EMS System, Priorities, Medical Direction
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Questions and Answers

An EMS system aims to provide a comprehensive service. Which of the following best describes the correct sequence of actions in this system?

  • Monitor patient vital signs, evaluate medical needs, transport to appropriate facility, and discharge after stabilization.
  • Dispatch trained personnel, assess the patient's condition, administer treatment to stabilize, and transport to a higher level of medical care. (correct)
  • Evaluate the incident, provide immediate response, ensure transport, and manage the recovery phase.
  • Perform rescue operations, stabilize the environment, transport victims to safety, and conduct follow-up investigations.

In emergency medical services, transferring a patient to a facility offering more specialized and intensive care is a critical decision. What term accurately describes this process?

  • Transition of treatment
  • Progressive transport
  • Transfer of care (correct)
  • Medical oversight

During an EMS response, several priorities must be considered to ensure the safety and well-being of everyone involved. What is the recommended order of priority in such situations?

  • Team, Self, Victim
  • Team, Victim, Self
  • Self, Team, Victim (correct)
  • Victim, Team, Self

Effective patient care relies heavily on several key attributes demonstrated by the EMT. Which skill is most crucial for an EMT to possess in order to provide the best care?

<p>Decision-making (C)</p> Signup and view all the answers

Medical direction in EMS ensures proper patient care through established protocols and direct physician input. What are the two primary types of medical direction utilized in EMS?

<p>On-line/Off-line (Standing Orders) (C)</p> Signup and view all the answers

In EMS, continuous assessment and enhancement of services are essential. What distinguishes Quality Assurance (QA) from Quality Improvement (QI) in this context?

<p>QA ensures adherence to standards; QI seeks ways to improve upon those standards. (B)</p> Signup and view all the answers

To ensure consistent and effective emergency medical response, EMS agencies rely on established guidelines. How do Standard Operating Procedures (SOPs) differ from Protocols in guiding EMT actions?

<p>SOPs dictate expected actions, whereas Protocols outline assessment and management steps. (C)</p> Signup and view all the answers

In healthcare, protecting oneself from potential hazards is paramount. What does PPE stand for in the context of healthcare and safety protocols?

<p>Patient Protection Equipment (D)</p> Signup and view all the answers

Which of the following best describes the sequence of stages in the General Adaptation Syndrome (GAS) when exposed to prolonged stress?

<p>Alarm, Resistance, Exhaustion (B)</p> Signup and view all the answers

A patient reports experiencing anxiety and difficulty sleeping for several weeks after a car accident. Classify the patient's stress reaction.

<p>Acute, Delayed, Cumulative (D)</p> Signup and view all the answers

An EMT is feeling overwhelmed and consistently fatigued due to their demanding work schedule. What combination of interventions would be most effective in mitigating cumulative stress?

<p>Diet, Exercise, Counseling/Relaxing (B)</p> Signup and view all the answers

While transporting a patient on a stretcher, you notice the patient's weight is nearing the stretcher's maximum capacity. What is the most appropriate course of action?

<p>Transfer the patient to a different stretcher rated for a higher weight capacity. (D)</p> Signup and view all the answers

During a log roll procedure, which team member is responsible for coordinating movements to maintain spinal alignment?

<p>The EMT at the patient’s head (A)</p> Signup and view all the answers

When securing a patient to a backboard, what is the recommended order and placement of the straps to ensure maximum stability?

<p>Head, Chest, Hips (C)</p> Signup and view all the answers

You overhear a colleague discussing a patient's medical history with a family member who is not authorized to receive this information. Which regulation is being violated?

<p>The release of patient medical information (A)</p> Signup and view all the answers

An EMT provides proper care, but the patient's condition worsens, leading to additional injury. Which element is LEAST likely to be successful in a negligence claim?

<p>Duty to act, Breach of standard of care, Proximal cause (D)</p> Signup and view all the answers

Upon arriving at the scene, you find an unresponsive adult who requires immediate treatment. What type of consent is applicable in this scenario?

<p>An unconscious patient is treated (B)</p> Signup and view all the answers

In anatomical terms, how would you describe the position where the body is standing upright, facing forward, with palms facing forward.

<p>Standing facing forward, palms up, arms at side (D)</p> Signup and view all the answers

Flashcards

EMS System Components

Trained Personnel, Assess, Treat/Stabilize, Transport to Higher Level

Transfer of Care

Transporting patients to a facility with more advanced resources.

Priority Order in EMS

Self, Team, Victim

Lines of Medical Direction

On-line (direct orders) and Off-line (standing orders/protocols).

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QA vs. QI

QA maintains standards; QI improves processes.

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SOP vs. Protocol

SOP defines expected actions; protocols detail assessment/management steps.

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PPE

Personal Protective Equipment

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Hepatitis B vs. C

Hepatitis B has a vaccine; Hepatitis C does not.

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Stages of Stress

Alarm, Resistance, Exhaustion

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Types of Stress Reactions

Acute, Delayed, Cumulative

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Solutions to Cumulative Stress

Diet, Exercise, Counseling/Relaxing

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Maximum Stretcher Capacity

600 lbs

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Log Roll Leader

The EMT at the patient’s head

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Backboard Straps

Chest, Hips, Legs

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HIPAA Regulations

The release of patient medical information

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Proving Negligence

Duty to act, Breach of standard of care, Proximal cause

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Implied Consent

An unconscious patient is treated

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Lifting Considerations

Weight, Communication, Environment

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Study Notes

EMS System & Priorities

  • The four components of the EMS system are trained personnel, assessment, treatment/stabilization, and transport to a higher level of care
  • Transporting patients to a higher level of care is referred to as a transfer of care
  • The correct priority order in EMS response is: Self, Team, Victim
  • The most important characteristic of an EMT is decision-making
  • The two lines of medical direction are on-line and off-line (standing orders)
  • Quality Assurance (QA) differs from Quality Improvement (QI) in that QA focuses on standard precautions, while QI involves lifelong learning
  • Standard Operating Procedure (SOP) is expected actions and Protocol is assessment/management steps

Disease & Infection Control

  • PPE stands for Personal Protective Equipment
  • A key difference between Hepatitis B and Hepatitis C is that Hepatitis B has a vaccine, while Hepatitis C does not
  • A common sign of Tuberculosis (TB) is a productive cough, weight loss, and a history of homelessness

Stress & Mental Health

  • The three stages of stress are alarm, resistance, and exhaustion
  • The three types of stress reactions are acute, delayed, and cumulative
  • Three solutions to cumulative stress are diet, exercise, and counseling/relaxing

Patient Care & Safety

  • The maximum capacity for a stretcher is 700 lbs
  • The EMT at the patient's head is in charge when performing a log roll
  • When securing a patient to a backboard, the three straps used are placed across the chest, hips, and legs
  • HIPAA regulates the release of patient medical information
  • To prove negligence, the requirements are duty to act, breach of standard of care, and proximal cause
  • An example of implied consent is when an unconscious patient is treated

Anatomy & Terminology

  • The correct anatomical position is standing facing forward with palms up and arms at the side
  • The three planes of the body are frontal, sagittal, and transversal
  • The prefix "tachy-" means fast
  • The suffix "pnea" refers to the process of breathing

Movement & Lifting

  • Three things to consider before lifting a patient are weight, communication, and the environment
  • A drawsheet lift is NOT considered an emergency move
  • The best carrying device for a patient in a narrow hallway is a stair chair

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Description

Overview of the EMS system components including trained personnel, assessment, and treatment. Also covers medical direction types such as on-line and off-line. Focuses on the correct priority order in EMS response.

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