BLS Flashcards
What do the Basic Life Support Patient Care Standards (BLS PCS) outline?
Mandatory patient care protocols for paramedics in Ontario
BLS PCS is legally binding whenever a paramedic is on duty.
When must paramedics adhere to the Advanced Life Support Patient Care Standards (ALS PCS)?
Where applicable
ALS PCS may apply in certain advanced care situations.
What are the exceptions to the BLS PCS standards?
Extenuating circumstances such as scene safety, equipment failure, multi-casualty incidents
These exceptions allow for flexibility in patient care.
What is one of the primary responsibilities of paramedics according to the BLS PCS?
Conserve life
Other responsibilities include alleviating pain and promoting health.
What must paramedics respect during patient care?
Patient dignity, safety, and privacy
Professionalism and integrity are also critical.
What should paramedics NOT do according to the BLS PCS?
Practice beyond certification, falsify documentation, disclose confidential patient information, engage in unethical conduct
Ethical conduct is crucial in maintaining trust.
What is the first step in the Patient Care Process?
Confirm call details with the ambulance communication center (CACC)
This ensures accurate and timely response.
What should paramedics assess before patient contact?
Scene safety
Ensuring safety is crucial for both paramedics and patients.
What is included in the Primary Survey during patient assessment?
Assess airway, breathing, circulation (ABC), level of consciousness (LOC)
Identifying critical findings is also essential.
What vital signs should be established during patient assessment?
Heart rate, respiration rate, blood pressure, SpO₂, Glasgow Coma Scale (GCS), pupils, skin condition
These help establish a baseline for patient condition.
What interventions should be provided in Patient Management?
Airway management, CPR, hemorrhage control
Specific standards apply for conditions like cardiac arrest and stroke.
What should be done to secure the patient during transport?
Secure the patient, equipment, and stretcher in the ambulance
Continuous monitoring of patient condition is also necessary.
What is required in the documentation of patient care?
Complete the Ambulance Call Report (ACR) accurately
Document clinical findings, treatments, and patient refusals.
What are the indications for Spinal Motion Restriction (SMR)?
Neck/back pain, neurological symptoms, altered LOC, distracting injuries, high-energy trauma
Cervical collar application and minimizing spinal movement are critical.
What is the target SpO₂ range for oxygen therapy?
92-96% unless otherwise indicated
Specific conditions may require different oxygen saturation levels.
What does a valid MOH DNR Confirmation Form indicate?
NO CPR, defibrillation, or artificial ventilation
Comfort care should still be provided in these cases.
What criteria indicate a patient is deceased?
Obviously dead, DNR or Termination of Resuscitation order, no vital signs with expected death
Notify the coroner or police if foul play is suspected.
What are the transport criteria for trauma patients to a Lead Trauma Hospital (LTH)?
GCS < 14, SBP < 90, RR < 10 or > 30, penetrating trauma, major fractures, severe head injuries
Transport time <30 min to LTH is also critical.
When should Ornge air ambulance be called?
Ground transport >30 min and air is faster, critical injuries requiring immediate trauma care, life-threatening medical conditions
Air transport can be essential in time-sensitive situations.
What is the leading cause of cardiac arrest in children?
Respiratory failure
Early recognition of symptoms is vital in pediatric care.
What should be assessed in mental health and violent patients?
Risk of self-harm, psychosis, or agitation
De-escalation techniques should be employed where possible.
What are the core responsibilities of a paramedic?
Scene safety, patient assessment, critical interventions, transport, and documentation
Following protocols is essential unless extenuating circumstances apply.
