FlashKeepers

Emergency Medicine · EMT-B

Environmental and Wilderness Emergencies

Heat and cold emergencies, drowning, envenomation, and altitude illness presentations and field management.

35 cards · basic cards · AI-written, checked twice. Edit anything.

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What is the definition of heat cramps?
Painful muscle spasms caused by heavy exertion and fluid/electrolyte loss in a hot environment.
What is the hallmark skin finding of heat exhaustion?
Pale, cool, and clammy (moist) skin.
What is the hallmark skin finding of heat stroke?
Hot skin, which may be dry or moist.
The single most important sign that distinguishes heat stroke from heat exhaustion is ____.
altered mental status
What is the field treatment for heat exhaustion in a fully alert patient?
Move to a cool place, remove excess clothing, and give oral fluids.
What is the immediate priority treatment for heat stroke?
Aggressive cooling as quickly as possible.
Why should an EMT-B avoid giving oral fluids to a heat emergency patient with altered mental status or nausea?
Risk of vomiting and aspiration.
What core body temperature is generally associated with heat stroke?
Above 104 F (40 C).
What position should a heat emergency patient with a normal mental status be placed in for transport?
Supine with legs slightly elevated.
Hypothermia is defined as a core body temperature below ____.
95 F (35 C)
What are early (mild) signs of hypothermia?
Shivering, cold skin, and clumsiness or slurred speech.
What finding suggests a patient has progressed from mild to severe hypothermia?
Shivering stops and mental status significantly decreases.
Why must a severely hypothermic patient be handled gently and moved with minimal jostling?
Rough handling can trigger a fatal cardiac dysrhythmia, such as ventricular fibrillation.
What is the recommended field treatment for a hypothermic patient?
Remove wet clothing, insulate and passively rewarm, and handle the patient gently.
What is 'afterdrop' in hypothermia management?
A continued drop in core temperature after rewarming begins, as cold blood from the extremities returns to the core.

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