On-Scene AED Coordination
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Questions and Answers

Who has medical authority over public access defibrillator personnel at the scene until the transporting EMT-Paramedic arrives?

  • Emergency Medical Dispatcher
  • Transporting EMT-Paramedic
  • PAD personnel
  • EMT-First Responder (correct)
  • What information should the EMT-FR or PAD site personnel provide to the EMT-P upon arrival?

  • Family's medical history
  • Witnessed or unwitnessed arrest (correct)
  • Recent history of heart disease
  • Patient's last medication taken
  • What should the EMT-FR do if the PAD personnel are proceeding with a shock upon the EMT-FR's arrival?

  • Wait until the shock is complete (correct)
  • Start the rescue breathing procedure
  • Guide the PAD personnel in administering CPR
  • Immediately apply their own AED
  • Once the EMT-P arrives on the scene, what is their next step after taking over patient care?

    <p>Proceed as directed by advanced life support protocols</p> Signup and view all the answers

    What should the EMT-P do after a shock from an AED has been delivered?

    <p>Immediately switch to their Zoll monitor</p> Signup and view all the answers

    If the patient remains in V-fib after an AED shock, what should the EMT-P consider doing next?

    <p>Enter the treatment sequence established by the dysrhythmia algorithm</p> Signup and view all the answers

    When should the EMT-P consider the shocks delivered by any AED?

    <p>As part of the dysrhythmia algorithm</p> Signup and view all the answers

    What factors must be included in the verbal report provided to EMT-P upon arrival?

    <p>Approximate time from collapse and number of shocks delivered</p> Signup and view all the answers

    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.

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