Podcast
Questions and Answers
What do procedures with a black diamond indicate?
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 ({ })?
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?
What does a pink color indicate?
- Adult patients
- Geriatric patients
- Pediatric patients (correct)
- Critical patients
What does a section marked with an 'A' indicate?
What does a section marked with an 'A' indicate?
What does a bold 'G' indicate?
What does a bold 'G' indicate?
What are the four reasons to call the hospital?
What are the four reasons to call the hospital?
What information should you include when calling ahead for a trauma patient?
What information should you include when calling ahead for a trauma patient?
When calling an ______ for a trauma or stroke, how do you state that?
When calling an ______ for a trauma or stroke, how do you state that?
What are circumstances for non-initiation of care?
What are circumstances for non-initiation of care?
What are the Exclusionary Conditions where care must be initiated?
What are the Exclusionary Conditions where care must be initiated?
What does DNR-CC stand for?
What does DNR-CC stand for?
What does DNR-CCA stand for?
What does DNR-CCA stand for?
What does SAMPLE stand for?
What does SAMPLE stand for?
Oral glucose is indicated for any ___________ ______ __________ patient with BS ___
Oral glucose is indicated for any ___________ ______ __________ patient with BS ___
What is Full Spinal Motion Restriction?
What is Full Spinal Motion Restriction?
How do you prepare the skin for a 12-Lead?
How do you prepare the skin for a 12-Lead?
What do you tell a patient before taking a 12-Lead?
What do you tell a patient before taking a 12-Lead?
What are the steps to transmitting a 12-Lead?
What are the steps to transmitting a 12-Lead?
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.
