Subcutaneous Emphysema - Air embolism in soft tissue injuries. Pathophysiology: Air is able to travel to the soft tissues of the neck from the mediastinum and the retroperitoneum (the space behind the abdominal cavity) because these areas are connected by fascial planes. From the punctured lungs or airways, the air travels up the perivascular sheaths and into the mediastinum, from which it can enter the subcutaneous tissues. Spontaneous subcutaneous emphysema is thought to result from increased pressures in the lung that cause alveoli to rupture. In spontaneous subcutaneous emphysema, air travels from the ruptured alveoli into the interstitium and along the blood vessels of the lung, into the mediastinum and from there into the tissues of the neck or head. ... See MoreSee Less
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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Pediatric vs Adult Airway Pediatric Airway Anatomy differs from the Adult Airway in the following ways that make managing the Pedi Airway challenging to say the least •Obligate Nasal Breathers •Large Tongue •Large Occiput •Larynx and Trachea are funnel shaped •Vocal Cords slant anteriorly •Larynx located higher in neck (at C4 vs. C6 in adults) •Narrowest part of the pediatric airway is at cricoid cartilage (until age 5). In adults the narrowest part is at the glottis opening. •Glottis Location Different: •Premature Babies at C3 •Newborns C3-C4 •Adults C5 ... See MoreSee Less
IV Therapy! Intravenous (IV) Therapy is one of the most common invasive procedures handled in the prehospital environment. Proficiency in IV therapy technique is important for most procedures required in advanced life support. The range of catheter sizes vary depending on the specific need for the patient. ... See MoreSee Less
You are treating a 17-year-old female who is 34-weeks-pregnant and complaining of a severe headache and blurred vision. Your initial assessment reveals a substantial amount of edema, especially in her feet and hands. She states that she has not been under the regular care of a doctor during her pregnancy. This patient is likely to be suffering from:
A) Placenta previa B) Abruptio placenta C) Supine-hypotensive disorder D) Pre-eclampsia
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Michael OatesFolo ? You are treating a 17yo male, who 34 weeks ago knocked up the callers daughter, this patient is most likley suffering from A) Loraina Bobbitt Syndrome, B) Cranial Rectitus Syndrome C) Scared Shit Syndrome, D) Loss of vital signs.
Myocardial Contusions! Blunt cardiac injury is most frequently caused by traffic accidents and results from a direct blow to the chest from a steering wheel or rapid deceleration. A direct blow to the precordium or a sustained force to the thoracic wall compresses the heart between the sternum and spine. In rapid deceleration accidents the heart, which has relatively free movement in the anteroposterior direction, continues to move forward due to its momentum and strikes the internal sternum with considerable force. ★Other less frequent causes are: - Falls from a great height - Sport injuries - Blast forces ★Signs and Symptoms include: - Irregular heartbeat - Signs of a MI or ACS - Chest pressure or discomfort - Radiating pain - Sortness of breath ... See MoreSee Less
You are called to the local park for 10-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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Steven WilsonWhich is most likely to cause death 💀 is the question! Enlargement of the spleen after injury can take 2 days to weeks to Months to rupture. Liver injuries often heal without treatment but can require surgery. Blood vessels can sometimes be sealed up in the liver to prevent abdominal compartment syndrome. CAT is needed and surgery to see what the extent of the damage is.The Spleen is the most commonly injured organ.sometimes a less severe injury to the spleen will heal itself also. I would say the spleen.
2 days ago
Christopher BisnettWell really depends, on which area he was kicked in. Spleen ruptures you have internal bleed, stomach can bleed out as well. Liver plays huge role.. I want to say liver, but likely spleen
3 days ago · 1
Not only does the spleen hold a considerable volume of blood in all ages, it is vital for immune system health in peds
3 days ago
Heather HuntleyLiver is highly vascular as well. Is the answer spleen bc its less protected and more susceptible to injury?
3 days ago
Shea AlyceSpleen! Hits close to home, lost mine at 14 in a Horse jumping accident, ouchy. Was lucky though and got keyhole :)
3 days ago · 2
Wendy DonohueD more likely in a paed but A could have a haematoma or small laceration
2 days ago
Jo R DanWhy is it spleen and not liver? Both seem like good choices
The 3-3-2 Rule The 3-3-2 rule is a tool to help you estimate the difficulty of intubation by assessing the anatomic limitations to visualizing the larynx. For example, small mouth opening, short chin (no room to displace the tongue), and superior/anterior location. -Check that the mouth opening is at least 3 patient-sized fingers. -Check that there is room for 3 patient-sized fingers between the tip of the chin and the hyoid bone. -Check that there is room for 2 patient-sized fingers between the hyoid bone and the top of the thyroid cartilage. ... See MoreSee Less
You and your partner are dispatched to the home of a 3-year-old child whose parents couldn't arouse her after her nap. Dispatch tells you that the parents have started CPR. Cardiac arrest in young children is most commonly associated with which of the following?
A) undiagnosed cardiac disease B) trauma from motor vehicle collisions C) respiratory problems and disease D) child abuse
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Katherine Ann JordanSo what's really interesting is my brother was born with hypoplastic right heart syndrome and they did what's call the Fontan procedure. His inferior and superior vena cava are directly connected to his pulmonary artery. The right side of his heart does not pump blood.
The Conduction System! The conduction system of the heart has two Nodes and a bundle branch. The two nodes are in the right atrium and named according to their location: Right Atrium - superior vena cava - sinoatrial node (SA node) - right atrioventricular valve - atrioventricular node (AV node) The AV node and bundle of His form the atrioventricular junction. This junction serves as the only electrical link between the atria and ventricles of a normal heart. (keep that in mind) The bundle of His reaches into the interventricular septum; once there, the bundle of His divides into the right & left bundle branches! ... See MoreSee Less
Patrick TheriotMine was older, had 2 cans and a long string to med control
Actually, the one I used was a older model. Motorola, bone color.
Everything was heavier back then. It amazes me my body survived those years.
I hit year 33 this year!
4 days ago · 3
Scott UnglesI got a lot of experience using that with the Fire medic units during my time with Seals Ambulance in HB/NB/CM and other Orange County CA agencies back in the late 80's.
Pericarditis Pericarditis is an inflammation of the pericardium. It's usually acute and develops suddenly. If you could see and touch it, the membrane around the heart would look red and swollen, like the skin around a cut that becomes inflamed. Sometimes excess fluid develops in the space between the pericardial layers and causes a pericardial effusion - buildup of excess fluid around the heart.
Signs and Symptoms include: Positional chest pain (pain is usually relieved by leaning forward) Shortness of breath History for recent infection or fever
ECG findings: Diffuse, concave ST- segment elevation Depressed PR segment NO reciprocal changes/ST depression ... See MoreSee Less
Managing a Poor APGAR Score (PSS) There are three things to remember when managing an infant with a low APGAR score: Position, Suction, and Stimulate (PSS). ★Position the body so that the head is down and the airway is open. ★Suction mucous and fluid from the mouth and nostrils. ★Stimulate the infant by tapping the bottoms of the feet. ... See MoreSee Less