Intro to EMS

Question 1

which agency to notify of incidents

Answer 1

command, communications, and control (c3) of the locality

• will notify fire, police, and ed (all departments)
• dispatch first responders

Question 2

how to notify the hospital

Answer 2

call the barangay first responder for assessment and endorsement to hospital

Question 3

how to communicate using methane

Answer 3

my calllsign
exact location
type of incident
hazards (fire, expolosion)
access and egress
number of casualties
emergency services required

Question 4

salt triage scheme

Answer 4

1: walk = assess 3rd, wave = assess 2nd, still = assess first
2:
- LSI: contorl hemorrhage, open airway, chest decompression, auto injector antidotes

Question 5

triage algorithm

Answer 5

read

Question 6

t/f if a patient has severe burns, you should try to resuscitate

Answer 6

false, package patient and bring to the doctor so they can do everything instead of you buying time

Question 7

how to transport patients

Answer 7

• bls ambulance ground

- also ambulance helicopter for special trauma patients

Question 8

air transport indications

Answer 8

read

Question 9

when to transport to the burn center

Answer 9

• when it is the closest ed
• when patient is stable, has no underlying trauma, inhalation or electrical injury, and doesn’t have a burn that will cause debility

Question 10

criteria for referral to burn center

Answer 10

read

Question 11

clinical handover algorithm

Answer 11

introduction

patient identifiers
assessment (cc, vitals, sx, dx)
situation
safety concerns

background (hx)
actions taken
timing (urgency)
ownership (nurse/doctor, family)
next

Question 12

step 1 of field triage decision scheme

Answer 12

gcs <40

sbp <90, rr <10 or 29

Question 13

step 2 of field triage decision scheme

Answer 13

• penetrating injuries to head, neck, torse, and extremities proximal to elbow and knee
• flail chest
• > /=2 proximal long bone fractures
• crushed, degloved, or mangled extremely
• amputation proximal to wrist and ankle
• pelvic fracture
• open or depressed skull fracture
• paralysis

Question 14

indications for trauma center for falls

Answer 14

adults >20 ft

children >10 ft

Question 15

indications for trauma center for high risk auto crash

Answer 15

• intrusion >12 in occupant site
  ejection from automobile
• death in same passenger compartment
• vehicle telemetry data consistent with high risk injury

Question 16

other step 3 field triage

Answer 16

• auto vs pedestrian bicyclist thrown, run, or w significant impact
• motorcycle crash >20 mph

Question 17

step 4 of field triage decision scheme

Answer 17

read