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You are responding on a 45 y/o male patient w/ c/o abdominal pain and N/V. It is a warm summer day, the patient is located on the 3rd floor of an apartment building, and states they have a history of asthma. Based on the dispatch information, what condition does the Paramedic suspect?

A. Appendicitis (worsens/onsets in hot weather environments)

B. Pancreatitis (causes-alcoholism & Gallstones)-X

C. Cholecystitis

D. Flare-up of Crohn's Disease-X

LUQ

ICS-Incident Command System

"NIMS"

Whoever the first person on scene is=Establishes Incident Command

MCI=Mass Casualty Incident

• >3 patients

"Span of Control"

You are responding on a warm summer day to an apartment building for a 42 y/o male patient who is c/o severe abdominal pain and N/V. The patient reports a history of asthma. What condition would the Paramedic suspect?

A. Appendicitis

B. Pancreatitis (causes-1. Alcoholism 2. Gallstones)-X

C. Cholecystitis-X

D. Crohn's Disease flare up-X

Potassium (Electrolyte)

You are responding on a warm summer day to an apartment building for a 42 y/o male patient who is c/o severe abdominal pain and N/V. The patient reports a history of asthma. What condition would the Paramedic suspect?

A. Appendicitis

B. Pancreatitis (Causes-Gallstones & Alcoholism)

C. Cholecystitis (Seen in females)

D. Crohn's Disease flare up (Chronic-autoimmune)

IBD-Inflammatory Bowel Disease

Cholecystitis

• Females

• Is caused by cholelithiasis=Gallstones

• 6 Fs of gallbladder Disease-Female, fat, Forty, Fertile, fatty/fried foods, fair skinned

Appendicitis

• Seen more often in hotter months

• WELCOME!!!!!!!

  
  

• This exam is not about the big obvious picture; it is about the small details!!!! (Words, Phrases, History, Risk factors, Etc.)

• The NREMT knows that you guys know the big obvious topics and material.... they want to see if you can think outside the box, pay attention to detail, and utilize forward thinking clinical judgement!!!

  
  

  The 3 most important things to know for this exam!!!

  • 1. Pathophysiology (what is happening in the body w/ the disease or injury)

  • 2. Differential Diagnosis/Signs & symptoms

Pharmacology

Antihypertensives

• Beta Blockers

• Calcium Channel Blockers

• Vasodilators

• ACE Inhibitors

Normal Gestation

• 37-40 weeks

• The last thing to develop in a neonate in utero=The Lungs

• The lungs are developed at week 37

• Prematurity=Less than 37 weeks

Gravida-# of pregnancies

How do we confirm Tube placement

• Capnography

• Lung sounds

• Absent gastric sounds

• Condensation

• Seeing the tube pass the cord