NREMT Review-Noah 🚑
Appendicitis
Bacterial infection
Inflammation=Swelling
Biggest concern=Ruptured appendix=Peritonitis=Shock
Danger-The pt. states suddenly, I have NO pain, and it feels better
Pain starts in umbilicus---goes to the RLQ
McBurney's Sign/Point
RLQ pain
Fever
Tachycardia
Rebound Tenderness
N/V
Abdominal Assessment
Inspection (bruising, trauma, distention)
Auscultation (presence or absence of bowel sounds)
Palpation (Rigidity, Rebound Tenderness, Fluid)
Percussion
Seizure
Erratic and disorganized firing of the brain's neuron
2 Main categories of Seizures
Generalized SZ (Affects the entire brain)
Focal SZ (Affects only 1 area of the brain)
Generalized SZ
Tonic-Clonic SZ (Grand Mal SZ)
Febrile SZ (A SZ caused by a rapid spike in temp) 6mo-3 yrs
Absence SZ (Petit-mal)-only occurs in peds. NO shaking-Loss of attn.
Tonic-Clonic
Aura-any sound, smell, taste, vision before a SZ occurs
Prodromal-just before the SZ
Tonic-Stiffening
Clonic (Ictal)-Shaking
Post-ictal
Focal SZ
Simple-Partial-No LOC, 1 body part is affected
Complex-Partial-+ LOC, but only 1 body part is affected
Status Epilepticus
A SZ lasting >5 min
3 or more SZ within 60 min
Having a 2nd SZ w/o regaining consciousness from the first one
Pneumonia
An infection in 1 part of 1 lung
Shock Position
Supine w/ legs elevated
Trendelenburg
Aneurysm
Swelling or ballooning of an artery
Dissection (Blood is dissecting through the layers of an artery)
Ruptured aneurysm
Thoracic Aortic Aneurysm-severe CP, tearing or ripping to the upper back
Unequal BPs on each arm
Abdominal Aortic Aneurysm-severe abdominal pain, tearing or ripping to the lower back
Homework
EMS Ops-Legal (Libel, Slander, Assault, Battery, 4 elements of negligence
START Triage
Prolapsed cord
Abruptio placenta
Ectopic Pregnancy
Croup vs Epiglottitis
Cholecystitis, Appendicitis, Pancreatitis, Peritonitis
Ischemic stroke vs Hemorrhagic stroke
ICP-Epidural vs Subdural bleeds
Pupil signs (Drug Types, Head injuries)