There is a density seen in the left lower lobe posterolaterally, which extends to the pleural surface. Chest x-ray: Patchy infiltrates from the apex to the midlung on the right with some consolidative changes involving the entire right lower lobe. Oximeter showed 70 % 70 \% 70% saturation. There was no clubbing of the fingers noted.Ĭomplete blood count showed an elevated white blood cell count of 17,600 with 80 segs, 4 bands, and 2 lymphs. HEART: Normal heart sounds without murmur, gallop, or rub.ĮXTREMITIES: Normal with full range of motion noted. There are diffuse expiratory wheezes, but no rales or rhonchi There are no intercostal retractions during inspiration. The neck is supple and free of any masses.ĬHEST: There is an increased anteroposterior diameter to the chest. HEENT: Negative, except for slight cyanosis of the lips. GENERAL: The patient appears older than his stated age and quite tired at this time. VITAL SIGNS: Pulse 110, respiratory rate 42 per minute, temperature 100.6, blood pressure 156/96. Chest x-ray done recently showed a suspicious lesion in the LLL a bronchoscopy was performed and a biopsy was done, but the biopsy results were negative for malignancy. Surgical history of an appendectomy in the remote past. He currently smokes 2 packs of cigarettes per day and has done so for the past 22 years. The patient was a coal miner for 25 years before he retired on disability with black lung disease at age 55. This 65-year-old Caucasian male was evaluated by me in the emergency department on the above date, complaining of progressive shortness of breath, coughing, fever, and fatigue. Read the report and answer the question.ĪDMISSION HISTORY AND PHYSICAL EXAMINATION You must have a US deliverable postal address to receive printed materials, take the final exams, and/or receive certificates of completion.This is a hospital Admission and Physical Examination report. The primary audience for the Independent Study Program is "national" emergency response and recovery personnel of the United States, as well as emergency management personnel of FEMA, and US residents. The FEMA Emergency Management Institute developed the new courses collaboratively with the National Wildfire Coordinating Group (NWCG), the United States Fire Administration and the United States Department of Agriculture.įEMA Independent Study Program (ISP) Complete Course List Certificate offered after successful completion of test at end.ĮMI replaced its Incident Command System (ICS) curricula with courses that meet the requirements specified in the National Incident Management System (NIMS). IS-200 ICS for Single Resources and Initial Action Certificate offered after successful completion of test at end. IS-100 Introduction to Incident Command System, I-100įEMA, Emergency Management Institute Course. 8 CEU's from the Independent Study Office. Those successfully finishing it will receive a certification of completion and. It takes between six and eight hours to complete the course. It has six modules with topics that include an Introduction to CERT, Fire Safety, Hazardous Material and Terrorist Incidents, Disaster Medical Operations, and Search and Rescue. "Introduction to Community Emergency Response Teams", IS- 317, is an independent study course that serves as an introduction to CERT for those wanting to complete training or as a refresher for current team members. Those who are not yet CERT members can also use the tutorial for background on the CERT basic training. Teams can use the tutorial as a group refresher activity. This tutorial allows CERT-trained individuals to review and refresh their skills in sizeup and search and rescue techniques.
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