First Responder Training Objectives

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Questions and Answers

What is the first emergency treatment for complete cessation of the heartbeat?

  • Administer oxygen
  • Perform CPR and defibrillation (correct)
  • Check for pulse
  • Give nitroglycerin

Which of the following is NOT a symptom of congested heart failure?

  • Swollen ankles
  • Profuse sweating
  • Flushed, dry skin (correct)
  • Rapid shallow breathing

What is the primary purpose of applying direct pressure to a wound?

  • To compress blood vessels and stop bleeding (correct)
  • To elevate the wound above the heart
  • To disinfect the area
  • To evaluate the severity of the injury

What causes angina?

<p>Oxygen demand exceeding supply (A)</p> Signup and view all the answers

What should be done if bleeding continues after a dressing is applied?

<p>Apply more gauze pads over the original dressing (A)</p> Signup and view all the answers

Which position should a patient be placed in during a heart attack?

<p>Sitting down comfortably (D)</p> Signup and view all the answers

Which type of burn is characterized by blistering and fluid loss?

<p>Partial thickness burn (C)</p> Signup and view all the answers

What is the main concern during a seizure?

<p>Protect the patient from injury (B)</p> Signup and view all the answers

In case of an eye injury requiring bleeding control, what is the recommended action?

<p>Cover the eye with a dry gauze pad (D)</p> Signup and view all the answers

Which type of seizure involves shaking movements and affects the entire body?

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

Which sign is commonly associated with a spinal injury?

<p>Priapism in males (D)</p> Signup and view all the answers

During a heat stroke, what is a key indicator of the patient's condition?

<p>Flushed, dry skin (A)</p> Signup and view all the answers

What should be done after a seizure has ended?

<p>Place them in recovery position (A)</p> Signup and view all the answers

How should a chest wound be treated if a lung is punctured?

<p>Seal the wound with airtight materials on all sides (A)</p> Signup and view all the answers

Which of the following is a sign of heat exhaustion?

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

What is a common cause of carbon monoxide poisoning?

<p>Improperly vented heating appliances (B)</p> Signup and view all the answers

What immediate action should be taken if someone has a respiratory burn?

<p>Administer oxygen if trained (B)</p> Signup and view all the answers

What action should NOT be taken during treatment for heat cramps?

<p>Have the person walk it off (B)</p> Signup and view all the answers

What should be done first for a patient experiencing insulin shock?

<p>Provide them with candy or juice (C)</p> Signup and view all the answers

What is a classic symptom of a heart attack?

<p>Severe chest pain radiating to the jaw (B)</p> Signup and view all the answers

In the event of a blocked coronary artery, what is the primary concern?

<p>Heart muscle damage due to lack of oxygen (D)</p> Signup and view all the answers

What is the initial action required for a chemical burn?

<p>Brush away the chemical and flush with water (A)</p> Signup and view all the answers

Which of the following is important to monitor after a seizure?

<p>Patient's breathing and airway (C)</p> Signup and view all the answers

How is a flail chest characterized?

<p>Three or more ribs broken in two or more places (A)</p> Signup and view all the answers

What should you do if a patient experiences acute abdominal pain and shows signs of shock?

<p>Monitor vital signs and keep them comfortable (D)</p> Signup and view all the answers

What is the recommended treatment for a nosebleed?

<p>Pinch the nostrils together for at least 5 minutes (C)</p> Signup and view all the answers

What is the primary purpose of placing an unconscious patient in the recovery position?

<p>To keep the airway open (B)</p> Signup and view all the answers

What does the acronym BSI stand for in a medical context?

<p>Body substance isolation (B)</p> Signup and view all the answers

Which acronym is used to summarize the components of a thorough patient assessment?

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

During primary assessment, what is the purpose of forming a general impression of the patient?

<p>To identify any potential threats to life (B)</p> Signup and view all the answers

Under what circumstances can a first responder proceed without consent when treating a minor?

<p>If the situation involves a life-threatening emergency (B)</p> Signup and view all the answers

What does the acronym AVPU stand for in the context of assessing a patient's level of responsiveness?

<p>Awake, verbally responsive, pain responsive, unresponsive (A)</p> Signup and view all the answers

What does the acronym DOTS help first responders remember during patient assessment?

<p>Deformities, open wounds, tenderness, swelling (D)</p> Signup and view all the answers

What is the first step a first responder must take when arriving at an emergency scene?

<p>Ensure the scene is safe from hazards (A)</p> Signup and view all the answers

What is implied consent in emergency medical situations?

<p>Consent assumed by the patient's condition (C)</p> Signup and view all the answers

In the context of negligence, what does 'breach of duty' refer to?

<p>Providing insufficient or improper care (B)</p> Signup and view all the answers

What should a first responder do if blood or pathogens contaminate their uniform?

<p>Dry clean it (D)</p> Signup and view all the answers

When using the MOLST protocol, what must be validated for the order to be considered current?

<p>Box D and E must be fully complete (A)</p> Signup and view all the answers

What is meant by 'standard of care' in emergency medical services?

<p>The minimum acceptable level of care expected (A)</p> Signup and view all the answers

What is the primary purpose of the recovery position?

<p>To prevent secretions from entering the airway (B)</p> Signup and view all the answers

Which of the following is true about therapy animals?

<p>They can interact with a variety of people while on duty. (C)</p> Signup and view all the answers

What does the acronym FAST stand for in relation to stroke symptoms?

<p>Face, arm, speech, time (D)</p> Signup and view all the answers

Which method is NOT a way to open an airway?

<p>Chest thrust maneuver (B)</p> Signup and view all the answers

What are some signs of hypothermia?

<p>Feeling cold and shivering (D)</p> Signup and view all the answers

What should NOT be done when treating superficial frostbite?

<p>Rub the frostbitten area vigorously (A)</p> Signup and view all the answers

Which group does the Good Samaritan law offer protection to?

<p>Citizens providing aid in emergencies (C)</p> Signup and view all the answers

What is a characteristic of service animals?

<p>They help individuals with disabilities. (C)</p> Signup and view all the answers

In case of anaphylactic shock, what is the first recommended action?

<p>Help the patient use their EpiPen (A)</p> Signup and view all the answers

What is a common symptom indicating a stroke?

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

What is a key factor in the treatment of hypothermia?

<p>Cover extremities with dry clothes (A)</p> Signup and view all the answers

Which of the following is NOT a sign of overdose?

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

What can a person do to assist with effective communication with elderly individuals?

<p>Give them time to answer (C)</p> Signup and view all the answers

Which is NOT a symptom of frostbite?

<p>Persistent pain in the affected area (C)</p> Signup and view all the answers

Flashcards

Why use Recovery Position?

To prevent secretions from entering the airway.

Head Tilt Chin Lift

This maneuver opens the airway by tilting the head back and lifting the chin.

Jaw Thrust Maneuver

This maneuver opens the airway by pushing the jaw forward, without tilting the head.

Therapy Animal

A therapy animal, like a dog or cat, trained to provide comfort and support to people.

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Comfort Animal

A therapy animal that is specifically trained to provide support during active crisis and emergency situations.

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Emotional Support Animal

A therapy animal prescribed by a mental health professional to provide comfort and support to their owner.

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Service Animal

An animal trained to assist a person with a disability, like visual impairment, hearing loss, or mobility issues.

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Hypothermia

A condition where the body's temperature drops below 95 degrees Fahrenheit.

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Frostbite

A condition when a body part becomes numb and loses color due to cold exposure.

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Overdose

An overdose occurs when a person takes too much of a substance, like drugs or alcohol.

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Anaphylactic Shock

A severe allergic reaction that can cause life-threatening symptoms.

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Cardiac Arrest

A serious condition where the heart suddenly stops beating.

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Atherosclerosis

A condition where the arteries narrow due to plaque buildup, potentially leading to heart problems.

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Angina Pectoris

A condition where the heart doesn't receive enough oxygen, causing chest pain.

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Heart Attack

A sudden blockage of an artery supplying the heart, leading to heart damage.

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Recovery Position

An unconscious patient who has not suffered trauma should be placed in this position to help keep their airway open and allow secretions to drain from the mouth.

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AED - What does it stand for?

Automated External Defibrillator, a device that delivers an electrical shock to a heart in cardiac arrest.

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BSI - What does it stand for?

Body Substance Isolation, a set of precautions used to prevent exposure to potentially infectious bodily fluids.

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Standard Precautions

Standard Precautions, a set of practices that treat all blood and bodily fluids as potentially infectious, regardless of the patient's known status. This is a core part of BSI.

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First Responder

The first medically trained person to arrive at the scene of an emergency. They perform initial care until more qualified help arrives.

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DOTS - What does it stand for?

DOTS is a mnemonic used to assess for signs of injury. It stands for deformities, open wounds, tenderness, and swelling.

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SAMPLE - What does it stand for?

SAMPLE is a mnemonic used to gather information during patient assessment. It stands for signs and symptoms, allergies, medications, pertinent past medical history, last oral intake, and events leading up to the incident.

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Respiration - Assessing Vital Signs

One of the vital signs assessed on a patient. Normal resting respiratory rate is 12-20 breaths per minute. Measure and observe quality of breathing.

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Assessing Level of Consciousness (AVPU Scale)

The process of assessing the patient's level of responsiveness, using the AVPU scale (Awake & Alert, Responsive to Verbal, Responsive to Pain, Unresponsive).

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Implied Consent

In the context of emergency medical care, this is when the patient does not explicitly refuse treatment. The law assumes that if the patient was conscious, they would consent to emergency care.

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Informed Consent

The patient understands what you are doing, why, and what treatment involves. They verbally or non-verbally agree to the treatment. They must be of legal age and able to make a rational decision.

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Breach of Duty in First Responder Context

A legal aspect of negligence where a First Responder's actions (or inaction) fall below the standard of care expected of someone with their level of training. Providing incorrect or insufficient care, or providing care you are not trained for, may be considered breach of duty.

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Standard of Care in First Responder Context

The negligence standard in first responder contexts. It means treating the patient the best you can, using the level of skills and knowledge someone with your training would be expected to have.

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Duty to Act

You are obligated to provide emergency medical care within the limits of your training and available equipment. Don't hesitate to act.

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What does MOLST stand for?

Medical Orders for Life Sustaining Treatment. A medical form that relays patient's wishes regarding life-sustaining treatment in case of a medical emergency. Important to check validity and compliance with state law.

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HIPAA Exceptions for Law Enforcement

Health Information Portability and Accountability Act - A law that protects the privacy of a patient's health information. This law establishes exceptions for law enforcement in cases of investigating crimes, identifying suspects, or locating missing people.

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Seizure

The sudden episode of uncontrolled electrical impulses in the brain, causing involuntary muscle contractions.

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Heat Regulation

The body's natural response to help regulate temperature when exposed to excessive heat.

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Heat Cramps

Occurs when the body is unable to regulate temperature effectively, causing involuntary muscle spasms and pain.

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Heat Exhaustion

Characterized by excessive sweating, dizziness, nausea, and weakness, indicating the body's inability to regulate temperature.

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Heat Stroke

A serious condition where the body's temperature regulation system fails, leading to a dangerously high internal temperature.

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Congested Heart Failure

A condition marked by shortness of breath, rapid shallow breathing, gurgling in the respiratory system, profuse sweating, swollen ankles, and anxiety.

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Angina

A condition characterized by chest pain caused by insufficient blood flow and oxygen to the heart muscle, commonly triggered by exertion or stress.

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Generalized Seizure

The type of seizure that affects the entire body and leads to shaking movements, lasting 1 to 2 minutes.

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Febrile Seizure

Seizure caused by a sudden high fever, commonly seen in infants and young children.

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Absence Seizure

A type of seizure characterized by a brief loss of consciousness, accompanied by staring, blinking, or jerking of a body part.

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Treatment of Seizure

Providing support and care to a patient experiencing a seizure, including protecting them from injury, ensuring airway patency, and monitoring their vital signs.

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Treatment of Heart Attack

The immediate care needed when someone experiences a heart attack, including ensuring the patient is comfortable, assessing their existing medical conditions, and preparing for CPR or AED use.

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Treatment of Angina

The immediate care provided to a patient experiencing a heart attack, including ensuring their comfort, assessing their medical conditions, and preparing for CPR or AED use.

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Direct Pressure

A method of controlling bleeding by applying direct pressure to the wound, using gauze or a clean cloth.

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Elevation

A method of controlling bleeding by raising the injured limb above the heart to reduce blood flow.

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Tourniquet

A device used to constrict blood flow to a limb, usually used as a last resort to control severe bleeding.

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Pressure Point

Specific points on the body where pressure can be applied to control bleeding from arteries.

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Superficial Burn (First Degree)

A type of burn that affects only the outermost layer of skin, causing redness and pain.

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Partial Thickness Burn (Second Degree)

A type of burn that damages the top layers of skin, causing blisters, pain, and fluid loss.

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Full Thickness Burn (Third Degree)

A type of burn that damages all layers of skin, destroying nerve endings and causing severe tissue damage.

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Thermal Burn

A burn caused by direct contact with heat, such as flames or hot objects.

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Respiratory Burn

A burn that affects the airways, caused by inhaling smoke or hot gases.

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Chemical Burn

A burn caused by a chemical substance coming into contact with the skin.

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Electrical Burn

A burn caused by the passage of electrical current through the body, damaging internal tissues and organs.

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Diabetes

A condition where the body's inability to regulate blood sugar properly, resulting in high blood sugar levels.

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Insulin Shock (Hypoglycemia)

A condition where the body has too much insulin and not enough blood sugar, leading to low blood sugar levels.

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Acute Abdomen Pain

A condition where there is pain and tenderness in the abdomen, often caused by irritation or inflammation.

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Abdominal Aortic Aneurysm

A condition where the aorta, the main artery in the body, weakens and bulges, potentially leading to a tear or rupture.

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Study Notes

First Responder Learning Objectives

  • Purposes and indications for the use of the recovery position: Unconscious patients without trauma should be in the recovery position to keep airways open and allow secretions to drain.
  • AED (Automated External Defibrillator): An automated, external defibrillator.
  • Body Substance Isolation (BSI): All patients are potentially infected with blood-borne pathogens, so always wear double gloves when treating patients.
  • Standard Precautions (Infectious Disease): Treat all bodily fluids as potentially infectious, using protocols relevant to blood-borne diseases.
  • First Responder Role and Responsibilities: Respond promptly, ensure safety, hand off the patient to a higher-trained responder with the appropriate training, and document care.

Acronym Meanings and Definitions

  • DOTS: Deformities, open wounds, tenderness or pain, swelling
  • SAMPLE: Signs and symptoms, allergies, medications, pertinent past medical history, last oral intake, events leading up to injury or illness
  • AVPU scale acronyms: Awake and alert, Responsive to verbal, Responsive to pain, Unresponsive
  • MOLST: Medical Orders for life sustaining treatment
  • HIPPA: Health Insurance Portability and Accountability Act
  • CABs: Circulation, breathing, airway

Vital Assessment and Assessment Techniques

  • Vital Assessment (Respiration): Monitor respiration rate (12-20 breaths per minute in a normal adult), and breathing quality.
  • Pulse Vital Signs: Measure resting pulse (60-100 bpm) in an adult, and examine rhythm and quality.
  • Assessing Vital Signs (Respiration): Normal adult respiratory rate, monitor patient's breathing for one minute, note any breathing issues.
  • Consent for Minors: Minors cannot consent to treatment and emergency care requires consent from a legal guardian.
  • Implied Consent: The law assumes conscious patients would consent to treatment in an emergency, allowing for treatment of unconscious persons.

Negligence and Standard of Care

  • Negligence: Providing insufficient or improper care, or performing care beyond one's training or authorization.
  • Standard of Care: The responsible manner a reasonable person trained similarly would act in the same circumstance.
  • Conditions Present for Negligence: Duty to act, breach of duty, resulting injury, proximate cause, required training or authorized care (negligence).

Communications and Patient Interactions

  • Communicating with Hearing Impaired Patients: Identify yourself, address the patient directly, speak slowly and clearly and repeat and rephrase comments to ensure clear understanding.
  • Communicating with children: Employ familiar objects, explain what is occurring, and establish eye contact at their level (squatting/kneeling) to build trust.
  • Communicating with elderly people: Give them time to respond carefully, and don't assume they have mental or physical limitations.

Types of Safety Concerns and Treatments

  • Scene Safety: Assess the environment for dangers and issues like traffic, unstable surfaces, hazardous materials or leaking gas.
  • Frostbite: Quick, temporary warming of exposed body parts.
  • Overdosing: Providing care, and administering Naloxone (Narcan) in the event the patient is not breathing. Rescue breathing if required.
  • Hypothermia Treatment: Promptly transport the patient; and using warming procedures. Deep frostbite: Warming the body part quickly and safely.
  • Heat Stroke: Identify flushed, dry skin with a high temperature. Promptly transport to reduce elevated body temperature.
  • Bleeding Control: Proper dressings are important to stop bleeding and dress any open wounds.
  • Eye Injuries: Cover the entire eye with a dry gauze pad.

Types of Injuries, Assessments and Treatements

  • Head Injuries: Immobilize the head by establishing proper neck support.
  • Chest Injuries: Establish an airway, provide supportive breathing techniques like bag valve mask, and oxygen.
  • Spinal Injuries: Immobilize the head and neck, provide proper respiration support, ensure safety and stability.
  • Burns: Assess the severity (superficial, partial thickness, full thickness), and initiate treatment as appropriate.
  • Impaled Objects: Stabilize the object and position the patient.
  • Nose Bleeds: Pinch the nostrils together.

Obstetric Emergencies (Labor and Delivery)

  • Stages of Labor: First, second, and third stage of labor and what to expect.
  • Infants head position during contractions: Monitoring and support during contractions

Medical Conditions

  • Cardiac Arrest: Complete cessation of the heartbeat. CPR and defibrillation are the first-line treatments.
  • Congested Heart Failure: Place the patient in a sitting position and administration of oxygen treatment.
  • Angina/Heart Attack: Prompt response; patient position; and administering Nitroglycerin if appropriate.
  • Seizures: Protect the patient from injury. Provide necessary support and proper positioning.
  • Heat Exhaustion: Provide cooling measures and promptly transport to treatment if necessary.
  • Hypoglycemia (Insulin Shock): Assess the patient, provide sugar, and coordinate with immediate care.
  • Poisoning (Ingestion, Inhalation): Initiate appropriate treatment based on the poisoning type.
  • Types of Head Injuries: Assess the patient to ensure proper positioning and immediate treatment.

Other

  • Diabetes Treatment: Provide juice, candy, or other sources of sugar based on the patient's needs.
  • Classifications of Poisoning: Ingestion, inhalation, injection, and absorption. Provide prompt care based on the condition.
  • Communication: Communicating with patients using simple and clear communication.

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