Public Health Principles and Medical Ethics
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Questions and Answers

What is the primary focus of public health principles?

  • Conducting surgical procedures in hospitals
  • Protecting and improving community health through preventive measures (correct)
  • Developing advanced medical technologies
  • Treating existing diseases through medication
  • Which of the following is NOT an accomplishment of public health?

  • Increasing rates of tobacco use (correct)
  • Motor vehicle safety
  • Control of infectious diseases
  • Vaccinations
  • What are the components of negligence in EMS?

  • Duty to act, patient abandonment, causation, and harm
  • Informed consent, breach of morality, actual damages, and intent
  • Duty to act, breach of duty, actual damages, and proximate cause (correct)
  • Duty to act, breach of duty, injury damage, and cause of action
  • Under what circumstance can implied consent be applied in EMS?

    <p>When the patient is incapacitated (D)</p> Signup and view all the answers

    What type of law deals with civil wrongs such as negligence in EMS?

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

    Which of the following actions can lead to legal consequences related to confidentiality in EMS?

    <p>Breach of HIPAA guidelines (C)</p> Signup and view all the answers

    Which of the following best describes the term 'abandonment' in the provider-patient relationship?

    <p>Terminating care without ensuring the patient receives continued care (B)</p> Signup and view all the answers

    What is the primary intention of the Ryan White Act regarding EMS providers?

    <p>To protect providers exposed to infectious diseases (C)</p> Signup and view all the answers

    What is the primary reason a paramedic should be familiar with legal issues encountered in the field?

    <p>To make informed medical and appropriate legal decisions. (B)</p> Signup and view all the answers

    Which of the following best describes the legal duties of a paramedic?

    <p>Duties are often set by state statutes and regulations. (B)</p> Signup and view all the answers

    Failure to adhere to established legal duties can result in which of the following?

    <p>Potential liability and legal consequences (A)</p> Signup and view all the answers

    Which of these is an ethical responsibility of an EMS provider?

    <p>Treating all patients and their families with courtesy and respect (A)</p> Signup and view all the answers

    Which statement best describes the ethical expectation of an EMS provider regarding their performance?

    <p>To continuously seek improvement through critical review. (D)</p> Signup and view all the answers

    How should an EMS provider approach patient information?

    <p>Report patient information honestly while respecting confidentiality. (B)</p> Signup and view all the answers

    How should an EMS provider generally interact with other emergency professionals?

    <p>By working cooperatively and with respect (A)</p> Signup and view all the answers

    What primarily defines the scope of practice for paramedics?

    <p>State laws, regulations, and local medical direction. (B)</p> Signup and view all the answers

    What is a key consideration regarding moral issues for EMS practitioners?

    <p>Moral issues can sometimes cause conflicts involving treatment. (C)</p> Signup and view all the answers

    Which of the following best describes 'certification' in the context of EMS?

    <p>A recognition of meeting qualifications for a specific activity. (D)</p> Signup and view all the answers

    What determines the specific rules governing the operation of emergency vehicles?

    <p>Motor vehicle laws which vary from state to state. (D)</p> Signup and view all the answers

    States have mandatory reporting requirements for certain situations. Which of these is NOT included in the listed common categories?

    <p>Traffic violations witnessed by medics. (A)</p> Signup and view all the answers

    During a declared disaster, what flexibility is often granted to government officials?

    <p>The ability to rapidly adapt responses by modifying or waiving laws. (B)</p> Signup and view all the answers

    Which of the following describes the purpose of 'Good Samaritan laws'?

    <p>To provide immunity for those assisting in medical emergencies. (C)</p> Signup and view all the answers

    What is the main focus of the Ryan White Comprehensive AIDS Resources Emergency Act concerning EMS providers?

    <p>Immunity for providers regarding blood-borne or airborne pathogen exposures. (C)</p> Signup and view all the answers

    What is licensure primarily used for in relation to healthcare professions?

    <p>To regulate occupations, generally by government agency. (D)</p> Signup and view all the answers

    What standard is a paramedic held to when providing patient care?

    <p>The standard of care of other paramedics with similar education and training. (D)</p> Signup and view all the answers

    What does it mean for a paramedic to act in a 'reasonable and prudent manner'?

    <p>To act with the caution that a reasonably well-trained paramedic would exercise in similar circumstances. (B)</p> Signup and view all the answers

    What is an intentional tort?

    <p>A civil wrong committed through a willful act against another. (B)</p> Signup and view all the answers

    What is described as a 'deviation from accepted standards of care recognized by law'?

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

    According to the provided EMS liability claim data, what was the most common cause cited?

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

    Which of the following best describes a paramedic's 'duty to act'?

    <p>A formal or informal obligation to provide care, both in response to a call and in adherence to laws and regulations. (B)</p> Signup and view all the answers

    What is part of a paramedic's 'duty to obey'?

    <p>To comply with all federal, state, and local laws and regulations. (C)</p> Signup and view all the answers

    What does a paramedic's duty to operate an emergency vehicle 'reasonably and prudently' entail?

    <p>To operate the vehicle with the same level of care a reasonable trained paramedic would. (C)</p> Signup and view all the answers

    Which of the following actions does NOT represent a breach of duty by a paramedic?

    <p>Failing to act, when required by a person who is not in danger. (C)</p> Signup and view all the answers

    What legal concept is BEST described by a paramedic performing a procedure in a harmful way, despite the action being legal?

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

    Which scenario MOST accurately represents the concept of 'res ipsa loquitur'?

    <p>A patient's injury would not have occurred if the paramedic was not negligent, the tools were in the paramedic's control, and the patient did not contribute. (D)</p> Signup and view all the answers

    A paramedic fails to give care to a patient that they are bound to, demonstrating which legal term?

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

    Under what type of negligence is proof of extensive fault not required due to the obviousness of the incident?

    <p>Res Ipsa Loquitur (A)</p> Signup and view all the answers

    What is the primary requirement a plaintiff must demonstrate to prove actual damages in a negligence claim against a paramedic?

    <p>That they were harmed in a manner that can be compensated. (A)</p> Signup and view all the answers

    What does 'negligence per se' refer to in the context of legal liability of a paramedic?

    <p>Negligence that is assumed when a statute is violated, and injury results. (D)</p> Signup and view all the answers

    Which of the following options describes the concept of 'duty to act' MOST accurately?

    <p>A formal legal or contractual obligation which may require care to be provided. (C)</p> Signup and view all the answers

    According to the content, which of the following is considered malpractice regarding airway management?

    <p>Not recognizing that an endotracheal tube is improperly placed in the esophagus. (D)</p> Signup and view all the answers

    Which scenario best demonstrates a situation where patient information may be released without explicit consent?

    <p>Releasing patient information to another medical care provider who has a need to know regarding the patient's care. (A)</p> Signup and view all the answers

    What is a key focus of the Health Insurance Portability and Accountability Act (HIPAA) regarding EMS?

    <p>Adding layers of privacy protection for patients and their personal health records. (A)</p> Signup and view all the answers

    What is the primary concern regarding medical restraint as it is described in this content?

    <p>The legal liability associated with using it, due to its risky nature. (D)</p> Signup and view all the answers

    What is a specific concern related to restraining patients with excited delirium syndrome (ExDS)?

    <p>They may be at increased risk of restraint or positional asphyxia. (A)</p> Signup and view all the answers

    Which action by an EMS provider would be a clear violation of patient confidentiality?

    <p>Sharing patient details with a coworker during a lunch break. (B)</p> Signup and view all the answers

    Which of the following constitutes defamation?

    <p>Making an intentionally false statement that harms a person's reputation. (A)</p> Signup and view all the answers

    What is necessary for an individual's medical information to be released by EMS?

    <p>The patient must provide their express permission. (B)</p> Signup and view all the answers

    What is the primary difference between libel and slander?

    <p>Libel is written, while slander is spoken. (C)</p> Signup and view all the answers

    An EMS agency's billing department is processing a bill for a patient. What is required for the patient's medical record to be released?

    <p>The billing requirements for a third-party stipulate that the medical record is needed. (C)</p> Signup and view all the answers

    Which situation best describes an invasion of privacy?

    <p>A healthcare provider releases a patient's confidential information without legal justification. (C)</p> Signup and view all the answers

    What is the critical requirement for a patient to give valid consent for treatment?

    <p>They must be lucid and able to make an informed decision. (A)</p> Signup and view all the answers

    Which information should be included in the disclosure for informed consent?

    <p>The nature of the illness, risks of treatment, and alternative options. (B)</p> Signup and view all the answers

    According to the provided material, what is a potential risk of using social media for EMS personnel?

    <p>Exposure of protected patient or employment information. (C)</p> Signup and view all the answers

    What is the significance of 'competency' in the context of patient consent?

    <p>It refers to the patient's mental capacity to make an informed decision. (A)</p> Signup and view all the answers

    What distinguishes a simple treatment explanation from an 'informed consent' disclosure?

    <p>Going over the risks and benefits of recommended treatments, and the dangers of refusal. (B)</p> Signup and view all the answers

    Which of the following is a key component in establishing a strong link between EMS and public health?

    <p>Bringing community stakeholders into the planning process. (C)</p> Signup and view all the answers

    What is the primary focus of epidemiology?

    <p>The study of disease incidence and prevalence in large populations. (C)</p> Signup and view all the answers

    Which of these represents a secondary prevention strategy in public health?

    <p>Screening programs for early detection of diseases. (B)</p> Signup and view all the answers

    Which of these actions falls under the category of 'police powers for public health agencies'?

    <p>Enforcing mandatory quarantines during an outbreak. (A)</p> Signup and view all the answers

    Which of the following is primarily focused on reducing the risk of injury?

    <p>Injury surveillance program. (C)</p> Signup and view all the answers

    What is the primary intent of public health laws related to illness and prevention?

    <p>To set guidelines for disease prevention, health awareness, and treatment protocols. (B)</p> Signup and view all the answers

    Among children in the United States, approximately what proportion of deaths are attributed to injuries?

    <p>One in three (A)</p> Signup and view all the answers

    What is the leading cause of death from unintentional injuries?

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

    What would be considered a tertiary prevention measure within public health initiatives?

    <p>Rehabilitative care for stroke patients. (A)</p> Signup and view all the answers

    Which of the following is an example of an accomplishment in public health?

    <p>The development of vaccines. (B)</p> Signup and view all the answers

    What is the principal cause of preventable injuries for individuals over the age of 75?

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

    Which of the following is a common workplace injury accounting for a substantial portion of disabling incidents?

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

    Which of these actions best represents the application of public health principles?

    <p>Implementing a community-wide vaccination program. (D)</p> Signup and view all the answers

    Besides accidental misuse, what is another concern regarding medication in terms of prevention?

    <p>Use by others (D)</p> Signup and view all the answers

    What do managed care organizations often mandate that poses a challenge for patient care?

    <p>Shorter hospital stays (D)</p> Signup and view all the answers

    What is a critical component for a strong collaboration between EMS and public health?

    <p>Shared medical oversight and understanding of each other's roles. (B)</p> Signup and view all the answers

    According to the provided content, what is the primary goal of public health?

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

    Approximately what percentage of motor vehicle fatalities involve alcohol use?

    <p>50% (D)</p> Signup and view all the answers

    What is a particular risk for elderly patients who have some degree of dementia, besides the common risk of falls?

    <p>Wandering from home (D)</p> Signup and view all the answers

    What is a primary aspect of public health as it relates to preventing the spread of sickness?

    <p>Implementation of sanitary measures and control of communicable diseases. (D)</p> Signup and view all the answers

    Which of these represents an environmental hazard that public health would seek to monitor?

    <p>Contamination of a local water supply. (D)</p> Signup and view all the answers

    How might a paramedic best contribute to public health outside of direct patient care?

    <p>By educating the community about injury prevention. (C)</p> Signup and view all the answers

    What is the significance of strong medical oversight for both EMS and public health?

    <p>It is necessary for consistent and well-coordinated medical direction. (D)</p> Signup and view all the answers

    What is the intended benefit of educating both emergency care and public health providers about their respective roles?

    <p>It fosters better understanding and cooperation for improved community health outcomes. (D)</p> Signup and view all the answers

    Which of the following is a key role for EMS in public health strategies?

    <p>Engaging in injury prevention programs (C)</p> Signup and view all the answers

    What organizational commitment is essential for effective EMS involvement in public health?

    <p>Providing financial support and data collection systems (D)</p> Signup and view all the answers

    According to the content, what is a critical aspect of EMS provider commitment?

    <p>Practicing standard safety protocols and driving safely (D)</p> Signup and view all the answers

    What does the text emphasize as the first priority at any emergency scene?

    <p>Ensuring the scene is safe for all responders before taking action (B)</p> Signup and view all the answers

    Which of the following best represents an EMS provider's role in health promotion?

    <p>Educating the public on injury prevention and healthy practices (C)</p> Signup and view all the answers

    What does the content suggest regarding the distribution of EMS practitioners?

    <p>They are widely distributed in communities, reflecting their composition. (D)</p> Signup and view all the answers

    What is identified as a crucial aspect of EMS provider commitment to scene safety, according to the text?

    <p>Waiting for law enforcement to deem the scene safe before approach (B)</p> Signup and view all the answers

    What makes EMS personnel well-suited as advocates for injury prevention?

    <p>Their frequent exposure to injury scenarios and community presence (A)</p> Signup and view all the answers

    Which term describes a situation where an infectious agent undergoes changes within its vector before being transmitted?

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

    What differentiates a 'carrier' from a 'host' in epidemiological terms?

    <p>A carrier harbors and can transmit an agent without showing symptoms, while a host may be infected. (C)</p> Signup and view all the answers

    Which of the following is an example of direct transmission of an infectious agent?

    <p>Sneezing on someone nearby (B)</p> Signup and view all the answers

    What is the primary distinction between an 'epidemic' and a 'pandemic'?

    <p>An epidemic occurs in a single location while a pandemic occurs over a wider geographic area. (C)</p> Signup and view all the answers

    Which of the following best describes the role of a 'reservoir' in the transmission of infectious diseases?

    <p>The environment where an infectious agent lives, grows, and multiplies. (C)</p> Signup and view all the answers

    In the context of epidemiology, what does 'virulence' refer to?

    <p>The proportion of infected people who become severely ill or die. (A)</p> Signup and view all the answers

    What major public health role involves the regular and systematic collection of information on diseases and health conditions?

    <p>Public health surveillance (D)</p> Signup and view all the answers

    Given the context of the provided terms in epidemiology, what would be considered a 'vehicle' of transmission?

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

    Which of the following is a primary goal when implementing prevention strategies?

    <p>To preserve the safety of the response team. (A)</p> Signup and view all the answers

    What is an important aspect of on-scene education during prevention strategy implementation?

    <p>Engaging individuals in discussions about risk reduction. (D)</p> Signup and view all the answers

    Which of the following is a community resource that EMS personnel should be aware of for implementation of prevention strategies?

    <p>Well-baby clinics that focus on prenatal and infant health. (D)</p> Signup and view all the answers

    What is a necessary step for an EMS agency when conducting a community needs assessment?

    <p>Considering the demand for workplace safety courses within the community. (D)</p> Signup and view all the answers

    Including prevention information on their agency's website allows EMS services to reach which audience primarily?

    <p>A broad range of community members seeking health-related information. (D)</p> Signup and view all the answers

    Beyond providing transport and treatment, what is a commonplace function of EMS services according to the text?

    <p>Offering community programs focused on prevention. (C)</p> Signup and view all the answers

    What does the content suggest regarding EMS partnerships within the community?

    <p>Working with members to increase awareness of preventable illnesses and injuries. (A)</p> Signup and view all the answers

    What is the key to the role of each EMS member in promoting wellness?

    <p>Each member shares the responsibility to promote wellness and prevent injury. (C)</p> Signup and view all the answers

    Flashcards

    Public Health

    The science and practice of protecting and improving community health through preventive medicine, education, and environmental safety.

    Epidemiology

    The study of disease incidence and prevalence in populations.

    Tort Law

    The study of civil wrongs, like negligence or intentional harm.

    Good Samaritan Laws

    Legal defense against negligence claims based on a legal duty to provide care to others.

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    Consent in EMS

    Obtaining permission from a patient before providing medical care.

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    Abandonment in EMS

    A legal concept that defines breach of duty to a patient once a provider-patient relationship is established.

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    HIPAA

    A set of guidelines that protect the privacy of personal health information.

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    Assault and Battery

    The legal act of providing treatment without consent.

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    Liability in EMS

    A situation where a Paramedic fails to provide care that is expected, leading to legal consequences.

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    Legal Duties of a Paramedic

    Guidelines for Paramedics to follow, typically established by state laws and regulations.

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    Continuing Education in EMS

    The ethical responsibility of Paramedics to continuously improve their skills and knowledge.

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    Patient Confidentiality in EMS

    The ethical responsibility of Paramedics to maintain confidentiality of patient information.

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    Moral Issues in EMS

    Ethical issues that Paramedics face in their practice, such as dealing with difficult decisions.

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    Performance Review in EMS

    A critical review of a Paramedic's performance to identify areas for improvement.

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    Respect for Patients in EMS

    Ethical responsibilities of Paramedics to treat all patients with courtesy and respect, regardless of their circumstances.

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    Collaboration in EMS

    The ethical responsibility of Paramedics to cooperate with other emergency professionals.

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    Scope of Practice

    The range of duties, skills, and medical procedures paramedics are legally authorized and expected to perform.

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    Certification

    Document that outlines a paramedic's qualifications, ensuring they have met specific requirements.

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    Licensure

    Governmental regulation allowing individuals to practice a profession in a specific jurisdiction, requiring rigorous standards like education and exams.

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    Motor Vehicle Laws (EMS)

    Legal rules that apply to emergency vehicle operation, including special privileges and responsibilities.

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    Reporting Requirements (EMS)

    Legal requirements to report certain situations, like domestic violence, child abuse, or certain injuries, to protect the public.

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    Disaster/Homeland Security Laws

    Specific laws and regulations that guide emergency response during disasters, ensuring flexibility and swift action.

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    Immunity (EMS)

    Legal protection from lawsuits for providing care, usually for those acting in good faith.

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    Duty to act

    A legal concept that defines an obligation to provide care, established through formal contracts or informal legal requirements.

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    Negligence

    A legal concept where a Paramedic fails to provide care that meets accepted standards, leading to potential harm or injury to the patient.

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    Medical Liability

    A legal concept that describes liability for medical errors or negligence. It refers to the potential for a Paramedic to be held legally responsible for actions or inactions that cause harm to a patient.

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    Intentional tort

    A legal claim that involves an intentional wrongful act committed against a person, such as assault or battery.

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    Negligence claim

    A formal complaint filed against a Paramedic, alleging negligence or misconduct in providing care.

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    Standard of care

    A legal obligation of a Paramedic to follow procedures in a reasonable and prudent manner, consistent with training and accepted standards of care.

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    Competency

    A legal requirement for Paramedics to be properly trained and certified to provide care.

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    Legal compliance

    A legal concept that describes a Paramedic's responsibility to follow federal, state, and local laws and regulations.

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    Defamation

    False statements that harm a person's reputation, written or spoken.

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    Libel

    False statements written to harm someone's reputation.

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    Slander

    False and malicious statements spoken to harm someone's reputation.

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    Invasion of Privacy

    Unjustified release of private information, causing embarrassment or ridicule.

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    Informed Consent

    Permission to treat, given by a legally competent patient who understands all the information about their condition and the risks of each treatment option.

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    Competent Patient

    A patient who can understand and make decisions about their health.

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    Confidentiality in EMS

    The ethical duty to keep patient information confidential, unless required by law.

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    Breach of Duty

    A violation of the duty to act, which can be broken down into three categories: Malfeasance, Misfeasance, and Nonfeasance.

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    Malfeasance

    Performing a wrongful or unlawful act, such as providing unauthorized treatment.

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    Misfeasance

    Performing a legal act in a way that is harmful or injurious.

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    Nonfeasance

    Failing to perform a required act or duty. This could be omitting care, refusing to respond, or neglecting to complete a task.

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    Res Ipsa Loquitur

    A legal principle that suggests negligence is so obvious that no extensive proof is needed. The burden of proof shifts to the defendant to disprove negligence.

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    Negligence per se

    A situation in which a paramedic violates a statute, leading to injury to the patient. The violation itself automatically proves negligence.

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    Actual Damages

    Real, provable harm suffered by the plaintiff due to the breach of duty. They must show actual damage that can be compensated.

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    Punitive Damages

    Damages awarded to punish the defendant for their negligent behavior.

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    Causation

    An essential component of a negligence claim in which the plaintiff argues that the paramedic's conduct is the direct cause of their injury.

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    Airway Issues in Paramedic Care

    Failing to secure an airway or recognize an improperly placed airway can lead to serious or fatal injuries for the patient.

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    Misplaced ET Tube

    It's not malpractice to place an ET tube in the esophagus, but failing to recognize it's in the wrong place is.

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    Restraint Issues in Paramedic Care

    When a patient must be restrained physically or chemically due to their behavior, special considerations apply.

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    Excited Delirium Syndrome (ExDS)

    A specific medical condition characterized by agitation, delirium, and potentially violent behavior.

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    Restraint or Positional Asphyxia

    A dangerous risk in restraining or positioning a patient, potentially leading to suffocation.

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    Health Insurance Portability and Accountability Act (HIPAA)

    HIPAA protects patient privacy by regulating how medical information is shared.

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    Confidentiality in Paramedic Care

    Confidentiality in EMS refers to keeping medical and personal information private, unless the patient consents or there are specific legal reasons to release it.

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    Patient Confidentiality

    EMS practitioners are legally and ethically obligated to keep patient information private and secure.

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    What is Public Health?

    The science and practice of protecting and improving the health of a community by using preventive medicine, health education, control of communicable diseases, sanitary measures, and monitoring of environmental hazards.

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    What is Epidemiology?

    The study of the distribution and determinants of health-related states or events in specified populations, and the application of this study to the control of health problems.

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    What is the connection between EMS and Public Health?

    The strong link between EMS and public health involves strong medical oversight of both, education for providers on each other's roles, and a commitment to developing and maintaining relationships between leaders from each field.

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    What is the role of EMS in Public Health?

    EMS providers have the opportunity to contribute to society and those in need when responding to scenes of crisis and tragedy. They may feel a sense of fulfillment when critically ill or injured patients improve after receiving emergency medical care.

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    What is Health Promotion?

    Health promotion aims to improve health and well-being through positive actions and healthy behaviors.

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    What is Illness and Injury Prevention?

    Illness and injury prevention focuses on reducing the likelihood of disease and harm through education, safety measures, and other interventions.

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    What are Public Health Emergencies?

    Public health emergencies require swift and coordinated actions to protect communities from widespread health risks, such as infectious diseases, natural disasters, and bioterrorism.

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    What are Public Health Interventions?

    Public health interventions are actions taken to address public health issues and promote well-being. These can include education, policies, programs, and services.

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    Primary Prevention

    Actions taken to prevent health problems before they occur, like vaccinations or health education.

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    Secondary Prevention

    Actions taken to detect and intervene in health problems early, like screenings or early treatment.

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    Tertiary Prevention

    Actions taken to manage existing health conditions and limit future complications, like rehabilitation or long-term care.

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    Injury Surveillance Program

    A public health measure used to track health events over time, identifying trends and potential causes.

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    Public Health Laws

    Laws that protect the public health, focusing on preventing disease, empowering health agencies, and using epidemiological tools.

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    EMS and Public Health Collaboration

    A strong link between EMS and public health requires collaboration, community engagement, and disaster preparedness.

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    Accomplishments in Public Health

    Public health has dramatically improved human health and well-being.

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    Scene Hazard Recognition

    Ensuring the safety of the response team by identifying and mitigating risks at the scene.

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    EMS Documentation

    Detailed documentation of observations, actions taken, and patient information for legal and medical purposes.

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    On-Scene Education

    Providing on-scene education to patients and bystanders about injury prevention and self-care.

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    Community Resource Awareness

    Knowing available community resources like clinics, health programs, and support services.

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    Community Needs Assessment

    Conducting assessments to identify community health needs and prioritize preventive efforts.

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    Beyond Treatment and Transport

    Expanding traditional EMS roles to include proactive health promotion and prevention programs.

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    Community Partnerships

    Collaborating with community members, organizations, and agencies to address public health issues.

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    EMS's Role in Public Health

    Promoting wellness and preventing illness and injury in the community and workplace.

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    Injury prevention by EMS

    EMS providers can be effective advocates for injury prevention by educating the public on safety measures and promoting healthy practices.

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    Organizational support for public health EMS

    Organizations that support EMS can contribute to public health by ensuring EMS providers are adequately trained, equipped, and supported in their roles.

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    EMS practitioner commitment to public health

    EMS practitioners play a crucial role in public health by adhering to Standard Precautions, maintaining fitness, and managing stress to protect themselves and the public.

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    Scene safety for public health

    EMS providers must prioritize scene safety by ensuring a secure environment for themselves and patients before initiating care. This involves evaluating potential risks and waiting for law enforcement clearance.

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    Public education by EMS

    Public education initiatives by EMS can raise awareness about health risks and promote healthy behaviors, contributing to community well-being.

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    Disease surveillance by EMS

    Data collected by EMS can help identify trends in injuries, illnesses, and community health needs, informing public health strategies and interventions.

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    Disaster management by EMS

    EMS personnel are integral to disaster response and preparedness, providing crucial medical care and logistical support during emergencies.

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    What is a leading cause of death for children in the US?

    Injuries are a leading cause of death for children in the United States, with motor vehicle accidents, pedestrian or bicycle injuries, burns, falls, and firearm accidents being the most common.

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    Why are motor vehicle collisions a major public health concern?

    Motor vehicle collisions are a major cause of death from unintentional injuries, with alcohol being a contributing factor in many fatalities.

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    What is a major safety concern for geriatric patients?

    Falls are a significant risk for older adults, especially those over 75, and can be exacerbated by conditions like dementia which may lead to wandering.

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    What are some common hazards in work and recreational environments?

    Back injuries, eye and hand injuries, and sports-related injuries are common in the workplace and recreational settings.

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    Why is medication safety crucial?

    Medication misuse, including improper dosage and taking medications intended for others, can lead to serious health problems.

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    What is a potential drawback of early hospital discharges?

    Early discharge from hospitals, often due to managed care policies, can lead to complications and increase the likelihood of readmission.

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    How can EMS professionals contribute to the public's health?

    EMS professionals can play a role in helping paramedics develop and maintain their knowledge and skills to provide the best possible care.

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    What is the role of EMS in injury prevention?

    By providing education and resources on injury prevention and safety, EMS professionals can help minimize the occurrence of preventable injuries. This includes educating the community about safe practices in various settings, such as homes, workplaces, and roads.

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    Epidemic

    The occurrence of more cases of a disease than expected in a specific area or among a particular group of people over a certain period. It's like a spike in cases.

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    Carrier

    A person or animal that carries a specific infectious agent without showing symptoms but can still spread it to others. They're like silent carriers.

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    Reservoir

    The habitat where an infectious agent normally lives, multiplies, and grows. It could be a person, animal, or environment.

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    Vector

    A living organism that transmits an infectious agent from a reservoir to a susceptible host. They act like a bridge.

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    Vehicle

    An inanimate object that carries an infectious agent from a reservoir to a susceptible host. It acts like a middleman.

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    Virulence

    The ability of an infectious agent to cause severe illness or death in a person who is infected. It's like how strong the disease is.

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    Pandemic

    A large-scale epidemic that spreads over multiple countries or continents, affecting a significant portion of the population. It's like a global outbreak.

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    Prevalence

    The number of cases, events, or conditions present in a population at a specific point in time. It's like a 'snapshot' of the situation.

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    Study Notes

    Public Health Principles

    • Definition: The science and practice of protecting and improving community health through preventive medicine, education, and environmental safety.
    • Accomplishments: Vaccinations, motor vehicle safety, workplace safety, control of infectious diseases, and tobacco use reduction. Major accomplishments include home safety, disease surveillance/testing, decline in cardiovascular diseases, food education, prenatal and well-baby clinics, family planning, fluoridation of drinking water, and decreased tobacco use.
    • Epidemiology: The study of disease incidence and prevalence in populations, including key terms like epidemic, pandemic, carrier, host, vector, and virulence.
    • EMS and Public Health: Collaboration with public health sectors for disaster planning, community education, and funding.
    • Community Prevention Programs: Initiatives addressing infant and child safety, geriatric falls, work-related injuries, and medication misuse, including strategies like scene education, defensive driving, elder-care clinics, childhood and flu immunizations, prenatal and well-baby clinics, elder-care clinics, defensive driving classes, workplace safety courses, and health clinics.
    • Legal Foundations: Types of law include constitutional, common (case law), statutory, and regulatory. Tort law covers civil wrongs like negligence or intentional harm.
    • Negligence Components: Duty to act, breach of duty, actual damages, and proximate cause are crucial elements.
    • Defenses Against Negligence: Good Samaritan laws and governmental immunity are possible defenses.
    • Types: Informed consent involves full disclosure of treatment risks and benefits. Expressed consent is verbal or written. Implied consent occurs when a patient is incapacitated. Withdrawal or refusal of care needs full patient knowledge.
    • Confidentiality: Governed by HIPAA; breaches can lead to legal consequences, like defamation or invasion of privacy.

    Provider-Patient Relationship

    • Abandonment: Abandonment occurs when care is terminated without ensuring continued care.
    • Assault and Battery: Providing treatment without consent constitutes assault and battery.

    Focus Areas for Prevention and EMS Practice

    • Communicable Diseases: Universal precautions and The Ryan White Act protect EMS providers from infectious diseases.
    • Patient Safety and Autonomy: Prioritizing "do no harm," and respecting patient's right to refuse care.
    • Community Education: Programs like defensive driving and car seat installation can prevent harm. Community needs assessment is crucial.
    • Documentation: Complete, accurate, and objective reports are crucial for legal protection and improving patient care, particularly in electronic records.

    Important Laws and Regulations

    • HIPAA: Ensures patient confidentiality.
    • Ryan White Care Act: Allows providers to test for communicable diseases after exposure.
    • Disaster Laws: Allows for flexibility in government adaptation during emergencies.
    • DNR Orders: Valid, signed orders from the patient and physician for do-not-resuscitate situations must be followed.

    Crime and Accident Scenes

    • Crime Scene Procedures: If you believe a crime occurred on scene, immediately contact law enforcement if not already involved. Protect yourself and the safety of other EMS personnel. Once the scene is deemed safe, initiate patient contact and medical care; do not move or touch anything unless necessary for patient care.
    • Evidence Preservation: Protect potential evidence at the scene. Document your actions and notify investigating officers if items must be removed.

    Duty to Report

    • Reporting Abuse/Neglect: When abuse or neglect is suspected, balance the need to protect patient confidentiality with the need to notify proper authorities. Act with the patient's best interest in mind. Many states require EMS personnel to report suspected abuse to appropriate authorities; do not confront abusers, but report accurately.
    • Reporting Restrictions: Proving abuse or neglect is unnecessary; accurate reporting is crucial.

    Documentation

    • Legal Considerations: From a legal standpoint, well-written documentation is crucial for protection against malpractice claims; complete, accurate, and objective are necessary.
    • Report Characteristics: Reports should be completed promptly after patient contact, thorough, objective, accurate, and maintain patient confidentiality. Complete, accurate, and objective records are crucial.
    • Record Retention: Medical records should be maintained for the duration of time that's prescribed by state law.

    Employment Laws

    • Complex Nature: Employment laws can be complex and address employee-employer relationships. Volunteer agencies are often under the jurisdiction of several laws; consult an attorney if a problem arises.
    • Specific Laws: Americans with Disabilities Act (ADA) prohibits discrimination against qualified individuals with disabilities. Title VII Federal law prohibits workplace harassment and discrimination, as well as amendments to Title VII, and the Equal Employment Opportunity Act of 1972, Age Discrimination and Employment Act of 1967, and Age Discrimination Act of 1975. Family and Medical Leave Act (FMLA) of 1993 allows employees to take up to 12 weeks of leave in a 12-month period for specific family events. Fair Labor Standards Act (FLSA) of 1938 mandates minimum wage, overtime pay, record keeping, and child labor standards. Occupational Safety and Health Act ensures employers provide a healthy and safe environment. The Ryan White Care Act funds programs to improve health care availability for victims of AIDS and their families.

    Resuscitation Issues

    • Obligation to Resuscitate: Paramedics are obligated to begin resuscitative efforts when a patient is unresponsive, pulseless, or apneic.
    • Exceptions to Resuscitation: Resuscitation is not indicated in cases of do-not-resuscitate (DNR) orders, obvious death (e.g., decomposition), extreme lividity, or scenes too hazardous to enter.
    • Advance Directives: Documents like living wills, durable powers of attorney for healthcare, DNR orders, POLST, and organ donor cards must be honored.
    • Physician Orders for Life-Sustaining Treatment (POLST): Designed for terminally ill patients, patients and physician should consult on wishes and incorporate wishes into orders.
    • Potential Organ Donation: EMS systems play a vital role in organ procurement and transplant process; consult on-line medical direction when a potential donor is identified.
    • Death in Field: Death in the field must be appropriately handled and thoroughly documented and adheres to state and local protocols.

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    Explore the core concepts of public health principles including preventive medicine, community safety initiatives, and epidemiology. Additionally, understand the medical-legal and ethical aspects that influence healthcare practices. This quiz assesses your knowledge of the collaboration between public health and emergency services along with legal foundations in healthcare.

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