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Chapter 1 > Intro To Advanced Prehospital Care > Flashcards

Intro To Advanced Prehospital Care Flashcards

0
Q

What is just as important as acute health care and public safety responsibilities?

A

Illness and injury prevention

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1
Q

Roles and responsibilities of a paramedic are diverse and encompass the disciplines of what?

A

Health care
Public health
Public safety

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2
Q

In addition to functioning as a treatment provider, what else might a paramedic function as?

A

Facilitator of access to care

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3
Q

You will seldom run into problem if you always?

A

Act in the patients best interest

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4
Q

Paramedic must have 6 characteristics?

A 
Excellent judgement 
Able to prioritize 
Develop rapport
Safely interview hostile patients
Communicate with members of diverse cultures.
Able to function independently
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5
Q

A significant advance in EMS was made with w/ what document?

A

1998 publication by the DOT, of the revised EMT-P:National Standard Curriculum .

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6
Q

Which document calls for 4 levels of EMS providers, and details the essential knowledge base and psycho motor skills for each?

A

2005; national scope of practice model.

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7
Q

The paramedic must actively participate one what, in regard to reserch?

A

Design
Development
Evaluation
Publication

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8
Q

For years what was paramedic practice based on?

A

Anecdotal data

Tradition

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9
Q

5 additional duties a paramedic can apply for under expanded scope of practice?

A 
Critical care
Primary care
Tactile EMS
Industrial medicine 
Sports mesicine
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10
Q

What’s is EMS?

A

Comprehensive network of personnel, equipment, and resources established to deliver aid and emergency medical care to the community.

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11
Q

EMS system is comprised of what?

A

In-hospital services

Out of hospital services

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12
Q

EMS operation begins with what?

A

Citizen activation when someone calls 911

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13
Q

The dispatcher also provides what?

A

pre arrival instructions to the caller

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14
Q

First responders role is to?

A

Stabilize patient until more advanced personnel arrive

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15
Q

“Tiered Response?”

A

Sending multiple levels of emergency care personnel to the same incident

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16
Q

What is the most striking difference between the first “protocols” and EMS system today?

A

The absence of a physical exam

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17
Q

Who formed the ambulance volante or “flying ambulance.

A

Napoleons chief surgeons, jean larrey

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18
Q

During world war 1, high mortality was associated with what?

A

Average evacuation time of 18hrs

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19
Q

Significant advances in trauma occurred during what

A

Wartime

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20
Q

In 1966, congresses back what act?

A

National highway safety act, this stablished department of transportation

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21
Q

What land mark publication set off a series of federal and private initiatives?

A

Publication of (Accidental Death and Disability: The Negleted disease of modern Society). Aka “the white paper”

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22
Q

What act was passed by congress in 1973, that provided additional funding for a series of projects related to the delivery of trauma care.

A

Emergency Medical Services Act

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23
Q

What act was passed in 1981 that essentially wiped out federal funding for EMS?

A

Consolidated Omnibus Budget Reconciliation Act (COBRA)

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24
Q

The four “T’s” of Emergency Care

A

Triage
Treatment
Transport
Transfer

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25
Q

Protocol

A

Policies and procedures for all components of an ems system

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26
Q

Certification?

A

Recognition granted to a person who has met it’s qualifications

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27
Q

Licensure

A

Permission granted to engage in a given occupation to an applicant who has attained the degree of competency required to ensure the publics protection

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28
Q

Four levels of EMS training/certification

A

EMR-stabalize patient
BASIC-
INTERMEDIATE/Advanced
Paramedic

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29
Q

Professionalism

A

Conduct and qualities that characterize a practitioner in a particular field or operation

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30
Q

Rules of evidence?

A

Developed by Joseph p. ornate.

Guidelines for permitting a new medication, process, or procedure to be used in EMS on the basis of proven efficacy

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31
Q

4 guidelines included in the rules of evidence

A
  1. Must be a theoretical basis for the change
  2. There must be ample research
  3. It must be clinically important
  4. Practical, affordable, and teachable
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32
Q

People must be able to take it for granted what?

A

That EMS will respond quickly to 911 call. And act at the highest level of professionalism.

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33
Q

Another way to accomplish “take it for granted” quality improvement?

A

Through ongoing education and personnel

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34
Q

Ethics?

A

Standards that govern the conduct of a group or profession.

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35
Q

What did the federal government establish 2005?

A

National EMS scope of practice model.

Called for four levels of EMS providers.

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36
Q

What program was established by the NHTSA 1988 that defines the “10 elements” necessary to all EMS systems.

A

Statewide EMS Technical Assessment Program.

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37
Q

Customer satisfaction can be created or destroyed by what?

A

With a simple word or deed

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38
Q

Kind of quality that customers get excited about, feel good about, and tell stories about?

A

Service quality AKA “customer satisfaction”

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39
Q

EMS quality is decided into two categories?

A

“Take-it-for-granted” quality

Service quality

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40
Q

Paramedics can play a valuable role in data collection, evaluation, and interpretation of research. What is the component of a research project that paramedics play a huge role in?

A

Begin the study, and collection of raw data

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41
Q

Primary responsibilities of a paramedic

A 
Preparation
Response
Scene size up
Patient assessment
Patient management
Disposition and transfer
Documentation
Cleanup, maintenance, and review
42
Q

Additional responsibilities

A

Community involvement
Support for primary care
Citizen involvement
Personal and professional development

43
Q

Whenever possible member of the community should be used in the what? Parts of EMS SYSTEM

A

Development, evaluation, and regulation

44
Q

What is essential to the reduction of the long-term disability and accidental death

A

EMS injury prevention projects

45
Q

Cardiovascular endurance results from what?

A

Exercising at least 3 days a week vigorously enough to raise your pulse to its target heart rate

46
Q

Isometric exercise?

A

Active exercise against n stable resistance

47
Q

Isotonic exercise

A

Active exercise when muscles are worked through their range of motion

48
Q

Whole grains provide what?

A

Fiber

49
Q

What will help prevent both cancer and cardiovascular disease

A

Exercising and eating well

50
Q

In regards to back safety and moving objects, how should you position the load you are carrying?

A

As close to your body and center of gravity as possible

51
Q

In regards of back safety, and carrying objects. Should your palms be up or down

A

Up

52
Q

Always avoid what when carrying

A

Twisting and turning

53
Q

Let which muscles do the lifting for you?

A

Large leg muscles

54
Q

Do want to exhale or inhale when you lift?

A

Exhale

55
Q

Do you want to push or pull if given a option

A

Push

56
Q

Should you move forward or backward when carrying an object?

A

Forward

57
Q

Incubation period for AIDS

A

Several months and years

58
Q

Incubation period for hepatitis b, c

A

Weeks or months

59
Q

Tuberculosis incubation period

A

2 to 6 weeks

60
Q

Any disease caused by the growth of pathogenic microorganism a, which may be spread from person to person

A

Infectious disease

61
Q

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

A

Standard precautions

62
Q

What is, washing an object with cleaners such as soap and water

A

Cleaning

63
Q

What is, use of a chemical or physical method such as pressurized steam to kill all microorganisms.

A

Sterilizing

64
Q

Any occurrence of blood or body fluid coming in contact with no intact skin, mucous membrane, or parent real contact

A

Exposure

65
Q

Stages of loss

A 
Denial
Anger
Bargaining
Depression
Acceptance
66
Q

What is good stress called?

A

Eustress

67
Q

As a person adapts to stress they develop 3 things?

A

Defensive strategies
Coping
Problem-solving skills

68
Q

To manage your own stress what should you identify, 3 thjngs?

A

Your personal stressors

The amount of stress you can take

What stress management techniques work for you

69
Q

3 phases of stress response?

A

Stage 1- alarm
Stage 2- resistance
Stage 3-exhaustion

70
Q

What happens during stage 1 of stress response physiologically?

A

Epi/Nor-epi from the adrenal glands increase the heart rate, blood pressure, dilate pupils, increase blood Sugar, and slow digestion, and relax the bronchial tree.

71
Q

When does stage one end?

A

When the event is recognized is not dangerous

72
Q

What is the extreme end point in response to excessive stress exposure

A

Burnout

73
Q

What are the two groups of defense mechanisms and techniques for managing stress?

A

Beneficial

Detrimental

74
Q

What are 3 beneficial techniques when managing stress?

A

Use controlled breathing

Reframe- mentally reframe thoughts that interfere with your performance (I can’t do this)

Attend to the medical needs of the pt.

75
Q

For long term well being the best stress management technique is?

A

Take care of yourself, eating properly, exercise regularly, and take time off

76
Q

3 types of EMS stressors

A

Daily stress
Small incidents
Large incident/disaster

77
Q

The study of factors that influence the frequency, distribution, and causes of injury, disease, and other health-related events in a population.

A

Epidemiology

78
Q

providers should assess every scene and situation for injury risk and maintain statistics as part of what program?

A

Injury-surveillance program

79
Q

The ongoing systemic collection, analysis, and interpretation of injury data essential to the planning, implantation, and evaluation of public health practice.

A

Injury-surveillance program

80
Q

Type of prevention that keeps an injury or illness from ever occurring

A

Primary prevention

81
Q

Type of prevention which rehabilitation after an injury or illness that helps to prevent further problems from occurring

A

Tertiary prevention

82
Q

Type of prevention that includes medical care after an injury or illness that helps to prevent further problems from occurring

A

Secondary prevention

83
Q

How to get your target heart rate

A

220 minus your resting heart rate

84
Q

The areas involved in organizational commitment

A

Protection of EMS providers

Education of EMS providers

Data collection

Financial support

Empowerment of EMS providers

85
Q

Under EMS provider commitment, there are Written guidelines and policies that should promote wellness and safety among employees, they emphasize which 5 areas

A 
Standard precautions
Physical fitness
Stress management
Professional care and counseling
Safe driving
86
Q

In motor vehicle collisions, young children are what?

A

Easily thrown on impact

87
Q

Since a child’s head is large in proportion to his body, if unrestrained they tend to fly?

A

Head first into the windshield or out of the car when a collision occurs

88
Q

Which seat is the best for children, and under what age?

A

Back seat for children under 12

89
Q

Social, religious, or personal standards of right and wrong

A

Morals

90
Q

This word is related to benevolence, which means the desire to do good. But this word actually means doing good?

A

Beneficence

91
Q

Areas in need of prevention activities? 11?

A

Low birth weight

Unrestrained children in motor vehicles

Bicycle related injuries

Household fire and burn injuries

Unintentional firearm-related deaths

Alcohol-related motor vehicle collisions

Fall injuries in elderly

Work place injuries

Sports and recreation injuries

Misuse or mishandling of medication

Early discharge of patients

92
Q

Obligation not to harm

A

Nonmaleficence

93
Q

Under this the paramedic Is obligated to minimize the risk as much as possible. Making the scene safe, and protecting the patient from impaired or unqualified health care providers.

A

Nonmaleficence

94
Q

This term defines a patients right to determine what happens to his body

A

Autonomy

95
Q

Obligation to treat all patient fairly

A

Justice

96
Q

Three steps on solving a ethical problem?

A

State the action in a universal form

List the implications or consequences of the action

Compare them to relevant values

97
Q

Three ways to test ethics?

A

Impartiality test

Universalizability test

Interpersonal justifiability test

98
Q

This way of testing ethics is whether you would be willing to undergo this procedure or action if you were in the patients place

A

Impartiality test

99
Q

This way to test ethics asks whether you would want this action performed in all relevant circumstances, which helps the paramedic to avoid shortsightedness.

A

Universalizability test

100
Q

This way to test ethics asks whether you can defend or justify your actions to others.

A

Interpersonal justifiability test

101
Q

Citizen involvement in EMS helps give insiders what?

A

An outside, objective view of quality improvement and problem resolution.

102
Q

Citizen involvement in EMS helps give insiders what?

A

An outside, objective view of quality improvement and problem resolution.

Chapter 1 (2 decks)

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