4 - Medical, Legal, and Ethical Issues

Question 0

scope of practice

Answer 0

what you CAN do

Question 1

EP

Answer 1

emergency petition

involuntary transport for mentally ill patients. police arrest patient and rig with the patient, especially if handcuffs are used. patient goes through psychiatric evaluation @ hospital

Question 2

standard of practice

Answer 2

how you should do it

Question 3

stress - 3 stages

Answer 3

1. alarm (fight or flight)
2. resistance
3. exhaustion (adapt/loss of ability to resist)

Question 4

safe haven

Answer 4

anyone can drop off a child/infant to any fire/police/EMS station

Question 5

mandatory reporting guidelines

Answer 5

1. abuse (elderly/child/sexual)
2. assault (battery/sexual)
3. stabbing/gunshot
4. animal cruelty

Question 6

Good Samaritan Laws

Answer 6

developed to provide immunity to individuals trying to help people in emergencies

Question 7

file of life

Answer 7

medication list - often on refrigerator door or in medicine cabinet

Question 8

DNR

Answer 8

DO NOT RESUSCITATE

DNR-ALS (keep alive, but stop if heart stops)

EMTs are held to DNR’s but NOT to living wills

Question 9

to prove negligence …

Answer 9

1. EMT had a duty to the patient (duty to act)
2. breach of duty (EMT did not provide the standard of care)
3. proximate causation (damages to the patient were b/c of action or inaction of the EMT)

Question 10

HIPAA

Answer 10

HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT

Question 11

Advanced Directive

Answer 11

a type of DNR order, instructions written in advance of an event

Question 12

3 R’s

Answer 12

retreat
radio
re-evaluate

Question 13

ventilation

Answer 13

movement of gases to and from alveoli

Question 14

respiration

Answer 14

exchange of gases between cells and blood stream

Question 15

DCAP BTLS

Answer 15

Deformities
Contusions
Abrasions
Punctures and Penetrations 
Burns
Tenderness
Lacerations
Swelling

Question 16

signs

Answer 16

what you hear, feel, see, smell

things you use your senses for

Question 17

symptoms

Answer 17

what the patient tells you

“nausea, dizziness, chest pain, etc.”

Question 18

SAMPLE history

Answer 18

SIGNS AND SYMPTOMS
ALLERGIES
MEDICATIONS
PERTINENT PAST HISTORY
LAST ORAL INTAKE
EVENTS LEADING TO INJURY OR ILLNESS