Questions and Answers
What should you advise the parents when a 15-year-old boy with severe disfiguring injuries is brought to the ambulance?
Advise them that their son had severely disfiguring injuries and ask them if there is anyone they would like you to contact first.
What is the appropriate action when a family member becomes verbally abusive at the scene of a deceased patient?
Retreat and notify law enforcement personnel.
A critical incident stress debriefing should be conducted no longer than ________ hours following the incident.
72
What does a positive TB skin test indicate?
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According to OSHA regulations, what must an employer offer?
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What is recommended by the CDC regarding immunizations?
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The signs and symptoms of cumulative stress are always obvious and present.
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What should you do at the scene of an automobile crash involving downed power lines?
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How does carbon monoxide affect the blood's ability to oxygenate the body?
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Common factors influencing a patient's reaction to stress include distrust of the EMT.
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Patients with serious illness commonly ask, 'What hospital am I going to?'
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Critical incident stress management (CISM) can occur when patients are actively being assessed or treated.
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Why is determination of exposure important in an infection control plan?
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When should gloves, a mask, eye protection, and a face shield be used?
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Hazards associated with a structural fire include carbon dioxide deficiency.
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If a mask cannot be placed on a coughing patient, maintain a distance of at least ________ feet if possible.
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What happens if a person is partially immune to a particular disease?
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What should be done if you cannot adequately clean your ambulance at the hospital?
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What is your first action if you are exposed to a patient's blood or other bodily fluid?
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What is important for EMS personnel to develop with their coworkers?
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How do patients who become dependent on EMS personnel often feel?
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What are some physiologic manifestations of stress?
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Why do prescription glasses not provide adequate eye protection?
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What occurs in quid pro quo sexual harassment?
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Study Notes
Incident Management and Family Interactions
- In emergencies involving fatalities, advise family members about disfiguring injuries before allowing them to see the victim.
- In case of verbal abuse or physical aggression from family members, retreat and inform law enforcement.
Critical Incident Stress Management
- Critical incident stress debriefing should occur within 72 hours post-incident for effectiveness.
- Cumulative stress symptoms may be subtle and not always present.
Occupational Safety and Health Standards
- Employers are required to create a work environment minimizing exposure risks according to OSHA regulations.
- Recommended immunizations include a tetanus-diphtheria booster every ten years, as advised by the CDC.
Patient Interaction and Reaction to Illness
- Patients often ask about their condition but may not show distrust towards EMTs.
- Common stress reactions can vary; awareness of these helps in patient management.
Emergency Scene Safety Protocols
- At automobile crash scenes with downed power lines, establish a danger zone to protect patients and bystanders.
- If a coughing patient can't wear a mask, maintain a distance of at least 3 feet to reduce transmission risk.
Infection Control and Personal Protective Equipment
- Exposure determination is crucial for identifying those at risk from blood and body fluids.
- Use appropriate PPE like gloves, masks, and face shields during procedures like endotracheal intubation.
Hazards in Structural Fires
- Recognize hazards such as smoke inhalation, with carbon dioxide deficiency not being a typical concern in structural fires.
Cleaning Protocols
- If cleaning the ambulance is not feasible at the hospital, clean it at the station in a well-ventilated area.
Handling Exposure Incidents
- Transfer patient care immediately after exposure to blood or bodily fluids, prioritizing your health and safety.
Importance of Team Dynamics in EMS
- Strong nonadversarial relationships among EMS staff are vital for ensuring safety during operations.
- Patients may feel shame if they become overly dependent on EMS, highlighting the need for empathetic communication.
Physiologic Reactions to Stress
- Physiological responses to stress include perspiration, elevated blood glucose levels, and pupil dilation.
Eye Protection Concerns
- Prescription glasses provide limited eye protection, lacking adequate side coverage during emergencies.
Understanding Sexual Harassment
- Quid pro quo harassment involves exchange of sexual favors for job-related benefits, underscoring the importance of workplace respect and professionalism.
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Description
Test your knowledge with these flashcards based on EMT Chapter 2. This chapter covers critical scenarios and decision-making skills needed in emergency medical situations. Enhance your understanding of patient interaction and care under distressing circumstances.
