Podcast
Questions and Answers
Who is exempt from wearing a seatbelt assembly in an ambulance?
Who is exempt from wearing a seatbelt assembly in an ambulance?
What should TFS personnel do while seated in the rear-facing seat in an ambulance?
What should TFS personnel do while seated in the rear-facing seat in an ambulance?
Who is responsible for a patient's care until responsibility is taken over by a higher medical authority?
Who is responsible for a patient's care until responsibility is taken over by a higher medical authority?
What should TFS personnel do if a patient refuses medical attention?
What should TFS personnel do if a patient refuses medical attention?
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Who has the authority to leave a patient once they have completed 'refusal of care' documentation?
Who has the authority to leave a patient once they have completed 'refusal of care' documentation?
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What should TFS personnel do if a patient demands that they leave the premises?
What should TFS personnel do if a patient demands that they leave the premises?
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What should be completed by TFS personnel in rare incidents?
What should be completed by TFS personnel in rare incidents?
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Who is required to update Communications regarding a patient's concerns and status?
Who is required to update Communications regarding a patient's concerns and status?
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What is the primary purpose of TFS Communications Centre in a medical call?
What is the primary purpose of TFS Communications Centre in a medical call?
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What happens when Paramedic Services notify TFS Communications Centre of a call cancellation?
What happens when Paramedic Services notify TFS Communications Centre of a call cancellation?
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What is the purpose of a Medical Check Call (MECC) event type?
What is the purpose of a Medical Check Call (MECC) event type?
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What is the minimum time interval for reassessing vital signs in a medical call?
What is the minimum time interval for reassessing vital signs in a medical call?
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What should TFS personnel do if a patient refuses treatment and/or assessment?
What should TFS personnel do if a patient refuses treatment and/or assessment?
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How should multiple individuals or clients involved in an incident be documented in RMS?
How should multiple individuals or clients involved in an incident be documented in RMS?
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What is the purpose of a Medical Assist (MEA) event type?
What is the purpose of a Medical Assist (MEA) event type?
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What should TFS personnel do if they are in doubt about a patient's status?
What should TFS personnel do if they are in doubt about a patient's status?
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What information should be excluded from the report in a medical call?
What information should be excluded from the report in a medical call?
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What should TFS personnel do if they have made patient contact prior to notification of a call cancellation?
What should TFS personnel do if they have made patient contact prior to notification of a call cancellation?
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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.
