Overview: This scenario challenges the competitors to use basic triage techniques and then to do the most good for the most

More information

Pediatric Patients. BCFPD Paramedic Education Program. EMS Education Paramedic Level

Pediatric Patients. BCFPD Paramedic Education Program. EMS Education Paramedic Level Pediatric Patients BCFPD Program Basic Considerations Much of the initial patient assessment can be done during visual examination of the scene. Involve the caregiver or parent as much as possible. Allow

More information

HeartCode PALS. PALS Actions Overview > Legend. Contents

HeartCode PALS. PALS Actions Overview > Legend. Contents HeartCode PALS PALS Actions Overview > Legend Action buttons (round buttons) Clicking a round button initiates an action. Clicking this button, for example, checks the child s carotid pulse. Menu buttons

More information

Caring for Muscle and Bone Injuries From Brady s First Responder (8 th Edition) 54 Questions

Caring for Muscle and Bone Injuries From Brady s First Responder (8 th Edition) 54 Questions Caring for Muscle and Bone Injuries From Brady s First Responder (8 th Edition) 54 Questions 1. What is caused by overexerting or tearing of a muscle? p. 375 A.) Dislocation B.) Sprain C.) Fracture *D.)

More information

Assessment of the Trauma Patient

Assessment of the Trauma Patient CHAPTER 10 Assessment of the Trauma Patient Overall Assessment Scheme Scene Size-Up Initial Assessment Trauma Physical Exam Vital Signs & SAMPLE History Medical SAMPLE History Physical Exam & Vital Signs

More information

SPINAL IMMOBILIZATION

SPINAL IMMOBILIZATION Spinal Immobilization Decision Assessment Recent studies have shown an increase in mortality for patients with isolated penetrating trauma who are spinally immobilized. Therefore spinal immobilization

More information

Skill Evaluation Sheets

Skill Evaluation Sheets Skill Evaluation Sheets Skill Drill 2-: How to Remove Gloves Skill Drill 4-: Primary Check: RAP-CAB Skill Drill 4-2: Perform a Secondary Check Skill Drill 5-: Adult CPR Skill Drill 5-2: Child CPR Skill

More information

Chapter 8 Trauma Patient Assessment The Patient Assessment Process The Primary Assessment ABCDE s Airway, Breathing, Circulation while securing

Chapter 8 Trauma Patient Assessment The Patient Assessment Process The Primary Assessment ABCDE s Airway, Breathing, Circulation while securing 1 2 3 4 5 6 Chapter 8 Trauma Patient Assessment The Patient Assessment Process The Primary Assessment ABCDE s Airway, Breathing, Circulation while securing D-Disability Chief complaint and/or Mechanism

More information

4 inch laceration traversing down the front of forearm. Fracture of lower leg midway between knee and ankle

4 inch laceration traversing down the front of forearm. Fracture of lower leg midway between knee and ankle 2 inch wound on forehead 3 inch wound on top of shoulder islocated elbow in flexed position 4 inch laceration traversing down the front of forearm 3 inch wound on inner thigh Fracture of lower leg midway

More information

Patient Assessment From Brady s First Responder (8th Edition) 83 Questions

Patient Assessment From Brady s First Responder (8th Edition) 83 Questions Patient Assessment From Brady s First Responder (8th Edition) 83 Questions 1. Which question is important if your patient may be a candidate for surgery? p. 183 *A.) When did you last eat? B.) What is

More information

Injuries to the Head and Spine From Bradys Emergency Care 10 th Edition

Injuries to the Head and Spine From Bradys Emergency Care 10 th Edition Injuries to the Head and Spine From Bradys Emergency Care 10 th Edition 1. When performing the four-rescuer log roll, which responder pulls the board into position? A.) Head B.) Waist C.) Knee D.) Shoulder

More information

Chapter 12. Learning Objectives. Learning Objectives 9/11/2012. Musculoskeletal Injuries

Chapter 12. Learning Objectives. Learning Objectives 9/11/2012. Musculoskeletal Injuries Chapter 12 Musculoskeletal Injuries Learning Objectives Describe the anatomy and function of the musculoskeletal system Demonstrate the assessment and management of a patient with a suspected musculoskeletal

More information

Learning Station Competency Checklists

Learning Station Competency Checklists Learning Station Competency Checklists Cardiac Arrest: Shockable Rhythm Team Dynamics Practice Demonstrates effective team dynamics (see, below) Performs manual maneuvers to open airway* Initiates assisted

More information

Injuries to the Head and Spine

Injuries to the Head and Spine Injuries to the Head and Spine Anatomy Review Skull Protects the brain Made up of several bones with seam like sutures Regions of the scalp-frontal, occipital, parietal, temporal Bones of face Orbits Mandible

More information

Chapter 30 - Musculoskeletal_Trauma

Chapter 30 - Musculoskeletal_Trauma Introduction to Emergency Medical Care 1 OBJECTIVES 30.1 Define key terms introduced in this chapter. Slides 11 12, 19 20, 22 23, 37 30.2 Describe the anatomy of elements of the musculoskeletal system.

More information

Introduction to Emergency Medical Care 1

Introduction to Emergency Medical Care 1 Introduction to Emergency Medical Care 1 OBJECTIVES 31.1 Define key terms introduced in this chapter. Slides 13 15, 17, 19, 28 31.2 Describe the components and function of the nervous system and the anatomy

More information

Injuries to Muscles, Bones and Joints. Emergency Medical Response

Injuries to Muscles, Bones and Joints. Emergency Medical Response Injuries to Muscles, Bones and Joints Lesson 33: Injuries to Muscles, Bones and Joints You Are the Emergency Medical Responder You are patrolling the state park where you are the emergency medical responder

More information

Chapter 30 Putting It All Together for the Trauma Patient

Chapter 30 Putting It All Together for the Trauma Patient Chapter 30 Putting It All Together for the Trauma Patient Putting It All Together Balance need for prompt transport vs. treatment on scene. Select critical interventions to implement at scene of multipletrauma

More information

Patient Assessment. Chapter 8

Patient Assessment. Chapter 8 Patient Assessment Chapter 8 Patient Assessment Scene size-up Initial assessment Focused history and physical exam Vital signs History Detailed physical exam Ongoing assessment Patient Assessment Process

More information

2017 Northern Mine Rescue Contest Written Exam (First Aid Competition)

2017 Northern Mine Rescue Contest Written Exam (First Aid Competition) 2017 Northern Mine Rescue Contest Written Exam (First Aid Competition) 2017 2010 June 5, 2017 Findley Lake, New York 2017 Northern Mine Rescue Contest Written Exam First Aid Competition Directions: Fill

More information

Basic Assessment and Treatment of Trauma

Basic Assessment and Treatment of Trauma Basic Assessment and Treatment of Trauma Final Exam Version 1 1. In which of the following scenarios would the potential for serious injury or death be the GREATEST? A. 77-kg (170-lb) man who falls 1.2

More information

EMT. Chapter 8 Review

EMT. Chapter 8 Review EMT Chapter 8 Review 1. During the scene size-up, you should routinely determine all of the following, EXCEPT: A. the mechanism of injury or nature of illness. B. the ratio of pediatric patients to adult

More information

Face and Throat Injuries. Chapter 26

Face and Throat Injuries. Chapter 26 Face and Throat Injuries Chapter 26 Anatomy of the Head Landmarks of the Neck Injuries to the Face Injuries around the face can lead to upper airway obstructions. Bleeding from the face can be profuse.

More information

International Trauma Life Support for Prehospital Care Providers Sixth Edition Patricia M. Hicks, MS, NREMTP Roy Alson, PhD, MD, FACEP Donna Hastings, EMT-P John Emory Campbell, MD, FACEP and Alabama Chapter,

More information

ITLS Pediatric Provider Course Basic Pre-Test

ITLS Pediatric Provider Course Basic Pre-Test ITLS Pediatric Provider Course Basic Pre-Test 1. You arrive at the scene of a motor vehicle collision and are directed to evaluate a child who was in one of the vehicles. The patient appears to be a child

More information

Selective Spine Assessment & Spinal Motion Restriction

Selective Spine Assessment & Spinal Motion Restriction Selective Spine Assessment & Spinal Motion Restriction Supersedes: 02-09-15 Effective: 10-20-15 Spinal cord injury may be the result of direct blunt and/or penetrating trauma, compression forces (axial

More information

Level 5 Paramedic Primary Skills

Level 5 Paramedic Primary Skills Title: Paramedic Primary Assessment Sheets V-4 Page: 1 of 15 Owner: LD Approved by: Examination Quality Group Approval date: March 2017 PHECC National Qualification in Emergency Medical Technology (NQEMT)

More information

1 Chapter 29 Orthopaedic Injuries Principles of Splinting 2 Types of Muscles. Striated Skeletal. Smooth

1 Chapter 29 Orthopaedic Injuries Principles of Splinting 2 Types of Muscles. Striated Skeletal. Smooth 1 Chapter 29 Orthopaedic Injuries Principles of Splinting 2 Types of Muscles Striated Skeletal Smooth 3 Anatomy and Physiology of the Musculoskeletal System 4 Skeletal System 5 Skeletal System Functions

More information

Medical First Responder Program Protocols

Medical First Responder Program Protocols Medical Scene Safety Protocol Verify Scene Safety with Police or Dispatch UNKWN Scene Safe? Enter Continue to Appropriate Protocol Possible to Make Safe Make Safe Then Continue Exit Area and Stage Outside

More information

oriented evaluation of your patient and establishing priorities of care based on existing and

oriented evaluation of your patient and establishing priorities of care based on existing and 1 Chapter 12: Patient Assessment in the Field 2 Patient assessment means conducting a - oriented evaluation of your patient and establishing priorities of care based on existing and potential threats to

More information

Focused History and Physical Examination of the

Focused History and Physical Examination of the Henry: EMT Prehospital Care, Revised 3 rd Edition Lecture Notes Chapter 10: Focused History and Physical Examination of Trauma Patients Chapter 10 Focused History and Physical Examination of the Trauma

More information

1. The 2010 AHA Guidelines for CPR recommended BLS sequence of steps are:

1. The 2010 AHA Guidelines for CPR recommended BLS sequence of steps are: BLS Basic Life Support Practice Test Questions 1. The 2010 AHA Guidelines for CPR recommended BLS sequence of steps are: a. Airway, Breathing, Check Pulse b. Chest compressions, Airway, Breathing c. Airway,

More information

Chapter 13. Objectives. Objectives 01/09/2013. Patient Assessment

Chapter 13. Objectives. Objectives 01/09/2013. Patient Assessment Chapter 13 Patient Assessment Prehospital Emergency Care, Ninth Edition Joseph J. Mistovich Keith J. Karren Copyright 2010 by Pearson Education, Inc. All rights reserved. Objectives 1. Define key terms

More information

Injuries to the Extremities

Injuries to the Extremities Injuries to the Extremities KNOWLEDGE OBJECTIVES 1. List seven signs and symptoms that suggest a serious extremity injury. 2. Describe how to care for injuries to the shoulder, upper arm, and elbow. 3.

More information

BASIC LIFE SUPPORT (BLS)

BASIC LIFE SUPPORT (BLS) ADULT Suspected Foreign Body Airway Obstruction (FBAO) 1 If conscious, ask, "Are you choking?" 2 If patient is unable to speak and/or shakes head yes, give abdominal thrusts, (chest thrusts if pregnant

More information

Lesson 4-3: Cardiac Emergencies. CARDIAC EMERGENCIES Angina, AMI, CHF and AED

Lesson 4-3: Cardiac Emergencies. CARDIAC EMERGENCIES Angina, AMI, CHF and AED Lesson 4-3: Cardiac Emergencies CARDIAC EMERGENCIES Angina, AMI, CHF and AED THREE FAMILIAR CARDIAC CONDITIONS Angina Pectoris Acute Myocardial Infarction Congestive Heart Failure ANGINA PECTORIS Chest

More information

ADVANCED ASSESSMENT. Approach To The Patient Ontario Base Hospital Group OBHG Education Subcommittee

ADVANCED ASSESSMENT. Approach To The Patient Ontario Base Hospital Group OBHG Education Subcommittee ADVANCED ASSESSMENT Approach To The Patient 2014 Ontario Base Hospital Group ADVANCED ASSESSMENT Approach to the Patient AUTHORS Mike Muir AEMCA, ACP, BHSc Paramedic Program Manager Grey Bruce Huron Paramedic

More information

55-year-old male with 2nd and 3rd degree burns to face, chest, and arms on 25% of the body Respirations: 34 Pulse: 120 Mental Status: moans to painful stimulus Mucous membranes charred Stridor 10 cm scalp

More information

Chapter 29 Orthopaedic Injuries Principles of Splinting Types of Muscles

Chapter 29 Orthopaedic Injuries Principles of Splinting Types of Muscles 1 2 3 4 5 6 7 Chapter 29 Orthopaedic Injuries Principles of Splinting Types of Muscles Striated Skeletal Smooth Anatomy and Physiology of the Musculoskeletal System Skeletal System Skeletal System Functions

More information

Waitin In The Wings. Esophageal/Tracheal Double Lumen Airway (Combitube ) Indications and Use for the Pre-Hospital Provider

Waitin In The Wings. Esophageal/Tracheal Double Lumen Airway (Combitube ) Indications and Use for the Pre-Hospital Provider Waitin In The Wings Esophageal/Tracheal Double Lumen Airway (Combitube ) Indications and Use for the Pre-Hospital Provider 1 CombiTube Kit General Description The CombiTube is A double-lumen tube with

More information

Restore adequate respiratory and circulatory conditions. Reduce pain

Restore adequate respiratory and circulatory conditions. Reduce pain Pre-hospital management of the trauma patient is best performed by an integrated team focused on minimizing the time from injury to definitive care at an appropriate trauma center. Dispatchers, first responders,

More information

Module 2: Facilitator instructions for Airway & Breathing Skills Station

Module 2: Facilitator instructions for Airway & Breathing Skills Station Module 2: Facilitator instructions for Airway & Breathing Skills Station 1. Preparation a. Assemble equipment beforehand. b. Make sure that you have what you need and that it is functioning properly. 2.

More information

Patient Care Report Guidelines

Patient Care Report Guidelines A rrival on scene / Scene assessment C omplaint H istory A. Position of patient B. Impression of patient C. Does the patient acknowledge your presence D. Any significant characteristics of the scene A.

More information

Radiography. 1. Introduction. 2. Documentation of Compliance. 3. Didactic Competency Requirements. 4. Clinical Competency Requirements

Radiography. 1. Introduction. 2. Documentation of Compliance. 3. Didactic Competency Requirements. 4. Clinical Competency Requirements PRIMARY CERTIFICATION AND REGISTRATION Radiography 1. Introduction Candidates for certification and registration are required to meet the Professional Education Requirements specified in the ARRT Rules

More information

Cardiovascular Emergencies. Chapter 12

Cardiovascular Emergencies. Chapter 12 Cardiovascular Emergencies Chapter 12 Cardiovascular Emergencies Cardiovascular disease (CVD) claimed 931,108 lives in the US during 2001. 2,551 per day Almost two people per minute! CVD accounts for 38.5%

More information

Michigan Pediatric Cardiac Protocols. Date: November 15, 2012 Page 1 of 1 TABLE OF CONTENTS

Michigan Pediatric Cardiac Protocols. Date: November 15, 2012 Page 1 of 1 TABLE OF CONTENTS Date: November 15, 2012 Page 1 of 1 TABLE OF CONTENTS Pediatric Asystole Section 4-1 Pediatric Bradycardia Section 4-2 Pediatric Cardiac Arrest General Section 4-3 Pediatric Narrow Complex Tachycardia

More information

NOTE If it is necessary to perform abdominal thrusts, expose the abdominal area prior to pressing on the abdomen.

NOTE If it is necessary to perform abdominal thrusts, expose the abdominal area prior to pressing on the abdomen. ENABLING OBJECTIVES: 4.7 List the procedures used in a primary survey. 4.8 Demonstrate primary survey procedures used in a mock trauma (moulage) scenario without injury to personnel or damage to equipment.

More information

Caring for Muscle and Bone Injuries From Brady s First Responder (8 th Edition) 54 Questions

Caring for Muscle and Bone Injuries From Brady s First Responder (8 th Edition) 54 Questions Caring for Muscle and Bone Injuries From Brady s First Responder (8 th Edition) 54 Questions 1. What do injuries to the shoulder often produce? p. 393 *A.) Anterior dislocation B.) Superior dislocation

More information

INTERNATIONAL TRAUMA LIFE SUPPORT

INTERNATIONAL TRAUMA LIFE SUPPORT INTERNATIONAL TRAUMA LIFE SUPPORT NC ITLS Rev. 2/18 STUDENT GUIDE TO INTERNATIONAL TRAUMA LIFE SUPPORT What to wear ITLS is a practical course that stresses hands-on teaching. You should wear comfortable

More information

BLS ROUTINE MEDICAL CARE

BLS ROUTINE MEDICAL CARE BLS ROUTINE MEDICAL CARE Scene safety # Assure scene safety prior to patient contact C-spine # Perform manual cervical spine stabilization if indicated (Follow the cervical spine protocol.) ABCs # Assess

More information

MEDICAL CONTROL POLICY STATEMENT/ADVISORY. Re: Spinal Injury Assessment & Spinal Precautions Procedure

MEDICAL CONTROL POLICY STATEMENT/ADVISORY. Re: Spinal Injury Assessment & Spinal Precautions Procedure MEDICAL CONTROL POLICY STATEMENT/ADVISORY No. 2015-01 Date: January 20, 2015 Re: Spinal Injury Assessment & Spinal Precautions Procedure Office of the Medical Director Noel Wagner, MD, NREMT-P 1000 Houghton

More information

OUTLINE SHEET 5.4 PRIMARY SURVEY

OUTLINE SHEET 5.4 PRIMARY SURVEY ENABLING OBJECTIVES: 4.7 List the procedures used in a primary survey. 4.8 Demonstrate primary survey procedures used in a mock trauma (moulage) scenario without injury to personnel or damage to equipment.

More information

The Human Body. Lesson Goal. Lesson Objectives 9/10/2012. Provide a brief overview of body systems, anatomy, physiology, and topographic anatomy

The Human Body. Lesson Goal. Lesson Objectives 9/10/2012. Provide a brief overview of body systems, anatomy, physiology, and topographic anatomy The Human Body Lesson Goal Provide a brief overview of body systems, anatomy, physiology, and topographic anatomy Medial Lateral Proximal Distal Superior Inferior Anterior Lesson Objectives Explain the

More information

History Data Panel. Case 030 Preg Trauma. Presenting Complaint Altered mental status s/p MVC. Person Giving Information EMS

History Data Panel. Case 030 Preg Trauma. Presenting Complaint Altered mental status s/p MVC. Person Giving Information EMS History Data Panel Presenting Complaint Altered mental status s/p MVC Person Giving Information EMS History of Present Illness 28 year old woman, 35 weeks pregnant per report of her husband the passenger.

More information

Aviation Rescue Swimmer Course

Aviation Rescue Swimmer Course Aviation Rescue Swimmer Course Primary Survey LT 5.4 December 2003 1 Objectives List the procedures used in a primary survey. Demonstrate primary survey procedures used in a mock trauma (moulage) scenario

More information

XXX Spinal Motion Restriction

XXX Spinal Motion Restriction Nor-Cal EMS Policy & Procedure Manual NAME OF MODULE XXX Purpose: The purpose of this protocol is to protect patients with signs and symptoms of spinal injuries and those who have the potential for spinal

More information

August 2012 CE. Site code # E Reading the Scene

August 2012 CE. Site code # E Reading the Scene August 2012 CE Site code # 107200E-1212 Reading the Scene Prepared by Sharon Hopkins, RN, BSN, EMT-P To view on the Advocate Condell website visit: www.advocatehealth.com/condell/body.cfm?id=422 Date of

More information

1. Which of the following organs is contained in the retroperitoneal region of the abdomen? A. Stomach B. Liver C. Kidney D.

1. Which of the following organs is contained in the retroperitoneal region of the abdomen? A. Stomach B. Liver C. Kidney D. 1. Which of the following organs is contained in the retroperitoneal region of the abdomen? A. Stomach B. Liver C. Kidney D. Uterus 2. What is Sellick's maneuver? A. A method allowing the rescuer to hold

More information

10O SPLINTING OF INJURIES ADULT & PEDIATRIC. 10Oa: Axial/Spine with Selective Spinal Motion Restriction Adult & Pediatric:

10O SPLINTING OF INJURIES ADULT & PEDIATRIC. 10Oa: Axial/Spine with Selective Spinal Motion Restriction Adult & Pediatric: 10O SPLINTING OF INJURIES ADULT & PEDIATRIC EMERGENCY MEDICAL RESPONDER EMT EMT-INTERMEDIATE 85 ADVANCED EMT PARAMEDIC 10Oa: Axial/Spine with Selective Spinal Motion Restriction Adult & Pediatric: Many

More information

2015 Interim Training Materials

2015 Interim Training Materials 2015 Interim Training Materials ACLS Manual and ACLS EP Manual Comparison Chart Assessment sequence Manual, Part 2: The Systematic Approach, and Part BLS Changes The HCP should check for response while

More information

Trauma Life Support Pre-Hospital (TLS-P) Preparatory Materials

Trauma Life Support Pre-Hospital (TLS-P) Preparatory Materials Trauma Life Support Pre-Hospital (TLS-P) Preparatory Materials 1 1. A high-risk bodily fluid for spreading infection is blood. 2. Items that can reduce the spread of infection include masks, gloves, and

More information

ITLS Pediatric Provider Course Advanced Pre-Test

ITLS Pediatric Provider Course Advanced Pre-Test ITLS Pediatric Provider Course Advanced Pre-Test 1. You arrive at the scene of a motor vehicle crash and are directed to evaluate a child who was in one of the vehicles. The patient appears to be a child

More information

Chapter 11 - The Primary Assessment

Chapter 11 - The Primary Assessment Introduction to Emergency Medical Care 1 OBJECTIVES 11.1 Define key terms introduced in this chapter. Slides 11 12, 14, 19 21, 28 11.2 Explain the purpose of the primary assessment. Slides 11 13 OBJECTIVES

More information

Michigan Pediatric Cardiac Protocols. Date: November 15, 2012 Page 1 of 1 TABLE OF CONTENTS

Michigan Pediatric Cardiac Protocols. Date: November 15, 2012 Page 1 of 1 TABLE OF CONTENTS Date: November 15, 2012 Page 1 of 1 TABLE OF CONTENTS Pediatric Asystole Section 4-1 Pediatric Bradycardia Section 4-2 Pediatric Cardiac Arrest General Section 4-3 Pediatric Narrow Complex Tachycardia

More information

12-Lead ECG. Cardioversion. Evaluator: Evaluator: Identifies indications and contraindication for 12-Lead. Identifies indications for cardioversion

12-Lead ECG. Cardioversion. Evaluator: Evaluator: Identifies indications and contraindication for 12-Lead. Identifies indications for cardioversion 12-Lead ECG Cardioversion Identifies indications and contraindication for 12-Lead Identifies indications for cardioversion Assembles equipment Turns monitor on, applies pads and cables appropriately Prepares

More information

Frontline First Aid First Responder Session Quizzes

Frontline First Aid First Responder Session Quizzes Session 1 1. One of the 4 parts of the Patient Assessment Model is: a. Injury Survey b. Patient Survey c. Critical Survey d. Ongoing Survey 2. One of the Secondary responsibilities of the First Responder

More information

EMS 202: Emergency Medical Technician Course Schedule

EMS 202: Emergency Medical Technician Course Schedule 0- Aug EMS 0: Emergency Medical Technician Course Schedule (Section 111 - Tuesday/Thursday Mornings) ***UNLESS OTHERWISE STATED, ALL ASSIGNMENTS ARE DUE ON THE NEXT DAY OF CLASS*** **IT IS STRONGLY SUGGESTED

More information

MIAMI-DADE COLLEGE. Common Course Number: HSC Course Title: Basic Emergency Care. Course Catalog Description:

MIAMI-DADE COLLEGE. Common Course Number: HSC Course Title: Basic Emergency Care. Course Catalog Description: Common Course Number: HSC 2400 MIAMI-DADE COLLEGE Course Title: Basic Emergency Care Course Catalog Description: Designed to provide opportunities to develop, practice, and display skills concerning emergency

More information

FIRST AID WRITTEN EXAM. Team Name: 1. Participation in a critical incident stress debriefing (CISD) is mandatory. a. TRUE b. FALSE

FIRST AID WRITTEN EXAM. Team Name: 1. Participation in a critical incident stress debriefing (CISD) is mandatory. a. TRUE b. FALSE 2015 NEW IBERIA MINE RESCUE CONTEST FIRST AID WRITTEN EXAM Name: Date: 1. Participation in a critical incident stress debriefing (CISD) is mandatory. 2. The use of accessory muscles in the chest, abdomen

More information

Portage County EMS Annual Skills Labs

Portage County EMS Annual Skills Labs Portage County EMS Annual Skills Labs Scope: Provide skills labs for all Emergency Medical Responders and First Response EMTs to assure proficiency of skills and satisfy the Wisconsin State approved Operational

More information

B. high blood pressure. D. hearing impairment. 2. Of the following, the LEAST likely reason for an EMS unit to be called

B. high blood pressure. D. hearing impairment. 2. Of the following, the LEAST likely reason for an EMS unit to be called CHAPTER 36 Geriatrics HANDOUT 36-2: Evaluating Content Mastery Student s Name EVALUATION CHAPTER 36 QUIZ Write the letter of the best answer in the space provided. 1. Among patients over age 65, almost

More information

Use of Automated External Defibrillators (AED s) Frequently Asked Questions

Use of Automated External Defibrillators (AED s) Frequently Asked Questions Use of Automated External Defibrillators (AED s) Frequently Asked Questions With thanks to Sheffield City Council, HR Service 1 Use of Defibrillators Frequently Asked Questions What is a defibrillator?

More information

ADVANCED AIRWAY MANAGEMENT

ADVANCED AIRWAY MANAGEMENT The Advanced Airway Management protocol should be used on all patients requiring advanced airway management procedures. This protocol is divided into three sections the Crash Airway Algorithm, the Rapid

More information

Cardiac Emergencies. Jim Bennett Paramedic and Clinical Education Coordinator American Medical Response Spokane, Washington

Cardiac Emergencies. Jim Bennett Paramedic and Clinical Education Coordinator American Medical Response Spokane, Washington Cardiac Emergencies Jim Bennett Paramedic and Clinical Education Coordinator American Medical Response Spokane, Washington The Heart -------Aorta Pulmonary Veins---- Superior Vena Cava------ Right Atrium-----

More information

Adult Intubation Skill Sheet

Adult Intubation Skill Sheet Adult Intubation 2. Opens the airway manually and inserts an oral airway *** 3. Ventilates the patient with BVM attached to oxygen at 15 lpm *** 4. Directs assistant to oxygenate the patient 5. Selects

More information

Chapter 24 Soft Tissue Injuries Presentation Notes

Chapter 24 Soft Tissue Injuries Presentation Notes Names: Chapter 24 Soft Tissue Injuries Presentation Notes Anatomy of the Skin - Function of the Skin control Soft-Tissue Injuries injuries Soft-tissue damage the skin injuries Break in the of the skin

More information

EMS 202: Emergency Medical Technician Course Schedule

EMS 202: Emergency Medical Technician Course Schedule 19- Aug EMS 0: Emergency Medical Technician Course Schedule Section 109 Monday/Wednesday Mornings ***UNLESS OTHERWISE STATED, ALL ASSIGNMENTS ARE DUE ON THE NEXT DAY OF CLASS*** **IT IS STRONGLY SUGGESTED

More information

PEMSS PROTOCOLS INVASIVE PROCEDURES

PEMSS PROTOCOLS INVASIVE PROCEDURES PEMSS PROTOCOLS INVASIVE PROCEDURES Panhandle Emergency Medical Services System SURGICAL AND NEEDLE CRICOTHYROTOMY Inability to intubate is the primary indication for creating an artificial airway. Care

More information

1 Chapter 40 Advanced Airway Management 2 Advanced Airway Management The advanced airway management techniques discussed in this chapter are to

1 Chapter 40 Advanced Airway Management 2 Advanced Airway Management The advanced airway management techniques discussed in this chapter are to 1 Chapter 40 Advanced Airway Management 2 Advanced Airway Management The advanced airway management techniques discussed in this chapter are to introduce the EMT-B student to these procedures only. In

More information