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Medical: 5

Cardiology: 2 ════════════════════════════════════════════════════════════════════════════════════ ══════════════════════════

  • (4)

    Sympathetic

    • (a)

      Alpha - vasoconstrictive effect on systemic blood vessels

    • (b)

      Beta

      • i)

        Inotropic effect on myocardium

      • ii)

        Dromotropic effect on myocardium

      • iii)

        Chronotropic effect on myocardium

  • (5)

    Systemic circulation

  • II.

    Initial cardiovascular assessment

    • A.

      Level of responsiveness

    • B.

      Airway

      • 1.

        Patent

      • 2.

        Debris, blood

    • C.

      Breathing

      • 1.

        Absent

      • 2.

        Present

        • a.

          Rate and depth

          • (1)

            Effort

          • (2)

            Breath sounds

            • (a)

              Characteristics

            • (b)

              Significance

    • D.

      Circulation

      • 1.

        Pulse

        • a.

          Absent

        • b.

          Present

          • (1)

            Rate and quality

            • (a)

              Pulse deficit

            • (b)

              Pulsus paradoxus

            • (c)

              Pulsus alternans

      • 2.

        Skin

        • a.

          Color

        • b.

          Temperature

        • c.

          Moisture

        • d.

          Turgor

        • e.

          Mobility

        • f.

          Edema

      • 3.

        Blood pressure

  • III.

    Focused history

    • A.

      H and physical/ SAMPLE format

      • 1.

        Chief complaint

      • 2.

        Pain

        • a.

          OPQRST

          • (1)

            Onset/ origin

            • (a)

              Pertinent past history

            • (b)

              Time of onset

          • (2)

            Provocation

            • (a)

              Exertional

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────────────────────────── United States Department of Transportation National Highway Traffic Safety Administration Paramedic: National Standard Curriculum

11

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