Emergency Medical Services Overview

Emergency Medical Services

Department of Transportation (DOP)

Patient > citizen calls 911 > 911 dispatcher > first responders > EMT > emergency department staff > allied health staff

<p>Enhanced 911</p> Signup and view all the answers

<p>Gather information from person experiencing an emergency and potentially provide assistance and instruction as needed prior to the arrival of EMS on scene</p> Signup and view all the answers

<p>Stress, mental state, personal interests, biases</p> Signup and view all the answers

<p>A physician that has ultimate responsibility for patient care aspects of EMS system</p> Signup and view all the answers

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

<p>Offline control are standing orders and protocol which remain constant in each scenario; Online control is when a medical director is contacted via phone or radio to ask for permissions</p> Signup and view all the answers

<p>Process of continuous self-review with the purpose of identifying &amp; correcting aspects of the system</p> Signup and view all the answers

<p>Equipment and procedures that protect against the blood and body fluids of the patient</p> Signup and view all the answers

<p>Inhalation, Ingestion, Absorption, Injection</p> Signup and view all the answers

<p>Hepatitis B, Hepatitis C, Tuberculosis (TB), HIV/AIDS</p> Signup and view all the answers

<p>Allows EMS providers the right to determine if they have been exposed to an infectious disease</p> Signup and view all the answers

<p>1- Alarm (fight or flight); 2- Resistance (coping); 3- Exhaustion (loss of ability to adapt to stressor)</p> Signup and view all the answers

<p>-acute stress reaction; -delayed stress reaction; -cumulative stress reaction</p> Signup and view all the answers

<p>-Often linked to catastrophe; -Occurs in EMTs and patients; -Signs and symptoms develop soon after incident; -Normal reactions to extraordinary situation; -May require professional intervention</p> Signup and view all the answers

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

<p>This reaction, also known as 'burnout', results from sustained low-level stressors and develop over a period of years.</p> Signup and view all the answers

<p>Critical Incident Stress Management; a comprehensive system that includes education and resources to both prevent stress and to deal with stress appropriately when it occurs</p> Signup and view all the answers

<ol> <li>denial; 2. anger; 3. bargaining; 4. depression; 5. acceptance</li> </ol> Signup and view all the answers

<p>EMTs are responsible for lifting the weight of the patient when lowering/raising the stretcher</p> Signup and view all the answers

<p>A stretcher equipped with hydraulics that limit the effort needed from EMT to lift and lower the patient</p> Signup and view all the answers

<p>Used for obese patients</p> Signup and view all the answers

<p>Used to bring a conscious patient down to the waiting stretcher if the patient's condition allows him or her to be placed in a sitting position; can be used to transfer a conscious patient up or down a flight of stairs</p> Signup and view all the answers

<p>Patient must be conscious</p> Signup and view all the answers

<p>Primarily for removing patients from vehicles when a neck or spine injury is suspected</p> Signup and view all the answers

<p>Typically used on patients who have experienced suspected hip injury</p> Signup and view all the answers

<p>Can be useful in restricted areas or narrow hallways</p> Signup and view all the answers

<p>A Stokes litter</p> Signup and view all the answers

<p>A side-lying position used to maintain a clear airway in unconscious patients without injuries who are breathing adequately</p> Signup and view all the answers

<p>Supine patient</p> Signup and view all the answers

<p>Hazardous scene; Care of life-threatening conditions that require repositioning; The necessity to reach other patients</p> Signup and view all the answers

<p>Required treatment can be performed only if patient is moved; Patient's condition rapidly deteriorating</p> Signup and view all the answers

<p>Patient stable; No immediate life threat; Patient can be assessed, treated, and moved in a normal way</p> Signup and view all the answers

<p>Patient is: Legally able to consent; Mentally competent and oriented; Fully informed of risks; Sign release form</p> Signup and view all the answers

<p>Do Not Resuscitate order (DNR)</p> Signup and view all the answers

<p>Expressed consent: Must be informed; Patient verbally gives consent; Implied consent: Assumed consent</p> Signup and view all the answers

<p>Regulations and ethical considerations that define extent or limits of job duties (what an EMT can do)</p> Signup and view all the answers

<p>Care expected from EMT with similar training for patient in a similar situation (how the EMT should perform their job)</p> Signup and view all the answers

<p>Obligation to provide care; While on duty, EMT obligated to provide care if no threat to safety</p> Signup and view all the answers

<p>EMT had duty to act; Breach of duty—EMT failed to provide standard of care expected or failed to act; Proximate causation—patient suffered harm because of EMT action or inaction</p> Signup and view all the answers

<p>Can be shared with other health care personnel as part of patient's continuing care</p> Signup and view all the answers

<p>-Condition of scene; -Patient; -Fingerprints and footprints; -Microscopic evidence</p> Signup and view all the answers

<p>To stand erect with arms at the sides and palms of the hands turned forward</p> Signup and view all the answers

<p>Front: anterior; Back: posterior</p> Signup and view all the answers

<p>Above: superior; Below: inferior</p> Signup and view all the answers

<p>Medial: toward the midline or median plane; Lateral: away from the midline or median plane</p> Signup and view all the answers

<p>Recovery Position</p> Signup and view all the answers

<p>Begins at mouth/nose; Ends at glottic opening</p> Signup and view all the answers

<p>Tiny sacs in grape-like bunches at the end of the airway; Surrounded by pulmonary capillaries; Oxygen and carbon dioxide diffuse through pulmonary capillary membranes</p> Signup and view all the answers

<p>Poor muscle tone</p> Signup and view all the answers

<p>-Head-tilt, chin-lift maneuver; -Jaw-thrust maneuver</p> Signup and view all the answers

<p>Compared to adults, children have: Smaller mouth and nose; Larger tongue; Narrow, flexible trachea</p> Signup and view all the answers

<p>-Inability to speak; -Unusual raspy quality to voice; -Abnormal breathing sounds; -Absent or minimal chest movements; -No air felt or heard (air exchange below normal); -Foreign bodies in airway</p> Signup and view all the answers

<ol> <li>Make it; 2. Check it; 3. Keep it</li> </ol> Signup and view all the answers

<p>-Oropharyngeal airway (OPA) - Oral Airway; -Nasopharyngeal airway (NPA) - Nasal Airway</p> Signup and view all the answers

<p>-Suction no longer than 10 seconds at a time; -Suction only as far as you can see; -Place tip or catheter where you want to begin suctioning, suction only on the way out</p> Signup and view all the answers

<p>Inhalation is an active process; Exhalation is a passive process</p> Signup and view all the answers

<p>Amount of air moved in one breath</p> Signup and view all the answers

<p>Air moved in ventilation not reaching alveoli</p> Signup and view all the answers

<p>Air actually reaching alveoli</p> Signup and view all the answers

<p>Diffusion of oxygen and carbon dioxide between alveoli and circulating blood</p> Signup and view all the answers