EMS Best Practices

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Questions and Answers

In an unblinded research study, what information is typically known to the participants?

  • That participants are fully informed. (correct)
  • That only the supervisor knows the control group.
  • The manipulated results.
  • The outcomes hidden from the researchers.

A patient insists on being transported to a hospital that is not the most appropriate for their condition. What is the EMT's BEST course of action?

  • Refuse to transport the patient to any facility.
  • Assess the situation to determine if a more suitable facility is nearby and communicate this to the patient. (correct)
  • Comply with the patient's request and transport them to the requested hospital.
  • Have the patient sign a refusal form to release the ambulance from duty.

You are dispatched to another call while your uniform is visibly dirty. What is the MOST appropriate action?

  • Request a delay in response until you can change into a clean uniform.
  • Issue an apology and return to the station to change.
  • Request that the unit be canceled and another unit be dispatched in your stead.
  • Maintain a professional demeanor and prioritize patient care. (correct)

Which of the following statements BEST describes the practice of being empathetic?

<p>Acknowledging and validating the patient's feelings. (B)</p> Signup and view all the answers

Which of the following is NOT typically a responsibility of an EMS dispatcher?

<p>Determining whether to dispatch resources to a call. (D)</p> Signup and view all the answers

In what way do AEMTs typically have an advantage when compared to EMTs?

<p>AEMTs possess a more in-depth knowledge of pathophysiology. (D)</p> Signup and view all the answers

Which action is LEAST likely to be associated with self-motivated paramedics?

<p>Consistently requiring direct supervision for routine tasks. (C)</p> Signup and view all the answers

Upon arrival at a medical facility, it becomes apparent that they lack the resources to adequately manage the patient's condition. What is the MOST appropriate course of action?

<p>Seek an alternative facility equipped to handle the patient's needs. (B)</p> Signup and view all the answers

Paramedics can BEST integrate research into patient care by:

<p>Ensuring that evidence justifies any changes in protocols. (D)</p> Signup and view all the answers

In a Continuous Quality Improvement (CQI) process, which of the following would LEAST likely be focus of the review?

<p>Personal financial concerns of EMS personnel. (D)</p> Signup and view all the answers

What is one of the MOST important steps to complete prior to engaging in any human research?

<p>Obtain informed consent ensuring safety of participants. (D)</p> Signup and view all the answers

A patient is anxious to retrieve their Bible before transport. How should the EMT handle this request?

<p>Allow the patient time to retrieve the Bible if it does not delay transport. (D)</p> Signup and view all the answers

A study design that collects data from a population at a single, specific point in time is referred to as:

<p>Cross-sectional study (D)</p> Signup and view all the answers

Which type of research primarily involves observing subjects in a natural setting without manipulating any variables?

<p>Descriptive (A)</p> Signup and view all the answers

What is the definition of standing orders in EMS?

<p>Pre-approved treatment functions of a paramedic. (B)</p> Signup and view all the answers

Which organization published the first EMT textbook?

<p>AAOS (C)</p> Signup and view all the answers

In conducting EMS research, what is typically the FIRST step?

<p>Identify a problem. (C)</p> Signup and view all the answers

Which of the following BEST describes qualitative data?

<p>Narrative (D)</p> Signup and view all the answers

When an EMR arrives first on the scene, what information are they MOST likely to communicate to the arriving ambulance crew?

<p>Assessment findings and care provided. (D)</p> Signup and view all the answers

What is an important step to remember before initiating any radio transmission?

<p>Ensure the channel is clear of other transmissions. (D)</p> Signup and view all the answers

If a patient seems hesitant or reluctant to share medical information, what should you do?

<p>Explain why you need their name and DOB. (A)</p> Signup and view all the answers

To simultaneously transmit voice communication and ECG data, which type of communication system is required?

<p>Multiplex (A)</p> Signup and view all the answers

In urban environments, where are radio 'dead spots' MOST likely to occur?

<p>In tall buildings (D)</p> Signup and view all the answers

Besides assessing sensorium, how does eye contact help with patient interaction?

<p>Evaluate neuro status (C)</p> Signup and view all the answers

What is one reason to avoid touching a patients head?

<p>Risks the soul (D)</p> Signup and view all the answers

What event will MOST likely cause the EMS to be notified?

<p>Dispatcher gets a call (C)</p> Signup and view all the answers

You are called to a loud bar for a patient experiencing chest pain. What should be the FIRST step in managing the scene?

<p>Turn off music and calm scene (B)</p> Signup and view all the answers

What is the purpose of shared radio frequency?

<p>Trunking (B)</p> Signup and view all the answers

What is the goal of closed-ended questions?

<p>Get specific answers (C)</p> Signup and view all the answers

A two-way data system is MOST useful for:

<p>Telemedicine (B)</p> Signup and view all the answers

Why is telemetry utilized less often now?

<p>Paramedics may work and treat a patient independently (C)</p> Signup and view all the answers

Why are Ten-codes generally discouraged?

<p>Are discouraged by NIMS (A)</p> Signup and view all the answers

In what way is dispatch aided by tactical channels?

<p>Keeping main dispatch open (B)</p> Signup and view all the answers

What is the purpose of a universal timeout?

<p>Allow team review (C)</p> Signup and view all the answers

How should you respond with a disorganized or incoherent response from the patient?

<p>Rephrase and confirm (D)</p> Signup and view all the answers

In the context of SBAR communication, how would you phrase the question "what got us here?"

<p>Background (B)</p> Signup and view all the answers

Which of the following is a good example of a closed-ended question?

<p>&quot;Does it go to your arm?&quot; (C)</p> Signup and view all the answers

Which is an empathetic response?

<p>&quot;I understand. I'm here to help.&quot; (D)</p> Signup and view all the answers

Which method do new ECG use for transmission?

<p>Fax (facsimile) (D)</p> Signup and view all the answers

Examine the following assessments. Which is NOT a subjective finding?

<p>Visible ear blood (D)</p> Signup and view all the answers

Flashcards

Unblinded Research Study

A study where participants are fully informed about the research.

Patient Requests Inappropriate Hospital

Determine if a more appropriate facility is nearby to transport the patient to.

Dirty Uniform, Dispatch Again

Maintain professionalism and provide care, regardless of personal appearance.

Being Empathetic

Acknowledging and understanding someone's feelings.

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The dispatcher does everything, except?

Everything below, except determining whether to dispatch.

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AEMT vs. EMT: Pathophysiology

Have a greater understanding of how diseases affect the body.

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Self-Motivated Paramedics

Self-motivated paramedics do not require constant supervision.

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Facility Cannot Manage Patient

Seek an appropriate facility that can manage the patient's condition.

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Link Research to Care

Ensuring that evidence justifies changes to patient care protocols.

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CQI stress points except

Personal Finances

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Before human research

Obtain consent and ensure patient safety before conducting research.

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Patient wants to get their bible

Allow them to get it allowed there is no delay.

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Cross-Sectional Research

Research done at one point in time, capturing a snapshot.

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Observation-only research

Descriptive research focuses on observation only to characterize a population or phenomenon.

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Standing Orders

Pre-approved paramedic functions.

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First EMT textbook published by

AAOS

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First step in EMS Research

Identify Problem

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Qualitative data is

Narrative data.

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First info from an EMR on the scene

Assessment and care provided

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Before radio transmission...

Ensure channel is clear

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Reluctant Patient

Explain why you need their name and DOB.

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Talk and Send ECG at Once

Multiplex

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Urban Radio Dead Spots

tall Buildings

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Eye Contact Helps

Evaluate neuro status.

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Asains Believe Head Touching...

Risks the Soul

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EMS is Usually Notified When...

Dispatcher gets a call

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Loud Bar, Chest Pain Patient...

Turn off music and calm the scene.

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Closed-ended questions

Get specific answers

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Two-way data system for ECGs and voice

Telemedicine

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Telemetry is Lesson Common Because...

Paramedics treat independently

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Ten-Codes

Are discouraged by NIMS

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Tactical Channels Help By...

Keeping main dispatch open

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Purpose of Universal Timeout...

Allow team review

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Disorganized Response From Patient

Rephrase and confirm

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SBAR What Got Us Here?

Background

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Closed ended question examples

Does it go to your arm

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Empathetic response

"I understand. I'm here to help."

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NOT a Subjective Finding.

Visible ear blood

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Study Notes

  • An unblinded research study ensures all participants are fully informed.
  • When a patient requests transport to an inappropriate hospital, determine if a better facility is nearby.
  • If dispatched with a dirty uniform, remain professional and prioritize patient care.
  • Empathy involves acknowledging others' feelings.
  • A dispatcher dispatches units, provides prearrival instructions, and assigns call priority, but doesn't determine whether to dispatch.
  • AEMTs have more knowledge of pathophysiology compared to EMTs.
  • Self-motivated paramedics do not require supervision.
  • If a facility cannot manage a patient, the priority is to seek an appropriate facility.
  • Link research to care by ensuring evidence justifies changes.
  • CQI (Continuous Quality Improvement) focuses on all the listed factors except personal finances.
  • Before conducting human research, obtain consent and ensure safety.
  • If a patient wants to retrieve their Bible before transport, allow time if it doesn't cause a delay.
  • Cross-sectional research occurs at one point in time.
  • Observation-only research is descriptive.
  • Standing orders are pre-approved paramedic functions.
  • The AAOS (American Academy of Orthopaedic Surgeons) published the first EMT textbook.
  • The first step in EMS research is to identify the problem.
  • Qualitative data is narrative.
  • The first piece of information gained from an EMR on scene should be the assessment and care provided.
  • Before radio transmission, confirm the channel is clear.
  • If a patient hesitates to share information, explain the necessity of obtaining their name and DOB (Date of Birth).
  • Multiplex communication is used to talk and send ECG data simultaneously.
  • Urban radio dead spots most commonly occur in tall buildings.
  • Establishing eye contact helps build rapport.
  • Many Asians may find touching the head disrespectful, considering it risks the soul.
  • EMS is typically notified when dispatch receives a call.
  • In a loud environment with a chest pain patient, the initial step is to turn off the music and calm the scene.
  • Trunking is a shared radio frequency across agencies.
  • Closed-ended questions are designed to elicit specific answers.
  • Telemedicine is a two-way data system used for ECGs and voice communication.
  • Telemetry is less common because paramedics often treat patients independently.
  • Ten-codes are discouraged by NIMS (National Incident Management System).
  • Tactical channels help by keeping the main dispatch channel open.
  • A universal timeout aims to allow team review.
  • If a patient is giving a disorganized response, one should rephrase and confirm.
  • In SBAR (Situation, Background, Assessment, Recommendation), "what got us here?" refers to the background.
  • An example of a closed-ended question is "Does it go to your arm?".
  • An empathetic response includes, "I understand. I’m here to help.".
  • New ECG systems transmit via Bluetooth.
  • Visible ear blood is not a subjective finding.
  • An accurate PCR (Patient Care Report) should be understandable by anyone reading it.
  • A poorly written PCR raises concerns about the quality of care.
  • A thorough refusal includes offering to return if the patient changes their mind.
  • State EMS offices are least likely to track the average cost per call.
  • Impaired mental status can be indicated if a patient makes nonsensical statements.
  • If unable to complete a PCR at the ED (Emergency Department), leave a brief form and finish the report ASAP (As Soon As Possible).
  • Written error correction requires drawing a single line through the error in different ink.
  • PCRs are most limited during mass-casualty incidents.
  • A double signature is required when controlled substances are handled.
  • Before submitting a PCR, review it carefully.
  • PCR accuracy does not depend on how sick the patient was.
  • Made-up abbreviations can cause care errors.
  • When a competent adult refuses care, ensure they're informed.
  • Minimum data includes chief complaint, LOC (Level Of Consciousness), vitals, assessment, age/gender.
  • Gender is least likely required by state EMS.
  • Time of primary assessment is not commonly documented.
  • Complaints of chest pressure is a subjective finding.
  • "Confused and states headache" is both an objective and subjective example.

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