Chapter 22 Emergency Medical Care of Fire Department First Responders Flashcards
NFPA 1001
Standard for Fire Fighter Professional Qualifications
NFPA 1001 Fire Fighter minimum list for medical capabilities include the following:
Infection control
CPR
Bleeding Control
Shock Management
Fire Based EMS
Ambulance service is provided as a function of the fire department, but may not have firefighting capabilities
Protected Medical Information (PMI)
information of a patient that includes personal data
communicable disease
a disease that is spread from one person to another
BSI (Body Substance Isolation)
Assumes that all substances are infectious, procedures are set by OSHA and local policy.
Hepatitis
inflammation of the liver
Type A: caused by consuming food or water that has been contaminated
Type B: transmitted by blood or bodily fluids
Type C: transmitted by blood or bodily fluids, can go on without symptoms for years
Type D: rare strain with those who are also infected with type B
Tuberculosis
bacterial infection that primarily affects the respiratory system, spread by droplets in air from breathing and coughing person
TB signs and symptoms
fever, chills, fatigue, malaise, weight loss, persistent cough
HIV/AIDS
the virus that causes AIDS, spread through bodily fluids rather than casual contact or airborne
MDRO
Multidrug-resistant organism, an example such as MRSA, which can cause outbreaks and is resistant to most antibiotics
pathogens
organisms that cause disease/infection/bacteria
NFPA 1581
NFPA 1581
Patient Assessment
ABC’s
clinically dead
when the heart stops beating and they are no longer breathing (also known as cardiac arrest)
biological death
Irreversible somatic death, where life cannot be restored due to death of cells (4-10 minutes after death)
defibrillation
the use of electrical shock to restore the heart’s normal rhythm
AED
automated external defibrillator, analyzes cardiac rhythm and determines if defibrillation is needed
CPR should not be done when
rigor mortis
line of lividity (pooling of blood)
decomposition
obvious wounds that are not compatible with life
compression rates
adults: 30:2
children: 30:2 unless two person = 15:2
Arteries
carry blood away from the heart
Veins
Blood vessels that carry blood back to the heart
shock management
hypovolemic shock- blood loss
cardiogenic shock-heart unable to pump enough blood
neurogenic shock-overexpansion of blood vessels, pressure of blood decreases
anaphylactic shock-allergic reactions
Signs of shock
Decreased blood pressure
rapid, weak pulse;
mottled to gray skin color;
changes in mental status
