EMS 111 Midterm

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Author:
dennis.mcmorrow
ID:
265076
Filename:
EMS 111 Midterm
Updated:
2014-03-04 23:25:09
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EMS111
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EMS Midterm
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  1. •EMS system
    –Team of health care professionals–Provides emergency care and transport–Governed by state laws
  2. •EMR has very basic training.
    –Provides care before ambulance arrives–May assist within ambulance
  3. •EMT has training in basic life support (BLS)
    • –Automated external defibrillation
    • –Airway adjuncts
    • –Medication assistance
  4. AEMT has training in advanced life support
    (ALS)
    –Intravenous (IV) therapy

    • –Administration of certain emergency
    • medications
  5. Paramedic
    –Endotracheal intubation

    –Emergency pharmacology

    –Cardiac monitoring
  6. Who published the first EMT curriculum
    •DOT published first EMT training curriculum in early 1970s
  7. Public Access EMD
    Emergency Medical Dispatch
  8. PSA
    Primary Service Area
  9. Medical Direction Offline
    •Standing orders, training, supervision
  10. Medical Direction Online
    • •Physician directions given over the phone or
    • radio
  11. CQI
    Continuous Quality Improvment
  12. HIPAA
    • Health Insurance Portability and
    • Accountability Act
  13. Infectious Disease
    Illness caused by an organism within the body
  14. Communicable Diseases
    • Spread person to person
    • From one species to another
  15. Contamination
    Direct Contact
    Direct contact with blood or bodily fluids
  16. Indirect Contact
    Result from needle sticks
  17. HEPA Mask
    Used when tuberculosis is suspected
  18. CISM
    Program developed to decrease likelihood of PTSD
  19. When a person comes into contact with contaminated material
    exposure
  20. Standard Precautions
    • Protective measures that
    • prevent health care workers from coming into contact with germs
  21. Three responses to stress
    • alarm
    • reaction and resistance
    • recovery
  22. The right of a patient to make decisions about their health care
    Patient Autonomy
  23. Patient states that they would like to be treated
    • Expressed consent
    • Only valid when patient is informed
  24. Form of consent provided by unconscious and folks otherwise incapable of making informed decisions
    Implied consent
  25. This form of consent applies to:
    mentally ill
    developmentally delayed
    in behavioral crisis
    involuntary consent
  26. Definitive signs of death
    • Decapitation
    • Dependent Lividity (blood settling)
    • Rigor Mortis
    • Putrefaction
  27. Medical examiner notified (7)
    • Dead on Arrival/Scene
    • Death without previous medical care
    • Suicide
    • Violent Death
    • Suspected poisoning
    • Death from accident
    • Suspected Criminal Act
  28. Individual's responsibility to provide patient care
    Duty to Act
  29. Failure to provide same
    care that person with similar training would provide in same or similar
    situation
    Negligence
  30. Forcing values onto others
    Cultural Imposition
  31. Considering your own values to be more important than the values of others
    ethnocentrism
  32. Study of space and how the distance between people affects communication
    proxemics
  33. Unequal pupils
    anisocoria
  34. PEaRRL
    • Pupils
    • Equal
    • And
    • Round
    • Regular in Size
    • Reactive to light
  35. Normal breath Rate
    • Greater than 12
    • Less Than 20
  36. Provide positive pressure ventilation when
    • More than 24 breaths per minute
    • Less than 8 breaths per minute
  37. SAMPLE
    –Signs and symptoms

    –Allergies

    –Medications

    –Pertinent past medical history

    –Last oral intake

    –Events leading up to the injury/illness
  38. OPQRST
    –Onset

    –Provocation or palliation

    –Quality

    –Region/radiation

    –Severity

    –Timing
  39. Negative findings that warrant no care or intervention
    Pertinent negatives
  40. Profuse sweating
    Diaphoresis
  41. DCAP-BTLS
    –Deformities

    –Contusions

    –Abrasions

    –Punctures/penetration

    –Burns

    –Tenderness

    –Lacerations

    –Swelling
  42. normal range for blood pressure
  43. sudden fainting
    •Syncope
  44. Reassess stable patients
    every 15 minutes
  45. reassess unstable patients
    every five minutes
  46. symptom
    something a patient tells you
  47. sign
    objective qualities that can be observed in a patient
  48. Lack of profusion to a particular area
    Ischemia
  49. Impalement are only removed when
    • they obstruct airway
    • interfere with cpr
  50. rule of 9%
  51. Bleb
    Aneurysm in the lung that could result in a spontaneous phnumothorax
  52. Slow pulse
    erratic breathing
    high blood pressure
    Cushing's Triad
  53. Bruising behind the ears
    Battle Signs, sign of scull fracture
  54. exsanguination
    to bleed out

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