CFR-D Manual Flashcards
CARDIAC ARREST RESUSCITATION
When a CFR-D Company applies and turns on their AED during a cardiac arrest resuscitation attempt (10-37 Code 2), the original PCR (Part One) shall be immediately faxed (718-999-0119) and forwarded to the Office of Medical Affairs (OMA) on return to quarters.
A copy of the original PCR (Part one) shall be turned in to the CFR-D Depot along with the AED module upon completion of the assignment.
The AED module will be exchanged for a blank one and the CFR-D Depot will immediately forward the module and PCR copy directly to OMA. The serial number of the module shall be documented on the PCR. For additional information, contact OMA at 718-999-2790.
If the CFR-D Company’s AED is not applied to a patient during a response to a cardiac arrest, the details of the incident and what prevented the application of the Company’s AED shall be indicated in the Comments section.
At any scene not requiring a PCR or a NYFIRS report, the Company Officer has the option of completing an
Unusual Occurrence Report.
All times recorded on the PCR are written in military time
To make corrections on the PCR, members shall place a singleline through the word(s) to be omitted or corrected and write the accurate information above the word(s) to be corrected.
When correcting a darkened circle, place a single line through the error and fill in the correct section. The initials of the member making the correction shall be placed above the single line.
Status – Indicate which best describes the patient status:
CUPS
Critical – The patient is either receiving CPR, in respiratory arrest or requiring and receiving life-sustaining ventilatory/circulatory support.
Unstable – The patient is unstable, severe upper airway difficulties, serious chest trauma, decompensated shock, rising intracranial pressure, uncontrollable external hemorrhage, penetrating injury to head, neck, chest, abdomen, pelvis.
Potentially Unstable – early signs of compensated shock, kinematics or injuries suggest “hidden injury”, major isolated injury, severe chest pain, especially with a systolic BP of less than 100 mm Hg, inability to move any part of the body.
Stable – Minor illness, minor isolated injury, uncomplicated extremity injuries, and/or any patient that cannot be categorized as Critical, Unstable Or Potentially unstable.
If the chauffeur does not provide patient care, do not enter his or her name on the PCR. If there are more than four CFR-D certified members on the call, list the additional names in the comment section.
Circle the name of the member completing the PCR.
Any decision not to start resuscitation efforts must be supported by one of the following:
rigor mortis
extreme dependent lividity
tissue decomposition
obvious mortal injury
or a valid NY State Out of Hospital or Nursing Home Do Not Resuscitate (DNR) order or a signed death certificate or a physician at the scene willing to sign a death certificate attesting to his or her findings. (The New York State License number of the physician shall be noted on the PCR.)
When CFRs encounter CPR in progress and/or an AED in use at the scene of an out-of-hospital cardiac arrest, including AEDs utilized by the NYPD, the CFR Company shall assume responsibility for patient’s care including all aspects of patient care described in REMAC CFR Protocol 303 (Cardiac Arrest):
Continue CPR.
If an AED is already in use, replace that AED with the CFR’s AED while ensuring that chest compressions are not interrupted.
Continue patient care according to REMAC CFR Protocol 303 until the arrival of EMTs and/or paramedics from a recognized EMS agency.
Engine 100 responds to over 2,000 EMS runs a year and is well versed as far as infection control is concerned. Members of this company discussing infection control procedures made a number of correct statements except in which choice?
A: The fact that a patient is infected or assumed to be infected with a communicable disease shall not justify failure to render necessary treatment.
B: A communicable disease may be bloodborne or airborne.
C: Less then 10% of the people infected with tuberculosis become ill with the active disease.
D: The Hepatitis B virus is bloodborne and dies immediately when exposed to light or air.
D:✔The Hepatitis B virus is bloodborne and dies immediately when exposed to light or air.
Explanation:
A. CFRD Manual Ch 3, 1.3
B. Ch 3, 6.5
C. Ch 3, 11.4
D HIV dies when exposed to light or air, while Hep B has been shown to live on a surface for days to weeks and still be infectious if it enters the bloodstream. 6.6.3
The new probationary FF states that he is unable to operate at CFRD responses because he is experiencing an allergic reaction to the disposable latex gloves. In this situation, the probationary FF should inform?
A: The covering lieutenant working that tour
B: The assigned lieutenant coming in for the night tour
C: The probationary FF should directly notify BHS
D: The captain
D: The captain
Explanation:
A. Members believing that they are experiencing an allergy to disposable gloves shall notify their Commanding Officer as soon as possible. CFR-D ch 3, 13.5.2
Note: The Captain notifies BHS asap to have BHS evaluate the allergy claim.
Members are operating at a radiological terrorist event in an under-river tube. 1 foot of dirt or water would be the most appropriate type shielding against which type of radioactive waves during crucial FDNY operations?
A: Alpha
B: Beta
C: Gamma
D: Neutron
C: Gamma
Explanation:
Yes, this type shielding would also obviously protect members from alpha and beta radiation but 1 ft of dirt/water is MOST APPROPRIATE for gamma radiation in this case. Also, alpha and beta expose via particles
ERP Add 4 Table 1
Which of the following statements is least correct concerning rabies?
A: The rabies virus can survive for several days inside the body of a dead animal
B: Warm temperatures will extend this survival period
C: Petting a rabid animal does not constitute an exposure
D: All exposures to suspected rabid animals must be reported to BHS immediately
B: Warm temperatures will extend this survival period
Explanation: A. CFR-D ch 3, add 2, 1.3 B. Freezing temperatures will extend this survival period. 1.3 C. 2.3 D. 3.2
The Prehospital Care Report (PCR) is a three-part form and contains protected health information, which by law is confidential. Which of the following statements is incorrect in regard to the PCR?
A: A PCR is not required when a CFR-D Company is on-scene unless patient care is provided
B: Visualizing a patient constitutes patient contact and requires a PCR
C: If the PCR is completed prior to leaving the scene, Part Three of the PCR should be given to the EMS crew
D: If Part Three is not completed, it shall be retained at Quarters and must be secured by the Company Officer in the Company files at all times
D: If Part Three is not completed, it shall be retained at Quarters and must be secured by the Company Officer in the Company files at all times
Explanation:
A. CFR-D Manual Chapter 5, 1.2.1
B. 1.2.2 A
C. 1.5
D. If Part Three is not completed and given to the EMS Unit, it shall be forwarded with the original to OMA. 1.1.3
* Part Two is the Research Copy and is to be retained at Quarters and must be secured by the Company Officer in the Company files at all times. 1.1.2
Which of the following signs would indicate “potentially unstable” in regard to “CUPS” criteria?
A: Poor general impression
B: Responsive but unable to follow commands
C: Difficulty breathing
D: Uncontrolled bleeding
D: Uncontrolled bleeding
Explanation: A. Unstable CFR-D manual ch 2, 3.14 B. Unstable C. Unstable D. Potentially Unstable
Which of the following signs would indicate “potentially unstable” in regard to “CUPS” criteria?
A: Poor general impression
B: Responsive but unable to follow commands
C: Difficulty breathing
D: Uncontrolled bleeding
D: Uncontrolled bleeding
Explanation: A. Unstable CFR-D manual ch 2, 3.14 B. Unstable C. Unstable D. Potentially Unstable
When requesting an ambulance, Companies must provide all of the following information to the dispatcher for relay to EMS except?
A: Age
B: Gender
C: Cups status
D: Chief complaint
B: Gender
Explanation:
B. Pulse, respiratory rate, if CPR was initiated
CFR-D Manual Ch 2, 3.11
ACRONYM: “PARCCC”
P-Pulse, A-Age, R-Respiratory rate, C-Chief complaint, C- CUPS status, C-CPR initiated
