Chapter One Flashcards
What did Accidental Death and Disability: The Neglected Disease of Modern Society state?
This included The White Papers which spelled out the deficiencies in prehospital emergency care and suggested guidelines for development of EMS systems, the training of prehospital emergency medical providers, and the upgrading of ambulances and their equipment.
What did the National Highway Safety Act do?
Forced states to develop effective EMS care systems and provided grants for their creations as well as threatening states with losing federal funding for highway construction if these programs were not developed.
Medical Director
Legally responsible for all clinical and patient care aspects of the system.
Online medical direction
Qualified physician who gives direct orders to prehospital care providers.
Intervener Physician
Physician that is on scene, willing to help and take responsibility for actions when on-line medical control is not accessible. Paramedic must always take orders from online physician if available.
What are the four T’s for emergency care?
1) Triage
2) Treatment
3) Transport
4) Transfer
Standing orders?
Preauthorized treatment procedures: a type of treatment protocol.
What does priority dispatch do?
Uses set of medically approved protocols to interrogate a distressed caller, prioritize symptoms, select an appropriate response, and give lifesaving pre-arrival instructions.
What are the three learning domains and what do they consist of?
Cognitive- Informational knowledge
Affective- Assignment of emotions, values, and attitudes to that information
Psychomotor- hands-on skills
Certification
Process by which an agency grants recognition to an individual.
Licensure
Governmental agency grants permission to engage in a given trade or profession.
Reciprocity
Process by which an agency grants automatic certification or licensure to an individual who has comparable certification or licensure from another agency.
Professionalism
Conduct or qualities that characterize a practitioner in a particular field.
Cleaning
Washing an object with soap and water
Disinfecting
Cleaning with a disinfecting agent which should kill many microorganisms, many but not all.
Sterilizing
Use of a chemical or physical method such as pressurized steam to kill all microorganisms.
What are the stages of the stress response?
1) Alarm
2) Resistance
3) Exhaustion
Epidemiology
The study of the factors that influence the frequency, distribution, causing injury, disease, and other health related events in a population.
Injury Risk
Real or potentially hazardous situation that puts people in danger of sustaining injury.
Morals
Social, religious, or personal standards of right and wrong.
Ethics
Rules or standards that govern the conduct of members of a particular group or profession.
Ethical relativism
To say that each person must decide how to behave and whatever decision that person makes is okay.
Beneficence
Actually doing good.
Non-malfeasance
Not doing harm.
Autonomy
Patients right to determine what happens to his own body.
Justice
Refers to the paramedic’s obligation to treat all patients fairly.
What is the single most important question?
What is in the patient’s best interest?
Impartiality test
Asks whether you would be willing to undergo this procedure or action if you were in the patient’s place.
Universalizability test
asks whether you would want this action performed in all relevantly similar circumstances.
Interpersonal justifiability test
Asks whether you can defend or justify your actions to others.