Protocol 01 Initial Assessment 07/31/2020

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Questions and Answers

What determines the flexibility of treatment protocols within the Miami-Dade Fire Rescue Department?

Prior experience of the medical personnel.

The judgment of the EMR, EMT, or Paramedic. (correct)

Only protocols that are explicitly stated in the manual.

The patient’s insurance coverage.

Which section of the Medical Operations Manual provides a detailed description of medications used by Miami-Dade Fire Rescue?

Protocols

Appendix

Medications (correct)

Procedures

What prefix is used for tasks that require approval from the Medical Control Physician?

ALS

MCP (correct)

HTX

BLS

What is the primary purpose of the Medical Operations Manual as described?

To provide standard protocols for emergency medical responders. Signup and view all the answers

Which section of the Medical Operations Manual details the 'how to' procedures for EMS personnel?

Procedures Signup and view all the answers

In the context of the Medical Operations Manual, what does the prefix 'BLS' signify?

Basic Life Support tasks Signup and view all the answers

Which of the following is NOT one of the sections included in the Medical Operations Manual?

Standards Signup and view all the answers

What does the 'Appendix' section of the Medical Operations Manual contain?

Reference materials and approved abbreviations. Signup and view all the answers

What is the primary goal of the Initial Assessment Protocol 1?

To evaluate and treat both medically ill and injured patients systematically Signup and view all the answers

What does the Scene Size-Up protocol require responders to assess?

The mechanism of injury and the number of patients present Signup and view all the answers

In the Primary Assessment, which element is NOT evaluated under the circulation assessment?

Respiratory rhythm Signup and view all the answers

Which of the following is an indication for administration of Narcan (Naloxone)?

Respiratory distress due to suspected opiate overdose Signup and view all the answers

During the Secondary Assessment, when should a second set of vital signs be documented?

For patients transported by MDFR and those who refuse treatment Signup and view all the answers

What is the significance of the specific pediatric protocols designated by (P)?

They are additional protocols specific to children’s care Signup and view all the answers

What should be ensured if a cervical or spinal injury is suspected during a primary assessment?

The head must be maintained in a neutral, in-line position Signup and view all the answers

Which aspect of the neurological exam is included in the Primary Assessment?

Determining the GCS and performing a FAST-ED stroke assessment Signup and view all the answers

What action should be taken if a patient is in shock during trauma management?

Place the patient in Trendelenburg position if no airway problems exist Signup and view all the answers

Which of the following actions is NOT part of the Medical Patient Management protocol?

Documenting patient’s weight for medication administration Signup and view all the answers

What is the purpose of the Trauma Patient Management protocol?

To handle traumatic injuries while managing concurrent medical conditions Signup and view all the answers

What should responders be prepared to administer upon initial patient contact?

Defibrillation or other life-saving interventions Signup and view all the answers

During which part of the assessment can the chief complaint be identified?

Secondary Assessment only Signup and view all the answers

What is an essential component of the circulation assessment during the primary assessment?

Evaluating the presence of peripheral pulses Signup and view all the answers

Study Notes

Medical Operations Manual Overview

Developed by Miami-Dade Fire Rescue Protocol Advisory Committee and Medical Director.
Serves as part of the medical control program for Miami-Dade Fire Rescue Department.
Outlines emergency medical procedures for certified Emergency Medical Responders (EMR), EMTs, and Paramedics.
Protocols act as clinical guides rather than teaching documents.
Flexibility in treatment approach is encouraged; personnel may use judgment outside of specified protocols.

Structure of the Medical Operations Manual

Protocols: Treatment guidelines detailing "when and why" approved by the Medical Director.
Procedures: Specific step-by-step processes for EMS personnel, detailing "how to".
Medications: Information on indications, contraindications, side effects, and dosing for medications used.
Appendix: Reference materials including abbreviations, trauma alert criteria, and Glasgow Coma Score.

Protocols and Procedures Designation

Basic Life Support (BLS) tasks are indicated by the prefix BLS.
Advanced Life Support (ALS) tasks are identified with the prefix ALS.
HAZMAT specific treatments utilize the prefix HTX.
Medical Control Physician (MCP) approval indicated with the prefix MCP.
Protocols are sequential, with sub-steps allowing for concurrent treatment when applicable.

Initial Assessment Protocol

Protocol 1 focuses on systematic evaluation and treatment for medically ill or injured patients.
Judgment is necessary to determine if patients require ALS or BLS care.

Scene Size-Up

Assess scene safety, mechanism of injury (MOI) or nature of illness (NOI), patient count, severity, and resource needs.
Identify and notify about any Alert Criteria (e.g., STEMI, STROKE, TRAUMA).
Prepare for immediate life-saving interventions upon initial contact.
Determine medical priority, treatment strategies, and notify corresponding facilities.

Primary Assessment

Conducted for every patient to identify and rapidly address life-threatening issues.
Airway: Ensure patent airway and apply Spinal Motion Restriction if spinal injury is suspected.
Breathing: Assess for difficulty breathing; record rate, rhythm, and quality; listen for abnormal sounds.
Circulation: Measure pulse rate and location, assess for active bleeding, and evaluate skin and perfusion.
Neurological Exam: Determine level of consciousness, perform a FAST-ED stroke assessment, check pupils, and evaluate extremity movement.

Medical Patient Management

Manage airway using specified protocols and procedures.
Assess the need for oxygen and document pulse oximetry and capnography.
Conduct blood glucose checks as needed.
Administer Narcan for respiratory depression due to opiate overdose.
Assist patients with prescribed medications (e.g., nitroglycerin for chest pain, inhalers, oral glucose, EpiPen).
Advanced airway management and cardiac evaluations are performed as necessary.

Trauma Patient Management

Perform airway management with C-spine control.
Administer oxygen and control any hemorrhage.
Bandage, splint, backboard, and package the patient for transport.
Document vital signs and pulse oximetry readings.
Position the patient in Trendelenburg if they are in shock (systolic BP < 90 mmHg).

Secondary Assessment

Conduct potentially simultaneous to primary assessment.
Identify chief complaint and document vital signs.
Obtain a second set of vitals for specific patient categories (e.g., transported patients, unstable patients).
Document pertinent medical history using the SAMPLE method (Signs and Symptoms, Allergies, Medications, Past medical history, Last oral intake, Events leading to call).
Complete a head-to-toe survey guided by the patient's complaint.

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Description

This quiz covers the essential aspects of the Medical Operations Manual developed by Miami-Dade Fire Rescue. It outlines emergency medical procedures, protocols, and the structure of the manual, guiding certified Emergency Medical Responders, EMTs, and Paramedics in their clinical practice. Test your knowledge on the protocols, procedures, and medications included in this comprehensive guide.