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NREMT Advanced-EMT Study Guide with Verified Solutions

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EMILLYCHARLOTTE 2024/2025 ACADEMIC YAER ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED FIRST PUBLISH SEPTEMBER 2024 1/47 NREMT Advanced-EMT Study Guide with Verified Solutions Initial Assessment: B-SMNAC - Answer-- BSI (body substance isolation); - Scene Safety; - Mechanism of Injury (MOI)/Natu...

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  • October 6, 2024
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EMILLYCHARLOTTE 2024/2025 ACADEMIC YAER ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISH SEPTEMBER 2024


NREMT Advanced-EMT Study Guide
with Verified Solutions

Initial Assessment: B-SMNAC - Answer✔✔-- BSI (body substance isolation);


- Scene Safety;

- Mechanism of Injury (MOI)/Nature of Illness (NOI);

- Number of Patients;

- Assistance (additional units, Fire, Police, etc.);

- C-spine (and/or C-collar)

Initial Assessment: G-CAAT - Answer✔✔-- General Impression;

- Chief Complaints, Life Threats (hemorrhage);

- AVPU;

- ABC's (airway, breathing, circulation);

- Transport Decision (Load and Go or Stay and Play)

Components of General Impression - Answer✔✔-ASSS-FLOP-VD:

- Apparent state of health;

- Skin color, obvious lesions;

- Signs of distress;

- Sexual development;

- Facial expressions;

- Level of consciousness;

- Odors;


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, EMILLYCHARLOTTE 2024/2025 ACADEMIC YAER ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISH SEPTEMBER 2024

- Posture, Motor, Gait;

- Vital statistics;

- Dress, Grooming, Hygiene

Components of AVPU - Answer✔✔-- Alert;

- responds to Verbal stimuli;

- responds to Painful stimuli;

- Unresponsive

Secondary Assessment: OPQRST-I - Answer✔✔-especially for Respiratory and

Cardiac patients:

- Onset;

- Provocation/Palliation;

- Quality;

- Radiation;

- Scale/Severity;

- Time;

- Interventions

What is OPQRST? - Answer✔✔-a mnemonic for remembering the questions to ask

when assessing the patient's chief complaint or major symptoms

Onset - Answer✔✔-- When and how did the symptom begin?

- Ask the patient if the onset was sudden or gradual.

- Also determine if the onset was associated with a particular activity.

Provocation/palliation: - Answer✔✔-- What makes the symptom worse?

- What makes the symptom better?

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, EMILLYCHARLOTTE 2024/2025 ACADEMIC YAER ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISH SEPTEMBER 2024

Quality - Answer✔✔-How would you describe the pain?

Radiation - Answer✔✔-- Where do you feel the pain?;

- Where does the pain go?

Scale/Severity - Answer✔✔-- On a scale from 0 to 10, with 10 being the worst.

- How bad is the symptom?

Time - Answer✔✔-- Determine if the symptom has been present for minutes, hours,

days, weeks, months, or years;

- The length of time the symptoms are present is important to document

Secondary Assessment: SAMPLE - Answer✔✔-- Signs and Symptoms (history of

present issues);

- Allergies;

- Medications;

- Past Medical History, Pertinent Negatives;

- Last Oral Intake;

- Events (leading to present: trauma or medical)

Secondary Assessment: V-FITD - Answer✔✔-- Vital Signs, baseline (VS);

- Focused Physical Exam (performed);

- Interventions (RX's per medical direction, etc.);

- Transport (re-evaluate decision);

- Detailed Physical Exam (verbalized);

Order of Initial Assessment - Answer✔✔-- B-SMNAC;

- G-CAAT;


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, EMILLYCHARLOTTE 2024/2025 ACADEMIC YAER ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISH SEPTEMBER 2024

Order of Secondary Assessment - Answer✔✔-- OPQRST-I;

- SAMPLE;

- V-FITD

S1 - Answer✔✔-"Lub"

Caused by the closing of the Mitral (Bicuspid) and Tricuspid atrioventricular valves.

S2 - Answer✔✔-"Dub"

Caused by blood closing the semilunar valves (aortic and pulmonic).

S3 - Answer✔✔-"Ta"

Oft referred to as the galloping heart, caused by blood sloshing around in a compliant

left ventricle.

S4 - Answer✔✔-A rare noise in the middle of "lub," caused by a failing left ventricle

and best heard in the cardiac apex.

Ta-LUB-dub, ta-LUB-dub

Septum - 2 Sub Types - Answer✔✔-Separates the two halves of the heart.

Interatrial and Interventricular

NSAID - Answer✔✔-Nonsteroidal Anti-inflammatory Drug

Antipyretic Agent - Answer✔✔-Inhibits Prostaglandins

Acts on hypothalamus, heat regulation center.

Vasodilation & Sweating

Platelet Inhibitor - Answer✔✔-Prevents formation of thromboxane A2

Decreased Afterload Effects - Answer✔✔-Decreased Arteriole Pressure = Decreased

Aortic Pressure = Left Ventricle Works Better

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