Podcast
Questions and Answers
What does a person need to have to maintain decision-making capacity?
What does a person need to have to maintain decision-making capacity?
Understanding of nature of the illness or injury, possible consequences, not intoxicated, refuses care given the risks.
What is the policy regarding a child's parent refusing care on religious grounds?
What is the policy regarding a child's parent refusing care on religious grounds?
Neither child nor parent can refuse on religious grounds.
When may minors seek treatment without the consent of parents?
When may minors seek treatment without the consent of parents?
Abortion, drug addiction, venereal disease.
What are the criteria for termination of resuscitation for blunt trauma arrest?
What are the criteria for termination of resuscitation for blunt trauma arrest?
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How should a penetrating trauma arrest be treated?
How should a penetrating trauma arrest be treated?
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How long should you view continuous asystole before termination of resuscitation?
How long should you view continuous asystole before termination of resuscitation?
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What should you administer if you suspect hyperkalemia as a cause of arrest?
What should you administer if you suspect hyperkalemia as a cause of arrest?
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Should you continue CPR in suspected suicide if the patient has a Do Not Resuscitate (DNR) order?
Should you continue CPR in suspected suicide if the patient has a Do Not Resuscitate (DNR) order?
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What are some things that are considered comfort care or supportive care in a DNR case?
What are some things that are considered comfort care or supportive care in a DNR case?
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How is a pediatric patient defined?
How is a pediatric patient defined?
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Study Notes
Decision Making Capacity
- Requires understanding of illness or injury
- Must comprehend possible consequences of treatment
- Individual should not be intoxicated
- Can refuse care despite being informed of risks
Parental Refusal of Care
- Neither a child nor a parent can refuse medical treatment for the child based on religious beliefs
Minors Seeking Treatment
- Minors can seek medical treatment without parental consent for:
- Abortion
- Drug addiction
- Venereal diseases
Termination of Resuscitation Criteria
- For blunt trauma arrest, resuscitation may be terminated if:
- Found apneic and pulseless
- No response to Basic Life Support (BLS) including chest compressions and Bag-Valve-Mask (BVM)
Treatment of Penetrating Trauma Arrest
- Required to transport to a trauma facility unless:
- Time is suspected to exceed 10 minutes
- No signs of life or response to BLS care
Continuous Asystole Assessment
- Must observe continuous asystole for 15 minutes before considering termination of resuscitation (TOR)
Suspected Hyperkalemia Treatment
- Administer Calcium Gluconate
- Administer Sodium Bicarbonate
CPR and DNR Situations
- In suspected suicide cases with Do Not Resuscitate (DNR) orders, do not assume CPR should continue; contact the medical base for guidance
Comfort Care in DNR Cases
- Supportive or comfort care may include:
- Medication administration
- Repositioning
- Oxygen (O2) delivery
- Suctioning
- Manual treatment for airway obstruction
Definition of Pediatric Patient
- Age definition not provided, but typically refers to individuals under 18 years old for many medical contexts
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Description
This quiz covers important concepts related to medical decision-making capacity, parental refusal of care, and criteria for resuscitation and treatment in trauma cases. It examines the responsibilities and rights of individuals, parents, and medical professionals in critical situations. Test your knowledge on these essential medical ethics and protocols.
