Questions and Answers
Who has medical authority over public access defibrillator personnel at the scene until the transporting EMT-Paramedic arrives?
What information should the EMT-FR or PAD site personnel provide to the EMT-P upon arrival?
What should the EMT-FR do if the PAD personnel are proceeding with a shock upon the EMT-FR's arrival?
Once the EMT-P arrives on the scene, what is their next step after taking over patient care?
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What should the EMT-P do after a shock from an AED has been delivered?
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If the patient remains in V-fib after an AED shock, what should the EMT-P consider doing next?
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When should the EMT-P consider the shocks delivered by any AED?
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What factors must be included in the verbal report provided to EMT-P upon arrival?
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Study Notes
On-Scene AED Coordination Policy
- EMT-First Responder (EMT-FR) holds medical authority over Public Access Defibrillator (PAD) users until EMT-Paramedic (EMT-P) arrives.
- Once the EMT-P arrives, they assume medical authority for the scene.
- EMT-P or EMT-FR must receive a detailed verbal report upon arrival, including:
- Patient age
- Nature of arrest: witnessed or unwitnessed
- Approximate time since collapse
- Whether CPR was initiated before the EMT-FR arrived
- Initial cardiac rhythm: shockable or non-shockable
- Number of shocks delivered
- Patient's response to treatments administered
Protocols when AED is in Use
- If EMT-FR is first on scene using a PAD, they must:
- Allow any shock to be delivered before intervening if PAD personnel are proceeding with a shock.
- After the shock, switch to their own AED and follow established protocols.
- Upon the EMT-P's arrival, they take over patient care and adhere to advanced life support protocols.
- EMT-P must:
- Wait for any ongoing shocks from the AED to be completed before taking further action.
- Immediately switch to the Zoll monitor after the shock, minimizing CPR interruptions.
Integration of AED Shock Data
- AED shocks delivered prior to EMT-P's arrival are considered within the dysrhythmia treatment algorithm.
- If patient remains in Ventricular fibrillation (V-fib) post-AED shock, EMT-P should resume treatment protocol, which includes:
- Establishing vascular access
- Administering epinephrine
- Managing the airway accordingly.
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Description
Test your knowledge of the On-Scene AED Coordination Policy in the Kansas City Missouri Fire Department. This quiz covers essential protocols regarding the medical authority of EMT-First Responders and EMT-Paramedics during emergencies. Ensure you understand the chain of command and reporting requirements in the field.
