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EMERGENCY MEDICAL RESPONDER TRAINING STUDY GUIDE Frontline First Aid & Emergency Training 250-470-0205 [email protected] www.frontlinefirstaid.ca

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Page 1: Emergency Medical Responder Courses Kelowna BC Study Guide · Frontline First Aid EMR Study Guide 2015/08/10 | 250-470-0205 | training@frontlinefirstaid.ca Page 2 of 178 Welcome to

EMERGENCY MEDICAL RESPONDER TRAINING

STUDY GUIDE

Frontline First Aid & Emergency Training 250-470-0205

[email protected] www.frontlinefirstaid.ca

Page 2: Emergency Medical Responder Courses Kelowna BC Study Guide · Frontline First Aid EMR Study Guide 2015/08/10 | 250-470-0205 | training@frontlinefirstaid.ca Page 2 of 178 Welcome to

Frontline First Aid

EMR Study Guide

2015/08/10 www.frontlinefirstaid.ca | 250-470-0205 | [email protected] Page 2 of 178

Welcome to your Canadian Red Cross Emergency Medical Responder training program; and thank-you for choosing

Frontline.

Print this EMR Study Guide, complete the assignments ahead of time, and bring it with you to each class...so you can

ask questions about any answers you are not sure about.

By doing so:

You will arrive at each EMR class with a greater understanding of the terms and skills you’ll be practicing

You will be more confident in both your EMR knowledge and hands-on EMR skills

You will be better prepared for the Written and Practical Certification Evaluations at the end of your course

You will be better prepared for your Provincial BC EMALB Licensing Evaluations

These assignments are straightforward…with references to where you can find the answers…however, they can be time

consuming depending on your personal pace and study habits.

Start these assignments as soon as possible

Get as much done as you can…BEFORE the start of your course

DO NOT wait until the night before each session to start these assignments

You will need the following resources to answer the questions in this EMR Study Guide:

Canadian Red Cross Emergency Care Manual

BCAS Treatment Guidelines for Medical Responders in BC

Frontline EMR Cheat Sheet

BC Legislation Supplements

o Good Samaritan Act

o Emergency Health Services Act

o Mental Health Act

Lund and Browder Burn Chart

Equipment Familiarization Booklet

Do Not Resuscitate Order

Kendrick Extrication Device Manual

Sager Traction Splint Manual

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Frontline First Aid

EMR Study Guide

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The table of contents below indicates assignment due dates:

Session 1 ________________________________________________________________________ 9

Emergency Care Manual Revisions – Due on Session 1 __________________________________________________________ 9

EMR Roles and Responsibilities – Due on Session 1 _____________________________________________ 11

The Canadian Red Cross – Due on Session 1 __________________________________________________________________ 11

Paramedic Association of Canada – Due on Session 1 __________________________________________________________ 12

Medical Control – Due on Session 1 _________________________________________________________________________ 13

Preventing Disease Transmission – Due on Session 1 ___________________________________________ 14

Methods of Transmission – Due in Session 1__________________________________________________________________ 14

Viruses – Due in Session 1 ________________________________________________________________________________ 15

Bacteria – Due in Session 1 ________________________________________________________________________________ 16

Fungi – Due on Session 1 _________________________________________________________________________________ 17

Protozoa – Due on Session 1 ______________________________________________________________________________ 18

Ricksettia – Due on Session 1 ______________________________________________________________________________ 19

Parasitic Worms – Due on Session 1 ________________________________________________________________________ 20

Herpes – Due in Session 1 _________________________________________________________________________________ 21

Meningitis – Due on Session 1 _____________________________________________________________________________ 22

Tuberculosis – Due on Session 1 ___________________________________________________________________________ 23

Hepatitis – Due on Session 1 ______________________________________________________________________________ 24

HIV / AIDS – Due on Session 1 _____________________________________________________________________________ 25

Influenza – Due on Session 1 ______________________________________________________________________________ 26

Personal Protective Equipment (PPE) – Due on Session 1 _______________________________________________________ 27

Anatomy and Physiology – Due on Session 1 __________________________________________________ 28

Complete the Body System Chart – Due on Session 1___________________________________________________________ 28

Cavities of the Body – Due on Session 1 _____________________________________________________________________ 29

Label the Components of the Circulatory System – Due on Session 1 ______________________________________________ 30

Label the Circulatory Cycle – Due on Session 1 ________________________________________________________________ 31

Label the Anatomical References – Due on Session 1 ___________________________________________________________ 32

Skeletal System – Due on Session 1 _________________________________________________________________________ 33

Label the Bones as indicated on the diagram below: ___________________________________________________________ 33

Respiratory System – Due on Session 1 ______________________________________________________________________ 34

Equipment Familiarization – Due on Session 1 _________________________________________________ 34

Oxygen Equipment – Due on Session 1 ______________________________________________________________________ 34

Oxygen Flow Rates – Due on Session 1 ______________________________________________________________________ 35

Name the Equipment – Due on Session 1 ____________________________________________________________________ 35

Assessment Model – Due on Session 1 _______________________________________________________ 40

Assessment Model: Fill in the steps – Due on Session 1 ________________________________________________________ 40

Assessment Model: Scene Survey – Due on Session 1 __________________________________________________________ 41

Transport Decision – Due on Session 1 ______________________________________________________________________ 43

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EMR Study Guide

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Assessment – Due on Session 1 _____________________________________________________________ 44

Glasgow Coma Scale – Due on Session 1 _____________________________________________________________________ 44

Pulse Oximetry: Fill in the blanks – Due on Session 1 ___________________________________________________________ 45

Pulse Oximetry: 12 Limitations– Due on Session 1 _____________________________________________________________ 45

Blood Pressure - Due on Session 1 __________________________________________________________________________ 46

Blood Glucose Monitoring - Due on Session 1 _________________________________________________________________ 46

Head to Toe Assessment Mnemonics - Due on Session 1 ________________________________________________________ 46

Label the Pulse Points – Due on Session 1 ____________________________________________________________________ 47

Shock – Due on Session 1 __________________________________________________________________ 48

Types and Causes of Shock– Due on Session 1 ________________________________________________________________ 48

Session 2 _______________________________________________________________________ 49

The 6 Rights - Due on Session 2 ____________________________________________________________________________ 49

Nitroglycerin - Due on Session 2 ___________________________________________________________________________ 50

Oral Glucose - Due on Session 2 ____________________________________________________________________________ 51

Oxygen - Due on Session 2 ________________________________________________________________________________ 52

Angina – Due on Session 2 ________________________________________________________________________________ 53

Heart Attack – Due on Session 2 ___________________________________________________________________________ 54

ASA - Due on Session 2 ___________________________________________________________________________________ 55

Transient Ischemic Attack – Due on Session 2 _________________________________________________________________ 56

Stroke – Due on Session 2 ________________________________________________________________________________ 57

Chest Pain Protocol - Due on Session 2 ______________________________________________________________________ 58

Soft Tissue Injury Worksheets – Due on Session 2 ______________________________________________ 59

Internal Bleeding – Due on Session 2 ________________________________________________________________________ 59

Laceration – Due on Session 2 _____________________________________________________________________________ 60

Abrasion – Due on Session 2 ______________________________________________________________________________ 61

Avulsion Due on Session 2 ________________________________________________________________________________ 62

Puncture - Due on Session 2 _______________________________________________________________________________ 63

Scalp Injury - Due on Session 2 _____________________________________________________________________________ 64

Cheek Injury - Due on Session 2 ____________________________________________________________________________ 65

Eye Injury - Due on Session 2 ______________________________________________________________________________ 66

Extruded Eyeball - Due on Session 2 ________________________________________________________________________ 67

Ear Injury - Due on Session 2 ______________________________________________________________________________ 68

Mouth and Jaw Injuries - Due on Session 2 ___________________________________________________________________ 69

Infection - Due on Session 2 _______________________________________________________________________________ 70

Diabetic Protocols - Due on Session 2 _______________________________________________________________________ 71

Diabetes – Due on Session 2_______________________________________________________________________________ 72

Seizures – Due on Session 2 _______________________________________________________________________________ 73

Session 3 _______________________________________________________________________ 74

Eight Signs and Symptoms of Head or Spinal Injury – Due on Session 3 ____________________________________________ 74

Label the Components of the Spinal Column – Due on Session 3__________________________________________________ 74

Label the Components of the Spine – Due on Session 3 _________________________________________________________ 75

KED Strapping Sequence - Due on Session 3 __________________________________________________________________ 76

Spinal Grips - Due on Session 3 ____________________________________________________________________________ 76

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EMR Study Guide

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Musculoskeletal Worksheets – Due on Session 3 _______________________________________________ 78

Strain - Due on Session 3 _________________________________________________________________________________ 78

Sprain - Due on Session 3 _________________________________________________________________________________ 79

Fracture - Due on Session 3 _______________________________________________________________________________ 80

Dislocation - Due on Session 3 _____________________________________________________________________________ 81

Musculoskeletal Injuries – Due on Session 3 __________________________________________________ 82

Principles of Splinting – Due on Session 3 ____________________________________________________________________ 82

Session 4 _______________________________________________________________________ 83

CPR Techniques - Due on Session 4 _________________________________________________________________________ 83

Treatable CPR - Due on Session 4 ___________________________________________________________________________ 83

Changing CPR Positions - Due on Session 4 ___________________________________________________________________ 84

Hypothermic CPR Patients - Due on Session 4 _________________________________________________________________ 84

When to Stop CPR - Due on Session 4 _______________________________________________________________________ 84

Definitions - Due on Session 4 _____________________________________________________________________________ 84

Do Not Resuscitate / No CPR forms - Due on Session 4 _________________________________________________________ 85

Pulmonary Edema – Due on Session 4 _______________________________________________________________________ 86

Pulmonary Embolism – Due on Session 4 ____________________________________________________________________ 87

Asthma – Due on Session 4 _______________________________________________________________________________ 88

Pneumonia – Due on Session 4 ____________________________________________________________________________ 89

Chronic Obstructive Pulmonary Disease – Due on Session 4 _____________________________________________________ 90

Hypoxic Drive - Due on Session 4 ___________________________________________________________________________ 91

Anaphylaxis – Due on Session 4 ____________________________________________________________________________ 92

Hyperventilation – Due on Session 4 ________________________________________________________________________ 93

Assisted Ventilations and Rescue Breathing - Due on Session 4 ___________________________________________________ 94

Session 5 _______________________________________________________________________ 95

Trauma Worksheets – Due on Session 5 ______________________________________________________ 95

Amputation - Due on Session 5 ____________________________________________________________________________ 95

Impaled Object - Due on Session 5 __________________________________________________________________________ 96

Pneumothorax/Hemothorax – Due on Session 5 ______________________________________________________________ 97

Flail Chest – Due on Session 5 _____________________________________________________________________________ 98

Crush Syndrome– Due on Session 5 _________________________________________________________________________ 99

Compartment Syndrome– Due on Session 5 _________________________________________________________________ 100

Blast Injuries– Due on Session 5 ___________________________________________________________________________ 101

Abdominal Aortic Aneurysm – Due on Session 5 ______________________________________________________________ 102

Burns Worksheets – Due on Session 5 _______________________________________________________ 103

Superficial Burns – Due on Session 5 _______________________________________________________________________ 103

Partial Thickness Burns – Due on Session 5 __________________________________________________________________ 104

Full Thickness Burns – Due on Session 5 ____________________________________________________________________ 105

Lund & Browder Burn Estimation Chart – Due on Session 5 _____________________________________________________ 106

Rule of Nines Burn Estimation – Due on Session 5 ____________________________________________________________ 107

Burn Protocols – Due on Session 5 _________________________________________________________________________ 108

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EMR Study Guide

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Poisons Worksheets – Due on Session 5 _____________________________________________________ 109

How Poisons Enter the Body – Due on Session 5 _____________________________________________________________ 109

Commonly Misused and Abused Substances – Due on Session 5_________________________________________________ 110

Spider Bites – Due on Session 5 ___________________________________________________________________________ 111

Marine Life – Due on Session 5 ___________________________________________________________________________ 112

Ticks – Due on Session 5 _________________________________________________________________________________ 113

Snakes – Due on Session 5 _______________________________________________________________________________ 114

Hanta Virus – Due on Session 5 ___________________________________________________________________________ 115

Misused and Abused Substances Worksheets – Due on Session 5 ________________________________ 116

Stimulant – Due on Session 5 _____________________________________________________________________________ 116

Hallucinogen – Due on Session 5 __________________________________________________________________________ 117

Depressant – Due on Session 5 ___________________________________________________________________________ 118

Designer Drugs – Due on Session 5 ________________________________________________________________________ 119

Hypothermia Worksheets – Due on Session 5 ________________________________________________ 120

Mild Hypothermia – Due on Session 5 ______________________________________________________________________ 120

Moderate Hypothermia – Due on Session 5 _________________________________________________________________ 121

Severe Hypothermia – Due on Session 5 ____________________________________________________________________ 122

Frostbite Worksheets – Due on Session 5 ____________________________________________________ 123

Frost Nip – Due on Session 5 _____________________________________________________________________________ 123

Frostbite – Due on Session 5 _____________________________________________________________________________ 124

Hyperthermia Worksheets – Due on Session 5 ________________________________________________ 125

Heat Cramps – Due on Session 5 __________________________________________________________________________ 125

Heat Exhaustion – Due on Session 5 _______________________________________________________________________ 126

Heat Stroke – Due on Session 5 ___________________________________________________________________________ 127

Session 6 ______________________________________________________________________ 128

Drip Set Calculations - Due on Session 6 ____________________________________________________________________ 128

IV Complications Worksheets – Due on Session 6 ______________________________________________ 129

Circulatory Overload – Due on Session 6 ____________________________________________________________________ 129

Catheter Embolism– Due on Session 6 _____________________________________________________________________ 130

Allergic Reaction – Due on Session 6 _______________________________________________________________________ 131

Interstitial Swelling – Due on Session 6 _____________________________________________________________________ 132

Thrombosis and Thrombophlebitis – Due on Session 6 ________________________________________________________ 133

Site Infection – Due on Session 6 __________________________________________________________________________ 134

Pharmacology Worksheets – Due on Session 6 _______________________________________________ 135

Bromide – Due on Session 6 ______________________________________________________________________________ 135

Adrenaline - Due on Session 6 ____________________________________________________________________________ 136

Nitrous Oxide - Due on Session 6 __________________________________________________________________________ 137

Salbutamol - Due on Session 6 ____________________________________________________________________________ 138

Routes of Drug Administration - Due on Session 6 ____________________________________________________________ 139

Entonox Administration - Due on Session 6 __________________________________________________________________ 140

Sager Traction Splint – Due on Session 6 ____________________________________________________________________ 142

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EMR Study Guide

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Session 7 ______________________________________________________________________ 143

Congestive Heart Failure – Due on Session 7_________________________________________________________________ 143

Sudden Illness Worksheets – Due on Session 7 ________________________________________________ 144

Appendicitis – Due on Session 7 ___________________________________________________________________________ 144

Peptic Ulcers – Due on Session 7 __________________________________________________________________________ 145

Gastroenteritis – Due on Session 7 ________________________________________________________________________ 146

Bowel Obstruction – Due on Session 7 _____________________________________________________________________ 147

Kidney Stones – Due on Session 7 _________________________________________________________________________ 148

Urinary Tract Infection – Due on Session 7 __________________________________________________________________ 149

Fainting (Syncope) – Due on Session 7 ______________________________________________________________________ 150

Peritonitis – Due on Session 7 ____________________________________________________________________________ 151

High Altitude Sickness Worksheets – Due on Session 7 _________________________________________ 152

Acute Mountain Sickness – Due on Session 7 ________________________________________________________________ 152

High Altitude Pulmonary Edema – Due on Session 7 __________________________________________________________ 153

High Altitude Cerebral Edema – Due on Session 7 ____________________________________________________________ 154

Behavioural and Psychotic Emergencies Worksheets – Due on Session 7 __________________________ 155

Psychosis – Due on Session 7 _____________________________________________________________________________ 155

Anxiety – Due on Session 7 _______________________________________________________________________________ 156

Depression – Due on Session 7 ____________________________________________________________________________ 157

Schizophrenia – Due on Session 7 _________________________________________________________________________ 158

Childbirth Complications Worksheets – Due on Session 7 _______________________________________ 159

Miscarriage – Due on Session 7 ___________________________________________________________________________ 159

Third Trimester Bleeding – Due on Session 7 ________________________________________________________________ 160

Multiple Births – Due on Session 7 _________________________________________________________________________ 161

Breech Birth – Due on Session 7 ___________________________________________________________________________ 162

Prolapsed Cord – Due on Session 7 ________________________________________________________________________ 163

Ectopic Pregnancy – Due on Session 7 ______________________________________________________________________ 164

Limb Presentation – Due on Session 7 ______________________________________________________________________ 165

Premature Labour – Due on Session 7 ______________________________________________________________________ 166

Post-Partum Bleeding – Due on Session 7 ___________________________________________________________________ 167

APGAR - Due on Session 7 _______________________________________________________________________________ 168

Special Populations Worksheets – Due on Session 7 ___________________________________________ 169

Infant – Due on Session 7 ________________________________________________________________________________ 169

Child – Due on Session 7 _________________________________________________________________________________ 170

Adolescent – Due on Session 7 ____________________________________________________________________________ 171

Older Adult – Due on Session 7 ___________________________________________________________________________ 172

Physically or Mentally Disabled – Due on Session 7 ___________________________________________________________ 173

Crisis Intervention Worksheet – Due on Session 7 _____________________________________________ 174

Communications Worksheets – Due on Session 7 _____________________________________________ 175

Medical Director – Due on Session 7 _______________________________________________________________________ 175

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EMR Study Guide

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Transportation Worksheets – Due on Session 7 _______________________________________________ 176

Safe Vehicle Operations – Due on Session 7 _________________________________________________________________ 176

Triage / Multiple Casualty Incidents Due on Session 7 _________________________________________________________ 177

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EMR Study Guide

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Session 1

Emergency Care Manual Revisions – Due on Session 1

Answers found in: Emergency Care Manual

1. Find the following passage on page 137 of your Emergency Care Manual:

“After doing 5 cycles (2 minutes) of continuous CPR, recheck for signs of circulation and normal

breathing. Tilt the patient’s head to open the airway and take no more than 5 to 10 seconds to check for

signs of circulation. If there are no signs of circulation, or you are unsure, continue CPR, beginning with

compressions. Check circulation and breathing again every few minutes.”

Take a marker or pen…and cross out that passage:

“After doing 5 cycles (2 minutes) of continuous CPR, recheck for signs of circulation and normal

breathing. Tilt the patient’s head to open the airway and take no more than 5 to 10 seconds to check for

signs of circulation. If there are no signs of circulation, or you are unsure, continue CPR, beginning with

compressions. Check circulation and breathing again every few minutes.”

2. Find the following passage on page 142 of your Emergency Care Manual:

“Recheck for signs of circulation and breathing after about 5 cycles (two minutes) of continuous CPR.

Check for signs of circulation for no more than 5-10 seconds with the hand that was giving compressions.

If there are no signs of circulation or you are unsure, continue CPR, starting with compressions. Recheck

circulation and breathing every few minutes.”

Take a marker or pen…and cross out that passage:

“Recheck for signs of circulation and breathing after about 5 cycles (two minutes) of continuous CPR.

Check for signs of circulation for no more than 5-10 seconds with the hand that was giving compressions.

If there are no signs of circulation or you are unsure, continue CPR, starting with compressions. Recheck

circulation and breathing every few minutes.”

These passages are out of date…but were unintentionally overlooked in the last printing.

The most current CPR guidelines indicate that you should continue CPR once started…until you observe Obvious

Signs of Life as you are performing CPR.

Your EMR Instructor will review CPR protocols with you in greater depth during your course.

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3. Find the following passage on page 94 of your Emergency Care Manual:

“During your primary survey, you may discover that an unconscious adult is not breathing. If this

happens, begin the CPR sequence (30 compressions).”

Use a pen or marker to add the words…“and does not have a pulse” after the words…“is not breathing”:

and does not have a pulse

“During your primary survey, you may discover that an unconscious adult is not breathing ^. If this

happens, begin the CPR sequence (30 compressions).”

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EMR Study Guide

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EMR Roles and Responsibilities – Due on Session 1

The Canadian Red Cross – Due on Session 1 Answers found in: Emergency Care Manual

What are the 7 Fundamental Principles of the Red Cross? (Emergency Care Manual…pages vi - vii)

1.

2.

3.

4.

5.

6.

7.

How many Red Cross Volunteers give their time and energy every day? (Emergency Care Manual…pages vi - vii)

What are 7 ways the Red Cross Helps? (Emergency Care Manual…pages vi - vii)

1.

2.

3.

4.

5.

6.

7.

Watch the Videos

Click the link…copy & paste…or type the address into your browser:

http://www.frontlinefirstaid.ca/first-aid--cpr-videos.html#crc

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EMR Study Guide

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Paramedic Association of Canada – Due on Session 1 Answers found in: Emergency Care Manual

What is the mandate of the Paramedic Association of Canada? (Emergency Care Manual…pages 3-4)

What are the 4 Levels of EMS Provider Training regulated by the PAC? (Emergency Care Manual…pages 3-4)

What are the 6 main Patient Related Duties of a Medical Responder? (Emergency Care Manual…pages 6-7)

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EMR Study Guide

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Medical Control – Due on Session 1 Answers found in: Emergency Care Manual

What is the role of Medical Control? (Emergency Care Manual…page 4)

What is the difference between Offline/Indirect and Online/Direct Medical Control? (Emergency Care Manual…page 4)

What are the 7 components of an Emergency Response? (Emergency Care Manual…page 5)

1.

2.

3.

4.

5.

6.

7.

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EMR Study Guide

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Preventing Disease Transmission – Due on Session 1

Methods of Transmission – Due in Session 1 Answers found in: Emergency Care Manual

Four Conditions which must exist for infection to occur: (Emergency Care Manual…page 29)

1

2

3

4

Four methods Pathogens enter the body (Emergency Care Manual…pages 29-31)

Example

1

2

3

4

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Viruses – Due in Session 1 Answers found in: Emergency Care Manual…page 28

Definition

Conditions Caused by

Viruses

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Bacteria – Due in Session 1 Answers found in: Emergency Care Manual…page 28

Definition

Conditions Caused by Bacteria

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Fungi – Due on Session 1 Answers found in: Emergency Care Manual…page 28

Definition

Conditions Caused by Fungi

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Protozoa – Due on Session 1 Answers found in: Emergency Care Manual…page 28

Definition

Conditions Caused by Protozoa

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Ricksettia – Due on Session 1 Answers found in: Emergency Care Manual…page 28

Definition

Conditions Caused by Ricksettia

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Parasitic Worms – Due on Session 1 Answers found in: Emergency Care Manual…page 28

Definition

Conditions Caused by

Parasitic Worms

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Herpes – Due in Session 1 Answers found in: Emergency Care Manual…pages 31-35

Definition

Mode of Transmission

Route of Entry

Signs & Symptoms

Immunization/ Vaccine?

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Meningitis – Due on Session 1 Answers found in: Emergency Care Manual…pages 31-35

Definition

Mode of Transmission

Route of Entry

Signs & Symptoms

Immunization/ Vaccine?

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EMR Study Guide

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Tuberculosis – Due on Session 1 Answers found in: Emergency Care Manual…pages 31-35

Definition

Mode of Transmission

Route of Entry

Signs & Symptoms

Immunization/ Vaccine?

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EMR Study Guide

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Hepatitis – Due on Session 1 Answers found in: Emergency Care Manual…pages 31-35

Definition

Mode of Transmission

Route of Entry

Signs & Symptoms

Immunization/ Vaccine?

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EMR Study Guide

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HIV / AIDS – Due on Session 1 Answers found in: Emergency Care Manual…pages 31-35

Definition

Mode of Transmission

Route of Entry

Signs & Symptoms

Immunization/ Vaccine?

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EMR Study Guide

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Influenza – Due on Session 1 Answers found in: Emergency Care Manual…pages 31-35

Definition

Mode of Transmission

Route of Entry

Signs & Symptoms

Immunization/ Vaccine?

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Personal Protective Equipment (PPE) – Due on Session 1 Answers found in: Emergency Care Manual…page 36

Task PPE Required

Bleeding control with spurting blood

Bleeding control with minimal bleeding

Childbirth

Helping with an intravenous (IV) line

Oral/nasal suctioning; manually clearing

airway

Handling and cleaning contaminated

equipment and clothing if body fluids

are present

Transporting or caring for a patient with signs

of a transmissible respiratory illness

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Anatomy and Physiology – Due on Session 1

Complete the Body System Chart – Due on Session 1 Answers found in: Emergency Care Manual…page 49

Body System Major Components Purpose

Supplies the body with Oxygen through Breathing

Bones, Muscles, Joins, Ligaments, Tendons

Nervous

Breaks down food and eliminates waste

Integumentary

Heart, Arteries, Veins, Capillaries, Blood

Endocrine

Uterus and gentialia

Kidneys and bladder

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Cavities of the Body – Due on Session 1 Answers found in: Emergency Care Manual…pages 47-48

Body Cavity Major Structures in the Cavity

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Identify the Components of the Circulatory System – Due on Session 1 Answers found in: Emergency Care Manual…page 53

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Label the Circulatory Cycle – Due on Session 1 Answers found in: Emergency Care Manual…page 53

Watch the Videos

Click the link…copy & paste…or type the address into your browser:

http://www.frontlinefirstaid.ca/first-aid--cpr-videos.html#circulatory

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Label the Anatomical References – Due on Session 1 Answers found in: Emergency Care Manual…pages 45-47

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Skeletal System – Due on Session 1 Answers found in: Emergency Care Manual...page 59

Label the Bones as indicated on the diagram below:

Bones are held together with: (Emergency Care Manual…page 61)

Muscles are held to bones with: (Emergency Care Manual…page 55)

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Respiratory System – Due on Session 1 Answers found in: Emergency Care Manual…pages 50-52

The Bronchi eventually branch into millions of tiny air sacs called ___________________________________________. Oxygen and ____________________________________ pass into and out of the blood stream though the thin walls of

the _________________________________ and tiny blood vessels called ____________________________________.

Watch the Videos

Click the link…copy & paste…or type the address into your browser:

http://www.frontlinefirstaid.ca/first-aid--cpr-videos.html#respiratory

Equipment Familiarization – Due on Session 1

Oxygen Equipment – Due on Session 1 Answers found in: Emergency Care Manual…page 123

To attach the pressure regulator to the cylinder:

a) Insert the gasket into the _______________________________________________

b) Check to see that the __________________________ corresponds to an oxygen tank

c) Seat the _______________ of the regulator inside the cylinder

d) Hand tighten the screw until the regulator is __________________

e) Turn on the oxygen and check how much pressure is in the ______________________

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Oxygen Flow Rates – Due on Session 1 Fill in the Blanks Answers found in: EMR Cheat Sheet

Device BC EMALB Paramedic Association of Canada

(Canadian Red Cross Emergency Care Manual) O2 %

Simple / Standard Mask N/A

Non-Rebreather Mask 8 – 15 lpm 90+ %

Bag Valve Mask 10+ lpm

Nasal Canula 24-36 %

Resuscitation Mask (Pocket Mask) N/A 6+ lpm

Normal Room Air

Exhaled Air

Name the Equipment – Due on Session 1 Answers found in: Equipment Familiarization Booklet

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Assessment Model – Due on Session 1

Assessment Model: Fill in the steps – Due on Session 1 Answers found in: EMR Cheat Sheet

Scene Survey

Primary Survey

Secondary Survey

Interview

Vital Signs

Head to Toe

Ongoing Survey

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Assessment Model: Scene Survey – Due on Session 1 Answers found in: Emergency Care Manual…pages 69-70, personal experience and observation

Name at least 3 potential hazards and 1 additional resource potentially required…in each scene

Scene 1 3 Potential Hazards 1 Additional Resource

Scene 2 3 Potential Hazards 1 Additional Resource

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Scene 3 3 Potential Hazards 1 Additional Resource

Scene 4 3 Potential Hazards 1 Additional Resource

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Transport Decision – Due on Session 1 Answers found in: Emergency Care Manual…pages 74-75

List 12 Examples of Urgent / Code 3 Transport (Load-and-Go) Emergencies:

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Assessment – Due on Session 1

Glasgow Coma Scale – Due on Session 1 Answers found in: Emergency Care Manual…page 77

Eye Opening

Best Verbal Response

Best Motor Response

6 Obeys commands

5 Oriented 5 Localizes to pain

4 Spontaneously 4 Confused 4 Withdraws to pain

3 To voice 3 Inappropriate words 3 Flex to pain (Decorticate)

2 To pain 2 Incomprehensible sounds 2 Extend to pain (Decerebrate)

1 No response 1 No response 1 No response

Eye + Verbal + Motor = GCS (3-15) GCS less than 13 is life threatening

Calculate Glasgow Coma Scale (GCS):

Patient 1

Eyes: Patient’s eyes are open and follow you as you move; E = _____

Verbal: Patient is speaking normally and can answer questions clearly; V = _____

Motor: Patient complies with all requests; M = _____

E + V + M = GCS _______________

Patient 2

Eyes: Patient’s eyes open briefly, only when pinched; E = _____

Verbal: Patient curses at you when pinched; V = _____

Motor: Patient pulls hand away, only when pinched; M = _____

E + V + M = GCS _______________

Patient 3

Eyes: Patient’s eyes open only while you are speaking to them; E = _____

Verbal: Patient tries to answer questions, but does not know where they are or how they got there; V = _____

Motor: Patient grips your fingers when asked; M = _____

E + V + M = GCS _______________

Patient 4

Eyes: Patient’s eyes remain closed; E = _____

Verbal: Patient moans when pinched; V = _____

Motor: Patient pulls both arms into his chest when pinched; M = ______

E + V + M = GCS _______________

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Pulse Oximetry: Fill in the blanks – Due on Session 1 Answers found in: Emergency Care Manual…page 80

Range Value Treatment

Normal

91-94%

Administer Emergency oxygen using a non-rebreather mask or a bag-valve-mask resuscitator

Pulse Oximetry: 12 Limitations– Due on Session 1 Answers found in: Emergency Care Manual…page 81

1

2

3

4

5

6

7

8

9

10

11

12

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Blood Pressure - Due on Session 1 Answers found in: Emergency Care Manual…pages 81-83

a. Blood Pressure is measured in units of ____________________________________

b. The first number reflects the pressure in the arteries when the heart is working, or contracting. This pressure is

called the _________________________________

c. The second number reflects the pressure in the arteries when the heart is at rest and refilling. This is called

the____________________________________

Blood Glucose Monitoring - Due on Session 1 Answers found in: Emergency Care Manual…84-85, EMR Cheat Sheet, BCAS Treatment Guidelines

a. Blood glucose is measured in _____________________________

b. A normal BGL ranges from _________________________ to ________________________

c. Hypoglycemia is most often defined as a BGL of less than ___________________________

d. Hyperglycemia is defined as a BGL of greater than ___________________________

e. In BRITISH COLUMBIA…the BCAS Treatment Guidelines define Hyperglycemia as BGL greater than

________________ (refer to Frontline EMR Cheat Sheet or BCAS Treatment Guidelines Booklet)

Head to Toe Assessment Mnemonics - Due on Session 1 Fill in the Blanks Answers found in: EMR Cheat Sheet

B

C Contusions

S

O A C

L Lacerations P R

D

I

P

T Tenderness

S

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Label the Pulse Points – Due on Session 1 Answers found in: Emergency Care Manual…page 79

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Shock – Due on Session 1

Types and Causes of Shock– Due on Session 1 Answers found in: Emergency Care Manual…page 154

Type of Shock Cause

Anaphylactic

Cardiogenic

Hypovolemic

Neurogenic

Psychogenic

Respiratory

Septic

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Session 2

The 6 Rights - Due on Session 2 Fill in the Blanks Answers found in: Emergency Care Manual…page 161, EMR Cheat Sheet, BCAS Treatment Guidelines

EMR’s in BC can ADMINISTER ________________ & ______________ … and ASSIST with other Medications

1 Person

2 Have they had it before…no Contraindications

3 Time

4 How much should they take

5 Route

6 Documentation

Medications - Emergency Medical Responders in British Columbia

Administer Assist

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Nitroglycerin - Due on Session 2

Answers found in: Emergency Care Manual…pages 163-164, EMR Cheat Sheet

Trade Name(s): Generic Name(s):

Classification

Mechanism

Indications

Contraindications

Precautions

Adverse Effects

Doses

Routes of Administration

Onset

Metabolism

Notes

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Oral Glucose - Due on Session 2

Answers found in: Emergency Care Manual…page 165, EMR Cheat Sheet

Trade Name(s): Generic Name(s):

Classification

Mechanism

Indications

Contraindications

Precautions

Adverse Effects

Doses

Onset

Routes of Administration

Notes

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Oxygen - Due on Session 2

Answers found in: Emergency Care Manual…pages 165-166

Trade Name(s): Generic Name(s):

Classification

Description

Indications

Contraindications

Precautions

Doses

Routes of

Administration

Notes

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Angina – Due on Session 2 Answers found in: Emergency Care Manual…pages 128-133

Causes

Signs and Symptoms

Treatment

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Heart Attack – Due on Session 2 Answers found in: Emergency Care Manual…pages 128-133

Causes

Signs and Symptoms

Treatment

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ASA - Due on Session 2

Answers found in: Emergency Care Manual…page 164, EMR Cheat Sheet

Trade Name(s): Generic Name(s):

Classification

Mechanism

Indications

Contraindications

Precautions

Doses

Routes of Administration

Notes

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Transient Ischemic Attack – Due on Session 2 Answers found in: Emergency Care Manual…pages 144-146

Causes

Signs and Symptoms

Treatment

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Stroke – Due on Session 2 Answers found in: Emergency Care Manual…pages 144-146

Causes

Signs and Symptoms

Treatment

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Chest Pain Protocol - Due on Session 2 Fill in the blanks

Answers found in: Emergency Care Manual, EMR Cheat Sheet, BCAS Treatment Guidelines

Chest Pain Protocol

Contraindications

Nitro and/or ASA Procedure:

If pain persists … recheck contraindications and administer 2nd and 3rd Nitro doses waiting 3-5 minutes between doses

Nitro Contraindications

ASA Contraindications

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Soft Tissue Injury Worksheets – Due on Session 2

Internal Bleeding – Due on Session 2 Answers found in: Emergency Care Manual…151-152

Causes

Signs and Symptoms

Treatment

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Laceration – Due on Session 2 Answers found in: Emergency Care Manual…pages 186-197

Description

Signs and Symptoms

Possible Complications

Treatment

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Abrasion – Due on Session 2 Answers found in: Emergency Care Manual…pages 186-197

Description

Signs and Symptoms

Possible Complications

Treatment

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Avulsion Due on Session 2 Answers found in: Emergency Care Manual…pages 186-197

Description

Signs and Symptoms

Possible Complications

Treatment

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Puncture - Due on Session 2 Answers found in: Emergency Care Manual…pages 186-197

Description

Signs and Symptoms

Possible Complications

Treatment

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Scalp Injury - Due on Session 2 Answers found in: Emergency Care Manual…page 243

Description

Signs and Symptoms

Possible Complications

Treatment

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Cheek Injury - Due on Session 2 Answers found in: Emergency Care Manual…pages 243-245

Description

Signs and Symptoms

Possible Complications

Treatment

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Eye Injury - Due on Session 2 Answers found in: Emergency Care Manual…page 250

Description

Signs and Symptoms

Possible Complications

Treatment

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Extruded Eyeball - Due on Session 2 Answers found in: Emergency Care Manual…page 249

Description

Signs and Symptoms

Possible Complications

Treatment

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Ear Injury - Due on Session 2 Answers found in: Emergency Care Manual…page 250

Description

Signs and Symptoms

Possible Complications

Treatment

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Mouth and Jaw Injuries - Due on Session 2 Answers found in: Emergency Care Manual…pages 250-251

Description

Signs and Symptoms

Possible Complications

Treatment

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Infection - Due on Session 2 Answers found in: Emergency Care Manual…pages 189-191

Description

Signs and Symptoms

Possible Complications

Treatment

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Diabetic Protocols - Due on Session 2

Fill in the Blanks

Answers found in: Emergency Care Manual…pages 270-274, BCAS Treatment Guidelines, EMR Cheat Sheet

Guideline BCAS Treatment Guidelines

(BC EMALB) PAC NOSCP

(Red Cross Emergency Care Manual)

Minimum Systolic B.P. to give Nitro 90 mmHg 100 mmHg

Nitro Dose Frequency Every 3-5 minutes (Q3-5) Every 5 minutes (Q5)

Hyperglycaemia

Burn Percentage Calculations Lund & Browder Chart Rule of Nines

Burn Cooling On Scene 1-2 minutes Varies with extent of burns

CPR with Hypothermia Check Pulse for 30 seconds Check pulse for 45 seconds

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Diabetes – Due on Session 2 Answers found in: Emergency Care Manual…pages 270-274 and 281

Causes

Signs and Symptoms

Treatment

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Seizures – Due on Session 2 Answers found in: Emergency Care Manual…pages 274-276 and 284

Causes

Signs and Symptoms

Teatment

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Session 3 Eight Signs and Symptoms of Head or Spinal Injury – Due on Session 3 Answers found in: Emergency Care Manual…pages 230-233

1

2

3

4

5

6

7

8

Label the Components of the Spinal Column – Due on Session 3 Answers found in: Emergency Care Manual…page 56

Name of Region How many Vertebrae in each Region

1.

2.

3.

4.

5.

Watch the Videos

Click the link…copy & paste…or type the address into your browser:

http://www.frontlinefirstaid.ca/first-aid--cpr-videos.html#cns

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Label the Components of the Spine – Due on Session 3 Answers found in: Emergency Care Manual…page 56

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KED Strapping Sequence - Due on Session 3 Answers found in: EMR Cheat Sheet, KED Manual

Middle strap first

Baby

Black

Hot

Green

Spinal Grips - Due on Session 3 Name the Grip Pictured Answers found in: Emergency Care Manual…pages 72 and 237-238

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Musculoskeletal Worksheets – Due on Session 3

Strain - Due on Session 3 Answers found in: Emergency Care Manual…pages 210-211

Tissues Involved

Signs and Symptoms

Treatment

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Sprain - Due on Session 3 Answers found in: Emergency Care Manual…pages 209-210

Tissues Involved

Signs and Symptoms

Treatment

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Fracture - Due on Session 3 Answers found in: Emergency Care Manual…pages 208-206

Tissues Involved

Signs and Symptoms

Treatment

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Dislocation - Due on Session 3 Answers found in: Emergency Care Manual…pages 209

Tissues Involved

Signs and Symptoms

Treatment

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Musculoskeletal Injuries – Due on Session 3

Principles of Splinting – Due on Session 3

Fill in the Blanks Answers found in: Emergency Care Manual…pages 211-216

R

I

C

E

To effectively immobilize an injured part, a splint must extend __________________ and ____________________ the

injury site.

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Session 4

CPR Techniques - Due on Session 4 Complete the Chart Answers found in: Emergency Care Manual…page 141

Age Adult (over 8 years old) Child (1-8 years old) Infant (under 1 year old)

Hand Position

Compression Depth

Breathe

Cycle

Compression Rate

1 Rescuer

2 Rescuers

Treatable CPR - Due on Session 4 Complete the Chart Answers found in: EMR Cheat Sheet

Consult Medical Control

Tension Pneumothorax

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Changing CPR Positions - Due on Session 4 Answers found in: Emergency Care Manual…page 144

It is recommended that responders change every _____________________ ( _________________________ )

to maintain quality CPR.

Hypothermic CPR Patients - Due on Session 4 Answers found in: Emergency Care Manual…pages 139 and 310, EMR Cheat Sheet, BCAS Treatment Guidelines

According to the Emergency Care Manual…how long should you check a pulse before starting CPR if you suspect

Hypothermia? ________________

According to the BCAS Treatment Guidelines…how long should you check a pulse before starting CPR if you

suspect Hypothermia? ________________

When to Stop CPR - Due on Session 4 Answers found in: Emergency Care Manual…page 138

1

2

3

4

Definitions - Due on Session 4 Answers found in: Emergency Care Manual…page 138

Asystole

Ventricular Tachycardia

Ventricular Fibrillation

In over 80% of all sudden cardiac arrests, the initial rhythm is _____________ or _____________, which are the only two

rhythms an AED will shock.

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Do Not Resuscitate / No CPR forms - Due on Session 4 Answers found in: Do Not Resuscitate form, Emergency Care Manual…page 10

What does the acronym ASDM stand for?

A

S

D

M

What is the phone number for HealthLink BC? __________________________________

What information is included in the “Patient Identification” section of the No CPR Form?

Fill in the blanks:

Ensure that a copy of this form is easily available in ___________________________. If you and your dying relative /

friend are ________________________________________ for any reason, take the form _______________________

so it’s ___________________________________________________________________________________________

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Pulmonary Edema – Due on Session 4 Answers found in: Emergency Care Manual…page 104-105

Causes

Signs and Symptoms

Treatment

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Pulmonary Embolism – Due on Session 4 Answers found in: Emergency Care Manual…page 104-105

Causes

Signs and Symptoms

Treatment

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Asthma – Due on Session 4 Answers found in: Emergency Care Manual…page 102-105

Causes

Signs and Symptoms

Treatment

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Pneumonia – Due on Session 4 Answers found in: Emergency Care Manual…pages 103-105

Causes

Signs and Symptoms

Treatment

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Chronic Obstructive Pulmonary Disease – Due on Session 4 Answers found in: Emergency Care Manual…pages 101-105

Causes

Signs and Symptoms

Treatment

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Hypoxic Drive - Due on Session 4 Fill in the blanks Answers found in: Emergency Care Manual…pages 101-102

People with _______________________________ and / or _________________________ may eventually

develop a _____________________ to breathe.

In healthy individuals, the drive to breathe is from the amount of __________________________ in the blood.

People with ________________________ and / or __________________________ build up high levels of

_______________________ in the blood.

Due to the consistently high levels, the body looks to the __________________________________ to

determine the need to breathe.

If ______________________________ levels are low, the breathing rate increases.

In a person with ________________________ who has a true __________________________, increased

levels of _____________________ could signal the body to slow down or stop breathing entirely.

However this is rarely encountered in the field because EMS is usually called for a person who is

______________________________. In this case you should administer high-flow oxygen to the patient.

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Anaphylaxis – Due on Session 4 Answers found in: Emergency Care Manual…pages 100-105

Causes

Signs and Symptoms

Treatment

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Hyperventilation – Due on Session 4 Answers found in: Emergency Care Manual…page 105

Causes

Signs and Symptoms

Treatment

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Assisted Ventilations and Rescue Breathing - Due on Session 4 Fill in the blanks

Answers found in: Emergency Care Manual…pages 106-108 and 120, EMR Cheat Sheet

Assisted Ventilations

Problem Ventilation Rate

Adult Child / Infant

Timed between or

with patient’s

own breaths

Breathing too Fast

greater than ________ breaths per minute

1 breath

every

________seconds

1 breath

every

_______seconds

Breathing too Slow

less than _________ breaths per minute

Signs of ____________________

Signs of ____________________

Rescue Breathing

Problem Ventilation Rate

Adult Child / Infant

Respiratory Arrest…but PULSE ______________

1 breath every ___________ seconds

1 breath every ___________ seconds

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Session 5 Trauma Worksheets – Due on Session 5

Amputation - Due on Session 5 Answers found in: Emergency Care Manual…page 196

Description

Signs and Symptoms

Possible Complications

Treatment

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Impaled Object - Due on Session 5 Answers found in: Emergency Care Manual…page 196

Description

Signs and Symptoms

Possible Complications

Treatment

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Pneumothorax/Hemothorax – Due on Session 5 Answers found in: Emergency Care Manual…pages 256-258

Causes

Signs and Symptoms

Treatment

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Flail Chest – Due on Session 5 Answers found in: Emergency Care Manual…pages 255-256

Causes

Signs and Symptoms

Treatment

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Crush Syndrome– Due on Session 5 Answers found in: Emergency Care Manual…pages 184-185

Causes

Signs and Symptoms

Treatment

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Compartment Syndrome– Due on Session 5 Answers found in: Emergency Care Manual…page 185

Causes

Signs and Symptoms

Treatment

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Blast Injuries– Due on Session 5 Answers found in: Emergency Care Manual…page 185

Causes

Signs and Symptoms

Treatment

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Abdominal Aortic Aneurysm – Due on Session 5 Answers found in: Emergency Care Manual – pages 259-260

Causes

Signs and Symptoms

Treatment

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Burns Worksheets – Due on Session 5

Superficial Burns – Due on Session 5 Answers found in: Emergency Care Manual…pages 198-205

Areas Commonly

Affected

Depth of Tissues

Affected

Signs and Symptoms

Treatment

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Partial Thickness Burns – Due on Session 5 Answers found in: Emergency Care Manual…pages 198-205

Areas Commonly

Affected

Depth of Tissues

Affected

Signs and Symptoms

Treatment

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Full Thickness Burns – Due on Session 5 Answers found in: Emergency Care Manual…pages 198-205

Areas Commonly Affected

Depth of Tissues Affected

Signs and Symptoms

Treatment

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Lund & Browder Burn Estimation Chart – Due on Session 5 Calculate Total Percentage Burned

Answers found in: EMR Cheat Sheet; Lund and Browder Burn Chart

Area Fill in the Age Percentages

0 (infant) 1 year 5 years 10 years 15 years Adult

A = half of head 6.5 %

B = half of one thigh 2.75% 4.5%

C = half of one lower leg

Record the burn percentages indicated for the 15 YEAR OLD patient in the Diagram above

Region Partial Thickness % Full Thickness %

Head

Neck

Anterior Trunk

Posterior Trunk

Right Arm

Left Arm

Buttocks

Genitalia

Right Leg

Left Leg

Total Burn %

Full Thickness

Full Thickness

Partial Thickness

Full Thickness

Partial Thickness Partial Thickness

Full Thickness

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Rule of Nines Burn Estimation – Due on Session 5 Calculate Total Percentage Burned Answers found in: Emergency Care Manual…pages 200-201

Total Percentage Burned

Adult Shown Child Shown

Anterior and Posterior

Anterior

Anterior and Posterior

Distal to Clavicle

Proximal to Radius - Ulna

Anterior And

Posterior

Anterior

Distal to Patella

Posterior

Anterior

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Burn Protocols – Due on Session 5

Fill in the Blanks Answers found in: Emergency Care Manual…pages 198-205, BCAS Treatment Guidelines, EMR Cheat Sheet

Guideline BCAS Treatment Guidelines

(BC EMALB) PAC NOSCP

(Red Cross Emergency Care Manual)

Minimum Systolic B.P. to give Nitro 90 mmHg 100 mmHg

Nitro Dose Frequency Every 3-5 minutes (Q3-5) Every 5 minutes (Q5)

Hyperglycaemia 11 mmol or higher 8 mmol or higher

Burn Percentage Calculations

Burn Cooling On Scene

CPR with Hypothermia Check Pulse for 30 seconds Check pulse for 45 seconds

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Poisons Worksheets – Due on Session 5

How Poisons Enter the Body – Due on Session 5 List 3 examples of each method Answers found in: Emergency Care Manual…page 288

Ingestion

Inhalation

Absorption

Injection

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Commonly Misused and Abused Substances – Due on Session 5 Fill in the blanks Answers found in: Emergency Care Manual…pages 296-298

List 4 types of commonly Misused and Abused Substances

Potential Signs and Symptoms of Substance Abuse or Misuse

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Spider Bites – Due on Session 5 Answers found in: Emergency Care Manual…page 292

Examples

Signs and Symptoms

Treatment

More Advanced

Care If:

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Marine Life – Due on Session 5 Answers found in: Emergency Care Manual…pages 292-293

Examples

Signs and Symptoms

Treatment

More Advanced

Care If:

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Ticks – Due on Session 5 Answers found in: Emergency Care Manual…pages 294-295

Description

Signs and Symptoms

Treatment

More Advanced

Care If:

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Snakes – Due on Session 5 Answers found in: Emergency Care Manual…page 293

Examples

Signs and Symptoms

Treatment

More Advanced

Care If:

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Hanta Virus – Due on Session 5 Answers found in: Emergency Care Manual…page 291

Sources

Signs and Symptoms

Treatment

More Advanced

Care If:

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Misused and Abused Substances Worksheets – Due on Session 5

Stimulant – Due on Session 5 Answers found in: Emergency Care Manual…pages 297-299

Examples

Mechanism and Routes

Effects

Signs and Symptoms

Treatment and

Approach Options

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Hallucinogen – Due on Session 5 Answers found in: Emergency Care Manual…pages 297-299

Examples

Mechanism and Routes

Effects

Signs and Symptoms

Treatment and

Approach Options

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Depressant – Due on Session 5 Answers found in: Emergency Care Manual…pages 297-299

Examples

Mechanism and Routes

Effects

Signs and Symptoms

Treatment and

Approach Options

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Designer Drugs – Due on Session 5 Answers found in: Emergency Care Manual…pages 298-299

Examples

Mechanism and Routes

Effects

Signs and Symptoms

Treatment and

Approach Options

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Hypothermia Worksheets – Due on Session 5

Mild Hypothermia – Due on Session 5 Answers found in: Emergency Care Manual…pages 307-310

Causes

Signs and Symptoms

Interventions

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Moderate Hypothermia – Due on Session 5 Answers found in: Emergency Care Manual…pages 307-310

Causes

Signs and Symptoms

Treatment

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Severe Hypothermia – Due on Session 5 Answers found in: Emergency Care Manual…pages 307-310

Causes

Signs and Symptoms

Treatment

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Frostbite Worksheets – Due on Session 5

Frost Nip – Due on Session 5 Answers found in: Emergency Care Manual…page 308

Areas Commonly

Affected

Depth of Tissues

Affected

Signs and Symptoms

Treatment

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Frostbite – Due on Session 5 Answers found in: Emergency Care Manual…pages 308-309

Areas Commonly

Affected

Depth of Tissues

Affected

Signs and Symptoms

Treatment

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Hyperthermia Worksheets – Due on Session 5

Heat Cramps – Due on Session 5 Answers found in: Emergency Care Manual…pages 305-307

Causes

Signs and Symptoms

Treatment

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Heat Exhaustion – Due on Session 5 Answers found in: Emergency Care Manual…pages 305-307

Causes

Signs and Symptoms

Treatment

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Heat Stroke – Due on Session 5 Answers found in: Emergency Care Manual…pages 305-307

Causes

Signs and Symptoms

Treatment

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Session 6

Drip Set Calculations - Due on Session 6 Answers found in: Emergency Care Manual…page 169, EMR Cheat Sheet

Drip Set Sizes

gtts = “drips”

ml = “milliliters”

gtts / ml = “how many drips add up to one milliliter”

Standard (Regular) 15 gtts / ml

Macro (Adult) 10 gtts / ml

Micro (Mini) 60 gtts / ml

gtts / minute (drips per minute) = volume (expressed in milliliters) to be infused X gtts / ml

Infusion time (expressed in minutes)

Calculate gtts (Drips) per minute needed to meet the required infusion rate:

Eg…Calculate drips per minute required for a Macro (Adult) sized Drip Set to infuse 380 ml/hour

380 ml x 10 gtts/ml = 60 minutes

3,800 = 60

63 drips per minute to infuse 380 ml over an hour* *(this would work out to roughly 1 drip every second)

Calculate drips per minute required for a Micro (Mini) sized Drip Set to infuse 150 ml/hour

Calculate drips per minute required for a Standard (Regular) sized Drip Set to infuse 200 ml/hour

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IV Complications Worksheets – Due on Session 6

Circulatory Overload – Due on Session 6 Answers found in: Emergency Care Manual…pages 170-172

Causes

Signs and Symptoms

Interventions

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Catheter Embolism– Due on Session 6 Answers found in: Emergency Care Manual…pages 170-172

Causes

Signs and Symptoms

Interventions

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Allergic Reaction – Due on Session 6 Answers found in: Emergency Care Manual…pages 170-172

Causes

Signs and Symptoms

Interventions

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Interstitial Swelling – Due on Session 6 Answers found in: Emergency Care Manual…pages 170-172

Causes

Signs and Symptoms

Interventions

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Thrombosis and Thrombophlebitis – Due on Session 6 Answers found in: Emergency Care Manual…pages 170-172

Causes

Signs and Symptoms

Interventions

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Site Infection – Due on Session 6 Answers found in: Emergency Care Manual…pages 170-172

Causes

Signs and Symptoms

Interventions

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Pharmacology Worksheets – Due on Session 6

Bromide – Due on Session 6

Answers found in: Emergency Care Manual…page 162

Trade Name: Ipratropium Bromide Generic Name(s):

Classification

Mechanism

Indications

Contraindications

Precautions

Adverse Effects

Doses

Routes of Administration

Onset

Peak Effects

Duration

DosageForms / Packaging

Notes

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Adrenaline - Due on Session 6

Answers found in: Emergency Care Manual…pages 162-163

Trade Name: Epinephrine Hydrochloride Generic Name(s):

Classification

Mechanism

Alpha Effects

Beta Effects

Indications

Contraindications

Precautions

Adverse Effects

Doses

Routes of Administration

Onset

Peak Effects

Duration

Notes

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Nitrous Oxide - Due on Session 6

Answers found in: Emergency Care Manual…pages 164-165, EMR Cheat Sheet

Trade Name(s): Generic Name(s):

Classification

Mechanism

Indications

Contraindications

Precautions

Adverse Effects

Doses

Notes

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Salbutamol - Due on Session 6

Answers found in: Emergency Care Manual…page 166

Trade Name(s): Generic Name(s):

Classification

Mechanism

Indications

Contraindications

Precautions

Adverse Effects

Doses

Routes of Administration

Onset

Duration

Metabolism

Notes

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Routes of Drug Administration - Due on Session 6 Fill in the blanks

Answers found in: Emergency Care Manual…page 167

Enteral administration of drugs includes the following routes

_____________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

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Parenteral administration of drugs includes the following routes:

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

_____________________________________________________________________

Entonox Administration - Due on Session 6 Fill in the blanks

Answers found in: Emergency Care Manual…page 164, EMR Cheat Sheet

Entonox Contraindications - Acronym

D

I

V

I

N

E

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Entonox Protocol (EMR Cheat Sheet)

Indications

Rule out Contraindications

Cautions

Completed before administration

Proper Storage

Instructions to Patient

o

o

o

o

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Sager Traction Splint – Due on Session 6

Fill in the Blanks Answers found in: EMR Cheat Sheet, Sager Instruction Manual

Sager Traction Splint

Suspected Fracture of Femur, Tibia or Fibula

Assess injured leg

Apply Traction

o

o

o

o

Secure Splint

Reassess Injury

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Session 7

Congestive Heart Failure – Due on Session 7 Answers found in: Emergency Care Manual…pages 133-134

Causes

Signs and Symptoms

Treatment

Right-sided heart failure usually occurs due to _____________________________________________________

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Sudden Illness Worksheets – Due on Session 7

Appendicitis – Due on Session 7 Answers found in: Emergency Care Manual…pages 276-277 and 280

Causes

Signs and Symptoms

Treatment

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Peptic Ulcers – Due on Session 7 Answers found in: Emergency Care Manual…pages 278 and 284

Causes

Signs and Symptoms

Treatment

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Gastroenteritis – Due on Session 7 Answers found in: Emergency Care Manual…pages 277 and 282

Causes

Signs and Symptoms

Treatment

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Bowel Obstruction – Due on Session 7 Answers found in: Emergency Care Manual…pages 277 and 280

Causes

Signs and Symptoms

Treatment

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Kidney Stones – Due on Session 7 Answers found in: Emergency Care Manual…pages 278 and 283

Causes

Signs and Symptoms

Treatment

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Urinary Tract Infection – Due on Session 7 Answers found in: Emergency Care Manual…pages 278 and 285

Causes

Signs and Symptoms

Treatment

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Fainting (Syncope) – Due on Session 7 Answers found in: Emergency Care Manual…pages 270 and 281

Causes

Signs and Symptoms

Treatment

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Peritonitis – Due on Session 7 Answers found in: Emergency Care Manual…pages 278 and 284

Causes

Signs and Symptoms

Treatment

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High Altitude Sickness Worksheets – Due on Session 7

Acute Mountain Sickness – Due on Session 7 Answers found in: Emergency Care Manual…pages 379-380 and 382-383

Causes

Signs and Symptoms

Treatment

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High Altitude Pulmonary Edema – Due on Session 7 Answers found in: Emergency Care Manual…pages 379-380 and 382-383

Causes

Signs and Symptoms

Treatment

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High Altitude Cerebral Edema – Due on Session 7 Answers found in: Emergency Care Manual…pages 379-380 and 382-383

Causes

Signs and Symptoms

Treatment

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Behavioural and Psychotic Emergencies Worksheets – Due on Session 7

Psychosis – Due on Session 7 Answers found in: Emergency Care Manual…pages 327-332

Category

Causes

Typical Behaviours

Signs and Symptoms

Treatment / Approach Options

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Anxiety – Due on Session 7 Answers found in: Emergency Care Manual…pages 328-332

Category

Causes

Typical Behaviours

Signs and Symptoms

Treatment / Approach Options

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Depression – Due on Session 7 Answers found in: Emergency Care Manual…pages 328-332

Category

Causes

Typical Behaviours

Signs and Symptoms

Treatment / Approach Options

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Schizophrenia – Due on Session 7 Answers found in: Emergency Care Manual…pages 328-332

Category

Causes

Typical Behaviours

Signs and Symptoms

Treatment / Approach Options

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Childbirth Complications Worksheets – Due on Session 7

Miscarriage – Due on Session 7 Answers found in: Emergency Care Manual…page 338

Causes

Signs and Symptoms

Treatment

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Third Trimester Bleeding – Due on Session 7 Answers found in: Emergency Care Manual…page 339

Causes

Signs and Symptoms

Treatment

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Multiple Births – Due on Session 7 Answers found in: Emergency Care Manual…pages 340-341

Causes

Signs and Symptoms

Treatment

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Breech Birth – Due on Session 7 Answers found in: Emergency Care Manual…page 340

Causes

Signs and Symptoms

Treatment

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Prolapsed Cord – Due on Session 7 Answers found in: Emergency Care Manual…pages 339-340

Causes

Signs and Symptoms

Treatment

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Ectopic Pregnancy – Due on Session 7 Answers found in: Emergency Care Manual…page 339

Causes

Signs and Symptoms

Treatment

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Limb Presentation – Due on Session 7 Answers found in: Emergency Care Manual…page 341

Causes

Signs and Symptoms

Treatment

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Premature Labour – Due on Session 7 Answers found in: Emergency Care Manual…pages 338-339

Causes

Signs and Symptoms

Treatment

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Post-Partum Bleeding – Due on Session 7 Answers found in: Emergency Care Manual…page 341

Causes

Signs and Symptoms

Treatment

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APGAR - Due on Session 7

Fill in the Blanks Answers found in: Emergency Care Manual…page 342, EMR Cheat Sheet

APGAR

0 1 2

Activity

100 bpm or higher

Grimace

Body/Extremities Blue/Pale

____________ is “Normal … __________is “Fairly Low” … __________ is “Critically Low”

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Special Populations Worksheets – Due on Session 7

Infant – Due on Session 7 Answers found in: Emergency Care Manual…pages 315-321 and 341-342

Significant Differences from Adults

Vulnerabilities

On Scene Challenges

On Scene Solutions

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Child – Due on Session 7 Answers found in: Emergency Care Manual…pages 315-321

Significant Differences from Adults

Vulnerabilities

On Scene Challenges

On Scene Solutions

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Adolescent – Due on Session 7 Answers found in: Emergency Care Manual…pages 315-321

Significant Differences from Adults

Vulnerabilities

On Scene Challenges

On Scene Solutions

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Older Adult – Due on Session 7 Answers found in: Emergency Care Manual…pages 322-325

Significant Differences from Adults

Vulnerabilities

On Scene Challenges

On Scene Solutions

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Physically or Mentally Disabled – Due on Session 7 Answers found in: Emergency Care Manual…pages 324-327

Significant Differences

from Average Population

Vulnerabilities

On Scene Challenges

On Scene Solutions

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Crisis Intervention Worksheet – Due on Session 7 Answers found in: Emergency Care Manual…pages 331-332

Possible Causes of Emotional

Distress

Possible Effects of Emotional

Distress

Pre-Incident Management

Strategies

Ongoing Incident

Management Strategies

Post-Incident Management

Strategies

Personal and Professional

Coping Resources

Video http://www.youtube.com/watch?v=eYG0ZuTv5rs

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Communications Worksheets – Due on Session 7

Medical Director – Due on Session 7 Answers found in: Emergency Care Manual…pages 11-14

6 key pieces of information to

relay to Medical Director

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EMR Study Guide

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Transportation Worksheets – Due on Session 7

Safe Vehicle Operations – Due on Session 7 Answers found in: Emergency Care Manual…page 369

6 Factors that influence safe

driving operation

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EMR Study Guide

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Triage / Multiple Casualty Incidents Due on Session 7 Answers found in: Emergency Care Manual…360-366

Patient appearance. Injuries or circumstances apparent upon approach

Primary Survey Findings

Triage Decision

Immediate Delayed Minor Dead / Non

Salvageable

All patients listed below are found at the same bus crash scene

Adult male with a 1.5 foot piece of rebar sticking out of their chest.

LOC Alert

Radial Pulse Present

Respirations Normal and Adequate

3 year old female with their right foot amputated below the malleolus. Bleeding controlled.

LOC Alert

Radial Pulse Present

Respirations Normal and Adequate

12 year old male. No apparent injuries.

LOC Unresponsive

Radial Pulse Present

Respirations Normal and Adequate

Adult male with deadly bleeding from a deep laceration on the left leg.

LOC Alert

Radial Pulse Absent

Respirations Normal and Adequate

Adult female. No apparent injuries

LOC Alert

Radial Pulse Absent

Respirations Normal and Adequate

Adult male with severe deformity at the right elbow. Bone protruding from right forearm

LOC Alert

Radial Pulse Present

Respirations Normal and Adequate

Elderly male. No apparent injuries

LOC Verbal Responsiveness

Radial Pulse Present

Respirations Normal and Adequate

Adult female. Pale and sweaty with severe chest pain radiating into the left jaw and arm.

LOC Alert

Radial Pulse Present.

Respirations Normal and Adequate

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Adolescent male. No apparent injuries. Complaining of asthma.

LOC Alert

Radial Pulse Present

Respirations Rapid and ineffective

8.5 month pregnant female. No apparent injuries.

LOC Unresponsive

Radial Pulse Absent

Respirations Absent