Important White Page Knowlage

Question 1

Obvious signs of death with absence of respiration and cardiac activity and has one or more of the following:

Answer 1

• Decapitation
• Evisceration of heart or brain
• Incineration
• Rigor Mortis
• Decomposition

Question 2

Against Medical Advice (AMA)

Answer 2

The refusal of treatment or transport by an emergency patient or his/her designated decision maker against the advice of the medical personnel on scene or of the Base Hospital.

Question 3

Designated Decision Maker (DDM)

Answer 3

An individual to whom a person has legally given the authority to make medical decisions concerning the person’s health care (i.e., a parent, legal guardian, and “attorney-in-fact” through a Durable Power of Attorney for Health Care, or an “agent” through an Advance Health Care Directive).

Question 4

Emergency Patient

Answer 4

Any person for whom the EMS/9-1-1 system has been activated and who meets the following criteria:

1. Has a chief complaint or suspected illness or injury
2. Is not oriented to person , place , time , or event
3. Requires or requests field treatment or transport
4. Is a minor who is not accompanied by a parent or legal guardian and is ill or injured, or appears to be ill or injured

Question 5

Release

Answer 5

A call outcome that occurs when the patient and the EMS personnel (including the Base Hospital if a base was contacted) agree that the illness/injury does not require immediate treatment/transport via emergency/9-1-1 services and the patient does not require the services of a prehospital system.

Question 6

Aid Unnecessary

Answer 6

Calls in which the person whom 9-1-1 was called does not meet the definition of “emergency patient”.

Question 7

Call Cancelled

Answer 7

Calls to which Emergency Medical Services (EMS) personnel were responding but the response was cancelled prior to encountering an emergency patient or potential patient.

Question 8

Elopement

Answer 8

The departure from the scene of a patient in which the patient has refused to comply with established procedures for refusing care or transportation.

Question 9

Minor

Answer 9

A person under the age of 18 and who is not emancipated

Question 10

Base Hospital contact and a radio report are required in the following situations

Answer 10

Downgrade to BLS

ALS skills (except 3-4 lead (EKG) monitoring and/or initial BS within normal limits.12 Lead EKG requires base contact).

Abnormal Vitals

Impaired by alcohol or drugs.

Unable to comprehend or demonstrate an
understanding of his/her illness or injury.

Meets trauma center criteria

> or equal too 65 years of age and has experienced an
altered/decreased level of consciousness, significant mechanism of injury, or any fall.

Minor is ill or injured, or is suspected to be ill or
injured.

Whenever Paramedics or AEMTs have a question regarding appropriate treatment
or disposition of the patient.