1 Welcome to EMS Jeopardy!Play the Game Welcome to EMS Jeopardy!

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3 CONTENTS EMS JEOPARDY EMS DOUBLE JEOPARDY FINAL JEOPARDY

4 JEOPARDY

5 1 2 3 4 5 6 Click for Double Jeopardy Operations Take A Breath Say What? OBGYN A & P Trauma 100 100 100 100 100 100 200 200 200 200 200 200 300 300 300 300 300 300 400 400 400 400 400 400 500 500 500 500 500 500 JEOPARDY Round Score

6 Operations 1

7 This Law protects medical personnel or laymen from liability if they stop at a accident or medical emergency off duty 100 1 2 4 5 3

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9 What is: The Good Samaritan Law100

10 This is the first step in the AHA’s “Chain of Survival”200 1 2 3 5 4

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12 What is: Early 911 access Discuss each link in the Chain of Survival and explain that Heartsaver AED providers account for three links in the chain: Early access to EMS Early CPR Early defibrillation 200

13 A policy or protocol issued by a medical director that authorizes EMS to perform particular skills300 1 2 3 5 4

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15 What is: Standing Orders300

16 A strict form of infection control that is based on the assumption that all blood and other body fluids are infectious 400 1 2 3 5 4

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18 What is: Standard Precautions400

19 A federal law protecting the privacy of the patient’s specific health care information and providing the patient with control over how this information is used and distributed 500 1 2 4 5 3

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21 What is: HIPPA 500 bonus points-what does HIPPA stand for The Health Insurance Portability and Accountability Act 500

22 Take A Breath 2

23 25-50 breaths/minute 100 1 2 4 5 3

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25 What is: Normal breathing rate for an infant100 bonus points-What is normal breathing rate for a child? breath/minute 100

26 Sound that may indicate the upper airway is blocked by the tongue200 1 2 4 5 3

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28 What is: Snoring 200

29 Daily Double

30 Small Leaf-Shaped flap that covers the entrance to the larynx300 1 2 4 5 3

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32 What is: The Epiglottis300 Bonus points: Roll of the Epiglottis=The epiglottis is the little flap that closes whenever you swallow to keep the food, water, spit, and whatever else you swallow from going into your lungs. It helps the digestive system because it keeps the things you eat and drink going down your esophagus (throat), which takes it to your stomach, and so on. 300

33 400 1 2 4 5 3

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35 What is: The Diaphragm 400 bonus points=When the diaphragm contracts: Does it: A)  Air moves into the lungs   B) Air moves out of the lungs (A)When the diaphragm contracts, it pulls the lungs down which causes them to fill with air. 400

36 Principal Organ of respiration500 1 2 4 5 3

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38 What is: The Lungs 500

39 Say What? 3

40 ETOH 100 1 2 4 5 3

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42 What is: Alcohol 100

43 Described as a Grating Noise200 1 2 3 5 4

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45 What is: Crepitation 200

46 The beginning or starting point of symptoms300 1 2 3 5 4

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48 What is: Onset 300

49 Rapid-onset, short-term initial stage of a disease.400 1 2 3 5 4

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51 What is: Acute 400

52 Any agent or substance that stimulates an immune response500 1 2 3 5 4

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54 What is: An Antigen 500

55 Ohh Baby, Baby 4

56 A woman who has had 3 pregnancies and 2 live births would be expressed as?100 1 2 4 5 3

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58 What is: G3P2 Gravida indicates the number of times the mother has been pregnant, regardless of whether these pregnancies were carried to term. A current pregnancy, if any, is included in this count. Para indicates the number of >20 wks births (including viable and non-viable i.e. stillbirths). Pregnancies consisting of multiples, such as twins or triplets, count as ONE birth for the purpose of this notation. Abortus is the number of pregnancies that were lost for any reason, including induced abortions or miscarriages. The abortus term is sometimes dropped when no pregnancies have been lost. Stillbirths are not included. 100

59 This acronym is used in assessing newborns at 1 and 5 minutes after birth200 1 2 3 5 4

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61 What is: APGAR 200 bonus points-Appearance, Pulse, Grimace, Activity, and Respiration. 200

62 This obstetric emergency involves a partial or full detachment of the placenta from the uterine wall after 20 weeks gestation 300 1 2 3 5 4

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64 What is: Abruptio Placentae300 bonus points name signs and symptoms of- Vaginal bleeding (scant to heavy), Uterine tenderness or pain. The uterus may feel hard or rigid, High blood pressure (hypertension) is the most common risk factor associated with placenta abruptio. 300

65 Pregnant patients should be tilted to the left, and transported in the left lateral recumbent position to relieve pressure on this “hollow vein” 400 1 2 3 5 4

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67 What is: Inferior Vena CavaThe inferior vena cava carries blood back to the heart from your feet and legs, which heart's job easier 400

68 The umbilical cord forgot its place and makes an unexpected appearance.500 1 2 3 5 4

69 Time’s up

70 What is: Prolapsed Cord500 point bonus-Because a prolapsed cord causes fetal distress, there may be no abnormality in the mother’s vital signs, and you may not recognize the condition until you evaluate the mother’s vaginal opening and actually see the thick, bluish umbilical cord. If you see the cord, help the mother into knee-chest position (on her knees, facing down, with pelvis elevated) or keep her supine but elevate the pelvis with pillows and try to lower her head. These positions are meant to take the weight of the fetus off the umbilical cord.  Most important, make sure the mother does not try to push, which will cause further cord compression and endanger her baby. There are very few times when prehospital providers insert their fingers into the vaginal opening. This is one of them. Carefully insert your sterile-gloved fingers into the vaginal opening. Apply a gentle pressure on the head of the fetus to keep it off the cord. To protect the exposed cord, wrap it in a moist sterile towel, preferably one soaked in saline. You must maintain this position, holding the fetus away from the umbilical cord, until the patient is handed off. Check the cord frequently for pulsations. If pulsations are not felt, apply more pressure or reposition the mother. Provide high-flow oxygen for the mother and transport rapidly to the closest hospital with surgical capabilities. 500

71 A & P 5

72 This is the largest bone in the human body100 1 2 4 5 3

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74 What is: The Femur 100 Bonus Points: How much blood loss in a single femur fracture=1500 ml 100

75 This joint is formed by the articulation of the humerus, radius and ulna200 1 2 4 5 3

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77 What is: The elbow 200 bonus points: Prehospital personnel should splint the limb in the position found. Because of the risk of neurovascular injury, field reduction is not recommended. Successful reduction is usually unsuccessful without adequate analgesia and sedation. Patients with neurovascular compromise should be transported rapidly to the closest facility. 200

78 List the four chambers of the heart.300 1 2 4 5 3

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80 What is: right atrium, right ventricle, left atrium, and left ventricle300

81 Daily Double

82 List the organs in the upper left quadrant400 1 2 4 5 3

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84 What is: liver, spleen, pancreas, stomach, left kidney, and colon400

85 The central nervous system is composed of the...500 1 2 4 5 3

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87 What is: brain and spinal cord500

88 Trauma 6

89 This happens when you have two or more ribs broken in two or more places100 1 2 4 5 3

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91 What is: Flail Chest 100 bonus points: This patients tend not to take deep breaths due to the pain. Reduce the pain, this in turn may encourage deeper breaths, increasing tidal volume, decreasing the work of breathing, therefore correcting hypoxia. PPV with a BVM can serve as a splint internally. Use a 500cc bag of saline to splint externally. 100

92 Your 32 year old patient has a below the knee amputation on the sceneYour 32 year old patient has a below the knee amputation on the scene. This is the most effective treatment to stop the bleeding 200 1 2 4 5 3

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94 What is: Tourniquet Application200 bonus points: Describe the procedure 200

95 Bright red blood flow probably originates from this type of blood vessel300 1 2 4 5 3

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97 What is: Artery 300

98 Mastoid bone bruising that indicates basilar skull fracture are known as400 1 2 4 5 3

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100 What is: Battle’s Signs400

101 According to the “rule of 9’s” an adults entire leg is this percentage of the body500 1 2 4 5 3

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103 What is: 36% 18% anterior, 18% posterior500

104 A-Team Team-B Team-C

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106 Baby Got Back

107 The 6 Steps of Newborn resuscitation60 Sec 20 19 21 17 16 22 18 24 27 28 26 25 15 23 14 5 6 4 3 1 2 7 8 12 13 11 10 9 29 31 48 49 47 46 30 50 51 58 59 57 56 52 44 45 35 43 34 33 32 37 36 39 38 41 42 40 55 53 54

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109 What is: 1.) drying, warming, positioning, suction, tactile stimulation2.) oxygen 3.) BVM 4.) chest compressions 5.) intubation 6.) medications

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