Final Course
Review
Final Exam Preparation
Section-by-section, takehome points.
Section 1 – Intro to EMS

EMS Delivery models
 Distribution of EMS
providers
 EMT Responsibilities
 Confidentiality
 Priorities – Who’s
 Quality Improvement
 Rights of Refusal
 Emancipated Minor
 Assault/Battery

Adv.
Direct./DNR/DNAR
 Consent – Types of
 Standard of Care
 Suicide Attempt –
Refusal
 EMT Legal Defense
 Negligence
 Scope of Practice
 Protocols
 On-Line/Off-line Med
Dir
Section 1 – Intro to EMS
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EMT Response to
stress
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– While responding
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Scene Size up
– Sequence of Actions
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Critical Incident
– Warning Signs
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Stages of Grieving
Protective Equipment
– What & When
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Perfusion
Major Arteries – Names
Relative Terms
– Distal, Prox. Lat, Med...
– Ant, Post, Supine,
Prone
Respiratory System
Digestive System
Thoracic Cavity
Abdominal Cavity
Blood Products &
Function
Sternum
Section 1 – Intro to EMS

Flow of blood
– LV –Body – RA – RV –
Lung – LA
– Aorta – Artery –
Arterioles – Cap’s –
venules – veins – VC
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Ulna
Wrist Bones
Muscle Types &
Examples
Vertebrae in spine
SAMPLE

Skin Conditions
 Pediatric Vital Signs
 Pupil Reactions
(Light/Dark…)
 Vital Signs
 Respiratory Exam
– Labored Breathing
– Accessory Muscles
– Amount of air
exchanged
– Aerobic vs Anaerobic
– Wheezing/Rales
– Alveoli
Section 1 – Introduction to EMS

Types & Stages of Shock
– Cardiogenic/Hypovolemic
– Early/Late (S/S)
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Ficke Principle (Shock)
Types of Bleeding
PASG Usage (Ind/Cont.)
OPA/NPA Sizing
Rescue Breathing
Section 2
Non-Traumatic Emergencies
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Components of a drug
Label
Bronchodilators
The Drugs
(Ind./Cont./SE, rte)
–
–
–
–
–
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Oral Glucose
Oxygen
Epinephrine
AC
NTG
Asthma (S/S)
Pulmonary Edema
(S/S)
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Atherosclerosis
Arteriosclerosis
Chain of Survival
Steps in treating CHF
Cardiogenic Shock
(s/s)
CVA vs TIA
Treating a Diabetic
GCS (3-15 (4,5,6))
Left side brain
damage = right side
signs
CO Poisoning (s/s)
Section 2
Non-Traumatic Emergencies

Placenta (function)
 Presenting Part
 Miscarraige
 Wrapped Cord
Section 3
Traumatic Emergencies
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Kinetic Energy KE = ½ mV2
Contusion/Abrasion/Avulsion/Crush
Chemical Burns (Eye = 20 minutes)
SYMPTOMS vs SIGNS of Injury
Pneumothorax (S/S)
– Trachea Deviates?

Abd injuries (organ vs quadrant)
 Short Board Immobilization
 PMS Distal to injuries
 % Burns
Section 4
Special Patient Populations
Pediatric BLS (FBAO procedures)
 Common injuries in kids
 Heat conservation

Section 5
EMS Operations
Interpersonal Communications
 Hospital reports = speak clearly…
 Role of dispatcher
 Types of Moves

– (Emergency/Urgent…)
Section 6
Special Topics
NREMT
 Recertification

– Skills maintenance
– CE

Blood borne pathogens
Almost the End of the Course

3/06/04
– Second Midterm EXAM—includes
Module 6 & Behaviour & OB from
Module 4
– TAKE MAKE-UP EXAMS

Finish Lab skills sheets
– Instructor sign off’s
– Practice
3/13/04

LAST LAB
– Written Final Exam—Module 7 included
Last chance to submit Clinical Hours
Verification Sheets and SOAP
charts—these are required.
 Practice for the Certification Exam

The Skills Stations
(Facts, Figures & Pitfalls)
Trauma
 Medical
 Airway / BVM
 Spinal (Supine especially, but know
KED too)
 Cardiac Arrest / AED
 Random Skills

Trauma

Most fail in the first minute or two of the
station
 C/C (critical criteria often affected)
–
–
–
–
–
–
BSI
Safety
C-Spine with airway
Oxygen
Secondary before primary
Ran out of time
Medical

C/C
– Harmful Measures
– NTG & Low B/P
– No medical direction
– Primary before secondary
– Wrong intervention
– Oxygen
Airway BVM

20 Seconds!!!
Spinal Immobilization
Immediate Immobilization
 Wrong Size C-collar
 NO C-Collar
 Poor Strapping
 Movement
 CMS/SMV/PMS Before & After

Cardiac Arrest / AED
CPR (Stop & Restart)
 Clear Patient
 Didn’t use defibrillator
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Random Skills
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Traction
– Sager/Hare
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Oxygen Delivery
Bleeding-Wounds-Shock
Suction
CPR/FBAO any combination of ages
Long Bone Immobilization
Joint Injury
Mouth-to-mask (just like BVM only you are
the bag)
Paperwork

MUST HAVE ON 3/13/02
– CWE Verification form (signed x 3)
– SOAP Chart
Grades

Posted Online
– Web Page
• http://newterra.chemeketa.edu/
faculty/ems/n/basic.htm
– Points Accumulation

Grades in to registrar
– Sunday 3/14/2004

Pulled from DHS Roster 3/15/2004
State/Certification Exam

Written Exam
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03/17/2004 Wednesday
6 PM
***Building ?? – Main Campus***
Bring Photo ID
Practical Exam
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03/20/2004 & 03/21/2004
8 AM
Building 8 Rm112
Bring Photo ID
Bring lunch, this is all day and no one leaves
B-8
State Exam
How to dress
 How to act
 Same day retests…
 Later retests.
 Certifying Officer…
 If any candidate loses control/acts
inappropriately, ie “goes off on the
CO etc”, no one will get results that
day and no re-tests that day.
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