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Altered Mental Status Edition
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5 Categories 30 Questions
Pupils present in this manner in a significant Head injury with ICP. Pupils present in this manner in Opioid overdoses.
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Category 1
Q.
Pupils present in this manner in a significant Head injury with ICP.
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What is Unequal?
Q.
Pupils present in this manner in Opioid overdoses.
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What is constricted?
Q.
This respiratory pattern is characterized by deep breathing followed by a period of apnea.
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What is Cheyne Stokes Respirations?
Q.
This GCS # is : Eyes: Pain; Verbal: Inappropriate Words; Motor: Flexion (Decerebrate)
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What is 7?
Q.
R.A.C.E. Score : Mild Facial Droop; Complete R arm Paralysis; Hold up Right leg for 3 sec.; Eyes deviated; Does not close eyes , but will make a fist.
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What is 6?
Q.
Patient may experience this before a seizure.
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What is Aura?
Category 2
Q.
The person who can upgrade the unit to a hot response on psych calls.
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What is the Crew Chief?
Q.
This vital sign is required on all altered mental status patients.
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What is a BGL?
Q.
If a AMS or ETOH patient wants to refuse T&T. What 2 people must be contacted.
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What is the Shift Supervisor and Law Enforcement?
Q.
If a patient wants to refuse Treatment and Transport. They must be alert and oriented to this level.
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What is CAOx4?
Q.
This person should be contacted if a crew encounters a situation that involves Power of Attorney Paperwork.
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What is contact the Shift Supervisor?
Q.
If you transport the belongings of a AMS patient this must be documented in your PCR.
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What is the name of the receiving nurse?
Category 3
Q.
This score on the R.A.C.E. assessment would preempt a Stroke alert.
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What is a 4?
Q.
The window of time for tPa administration for a stroke patient.
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What is 4 hours?
Q.
This is the appropriate EtCO2 range for a patient experiencing cerebral herniation.
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What is 30-35mmHg?
Q.
Cerebral vasoconstriction is caused by this ventilation method. It is contraindicated except when a patient is experiencing brain herniation.
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What is hyperventilation?
Q.
Embolic strokes are most commonly caused by this heart rhythm.
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What is Atrial Fibrillation?
Q.
This type of hemorrhagic event (most often caused by trauma) is characterized by an initial period of unconsciousness then a brief lucid period and then a rapid decline to unconsciousness.
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What is an Epidural Hematoma?
Category 4
Q.
Weakness to one side
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What is Hemiparesis?
Q.
Paralysis to one side.
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What is Hemiplegia
Q.
Inability to speak
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What is Aphasia?
Q.
Difficulty Speaking
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What is Dysphasia?
Q.
Numbness or tingling
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What is Parathesia?
Q.
tPa
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What is Tissue Plasminogen Activator?
Category 5
Q.
This part of the brain is responsible for sight
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What is the Occipital region?
Q.
This part of the brain is responsible for personality, judgement and speech
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What is the Frontal Lobe?
Q.
This part of the brain is responsible for, vital life functions such as breathing, heartbeat, and blood pressure.
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What is the Brain Stem?
Q.
This part of the brain is responsible for regulation and coordination of movement, posture, balance and cardiac, respiratory and vasomotor centers.
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What is the Cerebellum?
Q.
This part of the brain interprets, and is responsible for memory and hearing.
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What is the Temporal Lobe?
Q.
This part of the brain interprets language, senses pain and touch, and Interprets signals from vision, hearing, motor, sensory and memory?
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What is the Parietal lobe?
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