G-EMSR Emergency Medical Response Part 3

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Questions and Answers

Who is exempt from wearing a seatbelt assembly in an ambulance?

Paramedics (correct)

TFS personnel

Patients

All of the above

What should TFS personnel do while seated in the rear-facing seat in an ambulance?

Wear a seatbelt (correct)

Brace themselves to prevent being thrown

Provide patient care without a seatbelt

Perform CPR

Who is responsible for a patient's care until responsibility is taken over by a higher medical authority?

TFS personnel (correct)

Patients themselves

Paramedics

Operations Captains

What should TFS personnel do if a patient refuses medical attention?

Wait with the patient until Paramedics arrive Signup and view all the answers

Who has the authority to leave a patient once they have completed 'refusal of care' documentation?

Paramedics Signup and view all the answers

What should TFS personnel do if a patient demands that they leave the premises?

Wait nearby and advise Paramedics of the patient's status Signup and view all the answers

What should be completed by TFS personnel in rare incidents?

A FireRMS report Signup and view all the answers

Who is required to update Communications regarding a patient's concerns and status?

Operations Captains Signup and view all the answers

What is the primary purpose of TFS Communications Centre in a medical call?

To provide patient updates to Paramedic Services Signup and view all the answers

What happens when Paramedic Services notify TFS Communications Centre of a call cancellation?

TFS Communications Centre cancels the responding apparatus Signup and view all the answers

What is the purpose of a Medical Check Call (MECC) event type?

To check on a patient after a medical alarm from an alarm company Signup and view all the answers

What is the minimum time interval for reassessing vital signs in a medical call?

Every 30 minutes Signup and view all the answers

What should TFS personnel do if a patient refuses treatment and/or assessment?

Update communications and advise the on-duty PC Signup and view all the answers

How should multiple individuals or clients involved in an incident be documented in RMS?

By numbering each individual numerically (1, 2, 3, etc.) Signup and view all the answers

What is the purpose of a Medical Assist (MEA) event type?

To provide medical assistance for falls, lift assists, or access problems Signup and view all the answers

What should TFS personnel do if they are in doubt about a patient's status?

Request Paramedic Services to respond to the incident Signup and view all the answers

What information should be excluded from the report in a medical call?

Patient's name Signup and view all the answers

What should TFS personnel do if they have made patient contact prior to notification of a call cancellation?

Complete an assessment and communicate findings to the TFS Communications Centre Signup and view all the answers

Study Notes

Riding in the Back of Ambulances

Exemption from wearing seatbelts in the patient's compartment of an ambulance applies to paramedics and others attending to patients, where wearing a seatbelt is impractical.
Toronto Fire Service (TFS) personnel riding in the back of ambulances follow the same policy as Paramedic Services.

Patient Management

TFS personnel responding to medical emergencies are responsible for patient care until a higher medical authority takes over.
TFS personnel should not leave patients who refuse medical attention; instead, they should update Communications regarding the patient's concerns and status.
Paramedic Services personnel can leave a patient only after completing "refusal of care" documentation and a detailed patient examination.

Call Cancellation while En Route

Paramedic Services may contact TFS Communications to cancel a response or downgrade a call priority.
If notified, TFS Communications will cancel the responding apparatus.
If TFS personnel have made patient contact, they should complete an assessment, communicate findings, and determine if a Paramedic Services response is still required.

Responding to Non-Obvious Patients

TFS crews respond to non-obvious patients (e.g., Medical Assist, Medical Check Call, Medical Other, Medical Assist Non-Emergency) and conduct thorough primary and secondary assessments.
Assessment includes taking vital signs, ascertaining patient details, and updating Communications with relevant information.
Paramedics will respond, even if no unit is assigned; TFS will stay on scene, update Communications, and monitor patient condition.

Patient Assessment and Documentation

Vital signs should be reassessed at a minimum of every 30 minutes, or every 10 minutes if the patient meets a medical directive.
Documentation should include all patient findings, details, and circumstances, excluding patient names.
Exceptions for documentation include accidental alarm activations and patients who abandon the scene.

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Description

Quiz on ambulance protocols and patient management for emergency responders, including exemptions from wearing seatbelts and patient care responsibilities.