CMS First Aid – Flashcards
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ABC
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Airway Breathing Circulation
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a duty to take some action to prevent harm to another and for the failure of which one may be liable depending on the relationship of the parties and circumstances
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duty to act
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The standard of care required of law enforcement and correctional officers rendering emergency aid whether on-duty or off-duty is the same:
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To render such competence and skill as he or she possesses
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Duty to Act
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refers to your contractual or legal obligation to provide care
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Breach of Duty
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occurs when you either fail to act or act inappropriately
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Standard or scope of care is that
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you are expected to provide to the same patient under the same conditions as would any criminal justice first aid provider who received the same level of training
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protects a civilian first aid provider from liability for medical care performed in good faith or medical care similar to that expected of another first aid provider with equal training.
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Good Samaritan Act
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Automated external defibrillator
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AED
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The relinquishing of a right or interest with the intention of never again claiming it.
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Abandonment
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The failure to exercise the standard of care that a reasonably prudent person would have exercised in a similar situation or willfully disregardful of anothers rights
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Negligence
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Abandonment
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the relinquishing of a right or interest with the intention of never again claiming it
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abdominal eviseration
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an open wound where organs protrude from the abdominal cavity
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abraision
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an open wound caused by scraping, shearing away, or rubbing the outermost skin layer
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advanced directive
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documents a patients request to withhold specific medical care
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Acquired Immune Deficiency Syndrome; caused by HIV
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AIDS
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any infection spread from person to person through the air; caused by breathing in microscopic, disease-bearing organisms called pathogens
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Airborne disease
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the bag of fluid surrounding the fetus
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amniotic sac
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the gross removal of an appendage, complete or incomplete
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amputation
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a severe allergic reaction in which air passages swell and restrict breathing; caused by insect bites or stings, pollen, medications, foods, chemicals, or other substances
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anaphylaxis
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bright red blood spurting from a wound, indicating a severed or damaged artery
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arterial bleeding
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results from the narrowing of airway passages, causing breathing difficulities
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asthma
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method for identifying four levels of patient responsiveness; alert, verbal, pain, and unresponsiveness
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AVPU
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an injury characterized by a flap of skin, torn or cut, that may not be completely loose from the body
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avulsion
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the passage the fetus is pushed through during delivery
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birth canal
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an obvious discoloration (black and blue) of the soft tissue at the injury site
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bruising
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controlling infection by separating patients from each-other; includes two basic behaviors: the use of medical PPE and personal behaviors that reduce risk
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BSI (body substance isolation)
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what are the basic behaviors that reduce the risk of infection
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washing hands wearing gloves body protecting suit
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dark red blood oozing from a wound, indication damaged capillaries
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capillary bleeding
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the muscles in the heart that constantly work to expand and contract it
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cardiac muscles
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Center for Disease Control & Prevention
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CDC
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located in the brain and spinal; components are the body's mainframe computer where all communication and control orginate
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central nervous system
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the neck of the uterus; contains a mucus plug
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cervix
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occurs when a burning chemical comes into contact with skin
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chemical burn
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circulatory system
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pumps blood throughout the body; consists of the heart, blood vessels, and blood
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results from blunt trauma to the chest area; damages internal organs and/or cause internal bleeding
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closed chest injury
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a fracture in which the skin at the injury site remains intact
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closed fracture
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a potentially poisonous byproduct of combustion
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CO (carbon monoxide)
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a closed injury that is discolored and painful at the injury site
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contusion
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cardiopulmonary resuscitation
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CPR
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changes in the circulation causing the lips, palms, and nail beds to turn blue
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cyanosis
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a disease in which the body does not produce or properly use insulin
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diabetes
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ingests and digests food and nutrients; includes the stomach, pancreas, liver, gallbladder, and small and large intestions
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digestive system
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the first stage of labor; begins with the initial contraction and continues until the fetus enters the birth canal
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dilation
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an injury occurring when the end of a bone comes out of it's socket at the joint
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dislocation
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Do Not Resuscitate or Do Not Resuscitate Order AKA (Advanced Directive); documents the terminally or chronically ill patients wish to refuse resusciation
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DNR / DNRO
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deformities, open injuries, tenderness, and swelling; injuries and symptoms to look for during a physical assessment of a potentially injured person
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DOTS
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occurs when man-made or natural (lightning) electricity comes into contact with the skin and body, causing the skin or internal organs to burn
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electrical burn
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a relocation preformed when a patient is in immediate danger or when the patients location prevents providing care to him or her or another patient
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emergency move
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network of trained professionals linked to provide advanced, out-of-hospital care for victims of a sudden traumatic injury or illness
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EMS system (emergency medical services system)
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emergency medical technicians who have advanced, specialixed training that enables them to provide comprehensive care to patients
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EMT (emergency medical technician)
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an open wound where organs protrude
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evisceration
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consent that is clearly and mistakenly stated
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expressed consent
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the second stage of labor; the fetus moves through the birth canal and is delivered
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expulsion
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thighbone; the longest and strongest bone in the human body
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femur
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a closed chest injury that occurs when two or more adjacent ribs are fractured in two or more places and become free floating
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flail chest
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a bone break
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fracture
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a third degree burn that damages all skin layers and affects muscles and nerves; causes skin to look waxy, white, or charred
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full thickness burn
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protects physicians who render emergency care from civil suits; also protects first aid providers
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Good Samaritan Act
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caused by oxygen deprivation to part of the heart, typically from a blocked blood vessel
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Heart Attack
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a closed injury that evidences as a discolored lump
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hematoma
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hepatitis A virus
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a highly infectious disease spread by person- to - person contact, generally through fecal contamination or oral ingestion
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hepatitis B virus
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a highly infectious disease spread through sexual contact, sharing contaminated needles (through intravenous drug use), or through blood transfusions
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hepatitis C virus
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the most common chronic blood-borne infection; primarily transmitted through direct contact with human blood, from sharing needles or drug paraphernalia, or from an infected mother delivering her bady
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HIPAA
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Health Insurance Portability and Accountability Act of 1996
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bloodborne virus that attacks the immune system and causes AIDS
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HIV Human Immunodeficiency Virus
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what primarily is transmitted through sexual contact with an infected individual; when intravenous drug users share contaminated needles, mother to unborn child, contact with blood and certain body fluids and tissue from an infected individual
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HIV
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occurs when the body cannot recover from fluid loss
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hyperthermia
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the excessive cooling of the body's core temperature
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hypothermia
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Incident Command System
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ICS
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consent inferred from conduct rather than from direct expression
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implied consent
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a person's agreement to allow something to happen, made with full knowledge of the risks involved and the alternatives
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informed consent
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occurs when a patient has a burn to any part of the airway
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inhalation burn
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the hormone needed to convert sugars, starches, and other food into energy needed for daily life
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insulation
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smooth muscles that carry out many automatic body functions
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involuntary muscles
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the final phase of pregnany; begins the birthing process
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labor
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an open wound in soft tissue
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laceration
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a patient's mental status due to illness or injury
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LOC (level of consciousness)
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an incident that involves more than one victim
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MCI multiple casualty incident
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a bracelet, necklace, or card that alerts medical personnel to a specific medical condition
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medic alert
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a type of bacteria that is highly contagious and resistant to certain antibiotics; causes a skin infection that is red, swollen, painful, or warm to the touch; may have purulent drainage or appear to be a spider bite, pimple, or boil
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MRSA
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gives the body shape, protects internal organs, and provides body movement
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muscular system
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controls voluntary and involuntary body activities, supports higher mental functions such as a thought and emotion, allows the individual to be aware of and react to the environment, and keeps the rest of the body's systems working together
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nervous system
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airtight
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occlusive
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an injury that occurs when penetration opens the chest area
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open chest injury
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a fracture where the skin at the injury site is broken, and the bone may protrude through the skin
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open fracture
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second-degree burn that damages the first tow skin layers, which blister and feel very painful
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partiial thickness burn
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includes nerves that connect to the spinal cord and branch out to every other part of the body; serves as a two-way communication system
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peripheral nervous system
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the disk shaped inner lining of the uterus; provides nourishment and oxygen to a fetus
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placenta
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the third stage of labor during which the placenta separates from the uterine wall and moves through the birth canal for delivery
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placental
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when examining extremities for potential injuries, indicates what to check for: pulse, and motor and sensory function
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PMS
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death as a result of a body position that interferes with one's ability to breathe
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positional asphyxia
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items that protect individuals from harmful substances, infections, or other people; includes eye protection, gloves,shields and biohazard bags
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PPE personal protective equipment
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the result of driving a sharp or blunt, pointed object into soft tissue
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puncture wound
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a position where the patient is rolled over (preferably onto the left side) with knees slightly bent; helps maintain an open airway if the patient vomits and may prevent positional asphyxia
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recovery position
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delivers oxygen to and removes carbon dioxide from the blood
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respiratory system
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signs and symptoms, allergies, medications, past history, last oral intake, events; method to help an officer acquire information useful in determining causes of injury or illness
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SAMPLE
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failure of the heart and blood vessels (circulatory system) to maintain enough oxygen-rich blood flowing to the vital organs of the body
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shock
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the supportive framework for the body, giving it shape and protecting vital organs; attains mobility from the attached muscles and manufactures red blood cells
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skeletal system
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the protective covering for the inside of the body; provides a barrier against bacteria and other harmful substances and organisms; acts as a communication organ; helps regulate body temperature
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skin
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a method of triage that assesses a large number of victims rapidly using personnel with limited medical training
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START (Simple Triage And Rapid Treatment)
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infection transmitted through sexual contact; among the most common infectious diseases
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STD (sexually transmitted disease)
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damage to part of the brastrokein due to the rupture or blockage of a blood vessel
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stroke
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type of open chest injury in which air and/or blood escapes into the area surrounding the lungs, creating a change in the pressure in the chest cavity
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sucking chest injury
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first-degree burn that damages the first layer of skin; becomes red and feels very painful
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superficial burn
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soft tissue that is raised when blood or other body fluids pool beneath the skin at the injury site
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swelling
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a highly infectious airborne disease
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TB (tuberculosis)
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a burn that occurs when an external heat source comes into contact with the skin
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thermal burn
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a device, such as a bandage, that restricts bloodflow to an extremity such as a arm or leg
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tourniquet
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triage
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a system of sorting and classifying of patients; determines order in which patients receive medical attention; assesses a large number of victims rapidly
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connects the fetus and the mother; provides nourishment to the fetus
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umbilical cord
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procedures designed to prevent transmission of HIV, hepatitis B virus, and other blood-borne pathogens
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universal precautions
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United States Department of Transportation
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USDOT
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the organ that holds the developing fetus
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uterus
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bleeding where dark red blood flows steadily from a wound, indicating a severed or damaged vein
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venous bleeding
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muscles used for deliberate acts, such as chewing, liftinf, and running
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voluntary muscles
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Three types of consent
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expressed consent implied consent informed consent
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Can a criminal Justice first aid provider honor a DNR
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No, however Licensed medical professionals, EMT's, or paramedics can honor a DNR or Advanced directive
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what is characterized by assurance and is full of conviction?
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Confident Manner
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What is one of the most helpful tools you can use to deal with a crisis
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Empathy
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What are three lifestyle choices one can make that will help one cope with, reduce, or alleviate stress that include adequate sleep and rest?
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Nutrition Exercise Relaxation
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5 stages of greif
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denial anger bargaining depression acceptance
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a set of procedures designed to prevent transmission of human immunodeficiency virus (HIV), hepatitis B, and other bloodborne pathogens to first aid or health care providers.
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Universal Precautions
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filter masks and CPR masks
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Are two types of masks that can provide protection against airborne diseases
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The differences in how the different Hepatitis's are contacted
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A- food and waste( very serious) B- sex and needles C- Bloodborne infection, needles
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The two phases of TB
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TB infection- has no symptoms, detected by skin test TB Disease- is detected by Xray and mucus test, symptoms are coughing up blood, fatigue, weight loss, night sweats, constant cough
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voluntary, Involuntary, cardiac are
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3 different types of muscles
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What controls both the voluntary and involuntary body activities
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The nervous system
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The nervous system has two main systems
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The central and Peripheral nervous systems
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blood is composed of several components
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Plasma-clear,straw colored fluid Red blood cells-carry oxygen from lungs and carbon dioxide back White blood cells-fight infection and destroy bacteria Platelets-initiate the blood-clotting process
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Respiratory Circulatory Digestive Endocrine Genitourinary skin
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Oxygen Blood Ingesting and digesting food regulates body systems and hormones reproduction and waste removal barrier, and regulates temperature
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apply a dressing before the bandage
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when bandaging
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3 stages of labor
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Dilation Expulsion Placental
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Never restrain or delay delivery in any way
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True
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Signs and symptoms of a diabetic emergency
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intoxicated appearance altered mental state sweet,fruity or acetone breathe rapid or weak pulse seizures
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excessive cooling of the body's core temperature
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hypothermia
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localized injury from over exposure to cold
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frostbite
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Heat-related emergencies can occur from the loss of fluids and salts through heavy sweating, what occurs when the body can not recover from this fluid loss
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Hyperthermia
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Hyperthermia has 3 stages
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heat cramps heat exhaustion heat stroke- life threatening
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cool the body and if possible elevate the legs
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treatment of heat stroke
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Anaphylactic shock or anaphylaxis results from
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insect bites or stings, medications, pollen, foods, chemicals
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what is neither a medical nor a psychiatric condition. The term is used to describe the mental and physical effects of extreme drug abuse that can lead to death.
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Excited Delirium
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Types of shock
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Hypovolemeic shock Psychogenic shock Anaphylactic shock Neurogenic shock
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What helps maintain an open airway
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The recovery position
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Normal breathing rates
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adults 12-20 breaths per minute children 15-30 infants 25-50
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Good skin color and effortless breathing characterize adequate What does Inadequate breathing cause
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poor skin color, particularly in the mouth and nose areas, and patients may experience labored breathing
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LOC is ?
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Level of consciousness
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Over view of a Patient is
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AVPU A alert V verbal P pain U unresponsive
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What are the 4 stages To size up a scene
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Scene safety mechanism of injury or nature of illness the number of victims the need for additional rescuers or special equipment
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What are the 4 elements of Blood
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Plasma- clear fluid Red blood cells- carries oxygenated blood White blood cells- fight infection Platelets- initiate the blood clotting process
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Vessels called Arteries carry blood...
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away from the heart, oxygenated blood to the rest of the body
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Vessels called Veins carry blood
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UN-oxygenated back towards the heart
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Capillaries are the small vessels that connect what together
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the arteries to veins
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Muscles used for deliberate acts, such as chewing, bending, lifting and running are what kind of muscle?
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Voluntary Muscles
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Any infection spread from person to person through the air is called a?
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airborne Infection
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Duty to act
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is a duty to take some action to prevent harm to another and for the failure of which one may be liable depending on the relationship of the parties
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The Standard of Care
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to render such competence and skill as he or she possesses
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What is clearly and unmistakably stated
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Expressed Consent
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What is the set of procedures the CDC designed to prevent transmission of human immunodeficiency virus, Hep B
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Universal Precations
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Effective verbal communication
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is the KEY SKILL needed to relay patient assessment information as accurately as possible
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SAMPLE is a method of determining causes of injury of illness
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S signs and symptoms A allergies M medication P past history L last oral intake E events leading to incident
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Physical (secondary) Assessment
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perform a physical assessment thorough head to toe evaluation performed to find other signs of injury or illness
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DOTS
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where you compare an injured part of the body to an uninjured similar part of the body. D deformities O open injuries T tenderness S swelling
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Pulse rates for Adult, Child, and Infant
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Adult 60-100 beats per minute Child 100- 120 beats per minute Infant 120-160 beats per minute
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Triage based upon Florida Incident Field Operations Guide
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is the sorting and classifying of patients, using the START method of TRIAGE ...Simple Triage and Rapid Treatment
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Types of shock
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Hypovolemic shock is caused by a decreased amount of blood or fluids Neurogenic shock caused by abnormal enlargement of the blood vessels (brain or spinal cord injury) Pschogenic shock, caused by excessive fear, joy, anger or grief. Anaphylactic shock, caused when the body is exposed to substances to which it is sensitive
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The principles of prevention and control are
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to recognize the signs and symptoms and to begin treatment before shock completely develops
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Soft tissue Injuries
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CONTUSION- a closed injury that is discolored and painful at the injury BRUISINGThree types of bleeding- is the obvious discoloration (black and blue) of the soft tissue at the injury site HEMATOMA- a closed injury that appears as a discolored lump SWELLING- is the soft tissue raised when blood or other body fluids pool beneath the skin at the injury site
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Large contusions- those that are the size of the patients fist may indicate what...
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may indicate a 10% blood loss because of blood pooled at the injury site
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Types of Open Soft Tissue Injuries
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abrasion- open wound caused by scraping, shearing away, or rubbing amputation- gross removal of appendage avulsion- flap of torn or cut skin that may not be completely loose from the body evisceration- open wound where the organs protrude laceration- open wound that varies in depth and width puncture wound- result of driving a sharp or blunt, pointed object into soft tissue
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Three types of bleeding
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Arterial bleeding- bright red blood spurts from a wound, indicating a severed artery venous bleeding- dark red blood flows steadily from a wound, indicating a severed or damaged vein Capillary bleeding- dark red blood oozes slowly from a wound indicating damaged capillaries
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Two pressure points are commonly used to control bleeding
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The brachial artery, located on the inner arms just above the elbows The femoral artery located on the inner portion of each leg just below the groin.
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Which do you apply first to a wound
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Dressing
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Occlusive
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is an airtight dressing.
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An open chest injury occurs when
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penetration opens the chest area
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A sucking chest injury
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is a type of open chest injury in which air and blood escape into the area surrounding the lungs, creating a change in the pressure in the chest cavity.
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An abdominal evisceration is an
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open wound where the organs protrude from the abdominal cavity.
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term for a broken bone is
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fracture
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Open Fracture
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is where the skin at the site is broken and the bone may protrude
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Closed Fracture
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The skin at the injury site remains intact
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Force breaks bone. Several types of force are:
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Direct Force- causes injury at the point of impact Indirect force- causes injury past the point of impact Twisting force- when one part of the limb stays stationary while the other twists. can cause a spiral fracture
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Before splinting a fracture check for these three things PMS
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P pulse assess for circulation before and after splinting M motor assess for motor function of upper extremities S sensory assess for sensation before movement
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Burn injuries are classified by depth.
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Superficial, damage to the first layer of skin, red and very painful Partical thickness damage to the first two layers of skin, blister and very painful Full thickness damage to all skin layers and affect muscle and nerves. may feel no pain from site but does feel pain from area around the burn
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Types of Burns
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Thermal- from an external heat source Chemical- when a chemical comes into contact with the skin. Electrical- man-made or natural electricity comes in contact with the skin and body Inhalation- when a patient has a burn to any part of the airway
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Good Samaritan act
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Protects a civilian first aid provider from liability for medical care performing in good faith
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Simple triage and rapid treatment(start)
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This is initial triangle system based upon Florida Incident Field Operation Guide(FOG)
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Abandonment
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The relinquishment of rights or interest with the intention of never again claiming it
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Negligence
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The failure to exercise the standard of care that a reasonable prudent person would have on a similar situation; any conduct that fail below the legal standards established to protect others against harm
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Battery
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The use of force against another resulting in harmful or offensive contact
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Expressed consent
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Consent clearly and unmistakably stated
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Implied consent
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Consent inferred from ones conduct rather than from ones direct expression
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Informal consent
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A persons agreement to allow something to happen made with full knowledge of risks involved and alternatives
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Advanced directive
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Do not resuscitate (dnr) order (dnro)
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Advanced directive
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Documents the patients request to withhold specific medical care
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Medical alert
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Bracelet, necklace, or card that alerts you to specific medical conditions such as allergy, epilepsy, or diabetes
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The health insurance portability and accountability act of 1996(HIPAA)
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Protects the rights of patients and the release of patients information
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The Center for Disease Control & Prevention defines UNIVERSAL PRECAUTIONS
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As a set of procedures designed to prevent transmission of human immunodeficiency virus(HIV), hepatitis B virus, other bloodBorne pathogens to first aid or health care providers
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PPE
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Personal protective Equipment(gloves, eye protection)
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BSI
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Body Substance Isolation
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2 types of PPE masks
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Filter masks and CPR masks
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Methicillin-resistant Staphylococcus Aureus (MRSA)
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Is a type of bacteria that is highly contagious and resistant to certain antibiotics
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Hepatitis A virus
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Not a bloodBorne disease; it is found in food and waste, and is passed on when a person swallows infected matter. Hep. A virus causes Hep. A
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Hepatitis B
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Caused by sexual contact or sharing needles, primarily transmits the hepatitis B virus
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Hepatitis C
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Most common chronic bloodBorne infection, caused by Hepatitis C virus. Occurs from sharing needles, contaminated sharps, sexual contact, or from a infected mother delivering her baby.
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Human Immunodeficiency Virus(HIV)
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BloodBorne virus that attacks the immune system. HIV causes AIDS. Occurs through contact with blood, sexual contact, mother to UNBORN child, and needles
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Sexual transmitted diseases (STDs)
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Sexually transmitted infections, are the most common infectious diseases in US. Of at least 20 identified
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DOTS
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Deformities, open injuries, tenderness, swelling
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S in sample
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Signs and symptoms
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A in sample
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Allergies
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M in sample
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Medications
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L in sample
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Last oral intake
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E in sample
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Events, that led to incident
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Positional asphyxia
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Term used to describe the placement of the body in a position that interferes with ability to breathe
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MCI
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Multiple casualty incident
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TriageTerm given to sorting and classifying patients, determines the order the patients will receive treatment
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START; simple triage and rapid treatment
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Shock
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Failure of the heart and blood vessels to maintain enough oxygen-rich blood flowing to vital organs
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Hypovolemic shock
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Decrease amount of blood or fluids in the body
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Neurogenic shock
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As abnormal enlargement of blood vessels
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Psychogenic shock
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Shock like condition, produced by excessive fair, joy, anger, or grief.
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Anaphylactic shock
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Occurs when an individual is exposed to substance to which body is sensitive
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Contusion
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Closed injury that discolored and painful
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Bruising
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Discoloration( black and blue) of soft tissu
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Hematoma
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Soft tissue raises when blood or other fluids pool beneath skin
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Abrasion
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Open wound caused by scraping, shearing away, or rubbing the outmost skin layer
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Avulsion
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A flap of torn or cut skin that may not be completely loose from body
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Evisceration
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Open wound where organ protrude
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Laceration
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Open wound in soft tissue that varies in depth and width
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The start method Of triage
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assesses a large number of victims rapidly and personnel with limited medical training can use it effectively
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Occlusive
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For deep lacerations, apply air tight dressing
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PMS
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Pulse, motor, and sensory function
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Amniotic sac
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Bag of fluid surrounding the fetus
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Placenta
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Disk-shaped inner linings of the uterus, provides nourishment and oxygen to fetus
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Cervix
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Neck of uterus, contains a mucus plug
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Labor
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Final phase of pregnancy, begins birthing process. Occurs in three stages dilation, expulsion, and placental
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Dilation
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First stage of labor, begins with the first contraction and continues until the fetus enters birth canal
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Expulsion
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Second phase of labor, fetus move through birth canal and is born
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Placental
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Third stage of labor, placenta separates from uterine wall and moves through birth canal
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Stroke
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Damage to part of brain due to rupture or blockage of blood vessel
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Heart attack
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Caused by oxygen deprivation to part of the heart
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Heart attack signs and symptoms
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Moist skin/ profuse sweating, cool, pale, chest pains
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Diabetes
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A disease in which body does not produce or properly use insulin
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Insulin
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A hormone needed to convert sugar, starches, and others food into energy
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Hypothermia
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Excessive cooling of the body core temperature
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Hyperthermia( heat related emergency)
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Cannot recover from fluid loss
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Anaphylaxis
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Severe allergic reaction in which air passages swell and restrict breathing
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Excited delirium
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Neither a medical nor a psychiatric condition, it's a term used to describe the mental and physical effects of extreme drug abuse that can lead to death
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Persons in a Diabetic emergency often exhibit signs and symptoms that resemble ___________ or ____ ________
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Drunkenness / Drug Overdose
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_______ symptoms range from a blank stare into space or random shaking to twitching extremities or the whole body muscle contractions.
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Seizure
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Presume that the snakebite was from a poisonous snake until proven otherwise.
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TRUE
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Do not use tweezers to remove a singer!
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TRUE
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Normal breathing rates of Adult, Child and Infant
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Adult 12-20 breaths per minute Child 15-30 breaths per minute Infant 25-50 breaths per minute
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Asses patient ___________ by pulse rate, skin color and skin temperature
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Circulation