Podcast
Questions and Answers
What defines a patient in the context of emergency medical situations?
What defines a patient in the context of emergency medical situations?
- Patients must always be willing to receive treatment
- Any individual requiring immediate police assistance
- Only individuals under medical supervision
- Someone encountered with a medical condition or injury (correct)
Which of the following does NOT represent a scenario for transporting a low acuity patient?
Which of the following does NOT represent a scenario for transporting a low acuity patient?
- Patient exhibiting acute alcohol intoxication without withdrawal
- Individual displaying low acuity behavioral health issues
- Stable walking patient seeking a safe place to sober up
- A person in immediate police custody needing hospitalization (correct)
What is the purpose of the Trauma Care Bag?
What is the purpose of the Trauma Care Bag?
- To house equipment necessary for trauma calls (correct)
- To provide medication to patients in shock
- To store personal items of the patients
- To manage patients' dietary needs during transport
Which situation would warrant a verbal DNR?
Which situation would warrant a verbal DNR?
In the process of engaging a low acuity patient for transportation, which is NOT part of the checklist procedure?
In the process of engaging a low acuity patient for transportation, which is NOT part of the checklist procedure?
What is the primary goal of the ROSC (Return of Spontaneous Circulation) Checklist?
What is the primary goal of the ROSC (Return of Spontaneous Circulation) Checklist?
What determines the justification for a verbal DNR?
What determines the justification for a verbal DNR?
Which statement about Stabilization Rooms is correct?
Which statement about Stabilization Rooms is correct?
Which aspect is essential to remember when documenting in EPCR?
Which aspect is essential to remember when documenting in EPCR?
What does the 4th party caller represent in the calling party differential?
What does the 4th party caller represent in the calling party differential?
In the context of Montgomery County Hospice, what is required for patients with a DNR order?
In the context of Montgomery County Hospice, what is required for patients with a DNR order?
What should a paramedic do if they suspect a patient may not need immediate emergency care?
What should a paramedic do if they suspect a patient may not need immediate emergency care?
What LAMS score indicates a large vessel occlusion (LVO) requiring thrombectomy or transport to a compressive stroke center?
What LAMS score indicates a large vessel occlusion (LVO) requiring thrombectomy or transport to a compressive stroke center?
In terms of documentation, what should be included as part of the fire app narrative?
In terms of documentation, what should be included as part of the fire app narrative?
Which of the following is NOT permitted when transporting a patient in police custody?
Which of the following is NOT permitted when transporting a patient in police custody?
What is a characteristic of the 'Good Intent' statement?
What is a characteristic of the 'Good Intent' statement?
Why is it important to understand that not all strokes are the same?
Why is it important to understand that not all strokes are the same?
What must be assessed in a patient suspected of having a stroke within the last 22 hours?
What must be assessed in a patient suspected of having a stroke within the last 22 hours?
Which of the following is NOT a task performed by EMS 700?
Which of the following is NOT a task performed by EMS 700?
Which aspect does NOT contribute to the repatriation of a patient back to a treating facility?
Which aspect does NOT contribute to the repatriation of a patient back to a treating facility?
In a patient with facial droop, which LAMS score would most likely be observed?
In a patient with facial droop, which LAMS score would most likely be observed?
What criteria must a patient meet to refuse transportation under police custody?
What criteria must a patient meet to refuse transportation under police custody?
Which of the following hospitals is categorized as a primary stroke center?
Which of the following hospitals is categorized as a primary stroke center?
What is an indicator of a need for immediate action for a stroke alert?
What is an indicator of a need for immediate action for a stroke alert?
What should be prioritized when assessing a patient suspected of having a stroke?
What should be prioritized when assessing a patient suspected of having a stroke?
In what situation would a verbal DNR be applicable?
In what situation would a verbal DNR be applicable?
Which of the following correctly describes a patient's transport protocol under police custody?
Which of the following correctly describes a patient's transport protocol under police custody?
Which hospitals are categorized as primary stroke centers?
Which hospitals are categorized as primary stroke centers?
What is the primary requirement for transporting low acuity patients?
What is the primary requirement for transporting low acuity patients?
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Study Notes
Post-Surgery and Stabilization Protocols
- Stabilization Room Usage: Located at Criss Center, provides a non-shelter, safe space for adults over 18 to sober up.
- Transport Criteria: Low acuity behavioral health patients or those with acute intoxication, not requiring withdrawal/detox.
- Transport Process: Involves a checklist for compliance, requiring EPCR signatures and phone call to 240-777-1374 for assistance.
Trauma Care Equipment
- Trauma Care Bag Inventory: Essential for all trauma calls, includes items such as hypothermia blankets and equipment for various trauma types.
- Bag Distribution: Two bags on engines, trucks, squads, and ambulances; one on other units, resupplied by EMS Logistics.
Medical Decision-Making and DNR Protocol
- Dual Medic Operations: Operate under an "Operation Doctrine Statement" to ensure patients receive appropriate resources; respond to one call at a time.
- Verbal DNR: Can be established at any point with family consent or if providers suspect patient wishes; does not equate to determining futility.
Defining a Patient
- Patient Criteria: Includes anyone with a medical condition or injury; this encompasses direct encounters, third-party calls, and provider-suspected situations.
ROSC Checklist
- Objective: Aim for patients to be discharged neurologically intact, utilizing a detailed calling party differential system.
EMS 700 Functions
- Key Responsibilities: Acts as liaison between EMS and emergency departments, monitors conditions and resources, and ensures clinical decisions match patient needs.
- Patient Transfer: May redirect patients to different EDs for shorter wait times based on needs assessment.
EPCR Documentation Importance
- Legal Significance: EPCRs serve as historical health documents crucial for legal contexts; accuracy is vital for accountability.
Good Intent Statement
- Definition: Refers to calls deemed as suspected emergencies that lack genuine cause; requires detailed scene descriptions to support findings.
Stroke Assessment and Protocol
- Stroke Recognition: Utilizes Cincinnati Prehospital Stroke Scale to assess symptoms, with specific centers designated for advanced treatment based on LAMS scores.
- Urgency in Care: Critical to identify strokes within 22 hours of last known well time for effective treatment.
Protocol for Patients in Police Custody
- Transport Requirements: Must assess and treat patients regardless of their condition, adhering to standard medical protocols while in police presence.
- Care Dictation: Police cannot dictate medical care or use EMS equipment for restraints; special attention to the patient's competence to refuse treatment.
Repatriation Guidelines
- Coordination of Care: Focuses on consistency and expediency in treatment to improve patient outcomes when returning to a treating facility.
Post-Surgery and Stabilization Protocols
- Stabilization Room Usage: Located at Criss Center, provides a non-shelter, safe space for adults over 18 to sober up.
- Transport Criteria: Low acuity behavioral health patients or those with acute intoxication, not requiring withdrawal/detox.
- Transport Process: Involves a checklist for compliance, requiring EPCR signatures and phone call to 240-777-1374 for assistance.
Trauma Care Equipment
- Trauma Care Bag Inventory: Essential for all trauma calls, includes items such as hypothermia blankets and equipment for various trauma types.
- Bag Distribution: Two bags on engines, trucks, squads, and ambulances; one on other units, resupplied by EMS Logistics.
Medical Decision-Making and DNR Protocol
- Dual Medic Operations: Operate under an "Operation Doctrine Statement" to ensure patients receive appropriate resources; respond to one call at a time.
- Verbal DNR: Can be established at any point with family consent or if providers suspect patient wishes; does not equate to determining futility.
Defining a Patient
- Patient Criteria: Includes anyone with a medical condition or injury; this encompasses direct encounters, third-party calls, and provider-suspected situations.
ROSC Checklist
- Objective: Aim for patients to be discharged neurologically intact, utilizing a detailed calling party differential system.
EMS 700 Functions
- Key Responsibilities: Acts as liaison between EMS and emergency departments, monitors conditions and resources, and ensures clinical decisions match patient needs.
- Patient Transfer: May redirect patients to different EDs for shorter wait times based on needs assessment.
EPCR Documentation Importance
- Legal Significance: EPCRs serve as historical health documents crucial for legal contexts; accuracy is vital for accountability.
Good Intent Statement
- Definition: Refers to calls deemed as suspected emergencies that lack genuine cause; requires detailed scene descriptions to support findings.
Stroke Assessment and Protocol
- Stroke Recognition: Utilizes Cincinnati Prehospital Stroke Scale to assess symptoms, with specific centers designated for advanced treatment based on LAMS scores.
- Urgency in Care: Critical to identify strokes within 22 hours of last known well time for effective treatment.
Protocol for Patients in Police Custody
- Transport Requirements: Must assess and treat patients regardless of their condition, adhering to standard medical protocols while in police presence.
- Care Dictation: Police cannot dictate medical care or use EMS equipment for restraints; special attention to the patient's competence to refuse treatment.
Repatriation Guidelines
- Coordination of Care: Focuses on consistency and expediency in treatment to improve patient outcomes when returning to a treating facility.
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