Paramedic Care Chapter 6 - Public Health

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Questions and Answers

What term describes the occurrence of significantly more cases of a disease than expected in a specific location over a defined period?

  • Pandemic
  • Contagious
  • Epidemic (correct)
  • Prevalence

What term is used for an inanimate object that can transmit an infectious agent from a reservoir to a susceptible host?

  • Vehicle (correct)
  • Vector
  • Carrier
  • Reservoir

Which term describes the ability of an infectious agent to be transmitted from one person to another through direct contact or close proximity?

  • Virulence
  • Prevalence
  • Direct transmission
  • Contagious (correct)

What is the term for the proportion of individuals with clinical disease who experience severe illness or death after becoming infected?

<p>Virulence (A)</p> Signup and view all the answers

Which of these is NOT a major role in public health practice?

<p>Biologic transmission (D)</p> Signup and view all the answers

What is the term used for the habitat where an infectious agent typically lives, grows, and multiplies?

<p>Reservoir (C)</p> Signup and view all the answers

What is the difference between a carrier and a host?

<p>A carrier is infected but shows no symptoms, while a host can be infected or not. (B)</p> Signup and view all the answers

What is the term for the direct transmission of an infectious agent through relatively large aerosols produced by coughing or sneezing?

<p>Droplet spread (B)</p> Signup and view all the answers

What role does EMS play in public health?

<p>Disease surveillance (A)</p> Signup and view all the answers

Which of the following is NOT a commitment of EMS practitioners?

<p>Financial planning (A)</p> Signup and view all the answers

What is one of the roles for EMS in injury prevention?

<p>Advocating for safe practices (C)</p> Signup and view all the answers

Which factor is crucial for EMS provider empowerment?

<p>Organizational commitment to education (C)</p> Signup and view all the answers

What should be prioritized by EMS at a scene?

<p>Scene safety first (B)</p> Signup and view all the answers

Why is it important for EMS personnel to have appropriate safety equipment?

<p>It varies based on potential risks (C)</p> Signup and view all the answers

Which of the following is a proactive EMS strategy?

<p>Public education programs (C)</p> Signup and view all the answers

Which aspect is part of the organizational commitment to EMS?

<p>Education of EMS providers (C)</p> Signup and view all the answers

Which of the following is a major accomplishment in public health?

<p>Decline in cardiovascular diseases (A)</p> Signup and view all the answers

What is one crucial element for a strong link between EMS and public health?

<p>Developing disaster plans locally (A)</p> Signup and view all the answers

Public health laws can be categorized into which of the following groups?

<p>Illness and prevention, police powers, epidemiological tools (B)</p> Signup and view all the answers

What does epidemiology primarily study?

<p>Incidence and prevalence of diseases in populations (B)</p> Signup and view all the answers

Which of the following is NOT a concept used in epidemiology?

<p>Disease isolation (A)</p> Signup and view all the answers

Which intervention is part of primary prevention in public health?

<p>Vaccinations to prevent diseases (C)</p> Signup and view all the answers

What does the decline in tobacco use reflect in public health?

<p>Successful public health campaigns and regulations (B)</p> Signup and view all the answers

What aspect of health does injury risk assessment focus on?

<p>Determining factors contributing to unintentional or intentional injuries (D)</p> Signup and view all the answers

What is the primary aim of public health?

<p>To protect and improve the health of a community (A)</p> Signup and view all the answers

Which of the following is NOT considered a basic principle of public health?

<p>Expanding emergency medical services (A)</p> Signup and view all the answers

What is a crucial aspect of strengthening the connection between EMS and public health?

<p>Strong medical oversight of both public health and EMS (D)</p> Signup and view all the answers

Which component is essential for developing relationships between EMS and public health leaders?

<p>Recognition of roles and commitments (D)</p> Signup and view all the answers

Which element is included in the practice of public health?

<p>Application of sanitary measures (A)</p> Signup and view all the answers

How do EMS providers typically feel after responding to crisis situations?

<p>They often wish to improve their response efforts (C)</p> Signup and view all the answers

What should be the focus of health promotion in public health?

<p>Planning community vaccination programs (B)</p> Signup and view all the answers

Which of the following plays a role in the control of communicable diseases?

<p>Sanitizing public spaces (D)</p> Signup and view all the answers

What is the leading cause of death from unintentional injuries among children in the United States?

<p>Motor vehicle collisions (D)</p> Signup and view all the answers

Which statement accurately reflects the impact of alcohol on motor vehicle fatalities?

<p>Alcohol use is a factor in about half of all motor vehicle fatalities. (D)</p> Signup and view all the answers

What is the primary concern regarding geriatric patients and falls?

<p>Falls are responsible for the largest number of preventable injuries for persons over 75. (A)</p> Signup and view all the answers

What percentage of work-related injuries are attributed to back injuries?

<p>27.5% (A)</p> Signup and view all the answers

What is one of the major hazards regarding medication use?

<p>Improper use or taking medications prescribed for others. (B)</p> Signup and view all the answers

How do managed care organizations impact hospital discharge practices?

<p>They often mandate shorter hospital stays. (B)</p> Signup and view all the answers

Which demographic is at greatest risk for wander-related health threats due to dementia?

<p>Geriatric patients (D)</p> Signup and view all the answers

What types of injuries account for 22% of work-related injuries?

<p>Eye, hand, and finger injuries (B)</p> Signup and view all the answers

What is one of the key roles of EMS in community prevention?

<p>Engaging in on-scene education to prevent future incidents. (C)</p> Signup and view all the answers

Which of the following is NOT a component of implementing prevention strategies in the community?

<p>Ignoring community needs assessments. (D)</p> Signup and view all the answers

What is the purpose of conducting a community needs assessment?

<p>To identify specific health issues and areas for intervention. (B)</p> Signup and view all the answers

Which of the following is an example of a community prevention strategy that EMS can implement?

<p>Offering defensive driving classes to the public. (B)</p> Signup and view all the answers

What is one way EMS professionals can promote wellness and prevent illness and injury among coworkers?

<p>By providing on-the-job training on accident prevention. (A)</p> Signup and view all the answers

Why is it important for EMS services to partner with members of the community?

<p>To enhance awareness of prevention strategies and promote community health. (D)</p> Signup and view all the answers

How can EMS personnel showcase the importance of community prevention on their agency's website?

<p>By highlighting statistics on preventable injuries. (A)</p> Signup and view all the answers

What is the main message conveyed by the statement "EMS services have gone beyond traditional treatment-and-transport-only"?

<p>EMS services have expanded their role to include community prevention initiatives. (C)</p> Signup and view all the answers

Flashcards

Epidemiology

The study of how diseases spread and affect populations, including the frequency and patterns of health events.

Primary Prevention

The process of preventing a disease or injury from happening in the first place.

Secondary Prevention

The process of detecting and treating a disease or injury early on to limit its impact.

Tertiary Prevention

The process of managing a disease or injury to prevent further complications.

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Injury Surveillance Program

Data collected to monitor and understand the occurrence of injuries.

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Injury Risk

Measures taken to prevent potential injuries.

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Injury

Any type of harm or damage to the body, whether intentional or accidental.

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Years of Productive Life

A measure representing the number of years a person is expected to live in good health.

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Public Health

The science and practice of protecting and improving the health of a community, including the use of preventive medicine, health education, disease control, sanitation, and environmental hazard monitoring.

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EMS & Public Health Link

EMS providers should have a strong working relationship with public health entities to ensure effective collaboration and communication.

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Public Health Focus

Public health initiatives aim to prevent illness and injury in the community.

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Preventive Medicine

A method to prevent disease outbreaks, health education, and control communicable diseases.

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Health Education

The act of providing individuals with information and resources to make healthy choices.

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Control of Communicable Diseases

Preventing the spread of contagious diseases through measures such as vaccinations, isolation, and quarantine.

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Sanitary Measures

Implementing measures to ensure clean water, safe food, and proper waste disposal to prevent disease.

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Monitoring Environmental Hazards

Monitoring for potential hazards in the environment that may threaten public health, such as pollution or chemical spills.

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Biologic Transmission

The indirect transmission of an infectious agent where the agent undergoes changes within an organism (vector) before reaching a new host.

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Carrier

A person or animal that carries an infectious agent without showing symptoms but can transmit it to others.

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Contact

Exposure to a source of infection or the person who has been exposed.

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Contagious

Able to be transmitted from one person to another by contact or close proximity.

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Direct Transmission

The direct transfer of an infectious agent from its source to a susceptible host through direct contact or droplets.

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Droplet Spread

The direct transmission of an agent through relatively large droplets released by sneezing, coughing, or talking.

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Epidemic

The occurrence of more cases of a disease than expected in a particular area or group of people over a specific period.

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Pandemic

The occurrence of an epidemic over a very large geographical area, spanning multiple countries or continents.

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How does EMS contribute to public health?

Public health is a crucial aspect of EMS. EMS practitioners can actively promote health through education and awareness campaigns.

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Why are EMS personnel ideally suited for injury prevention?

EMS personnel are ideally positioned to prevent injuries due to their widespread presence and community interaction.

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What is the role of disease surveillance in EMS?

Disease surveillance involves monitoring disease patterns to identify outbreaks and trends, enabling timely public health interventions.

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How does EMS contribute to disaster management?

EMS plays a crucial role in disaster management, including preparedness, response, and recovery efforts.

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What is the organizational commitment to EMS provider protection?

EMS organizations have a responsibility to protect their providers by implementing safety protocols and providing necessary training.

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What is the organizational commitment to EMS provider education?

EMS organizations must ensure ongoing education and training for their providers to enhance their skills and knowledge.

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What are the Standard Precautions for EMS providers?

EMS providers are expected to adhere to Standard Precautions, which are infection control measures to protect themselves and others.

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What is the importance of scene safety for EMS providers?

EMS providers should prioritize scene safety by assessing risks and ensuring proper response measures before approaching potentially dangerous situations.

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Child Injury Deaths

Injuries are the leading cause of death for children in the United States.

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Alcohol and Car Accidents

Alcohol is a major contributing factor to deaths caused by car accidents.

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Falls and Elderly

Falls are the leading causes of preventable injuries for seniors.

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Work-Related Injuries

Back injuries and injuries to the eyes, hands, and fingers are common in the workplace.

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Medication Misuse

Misuse of medication can lead to serious health consequences.

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Early Discharge

Managed care often leads to shorter hospital stays and early discharge.

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Early Discharge Risk

Patients discharged from the hospital prematurely are often susceptible to health problems.

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EMS Role in Prevention

EMS professionals can contribute to community health through prevention and education.

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Community Needs Assessment

The process of identifying and addressing factors that increase the risk of illness or injury in a community.

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Injury Surveillance

Collecting information on injuries to understand their frequency, causes, and patterns.

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Injury Prevention Strategies

Actions taken to reduce the likelihood of injuries happening in the first place.

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On-Scene Education

Teaching individuals and communities how to avoid risky behaviors and make healthy choices.

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EMS Beyond Treatment and Transport

The ability of EMS services to go beyond just providing medical treatment and transportation.

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Community Partnerships

Working together with other organizations to improve community health and prevent illness and injury.

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Preventive Programs

Programs designed to prevent disease and improve overall health through actions such as vaccinations, health education, and screenings.

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Response Team Safety

Ensure safety protocols are followed and precautions are taken to protect responders from hazards at a scene.

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Study Notes

Paramedic Care: Principles & Practice - Chapter 6 - Public Health

  • Chapter 6 of the sixth edition of Bledsoe's Paramedic Care textbook is focused on Public Health.
  • Public health is a standard in paramedic care.
  • Paramedics apply fundamental knowledge of public health principles and epidemiology.
  • This includes public health emergencies, health promotion, and illness and injury prevention.
  • EMS providers are drawn to EMS to contribute to society and those in need.
  • EMTs respond to crisis and tragedy, feeling satisfaction when a critically ill or injured patient improves.
  • An emotional "wish I could have done more" or "I wish this would not have happened to them" sentiment is common.
  • Public health is the science and practice of protecting and improving community health.
  • Core components include preventive medicine, health education, controlling communicable diseases, applying sanitary measures, and monitoring environmental hazards.
  • A diagram (Figure 6-1) illustrates public health functions.
  • Key components of public health include assurance, research, assessment, and policy development.
  • A strong link between EMS and public health is crucial, involving medical oversight, education on roles, and maintaining leadership connections.
  • Community stakeholders should be involved in disaster planning.
  • Public health and EMS often work together on disaster plans and repeated drills.
  • Funding is important.
  • Figure 6-2 displays EMS links to public health components like health promotion, disease surveillance, disaster management, and injury prevention.
  • Public health has significantly improved human quality of life and lifespan.
  • Major accomplishments include vaccinations, motor vehicle and workplace safety, home safety, control of infectious diseases, disease surveillance, declines in cardiovascular illnesses, food education, prenatal and well-baby clinics, family planning, fluoridation of drinking water, and reduced smoking.
  • Public health laws impact practice and strategies, often categorized into illness and prevention, police powers for public health agencies, and epidemiological tools.
  • Epidemiology is the branch of medicine that examines disease incidence and prevalence in large populations.
  • It studies the source, causes, and patterns of health events.
  • Concepts used in Epidemiology include years of productive life, unintentional/intentional injury, injury risk, injury surveillance programs, primary, secondary and tertiary prevention.
  • Common epidemiological terms include biologic transmission, vectors, carriers, contacts, contagious diseases, direct/droplet transmission , epidemics.
  • Key terms associated with epidemiology include host, pandemic, prevalence, reservoir, vector, vehicle, virulence.
  • EMS practitioners play a variety of public health roles, including public health surveillance, field investigations, analytic studies, evaluation, linkage, and policy development.
  • EMS strategies in public health include health promotion, disease surveillance, disaster management, and injury prevention.
  • EMS personnel are uniquely capable of being injury prevention advocates.
  • The EMS community often collaborates with members of the public.
  • EMS providers are generally distributed across populations, reflecting community demographics.
  • EMS practitioners are over 700,000 strong.
  • Organizational commitments in public health include protecting EMS providers, educating them, collecting data, financial support, and empowering them.
  • EMS should be proactive in public health education programs.
  • Essential EMT skills include standard precautions, physical fitness, stress management, seeking professional care, and driving safely.
  • Disease prevention begins with healthcare workers.
  • Safety is paramount in EMS responses, necessitating careful attention to scene safety, response equipment and legal approval of dangerous scenes.
  • Proper safety equipment should be readily accessible and in good condition for EMS workers.
  • Areas of need for EMS community prevention include infants/children deaths from injuries, motor vehicle collisions, alcohol use, geriatric patients' falls, work and recreation hazards, medication misuse, and early discharge needs.
  • EMS can actively participate in strategies to preserve safety, recognize hazards, document findings, engage in on-scene education, and understand community resources.
  • EMS can help with injury prevention, and initiatives for childhood and flu immunizations, prenatal clinics, elder care clinics, defensive driving courses, workplace safety courses, and health clinics.
  • Each EMS member shares responsibility for promoting wellness and injury prevention within the community.
  • EMS services have moved beyond traditional treatment and transport to provide a range of community services,
  • Partnering with community members promotes a greater awareness of preventing illness and injury.

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