Protocol 04 Patient Treatment and Transport 12/15/2022

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Questions and Answers

What is the primary responsibility of Fire Rescue personnel when treating patients?

To prioritize their own safety during operations

To ensure patient treatment and transportation is effective and efficient (correct)

To make decisions solely based on hospital policies

To maintain communication with family members during transport

When should a patient be transported in an MDFR Rescue Unit?

Only when the patient has a stable condition

For all non-serious injuries regardless of condition

Only if the patient requests it

When there are doubts about the patient’s condition or stability (correct)

What should happen if there is a conflict regarding patient care decisions during a rescue?

The OIC should be informed after the patient is transported

The concern should be directed to an EMS Field Supervisor after patient care (correct)

Transport should proceed without addressing the concern

The dispute should be resolved immediately on the scene

What is required when transferring a patient to a transport unit?

Patients should always be attended to, regardless of the situation Signup and view all the answers

What determines the transportation destination for unstable ALS patients?

The closest appropriate facility Signup and view all the answers

Which factor is considered when transporting stable patients?

Specialized treatment and patient/physician requests are taken into account Signup and view all the answers

What should Fire Rescue personnel do if they believe a patient care decision may negatively impact the patient?

Notify the OIC of their concerns discreetly Signup and view all the answers

Which statement about patient care responsibility is true?

All Paramedics and EMTs share equal responsibility for patient care Signup and view all the answers

What should be done if there is an unresolved disagreement on the treatment or transport modality?

Apply the higher level of care. Signup and view all the answers

Which of the following criteria warrants transportation to the closest STEMI Center?

Patients meeting STEMI Alert criteria. Signup and view all the answers

When should a non-transport unit request an ambulance/BLS transport unit?

When the number of patients exceeds two. Signup and view all the answers

What is the role of the OIC in deciding to transport a patient using emergency lights and sirens?

The OIC has the discretion to decide this. Signup and view all the answers

Which of the following patients requires ALS treatment and transport?

Patients experiencing abdominal pain, regardless of age. Signup and view all the answers

Why is it important to document all orders received via online Medical Control?

To support decisions made regarding transport and treatment. Signup and view all the answers

What is the protocol for transporting a stable pregnant patient with less than 20 weeks gestation?

They can be transported to the most appropriate GYN facility. Signup and view all the answers

Under which circumstances can a trauma patient be transported to a non-Trauma Center?

If the Trauma Center is on diversion and airway cannot be established. Signup and view all the answers

What is a crucial consideration when deciding on Air Rescue transportation?

The treatment/transport time must exceed 20 minutes. Signup and view all the answers

Who may a non-transport unit OIC consult for assistance with treatment or transport decisions?

Medical Control Physician or EMS Field Supervisor. Signup and view all the answers

What action must be taken for patients with suspected GI/GU bleeds?

They require ALS treatment and transport. Signup and view all the answers

What documentation is required when transferring care to an ambulance/BLS transport unit?

Full patient assessment and reasons for transfer. Signup and view all the answers

What conditions warrant ALS treatment and transport specifically related to headaches?

Severe sudden onset headaches or 'thunderclap' headaches. Signup and view all the answers

What is a requirement for patients transported via MDFR Rescue for trauma?

They must meet specified Trauma Transport Criteria. Signup and view all the answers

What is required before an accompanying family member is allowed on the aircraft during child transport?

They should receive the Passenger Briefing. Signup and view all the answers

What is the protocol if a patient is found to possess a weapon during transport?

Law enforcement must be requested if the scene is unsafe. Signup and view all the answers

Which service animal is permitted to accompany a patient during transport?

Only service dogs. Signup and view all the answers

Under what condition can a patient be released at the hospital?

After providing a face-to-face transfer of information. Signup and view all the answers

What constitutes alternate transport?

Using private or public transportation options. Signup and view all the answers

What characteristic defines a stable patient during transport?

They do not require immediate medical interventions. Signup and view all the answers

Which scenario describes a suspected labor situation?

More than 20 weeks with abdominal pain and contractions. Signup and view all the answers

What is the role of the Medical Control Physician?

To answer telemetry and provide medical orders. Signup and view all the answers

What criteria classify a patient as unstable?

They exhibit major airway obstruction or cardiac arrest. Signup and view all the answers

Which of the following describes appropriate documentation procedure?

Documentation must be completed for every EMS dispatch. Signup and view all the answers

Which complications of pregnancy would require immediate intervention?

Active vaginal bleeding or seizures. Signup and view all the answers

What is the definition of a trauma center?

A facility verified by the Florida Department of Health for trauma care. Signup and view all the answers

When can a service animal interfere with patient care?

If health care activities require full attention. Signup and view all the answers

What must a patient provide regarding their service animal?

Information about the tasks performed by the animal. Signup and view all the answers

Study Notes

Patient Treatment Protocol

Emphasis on effective transportation and treatment of all patients with illness or injury per guidelines.
Fire Rescue personnel must prioritize patient welfare and collaborate as a team.
ALS Units are to be used for patient transport upon request of non-transport units without delay.

Transportation Destination Guidelines

Unstable ALS patients are transported to the nearest appropriate facility; stable patients go to the most suitable facility based on specialized needs or requests.
Doubts about patient stability necessitate transport to the most appropriate facility.
STEMI and Stroke patients are prioritized for transport to designated centers.

Conditions Requiring ALS Treatment and Transport

Long bone fractures, loss of consciousness, cardiac symptoms, severe headaches, hip fractures/dislocations, and generalized abdominal pain necessitate ALS transport.
Female patients of childbearing age must follow specific transport protocols.

Transportation Modes and Decision-Making

Non-transport units manage protocols until transport unit arrives; capable of initiating assessments and documentation.
Decisions on emergency transport using lights and sirens fall to the OIC's discretion.
Assistance from medical control or EMS supervisors is available for treatment and transport decisions.

Trauma and Air Rescue Protocols

Trauma patients must be sent to the nearest Trauma Center unless airway establishment is an issue.
Air Rescue is considered for critically ill patients if transport time exceeds 20 minutes.

Weapons and Safety Procedures

If a patient possesses a weapon, Fire Rescue personnel should withdraw and contact law enforcement; the patient cannot be transported until the weapon is surrendered.

Service Animals

Service dogs may accompany patients but must be tethered; alternate transport is used if the service animal interferes with care.

Patient Transfer at Hospital

A face-to-face transfer of care is mandatory upon hospital arrival; documentation must include names and titles of receiving staff.

Documentation Requirements

An electronic Patient Care Record (ePCR) must be completed for EMS dispatches unless cancelled beforehand.

Definitions

Clarifications include distinctions between alternate transport, stable and unstable patients, and criteria for trauma transport.
Emphasizes the importance of accurate documentation in ePCR for any transport decisions made.

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Description

This quiz covers the essential protocols for patient treatment and transportation by Fire Rescue personnel. It emphasizes the importance of acting in the patient's best interest and ensuring timely response by ALS units when needed. Understanding these protocols is crucial for effective emergency medical services.