EXAM 1 Flashcards
CPR Chap. 1 Chap. 2 Chap. 3 Chap. 4 Chap. 10
Adult Chain of Survival
Recognition & Activation CPR Defibrilation Advanced life support post-cardiac arrest care
Pediatric Chain of Survival
Prevention Bystander CPR Activation Advanced life support post-cardiac arrest care
1790
Earliest documented EMS (emergency Medical Service).
French were transporting wounded soldiers
1966
National Highway Safety Act (NHSA) charged US Department of Transportation (DOT) with developing EMS standards
Components of EMS
Patient Citizen calls 911 911 dispatcher First responders EMTs Emergency department staff Allied health staff
Levels of EMS training (lowest to highest)
Emergency Medical Responder (EMR)
Emergency Medical Technician (EMT)
Advanced Emergency Medical Tech (EMT-A, or AEMT)
Paramedic (EMT-P)
Roles & Responsibilities of EMT
Personal safety Safety of crew, patient, & bystanders Patient assessment Patient care Lifting and moving Transport Transfer care Patient advocacy
EMT Personal Traits
Pleasant Sincere Cooperative Resourceful Self-starter Emotionally stable Able to lead Neat Of good moral character & respectful In control of personal habits Controlled in conversation Able to listen Nonjudgemental and fair
1970
National Registry of EMTs was founded
Quallity Improvement (QI)
Process of continuous selfe-review with the purpose of identifying and correcting aspects of the system that require improvement.
Steps in Quality Improvement
Preparing carefully written documents Becoming involved in the quality process Obtaining feedback from patients & hospital staff Maintaining your equipment Continuing education
Medical Director
Physician who assumes ultimate responsibility for the patient-care aspects of the EMS system
Medical Direction
Oversight of the patient-care aspects of the EMS system by the Medical Director
Protocols
List of steps, such as assessments and interventions, to be taken in different situaions. Protocols are developed by the Medical Director of and EMS system.
Standing Orders
Policy or protocol issued by a Medical Director that authorizes EMTs and others to perform particular skills in certain situations.
Designated Agent
An EMT or other person authrized by a Medical Director to give medications and provide emergency care
On-line medical direction
Orders given directly by the on-duty physician to and EMT in the field by radio or telephone
Off-line medical directions
standing orders issued by the Medical Director that allow EMTs to give certain medications and perform certain procedures without speaking to the Medical Direcrot or another physician.
EMS assessment standards set by National Highway Traffic Safety Administration (NHTSA)
Regulation of Policy Resource Management Human Resources & Training Transportation Facilities Communications Public information & education Medical direction Trauma systems Evaluation
EMT healthy habits
Maintain solid personal relationships Exercise Sleep Eat right Limit alcohol & caffeine intake See physician regularly Keep up-to-date with vaccines
Pathogens
Organisms that cause infection such as viruses and bacteria
Standard Precautions
Strict form of infection control that is based on the assumption that all blood and other body fluids are infectious
PPE (Personal Protective Equipment)
Equipment that protects the EMS worker from infection and/or exposure to dangers of rescue operations
Contamination
Introductions of dangerous chemicals, disease, or infectious materials
Forms of PPE
Gloves Hand washing (includes alcohol-based hand cleaners) Eye & face Protection Masks Gowns
OSHA (Occupational Safety and Health Administration)
Federal administration that issued guidelines for the protection of workers whose jobs may expose them to infectious deseases.
Ryan White CARE Act
Establishes procedures by which emergency response workers may find out if they have been exposed to life-threatening infectiouse diseases.
Stress
State of physical and/or psychological arousal to a stimulus
Critical Incident
Any situation that triggers a strong emotional response
Acute Stress Reaction
Occurs simultaneously with or shortly after the critical incident
Delayed Stress Reaction (also known as posttraumatic stress disorder (PTSD))
Occurs at any time days to years following a critical incident
Cumulative Stress Reaction (also known as burnout)
Occurs as a result of prolonged recurring stressors in our work or private lives
MCI (multiple-casualty incident)
Emergency involving multiple patients
Calls With High Potential of Stress
MCIs Calls involving infants or children Severe injuries Abuse and neglect Death of coworker
Signs & Symptoms of Stress
Irritability w/ family, friends, & coworkers Inability to concentrate Difficulty sleeping Loss of appetite Loss of sexual interest Anxiety Indecisiveness Guilt Isolation Loss of interest at work
Ways to Deal With Stress
Healthy diet
Exercise
Devote time to relaxing