This document provides an overview of responding to emergency medical calls as a paramedic. It discusses gathering key information from callers, developing a differential diagnosis based on symptoms, performing a focused physical exam, considering clinical scenarios and protocols for treatment. Specific examples covered include responding to calls for abdominal pain, chest pain, shortness of breath and headaches. Clinical decision making for emergency childbirth, seizures, allergic reactions and cardiac arrest are also reviewed. The document emphasizes developing an assessment and treatment plan tailored to the patient's condition.
9. What are the possibilities?
AKA the differential...
10. What are the possibilities?
AKA the differential...
What could cause chief complaint?
11. What are the possibilities?
AKA the differential...
What could cause chief complaint?
What are issues related to age?
12. What are the possibilities?
AKA the differential...
What could cause chief complaint?
What are issues related to age?
What are issues related to sex?
84. Behind door #2...
Pt. does not respond
to painful stimuli,
smells of alcohol,
no obvious trauma
found, put on
gurney and carry
into rig and start
transport
85. Behind door #2...
Pt. does not respond En route, patient
to painful stimuli, starts to have
smells of alcohol, seizures...
no obvious trauma
found, put on
gurney and carry
into rig and start
transport
86. Behind door #2...
Pt. does not respond En route, patient
to painful stimuli, starts to have
smells of alcohol, seizures...
no obvious trauma
found, put on
gurney and carry
into rig and start
transport
92. EMS History
David Rosenbaum, 2006
Journalist living in D.C.
Found by F.D. and thought to be intoxicated
EMS took 20 minutes to arrive & bypassed closest
hospital
Waited in E.D. For an hour before RN noted
patient vomiting
Died of trauma to head after assault
127. Went to Church this morning, attended a
Church picnic afterward, went home and
took a nap, awoke with swollen tongue
Vitals: HR 85, B/P 135/85, RR 16,
Pulse Ox 96%
128. Physical exam: well-nourished female
in NAD, PERRL, large tongue, no stridor,
RRR, CTA bilat, soft/NT/+BS, no edema,
MAE
129. You suspect an allergic reaction. Name
three drugs that you would give
immediately.
131. You place on monitor in the ambulance
and pulse ox is now 91%. RR is 16.
You would:
A. do nothing
B. start nasal cannula at 3L
C. start face mask at 15L
132. After applying oxygen, patient feels
slightly better but then begins to
complain of chest pain. You look at the
monitor and see sinus tachycardia. HR
110.
Why would she have this?
133. You hang a bag of normal saline and
start to secure the patient when she
says, “I don’t feel so good” in a very
scratchy voice. She then stops
breathing.
134. For RSI
name a drug that is an induction
agent
name a drug that is a paralytic
135. Put these in order
A. induction agent
B. visualize vocal cords
C. preoxygenate
D. paralytic agent
E. intubate