EXAM 1 Flashcards

CPR Chap. 1 Chap. 2 Chap. 3 Chap. 4 Chap. 10

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1
Q

Adult Chain of Survival

A
Recognition & Activation
CPR
Defibrilation
Advanced life support
post-cardiac arrest care
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2
Q

Pediatric Chain of Survival

A
Prevention
Bystander CPR
Activation
Advanced life support
post-cardiac arrest care
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3
Q

1790

A

Earliest documented EMS (emergency Medical Service).

French were transporting wounded soldiers

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4
Q

1966

A

National Highway Safety Act (NHSA) charged US Department of Transportation (DOT) with developing EMS standards

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5
Q

Components of EMS

A
Patient
Citizen calls 911
911 dispatcher
First responders
EMTs
Emergency department staff
Allied health staff
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6
Q

Levels of EMS training (lowest to highest)

A

Emergency Medical Responder (EMR)
Emergency Medical Technician (EMT)
Advanced Emergency Medical Tech (EMT-A, or AEMT)
Paramedic (EMT-P)

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7
Q

Roles & Responsibilities of EMT

A
Personal safety
Safety of crew, patient, & bystanders
Patient assessment
Patient care
Lifting and moving
Transport
Transfer care
Patient advocacy
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8
Q

EMT Personal Traits

A
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
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9
Q

1970

A

National Registry of EMTs was founded

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10
Q

Quallity Improvement (QI)

A

Process of continuous selfe-review with the purpose of identifying and correcting aspects of the system that require improvement.

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11
Q

Steps in Quality Improvement

A
Preparing carefully written documents
Becoming involved in the quality process
Obtaining feedback from patients & hospital staff
Maintaining your equipment
Continuing education
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12
Q

Medical Director

A

Physician who assumes ultimate responsibility for the patient-care aspects of the EMS system

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13
Q

Medical Direction

A

Oversight of the patient-care aspects of the EMS system by the Medical Director

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14
Q

Protocols

A

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.

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15
Q

Standing Orders

A

Policy or protocol issued by a Medical Director that authorizes EMTs and others to perform particular skills in certain situations.

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16
Q

Designated Agent

A

An EMT or other person authrized by a Medical Director to give medications and provide emergency care

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17
Q

On-line medical direction

A

Orders given directly by the on-duty physician to and EMT in the field by radio or telephone

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18
Q

Off-line medical directions

A

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.

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19
Q

EMS assessment standards set by National Highway Traffic Safety Administration (NHTSA)

A
Regulation of Policy
Resource Management
Human Resources & Training
Transportation
Facilities
Communications
Public information & education
Medical direction
Trauma systems
Evaluation
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20
Q

EMT healthy habits

A
Maintain solid personal relationships
Exercise
Sleep
Eat right
Limit alcohol & caffeine intake
See physician regularly
Keep up-to-date with vaccines
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21
Q

Pathogens

A

Organisms that cause infection such as viruses and bacteria

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22
Q

Standard Precautions

A

Strict form of infection control that is based on the assumption that all blood and other body fluids are infectious

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23
Q

PPE (Personal Protective Equipment)

A

Equipment that protects the EMS worker from infection and/or exposure to dangers of rescue operations

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24
Q

Contamination

A

Introductions of dangerous chemicals, disease, or infectious materials

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25
Q

Forms of PPE

A
Gloves
Hand washing (includes alcohol-based hand cleaners)
Eye & face Protection
Masks
Gowns
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26
Q

OSHA (Occupational Safety and Health Administration)

A

Federal administration that issued guidelines for the protection of workers whose jobs may expose them to infectious deseases.

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27
Q

Ryan White CARE Act

A

Establishes procedures by which emergency response workers may find out if they have been exposed to life-threatening infectiouse diseases.

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28
Q

Stress

A

State of physical and/or psychological arousal to a stimulus

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29
Q

Critical Incident

A

Any situation that triggers a strong emotional response

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30
Q

Acute Stress Reaction

A

Occurs simultaneously with or shortly after the critical incident

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31
Q

Delayed Stress Reaction (also known as posttraumatic stress disorder (PTSD))

A

Occurs at any time days to years following a critical incident

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32
Q

Cumulative Stress Reaction (also known as burnout)

A

Occurs as a result of prolonged recurring stressors in our work or private lives

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33
Q

MCI (multiple-casualty incident)

A

Emergency involving multiple patients

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34
Q

Calls With High Potential of Stress

A
MCIs
Calls involving infants or children
Severe injuries
Abuse and neglect
Death of coworker
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35
Q

Signs & Symptoms of Stress

A
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
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36
Q

Ways to Deal With Stress

A

Healthy diet
Exercise
Devote time to relaxing

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37
Q

Critical Incident Stress Management (CISM)

A

Comprehensive system that includes education and resources to both prevent stress and to deal with stress appropriately when it occurs

38
Q

Stages of dealing with death (in order)

A
Denial "Not me"
Anger "Why me?"
Bargaining "Ok, but first let me..."
Depression "Ok, but I haven't..."
Acceptance "Ok, I'm not afraid"
39
Q

Hazardous material incident

A

Release of harmful substance into the environment

40
Q

Decontamination

A

Removal or cleansing of dangerous chemichals and other dangerous or infectious materials

41
Q

Different Types of Dangerous Scenes

A

Hazardous Material
Terrorist
Rescue
Violence

42
Q

Body Mechanics

A

Proper use of the body to facilitate lifting and moving and prevent injury

43
Q

Examples of Good Body Mechanics

A

Position feet properly
Use legs to lift
Never turn or twist
Do not compensate when lifting with one hand
Keep weight close to your body
Use stair chair when carrying patient on stairs

44
Q

Different Types of Moves

A

Non-urgent move
Urgent move
Emergency move

45
Q

What can call for Emergency Move?

A

Scene is hazardous
Care or life-threatening conditions requires repositioning
You must reach othe patients

46
Q

What calls for Urgent Move

A

Required treatment can only be performed if patient is moved

Factors as scene cause patient to decline

47
Q

Different Types of Emergency Drags

A
Clothes drag
Incline drag (always head first)
Shoulder drag
Foot drag
Firefighter drag
Blanket drag
48
Q

Different Types of Emergency Carries

A
One-rescuer assist carry
Two-rescuer assist carry
Cradle carry
Pack strap carry
Piggyback carry
Firefighter's carry
Firefighter's carry with assist
49
Q

2 Types of Stretchers

A

Manual stretcher

Power stretcher

50
Q

Critical Elements of Infection Contol Plan Required by Title 29

A
Infection exposure control plan
Adequate education & training
Hepatitis B vaccination
PPE
Methods of control
Housekeeping
Labeling
Postexposure evaluation and follow-up
51
Q

Direct Carry

A

Method of transferring a patient from bed to strecher in which two or more recuers curl the patient to their chests, then reverse the process to lower the patient to the stretcher

52
Q

Direct Ground Lift

A

Method of lifting and carrying a patient from ground level to stretcher during which two or more rescuers kneel, curl the patient to their chests, stand, then reverse the process to lower the patient to the strecher.

53
Q

Different Types of Stretchers

A
Power stretcher
Portable stretcher
Basket strether
Scoop stretcher
Flexible stretcher
Stair chair
54
Q

Bariatric

A

Having to do with patients who are significantly overweight or obese

55
Q

Different ways of moving patients to stretcher who do not have suspected spine injury

A

Extremity lift
Direct ground lift
Draw-sheet method
direct carry

56
Q

Scope of Practice

A

Set of regulations and ethical considerations that define the scope or extent and limits of the EMT’s job.

57
Q

Standard of Care

A

for an EMT providing care for a specific patient in a specific situation, the care that would be expected to be provided by an EMT with similar training when caring for a patient in a similar situation

58
Q

Consent

A

Permission from the patient for care or other action by the EMT

59
Q

Expressed Consent

A

Consent given by adults who are of legal age and metally competent to make a rational decision in regard to their medical well-being

60
Q

Implied Consent

A

The consent it is presumed a patiend or patient’s parent or guardian would give if they could.

61
Q

In Loco Parentis

A

In place of the parents, indicating a person who may give consent for care of a child when the parents are not present or able to give consent

62
Q

Conditions For Refusal of Care

A

Patient must be legally able to consent
Patient must be mentally competent and oriented
Patient must be fully informed
Patient will be asked to sign “release” form

63
Q

Liability

A

Being held legally responsible

64
Q

Assault

A

Placing a person in fear of bodily harm

65
Q

Battery

A

Causing bodily harm to or restraining a person

66
Q

DNR (do not resuscitate) order

A

Legal document, usually signed by the patient and his physician, which states taht the patient has a terminal illness and does not wish to prolong life through resuscitative efforts

67
Q

Advance Directive

A

DNR order; instrictions written in advance of an event

68
Q

Negligence

A

A finding of failure to act properly in a situation in which there was a duty to act, that needed care as would reasonably be expected of the EMT was not provided, and that harm was caused to the patient as a result

69
Q

Tort

A

Civil, not criminal offence an action or injury caused by negligence from which a lawsuit may arise

70
Q

Res Ipsa Loquitur

A

Latin term meaning “the thing speaks for itself”

71
Q

Circumstances Associated W/ Finding of Negligence

A

EMT had duty to act
EMT did not provide standard of care
There was a Proximate Causation

72
Q

Proximate Causation

A

Concept that the damages to the patient were result of action or inaction of the EMT

73
Q

Duty to Act

A

Obligation to provide care to a patient

74
Q

Abandonment

A

Leaving a patient after care has been initiated and before the patient has been transferred to someone with equal or greater medical training

75
Q

Good Samaritan Laws

A

Series of laws, varying in each state, designed to provide limited legal protection for citizens and some health care personnel when they are adminstering emergency care.

76
Q

HIPPA (Health Insurance Portability and Accountability Act)

A

Federal law protecting the privacy of patient-specific health care information and providing the patient with control over how this information is used and distributed

77
Q

Libel

A

False or injurious information in written form

78
Q

Slander

A

False or injurious information stated verbally

79
Q

Safe Haven Law

A

Law taht permits a person to drop-off an infant or child at a police, fire, or EMS station or to deliver ther infant or child to any available public safety personnel. The intent of the law is to protect children who may otherwise be abandoned or harmed

80
Q

Evidence At a Crime Scene

A

Condition of the scene
Patient
Fingerprints and footprints
Microscopic evidence

81
Q

How To Preserve Evidence

A

Remember what you touch
Minimize you impact on the scene
Work with the police

82
Q

Crime Scene

A

Location where a crime has been committed or any place that evidence relating to a crime may be found

83
Q

Scene size-up

A

Steps taken when approaching the scene of an emergency call:
Checking scen safety
Taking standard precautions
Noting the MOI (mechanism of injury) or NOI (nature of illness)
Number of patients
Deciding what resources to call for

84
Q

Danger Zone

A

Area around the wreckage of a vehicle collision or other incident within which special safety precautions should be taken.

85
Q

Signs of Danger from Violence

A
Fighting or loud voices
Weapons visible or in use
Signs of alcohol or other drug use
Unusual silence
Knowledge of prior violence
86
Q

Different Types of Vehicle Collisions

A
Head-on Collisions
Rear-end Collisions
Side-impact Collisions
Rollover Collisions
Rotational impact Collisions
87
Q

Penetrating trauma

A

Injury caused by an object that passes through the skin or other body tissue

88
Q

Blunt-force Trauma

A

injury caused by a blow that does not penetrate the skin or other body tissues

89
Q

Index of suspicion

A

Awareness that there may be injuries

90
Q

NOI (Nature of illness)

A

What is medically wrong with a patient