EMT Lecture #2
Card Set Information
EMT Lecture #2
Thurston County EMT
Communications, Lifting and Moving, Documentation
Components of a short report
pt age and sex
brief pertinent medical history
pertinent treatment rendered
study of touching
thinking your way is the superior way
Trauma Triage Tool Components
: vitals and LOC
: anatomy of injury
: MOI & evidence of high energy impact
: special pt/system considerations
when do you automatically upgrade step 3 and 4 pts?
sections of the MIR
Patient Data Elements of the MIR
nature of call
Pertinent past history
Last oral intake
Events leading to 911 call
Subjective - what pt told me
Objective - what I found
Assessment - what I think the problem is
Plan - treatment plan written out and whether or not it worked
To meet the criteria for refusal of care, a pt must....
be assessed thoroughly for any substance or intoxicant or medical condition
have the lvl of care willing to accept determined
have risks explained to them
verbalize decisions/possible negative outcomes
DOCUMENT discussion/sign AMA with witness
encourage pt to seek medical attn if change in condition or decision
if the pt is unresponsive and has no spinal injury, how would you position them?
left side lateral recumbent
if the pt has chest pain or SOB, how would you position them?
Fowler's (sitting upright)
If the pt is in shock, how would you position them?
if the pt is pregnant + hypotensive, how would you position them?
elevate on right side of board with pillow
4 basic principals of lifting and moving
keep weight as close to you possible
when moving heavy object, use leg, hip and glut muscles + contracted ab muscles
stack your body
reduce the height or distance through which the object must be moved