5 Flashcards
The paramedic should palpate the infants pulse by the
Brachial, Carotid, or Radial (depending on the childs size)
The Pediatric Dose of Lidocaine
1 mg / kg
The primary concern of a patient with a prolapsed cord is
Compromised Blood Supply
The second stage of labor
Begins with full dilation of the cervix & Ends with delivery of baby
The stage whose ending is marked by the delivery of placenta is the
Third Stage
The statement that is Not True about febrile convulsions is
The patient does Not have to be transported
The time during a pregnancy most likely to have seizures due to toxemia is
In the ninth month
The upper area of the uterus
Fundus
There is an asthmatic child with moderate distress. A physician orders 0.12 mL Adrenaline 1:1000 given. The appropriate route is
SQ
Time prior to delivery of fetus
Antepartum
To Avoid Supine Hypotensive Syndrome
Lay patient on her left side
Toddler when experiencing seizures you do all of the following except
Wet sponge on forehead
Toxemia most commonly occurs, When
Third Trimester
Toxemia of Pregnancy
Magnesium Sulfate
Transport a 3rd trimester patient in what position
Left lateral recumbent 10-15 degree
Treatment for child with 104 deg. Temp
Tepid Bath
Treatment for Prolapsed Cord
Insert Sterile Glove, Lift Up
Treatment of a 5 yr. old child who is Dyspneic and Drooling are all, Except
Lay him flat
Treatment of Eclampsia
Magnesium Sulfate
Unresponsive baby with frantic mother
Never use restraints
Using Epinephrine to treat respiratory ailments
A “Failure” Suggests Bronchiolitis and “Success” Suggests Asthma
Waddells Triad includes
Left Femur, Spleen or Chest, and Right Sided Head Injury
What do you do to facilitate intubations on a pediatric
Press on the Larynx
What is the amount of fluid given to a neonate
10 - 20 cc / kg
What is the most common result of death in children over 1
Trauma (accidents)
What to be concerned about with a pregnant patient with toxemia
Elevated BP
When an arm or leg presentation occurs, you should
Transport Immediately
Uncuffed tube
Under 8 yrs. Old
When intubating a child under 8, you should use an
Uncuffed Tube
When opening the airway of an infant, do Not exaggerate the head tilt because this
May obstruct the breathing passages
When performing CPR on a infant, you should
Use fingertip compressions at a rate faster than on an adult
When rescue arrives, a woman is found to be in childbirth with a prolapsed cord. You should Not
Try to push the cord back inside
When the baby’s head is delivered, the Paramedic should support the head by
Distributing his fingers evenly around head
When to Start Compression on an Infant
Heart Rate Less 60 / min
When to Start Positive Pressure Ventilations on Infant
Heart Rate Less 100 / min
Where do apply pressure when tubing a pediatric
Larynx
Where does needle go when doing an IO
The Tibial Tuberosity
Which one of the following Normally Decreases During Pregnancy
Blood Pressure
You are called at 3am to a female with pain in her lower abdomen, bloody urine and fever for 2 days. The physical exam reveals tenderness over the bladder and otherwise normal vitals, except for a temperature of 100 degree. She also states that she “may be pregnant” Due to the Sx / sx, you should suspect
Inflammation of the Bladder
You are transporting a multigravida whose last two childbirth were C sections. She appears near full term and has contractions every 3 - 4 min. apart. She complains of a tearing pain in her lower abdomen and she begins to go into shock. This suggests
Uterine Rupture
You clamped and cut cord & it continues to bleed, what do you do
Clamp it again
You have an emergency delivery and must separate the mother and baby, you need to do what
Tie the cord 8” from infant and again a couple of inches from the first tie, and cut in between
You suspect patient is suffering from Abruption Placenta, you would
High O2, Ringers, VS
A Baker Act can be initiated by a
Police officer
A Branch of Civil Law concerning Civil Wrongs between two parties
Tort Law
A patient has apparent injuries from a bar fight. The patient is also obviously drunk. He refuses treatment and signs a release. The release is Not valid because
The patient was intoxicated
A Pt. was left unattended by the paramedics at the ER to respond to another call. The pt. was unattended for 20 minutes. The paramedics are guilty of
Abandonment
A repeater in a telemetry system is also used for
Increasing the transmission range
A signed release is meaningless unless
All of the risks and benefits of treatment are explained (informed refusal)
A telemetry system in which voice and EKG can be transmitted from the field to the hospital at the same time is called a
Multiplex system
Administrative Law
Examinations, Licenses and Maintenance or Records
After attaching the patient to an EKG monitor, you note quite a bit of 60 cycle interference. The best way to remedy is to
Disconnect any electrical appliance that may be nearby
Agency that sets standards on safety & health
OSHA
All are True of Good Samaritan Laws, Except
Designed by local EMS
All could reduce radio transmission capabilities, Except
Holding the radio horizontal
All regarding PPE, Except
Eating and food in ambulance
Ambulance crashes what is the court going to try to prove
Lack of Due Regard
Ambulance in left lane
So traffic will move right in natural fashion
American with Disabilities Act protects those with
Communicable Diseases
An ambulance crashes, what is the court going to try to prove
Due regard, Negligence
An EKG can be transmitted to a hospital / facility via
Biotelemetry
Assault
Unlawfully placing patient in fear
At a Scene were Patient’s Physician’s Advises what to do, You
Listen to Physician
At a scene where patients doctor advises what to do
If physician assumes responsibility for patient, listen to physician
At scene who oversees medical treatment
Incident Command
BAND
Group of frequencies
Battery
Unlawfully touching patient
Best treatment for someone with Post Incident Stress
Give them a Specific Task to Complete
Best way to Stop Spread of Disease
Washing Hands
Between intervening PhD and on - line medical who is in charge
On - line PhD
Biotelemetry is sent using
UHF
BSI address what
That All Body Fluids are Contaminated
Cannot transmit & receive at the same time
Simplex System
Catching a disease from dirty linens
Indirect Contamination
Changes to Higher or a Different Frequency
Repeater
Child Hurt, No parent, type of Consent
Implied
Civil Wrong is
Tort
Color of DNR
Yellow
Common Law
Society’s acceptance of customs or norms
Communication with online physician
Direct medical control
Court does Not have to Prove
Intent
Crime Scene
Police Wait
Crime Scene
Do Not Disturb Evidence
Direct Medical Control
Orders by Phone or Radio
Disability Act protects those with
Communicable Disease
DNR
Only to Suspend Life Resuscitation
Duplex system
Simultaneous transmission & Reception using 2 frequencies
Durable Power of Attorney
Another person makes health care decisions for you.
During transport you lose radio contact
Continue using Standard Protocols
ECG can be both transmitted and decoded on an
Oscilloscope
ECG can be transmitted to facility by
Biotelemetry
Empathy
Ability to view the world from another inner frame or reference point of view while remaining yourself.
Establish IV
By Medic Need
Ethics
Discipline relation to right and wrong standard for honorable behavior by a group.
Family learns you cannot defibrillate due to dead battery
Negligent
First Links Begin
When EMS is Activated
First Phase of Communication is
Notification of Dispatcher by the Public
Four needs required to prove negligence
Duty to act, Breach of Duty, Damages, Proximate Cause
Good Samaritan
Not implemented by local EMS
Good Samaritan Law Protects
Persons that assist at a scene with in training
Grieving Stages
Denial, Anger, Bargaining, Depression, Acceptance
Group of radio frequencies
Bands
Hand Wash
Prevent Infection
Have DNR Order
Comfort Measure
Having essential supplies and equipment at the scene can be insured by
Developing an inventory & replenish truck supplies after every run
High Risk for AIDS
Increased Exposure to Blood or Body Secretions (Unprotected sex)
If family member tells you they have DNR for patient but Can’t find it
Begin CPR
If paramedic charged in lawsuit, he is
Defendant
If the ambulance crashes the court will try to prove
Lack of due regard
If you cannot Defibrillate due to dead battery, and family finds out you didn’t check in the morning
Negligence
If you Can’t Defibrillate Because Battery is Dead and Family finds out
Negligence
If you get a call and your life pack didn’t work because you didn’t check it out in the morning it is
Negligence on your part
If you lose radio contact with the hospital, you should
Follow protocols (standing orders)
In a patient with a myocardial infarction, the information the doctor can obtain over the radio is
Present complaints and history
In cases of malpractice, courts compare the actions of the defendant to that of the actions of his peers would have taken, under the same circumstances, This comparison
Standard of care
In order to prove Negligence must have 4 things
Duty to act, Breach of that duty, Damages, & Proximate cause
Information most likely to Help ER doctor Diagnose AMI over radio
“Pt. PHX”, Description of Present Problem
Information to include on the patients report is
Concise report of the patients condition and interventions taken
Intent of Good Samaritan Law
Protect a person who stops at a scene from a lawsuit
Intervening Physician vs. On - line Medical Control
On - line control rules
Kid with no parent
Implied Consent
Legislative Law
City Councils, District Board, General Assembles, and Congress
Libel
Writing Malicious
Male in bar fight cannot refuse due to
ETOH
Malicious Writing
Libel (Slander Spoken)
Medical common frequencies
UHF, FM
Medical Control Provided over the Radio by Medic & Physician is
Direct Medical Control
Mini base stations for telemetry and communication
Repeaters
Moral
Social standard or customs dealing w/ what’s right or wrong
Most effective method to fight disease or infection
Washing Hands
Most important information for ER Doctor
Chief Complaint (c/c), Patient’s condition, Treatment
Multiplex
Talk & Listen send EKG
Needs to prove negligence
Duty to act, Breech of duty, Damages, Proximate cause
Not a part of Communications System
Graphic Equalizer
Not part of primary survey
Vital signs
Not part of the minimum data set in patient care report
Narrative
Not True regarding Portable Radios
Hold antenna horizontal for better reception
Offering support to distraught family member
Empathy
On-line radio contact between medic & medical control physician
Direct Medical Control
OSHA
Regulates Disease Control
OSHA mandates MSDS sheets be available on site for
any hazardous materials stored
Paramedic arrives at crime scene , What should you do
Medic should enter scene with creating the least disturbance
Paramedics that elect to help a patient and leaves without other help may be sued for
Abandonment
Patient has concerns
Tell Pt. to express concerns
Patient Refuses IV
Advise and let go
Patient refuses IV for “ Religious Reasons”
Advise Pt. and let him go
Patients family states they have a DNR, but they can’t find it, what do you do?
Begin CPR
Pediatric Patient without Supervision need ALS care
Based on Implied Consent
Physician can best prepare patient with what information
Chief Complaint and History
Problem Online Physician & Intervening Physician
Go Online Physician
Proper procedure on the radio is to
Speak clearly and keep the message brief
Providing care equal to, or that of similarly trained is
Standard of care
Purpose of Encoders and Decoders is
Transmit Tone Pulse & Receive Codes
Radio frequencies are measured in
Hertz
Recognizing comparable standards set forth by another agency
Reciprocity
Rescue Vehicles should be Parked
No closer than 100 feet
Rescuer found negligent, prove all except
Happened away from medical facility
Responsibility of the paramedic who is dispatched to the scene of a medical or trauma emergency is
The Duty to Act
Responsible for the coordination of all emergency, medical treatment activities within a city or region
EMS Agency
Retransmit frequency to higher or different frequency
Repeater
Ryan White AIDS Act
Notification of Emergency personnel of exposure to disease
Secondary Assessment includes all, Except
Determining life threatening injuries
Set Standards on Safety & Health
OSHA
Simplex
Talk or listen one frequency
Simultaneous Transmission Using Two Frequencies is
Duplex
Size up begins
When call is received
Slander
Verbally Lying
Standing Orders
IV, EKG, Medcon
Telemetry Frequencies
450 - 470 MHz
The 401 Emergency Medical Service Act - Providing legislature governing all Prehospital emergency medical services is known as
401
The agency responsible for licensing and policing radio frequencies
The FCC
The ambulance crashes, what will the court try to prove
Lack of Due Regard
The best description of a crisis intervention technique is that it is
Suitable for application in many situations faced by the medic
The best protection a paramedic has against legal involvement
Proper Training
The branch of civil law concerning wrongs between two parties
Tort Law
The final element that must be present for negligence to occur is
Proximal Damage
The Good Samaritan Law offers some protection to the paramedic
While off duty
The issue “Not” required for successful legal act of negligence to occur is
Intent
The less a paramedic uses a skill, the
Review of it should be more frequent
The organization that establishes the qualifications for emergency medical service personnel on a national basis is the
National Registry EMT’s
The paramedic communicates all information to the doctor, except
The patients name
The paramedic should assume that a patient wishes to be treated even though the patient is not conscious or has an altered mental status
Implied Consent
The patient in the greatest chance of false imprisonment is the
Psychiatric Patient
The permission to provide care obtained from the patient after the nature and risk of care are explained to the patient is
Informed Consent
The phase of communication is
Notification of dispatcher by the public
The physician can best prepare for a patient with a MI with what info
Chief Complaint, Past History
The physician can best prepare for a patient with MI by what info
Complaint & History of Present Issue
The Physician with the Most Scene Authority is
The Online Physician
The rules, protocols, ideals, etc. by which paramedics function
Ethics
The system used to ensure that needed resources are available in neighboring areas in a time of mass casualties is called
Mutual Aid
To ensure safety as a paramedic / ambulance driver should
Abide by All traffic laws / regulations
To make changes to report
Draw single line through error and make notation at end of report
To use the Baker Act, you must first inform
Law enforcement
True of Good Samaritan Law, Except
Designed by Local EMS
Two types of frequencies used for medical communications are
UHF ( 450-470 MHz ) & VHF ( 150-170 MHz )
Type of consent, kid without parent
Implied
Unable to defibrillate. Because you failed to replace the battery
Negligence
Vital Signs
Part of second assessment
We are informed to start IV’s under
Doctors written or verbal orders
What are rules, standards and code that govern a group or organization
Ethics
