Podcast
Questions and Answers
What must clinicians do if they cannot immediately provide documentation of the patient's prehospital care?
What must clinicians do if they cannot immediately provide documentation of the patient's prehospital care?
- Document on a template approved by MIEMSS before leaving the facility. (correct)
- Use a generic template for documentation.
- Deliver the completed PCR within 48 hours.
- Submit verbal reports to the receiving facility.
Which option should only be selected by the unit that pronounces death?
Which option should only be selected by the unit that pronounces death?
- Dead at Scene with BLS Intervention
- Dead on Scene (correct)
- Dead at Scene with ALS Intervention
- Operational Support Only
What action must the highest level EMS clinician take if no interventions are performed?
What action must the highest level EMS clinician take if no interventions are performed?
- Document 'Dead at Scene' without further actions.
- Terminate resuscitation immediately.
- Report to the receiving facility.
- Pronounce death and document 'Dead on Scene'. (correct)
In the case where BLS care was provided and death was pronounced, what should the BLS unit select in the PCR?
In the case where BLS care was provided and death was pronounced, what should the BLS unit select in the PCR?
Which principle regarding patient care must be adhered to at all times?
Which principle regarding patient care must be adhered to at all times?
What is the primary obligation of health care clinicians regarding suspected child or vulnerable adult abuse?
What is the primary obligation of health care clinicians regarding suspected child or vulnerable adult abuse?
What should clinicians do when a patient has been impaled by a conducted electrical weapon?
What should clinicians do when a patient has been impaled by a conducted electrical weapon?
Which of the following is NOT part of the focused examination or assessment process?
Which of the following is NOT part of the focused examination or assessment process?
Under Maryland law, what protection do EMS clinicians have when reporting suspected abuse?
Under Maryland law, what protection do EMS clinicians have when reporting suspected abuse?
What is a vital step to take before validating additional patient information?
What is a vital step to take before validating additional patient information?
Which of the following best summarizes the treatment protocol for external device impalements?
Which of the following best summarizes the treatment protocol for external device impalements?
What must be done with documentation related to a patient's history during assessment?
What must be done with documentation related to a patient's history during assessment?
What is the recommended approach for ongoing assessments under clinical guidelines?
What is the recommended approach for ongoing assessments under clinical guidelines?
Which of the following should NOT be included in a clinician impression during notifications?
Which of the following should NOT be included in a clinician impression during notifications?
What is the purpose of the Cincinnati Stroke Scale during consults?
What is the purpose of the Cincinnati Stroke Scale during consults?
Which of the following elements is specifically required for trauma patients?
Which of the following elements is specifically required for trauma patients?
During a Mass Casualty Incident (MCI), what is critical for EMS communications?
During a Mass Casualty Incident (MCI), what is critical for EMS communications?
When noting patient vital signs, which phrase should be avoided according to the guidelines?
When noting patient vital signs, which phrase should be avoided according to the guidelines?
What is the definition of Priority 2 in patient triage?
What is the definition of Priority 2 in patient triage?
What should be indicated if there are multiple victims in a trauma situation?
What should be indicated if there are multiple victims in a trauma situation?
In the context of medical notifications, what does ETA stand for?
In the context of medical notifications, what does ETA stand for?
Which patient is categorized under Priority 3?
Which patient is categorized under Priority 3?
Which vital sign should NOT be used in a manner that implies stability?
Which vital sign should NOT be used in a manner that implies stability?
What should be done in a multiple casualty incident?
What should be done in a multiple casualty incident?
At what weight is a newborn categorized and what are its normal heart rate and B/P responsibilities?
At what weight is a newborn categorized and what are its normal heart rate and B/P responsibilities?
What is the expected resting heart rate for a 10-year-old child?
What is the expected resting heart rate for a 10-year-old child?
Which age group has an expected respiratory rate of 20?
Which age group has an expected respiratory rate of 20?
What is the normal systolic blood pressure for a 2-year-old child?
What is the normal systolic blood pressure for a 2-year-old child?
What category does a patient with a condition that does not require medical attention fall into?
What category does a patient with a condition that does not require medical attention fall into?
What is the first step to take upon arriving at the scene of a patient encounter?
What is the first step to take upon arriving at the scene of a patient encounter?
Which condition indicates a critically unstable patient?
Which condition indicates a critically unstable patient?
What action should be taken if a critically unstable patient is identified?
What action should be taken if a critically unstable patient is identified?
In the case of a pediatric patient, which tool is recommended for initial assessment?
In the case of a pediatric patient, which tool is recommended for initial assessment?
What should be evaluated first during the scene arrival phase?
What should be evaluated first during the scene arrival phase?
Which of the following is NOT a sign of poor perfusion?
Which of the following is NOT a sign of poor perfusion?
What should NOT be done if a critically unstable patient is identified?
What should NOT be done if a critically unstable patient is identified?
What is the purpose of considering Personal Protective Equipment (PPE) during the scene size-up?
What is the purpose of considering Personal Protective Equipment (PPE) during the scene size-up?
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Study Notes
General Patient Care Overview
- General Patient Care (GPC) applies to all patient encounters unless specified in treatment protocols.
Response Guidelines
- Review dispatch information before responding.
- Select appropriate response based on situation.
Scene Arrival and Size-Up
- Body Substance Isolation (BSI) and Personal Protective Equipment (PPE) should be considered.
- Evaluate scene safety, determine number of patients, and assess need for additional resources.
Patient Approach
- Assess Mechanism of Injury (MOI) or Nature of Illness (NOI).
- Begin triage if necessary, particularly for Mass Casualty Incidents (MCI).
Initial Assessment
- Quickly form a general impression of the patient upon first contact.
- Identify critically unstable patients based on specific criteria, including:
- Altered mental status (AVPU not alert)
- Airway compromise
- Acute respiratory distress
- Poor perfusion signs.
- If a critically unstable patient is identified:
- Stop all patient movement.
- Do not initiate transport.
- Follow critically unstable patient protocol.
Pediatric Assessment
- Utilize the Pediatric Assessment Triangle: Appearance, Work of Breathing, Circulation to Skin.
Triage Prioritization
- Define patient priorities from 1 to 4:
- Priority 1: Critically unstable patients.
- Priority 2: Life-threatening but stable conditions.
- Priority 3: Non-emergent conditions.
- Priority 4: No medical attention required.
Vital Signs Chart
- Established vital sign ranges vary by age, with specific heart rates, respiratory rates, and blood pressure readings provided for different age groups (from premature to adult).
History and Physical Examination
- Conduct focused and ongoing assessments.
- Collect and transport relevant patient documentation, including emergency information forms.
- Obtain contact details for individuals familiar with the patient’s medical history.
- Document any suspected child or vulnerable adult abuse or neglect confidentially.
Treatment Protocols and Notifications
- Follow all relevant treatment protocols.
- Specific guidelines for transport of patients with impaled electrical weapon darts.
- Include crucial data in notifications: patient priority, age, chief complaint, clinical impressions, vital signs, and ETA.
Mass Casualty Incident Communications
- During an MCI, optimize patient care resources and manage EMS communications for emergencies.
- Ensure proper documentation of prehospital care is completed within 24 hours post-dispatch.
Confidentiality and Professional Conduct
- Maintain patient confidentiality at all times.
- Treat all patients with dignity, respect, and in a calm manner.
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