Miami Valley EMS Protocol Flashcards

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Questions and Answers

What do procedures with a black diamond indicate?

They must be performed without authorization.

They are procedures that can be done at the discretion of the technician.

They are optional procedures.

They are never to be performed without a Medical Control Physician (MCP) order. (correct)

What does it mean when items are enclosed in braces ({ })?

They can be ignored at any time.

They are mandatory procedures.

They must be performed by every EMT.

They are at the option of the department and its Medical Director. (correct)

What does a pink color indicate?

Adult patients

Geriatric patients

Pediatric patients (correct)

Critical patients

What does a section marked with an 'A' indicate?

Adult section Signup and view all the answers

What does a bold 'G' indicate?

Geriatric section Signup and view all the answers

What are the four reasons to call the hospital?

To set up for a patient, for serious patients, to obtain orders, and to obtain advice. Signup and view all the answers

What information should you include when calling ahead for a trauma patient?

MIVT, components of GCS, patient assessment findings Signup and view all the answers

When calling an ______ for a trauma or stroke, how do you state that?

alert Signup and view all the answers

What are circumstances for non-initiation of care?

Deep injuries, DNR orders, rigor mortis, and prolonged arrest. Signup and view all the answers

What are the Exclusionary Conditions where care must be initiated?

Traumatic arrest in pregnant females over 24 weeks, possible medical etiology, and witnessed arrests. Signup and view all the answers

What does DNR-CC stand for?

Do Not Resuscitate-Comfort Care Signup and view all the answers

What does DNR-CCA stand for?

Do Not Resuscitate-Comfort Care Arrest Signup and view all the answers

What does SAMPLE stand for?

Symptoms, Allergies, Medications, Past med history, Last oral intake, Events and Environmental factors. Signup and view all the answers

Oral glucose is indicated for any _ patient with BS _

conscious but disoriented; 10 Signup and view all the answers

What is Full Spinal Motion Restriction?

Protocols for varying levels of spinal mobility. Signup and view all the answers

How do you prepare the skin for a 12-Lead?

You need to shave excess hair and ensure the skin is dry. Signup and view all the answers

What do you tell a patient before taking a 12-Lead?

Please stay still. Signup and view all the answers

What are the steps to transmitting a 12-Lead?

Prepare skin, place leads, send information to hospital. Signup and view all the answers

Study Notes

General Protocol Guidelines

Procedures marked with a black diamond require Medical Control Physician (MCP) authorization before execution.
Items in braces ({ }) denote options available to the department and its Medical Director, allowing for flexibility in directives.

Patient Categories

Pink color codes identify pediatric patients.
Sections labeled with an "A" pertain to adult patients.
Sections marked with a bold "G" indicate geriatric patients.

Communication with Hospitals

Call the hospital to prepare for a patient in serious situations (e.g., trauma, stroke, cardiac arrest).
Provide MIVT (Mechanism of Injury, Injuries, Vital Signs, Treatment) details for trauma patients when notifying ahead.
Include components of the Glasgow Coma Scale (GCS) and findings from patient assessments during communication.

Trauma and Stroke Alerts

Alerts for Trauma or Stroke should be communicated as "We recommend a __________ alert."

Non-Initiation of Care Circumstances

Do not initiate care in cases of severe cranial injuries, massive truncal wounds, DNR orders, rigor mortis, or prolonged arrest scenarios.
Triage demands and specific trauma circumstances (e.g., blunt trauma) can also justify non-initiation.

Exclusionary Conditions for Care

Rapid transport is necessary for pregnant females with traumatic arrest after 24 weeks if a pulse is present.
Conditions like witnessed arrest by EMS, hypothermia, or commotio cordis warrant initiating care despite other challenges.

DNR Definitions

DNR-Comfort Care (DNR-CC): Treatment to alleviate pain without delaying death.
DNR-Comfort Care Arrest (DNR-CCA): All protocol-based treatments until cardiac or respiratory arrest occurs.

SAMPLE Assessment Acronym

Stands for: Symptoms, Allergies, Medications, Past medical history, Last oral intake, Events leading to injury.

Oral Glucose Indication

Administer for conscious but disoriented patients with blood sugar below specific thresholds.

Spinal Motion Restriction

Full spinal motion restriction is applicable in cases when patients are classified from V3 to V6 or V5.

ECG Lead Placement

V1: 4th intercostal space, right of the sternum bump.
V2: 4th intercostal space, left of the sternum.
V3: Midway between V2 and V4.
V4: 5th intercostal space, midclavicular line from V2.
V5: Lateral to V4, along the arm-chest line.
V6: Midaxillary line, level with V5.

12-Lead Preparation and Communication

Prepare skin by shaving excess hair and ensuring dryness.
Instruct the patient to remain still, minimizing movement to ensure accurate readings.
Steps for transmitting a 12-Lead include skin preparation, lead placement, noting patient’s age/gender, sending to selected hospital, and informing them of MIVT and ETA upon arrival.

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Description

Test your knowledge of the Miami Valley EMS Council protocols with these flashcards. Each card focuses on specific procedures, symbols, and their meanings used in the EMS protocols. Enhance your understanding of the guidelines and improve your readiness for practical application.