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PCP > EMALB Guidelines > Flashcards

EMALB Guidelines Flashcards

1
Q

Steps to rescue scene evaluation

A
  • Hazards
  • Environment
  • Mechanism of injury
  • People
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2
Q

Purpose of rescue scene evaluation

A

to ensure that the scene is
safe for the crew and patient and to provide
information about the nature and extent of the
patient’s injuries or condition.

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3
Q

Primary Survey Steps

A
  • LOC
  • Spinal Precautions
  • Airway
  • Breathing
  • Circulation
  • Rapid Body
  • Survey interventions
    ▪ Skin
    ▪ Oxygen
    ▪ Airway
    ▪ Position
  • Transport Decision
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4
Q

Primary Survey purpose

A

to identify and
manage life- and limb-threatening injuries and
conditions.

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5
Q

Secondary Survey Steps

A
  • History
  • Vital signs
  • Head-to-toe examination
  • Functional inquiry (PCP)
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6
Q

Purpose of secondary survey

A

the secondary survey is to identify
the patient’s chief complaint, establish a baseline set
of vital signs and gather information about the
patient’s injuries and condition.

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7
Q

Steps to treatment

A
  • Wound Care
  • Fracture management
  • Spinal management
  • Burn management
  • Management of specific injuries
    and conditions
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8
Q

What does EMA consider a treatment?

A

first aid procedures that do not
require direct physician supervision.

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9
Q

What does EMA consider protocols?

A

Protocols allow the EMA to perform medical
procedures that are normally in the domain of a
physician.

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10
Q

Load and Transport steps

A
  • Stretcher
  • Reassessment
  • Equipment
  • Transport mode
  • Notification
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11
Q

Records and Reports Steps

A
  • Forms
  • Reports
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12
Q

Records and Reports purpose

A

used to gather or give information regarding the patient’s status and treatment. Forms are used to record assessment and treatment of a patient

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13
Q

PAM Interventions - Cervical Spine Stabilization - Indications

A
  • Meets NEXUS or Canadian C-Spine indications
  • Obvious injury above the level of the clavicles
  • Unconscious patient where trauma cannot be reasonably ruled out
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14
Q

PAM Interventions - Obstructed airway procedures - Indications

A
  • Absence of respiration
  • Inability to ventilate the patient
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15
Q

PAM Interventions - Airway maintenance and suctioning - Indications

A
  • Decreased level of consciousness (LOC)
  • Presence of fluids or potential obstructions in upper airway
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16
Q

PAM Interventions - Ventilating the non-breathing patient - Indications

A
  • Absence of respirations
17
Q

PAM Interventions - Assisting inadequate or failing respirations - Indications

A
  • Abnormally fast or slow respirations
  • Distressed respirations
  • Shallow or labored respirations, especially in the presence of decreasing
    LOC, cyanosis, or decreased O2 Saturations.
18
Q

PAM Interventions - Sealing open chest wounds - Indications

A
  • Open chest wounds
19
Q

PAM Interventions - Performing CPR - Indications

A
  • Absence of carotid pulse
20
Q

PAM Interventions - Controlling hemorrhage - Indications

A
  • Major hemorrhage
21
Q

PAM Interventions -Binding pelvis - Indications

A
  • Suspected fracture due to mechanism or unstable pelvis, including shock
    like symptoms with MOI.
22
Q

PAM Interventions - Stabilizing fractures - Indications

A
  • Suspected fractures
22
Q

PAM Interventions - Oxygen - Indications

A
  • Altered LOC
  • Respiratory distress
  • Pain
  • Trauma
  • Evidence of shock (e.g., tachycardia, tachypnea, pallor, cyanosis)
22
Q

PAM Interventions - Realigning limb fractures - Indications

A
  • Fractured limbs that are grossly deformed or with no distal pulses
23
Q

PAM Interventions - Gradual warming - Indications

A
  • Hypothermia
23
Q

PAM Interventions - Initiating cooling of burns - Indications

A
  • Major burns
24
Q

PAM Interventions - Rapid cooling - Indications

A
  • Hyperthermia
25
Q

Critical History Questions - MVA

A
  • Location of patient
  • Which vehicle was the patient in?
  • How many vehicles involved
  • Type of vehicle(s)
  • Impact speed
  • Exterior damage
  • Interior damage/Compartment Intrusion
  • Type of restraints
  • Initial position and condition of patient
  • Loss of consciousness
  • Condition of other patients – fatality in same vehicle
  • Vehicle equipped with airbags – were they deployed
26
Q

Critical History Questions - Fall

A
  • Where from
  • Height
  • Free fall or hit other objects during fall
  • Landing surface
  • Position of patient at impact – what hit first
  • Initial position and condition of patient
  • Has the patient moved or been moved since the incident?
  • Any loss of consciousness
  • Cause of fall
27
Q

Critical History Questions - Pedestrian Struck

A
  • What hit them – size, weight
  • Velocity of vehicle
  • What part of the vehicle hit what part of patient?
  • Damage to vehicle
  • Distance patient thrown
  • Initial position and condition of patient
  • Has the patient moved or been moved since the incident?
  • Any loss of consciousness
  • Condition of vehicle occupants
28
Q

Critical History Questions - Stabbing

A
  • Type of weapon/object
  • Size – length and width of weapon
  • Type of wound – slashed or stabbed
  • Number of wounds
  • Other injuries
  • Initial position and condition of patient
  • Loss of consciousness
29
Q

Critical History Questions - Shooting

A
  • Type of firearm
  • Range
  • Angle of shot
  • Type of bullet if possible
  • Entrance and exit wounds
  • Initial position and condition of patient
  • Loss of consciousness

PCP (5 decks)

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