Myob YgobThe substance I consume has 80mg of caffeine per 10oz. serving. It is not coffee...English breakfast tea, actually and I use it triple strength per cup...three bags per cup, that's right. 240mg of caffeine per EACH 10oz. cup. If you're still on coffee, you're a wimp. I use Twinings brand, btw. And the Irish Breakfast Tea is even stronger.
Transient Ischemic Attacks Transient ischemic attacks (TIAs) present with the same signs and symptoms as those of stroke; thus, assessment of a patient with a TIA is the same as that for a patient with stroke. TIAs are important predictors of brain infarction; however, they are not associated with permanent neurological deficits. ... See MoreSee Less
Pulmonary Physiology The major functions of the lungs include to provide tissue oxygen and to expel carbon dioxide. This exchange occurs at the alveolar and pulmonary capillary junction. This exchange is required for optimal utilization of energy and metabolism. The respiratory system consists of the upper airway and lower airway. The upper airway is comprised of the nose, mouth, and pharynx. The lower airway consists of the epiglottis, glottis, larynx, trachea, bronchi, bronchioles, and alveoli. The right lung has three lobes, and the left lung has two lobes with a smaller lingual lobe. ... See MoreSee Less
You are on scene with a 4-year-old female that has partial-thickness burns to the entire head and anterior chest. What percentage of the total body surface area does this represent?
A) 18% B) 9% C) 24% D) 32%
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You are called to the local park for 12-year-old male that was repeatedly kicked in the abdomen during a fight. An injury to which abdominal organ is most likely to cause death in a pediatric patient?
A) Liver B) Appendix C) Stomach D) Spleen
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Amanda Randall WeberIt doesn't ask you where he's been kicked; it asks you which organ is most likely to lead to death if damaged. There are no pancakes on the roof in this scenario. Dont overthink it.
2 days ago · 12
Robert MendozaD. I really don't think anyone kicking someone repeatedly in the abdomen looks to target a certain quadrant. The question is: An injury to which abdominal organ is most likely to cause death in a pediatric patient?
2 days ago · 1
Clifton CastlemanAccording to all the research I've done (mainly because I was simply curious), the LIVER is actually the most commonly injured - and is nearly tied with the *second most common* abdominal injury in children, the SPLEEN, for most deaths.
You and your partner have just assisted in a field delivery. Your partner tells you to take the infant and perform an APGAR assessment. An APGAR assessment should be performed:
A) at one minute and five minutes after crowning B) at one minute and five minutes after delivery C) at five minutes and ten minutes after delivery D) only once after you cut the cord
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Cardioversion! Cardioversion is used for patients in an irregular rhythm, such a atrial fibrillation or v-tach with a pulse. An important thing to remember in cardioversion is that the shock is synchronized to the R wave. Shocking during the absolute refractory period (T-wave) will likely create asystole. Make sure sync button is on and you see R-wave capture. This is usually represented by a little dot or arrow at the top of the R-wave on the monitor. ... See MoreSee Less
Hemochromatosis! Hemochromatosis is a genetic disease in which the body absorbs more iron than needed. The extra iron is stored in various organs, including the kidneys, liver, and pancreas. This disorder can lead to diabetes, cardiovascular disease, liver disease, arthritis, impotence, and a bronze skin tone. These symptoms can be avoided by regular blood draws. ... See MoreSee Less
What type of injury is this? How would you treat this patient?
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Jean Elizabeth KrevorI do think we need more to go by than just the photo. Was the temperature cold outside? How did we find the patient? If it's frostbite, it's REALLY progressed, and it's odd the palm is involved like that, although s/he could have been grasping something metal that froze the palm too.
1 week ago · 13
Amanda KnorrI'm going with severe frostbite. The only type of history I seem to have is that his thumb is missing so probably had frost bite before and lost his thumb? Sterile dressing, keep patient warm and consider pain management.
Jason ClattThat's an environmental injury or a chemical injury. Lol. No seriously. Looks like frostbite with the waxy look of the skin and obvious death of the skin tissues on the finger tips. Could have been exposed in cold environment. Or spilled a cryogenic type fluid or gas on the hand (liquid nitrogen).
Malume InnoIts Dry gangrene. The treatment will be amputation, antibiotics, wound dressing, pain management, psychological support, physiotherapy, occupational therapy
1 week ago · 2
Kim ElsiforI'm not studying meds or EMT or anything like that but I knew this was an electricity burn, 3rd degree. Black skin, gray nails and pealing skin. But, don't ask me how to tend to it there I am at a complete loss.
Mike FrancisNot enough to go on. Normally I'd say frost bite, but I'm considering potentially poor circulation leading to necrosis. Reason I say this is: 1) electrical is more of a dark brownish black and charred, this has definitive edges. 2) I'd bet they're elderly by the hands/nails. 3) frost bite is usually very close to this except the palm. I can't see you having the palm effect with frostbite, but I could be wrong.
Either way, poor circulation/necrosis, regardless of from frostbite or peripheral arterial/vascular disease.
1 week ago · 10
Gayland W GrantI belive it is Electrical burn. Add moist bandages covered. Start a line in the good arm. Monitor cardiac.
1 week ago · 3
Timothy Lynn O'CeallaighEither electrical burn or severe forstbite. Need general impression/scene sizeup to differentiate
1 week ago · 9
Brent DeMarkI lean electrical burn due to the odd pattern, but could as well be severe frostbite.
Good one. Im curious my self.
Measuring Fundal Height A quick method of estimating the date of a pregnancy is by measuring fundal height. This is the distance from the symphysis pubis to the top of the uterine fundus. The fundus is measured by running a measuring tape vertically from the top of the pubis bone to the top of the fundus. Each centimeter of fundal height is considered equal to one week of gestation. For example, if the patient measures 20 cm, she would be approximately 20 weeks gestation. ... See MoreSee Less
Jessica WrightA group of us went to a cadaver lab and was asked to bag a pt. Then was asked if we thought we were successful. Everyone said yes. Then the instructor pulled back the cadaver skin to expose lungs and asked to to ventilate again so we could see how the lungs inflate with one person. No one, including men with bigger hands were getting air to the lower lungs, only the top. Instructor then had one person seal and one bag. We were successful every time that way. 2 man ventilation is not always able to happen, but it is definitely more successful.
1 week ago · 7
Derike CliftWell ur first problem is ur not holding the mask right..
The Umbilical Cord An essential part of fetal circulation is the umbilical cord. The umbilical cord is a flexible cord-like structure that connects a fetus at the abdomen with the placenta. It contains two umbilical arteries and one vein that transports nourishment to the fetus and remove its wastes. ... See MoreSee Less
You have responded to the scene of a motor vehicle collision where a 27-year-old male driver has been pinned by the steering wheel. The patient is unresponsive, is breathing at 30 times per minute and very shallow, and has petechiae of the skin from the shoulders on up. The remaining rapid trauma assessment reveals no other injuries. If this patient remains pinned for greater than 20 minutes, which of the following treatment options should be considered?
A) Administering sodium bicarbonate. B) Performing bilateral pleural decompressions. C) Administering 20 cc/kg of lactated ringers. D) Placing and inflating a pneumatic anti-shock garment.
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David GoldblumThis is not compartment syndrome! This is traumatic asphyxia. There is not enough information here to select any of the options given. Treatment of this patient should include immediate intubation while he's still pinned, iv/io access. He will most likely be acidotic however, it would be from the reduced respiratory ability. Not compartment syndrome.
1 week ago · 4
Reginald John EwertStart pushing that bicarb. He's gonna have compartment syndrome and as soon as they extricate him, he's gonna decline and fast. I'm an EMT so I don't push meds, but have seen this on our scenes a couple times before. A all the way.
Linda MackieA...also take a Polaroid or two for the med record-could be useful if pt dies later in hospital , as pneumonia will be later risk and possibly listed as cause of death...but without photo and record, compartment syndrome will not be listed as related cause and can effect insurance outcome for family.
Besides, a picture is worth a thousand words...
1 week ago
Michael RuizA. Being trapped that long causes compartment syndrome which is treated by sodium bicarbonate.
Steve FloridaSo, it isn't sinus batacardia? Okay, no p wave-junctional batacardia?
1 week ago
Cerebrospinal Fluid (CSF) The cerebrospinal fluid aids in the protection of the brain, spinal cord, and meninges by acting as a watery cushion surrounding them to absorb the shocks to which they are exposed.
If you suspect a skull fracture and there is evidence of bleeding from the nose or ears (any bleeding from the skull when a fracture is suspected) you can sometimes determine the presence of CSF in the blood with a Halo Test: If possible - take a drop of the suspected blood and let it drip onto a sheet, paper towel or filter paper (coffee filters work great in a pinch). - Watch the drop of blood for signs of the CSF leaving the denser blood and producing the tell-tale Halo sign. You will see a distinct lighter ring around the coagulating blood drop, suggesting a skull fracture and determining your patient to be a definite Load-N-Go! ... See MoreSee Less