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?

    <p>Wait with the patient until Paramedics arrive</p> Signup and view all the answers

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

    <p>Paramedics</p> Signup and view all the answers

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

    <p>Wait nearby and advise Paramedics of the patient's status</p> Signup and view all the answers

    What should be completed by TFS personnel in rare incidents?

    <p>A FireRMS report</p> Signup and view all the answers

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

    <p>Operations Captains</p> Signup and view all the answers

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

    <p>To provide patient updates to Paramedic Services</p> Signup and view all the answers

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

    <p>TFS Communications Centre cancels the responding apparatus</p> Signup and view all the answers

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

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

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

    <p>Every 30 minutes</p> Signup and view all the answers

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

    <p>Update communications and advise the on-duty PC</p> Signup and view all the answers

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

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

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

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

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

    <p>Request Paramedic Services to respond to the incident</p> Signup and view all the answers

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

    <p>Patient's name</p> Signup and view all the answers

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

    <p>Complete an assessment and communicate findings to the TFS Communications Centre</p> 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.

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