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2024 Trials Prep > Medical (in process) > Flashcards

Medical (in process) Flashcards

1
Q

Should you administer first aid?

A

Only if you are and EMT or higher

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2
Q

How often should you monitor vitals?

A

Every 5 Min or less for critical
Every 15min for non-critical

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3
Q

What should be checked on the PT before and after restraint and throughout evacuation?

A

Check Pulse, Motor, Sensory (PMS)

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4
Q

What are some considerations for patient packaging in the winter?

A

Use a hypothermic layering system, aka a “burrito wrap”:
1. Lay down a plastic or water proof layer first
2. Add sleeping bags, emergency blanket, etc
3. Patient goes on top and wrapped so that waterproof layer is on the outside
4. Use webbing to secure the subject

Route blood pressure cuff or other monitoring cords to the top of the package

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5
Q

What is a traction splint used to treat?

A

Mid-shaft femur fractures, to improve patient comfort and better bone alignment

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6
Q

How do you apply a traction splint?

A
  1. First rescuer applies manual stabilization above and below injury
  2. Remove excess clothing, shoe if possible to assess PMS (pulse motor sensation)
  3. Measure splint using unaffected leg
  4. Apply according to instructions
  5. Reassess PMS after applied and with vital signs
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7
Q

Some contradictions to using a traction splint include..

A

Injury to the knee or close to the knee, injury to the hip or pelvis, partial amputation, and lower leg or ankle injury

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8
Q

Medical Encounter Form

A
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9
Q

What does the team Basic Life Support kit include?

A

CRP Mask
Suction
OPA’s (oral airway)
BVM (Bag Valve Mask)
Gauze 4x4
5x9 Combi Pads
Sheers
Triangular Bandages
Ace Bandage
C-Collar
SAM Splint
Rolled Stretch Bandages
Coban Rolls
Roll of tape
Cold Pack
Razor
Syringe
BP cuff
Glucose kit
Glucose Meter
Lances
Alc. Swabs
cr2032 battery
sugar packs
Bandaids
glucose tube
pulse oximeter
tourniquets

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10
Q

What is the difference between a KED and a SKED?

A

a KED is a semi-rigid brace that secures the head, neck and torso in an anatomically neutral position.

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11
Q

What are some considerations for patient packaging in the summer?

A

Sun protection
access to water
keeping PT cool
(add more)??

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12
Q

What does DTO and DTS stand for?

A

Danger to Others
Danger to Self

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13
Q

What are the required medical certifications for recruits, RT1, RT2, RS, Ops Chief

A

Recruit - Arizona EMT Basic and Wilderness EMT module recommended but at a min Basic First Aid and CPR

RT1 - Attain and maintain a minimum of Arizona EMT Basic plus completion of team wilderness guideline

RT2 - Attain and maintain a minimum of Arizona EMT Basic plus completion of team wilderness guideline. Highly recommend WEMT

RS - Attain and maintain WEMT

Ops Chief - WEMT; May petition to revert back to MCSO min requirement of BFA and CPR if their role will be away from patient care

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14
Q

Do patients need to consent to treatment?

A

Patients must consent to treatment except when unconscious or when their behavior is life threatening (DTO, DTS, medical emergency.)

Under state law, there are two types of consent;
implied and informed.
a) Implied consent is used when a patient is unconscious and unable to make a decision.
b) Informed consent occurs when a patient is awake and the “helper” has explained that some treatment
will occur, and the patient agrees. You must document consent in writing whether it be implied or informed

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15
Q

What does it mean when a patient is AMA

A

Against Medical Advice

The AMA form is used when a patient refuses any or further treatment which CAMRA EMS believes to be necessary

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16
Q

What is our backup base station to JCL-NM?

A

JCL-DV

17
Q

What is CAMRA relationship with John C Lincoln in regards to our EMS services

A

CAMRA / MCSO MR has a contract with John C. Lincoln North Mountain Hospital to provide base station
services. JCL-NM the “Medical Control” over all EMS that MCSOMR and CAMRA provides,
except those under the direction of a Team physician. JCL-NM has an RN “Paramedic Coordinator” and an
MD medical director.

18
Q

What is the “Required Paramedic
Assessment Criteria?”

A

All subjects CAMRA has contact with that have the following medical emergencies:

  1. Any medical emergency that judgment suggests consultation with a base hospital physician is necessary to conform to accepted professional medical standards (e.g., complex medical history, numerous medications, abnormal presentation).
  2. Cardiac or respiratory arrest
  3. Near drowning
  4. Chest pain
  5. Respiratory distress
  6. Cardiac irregularities
  7. Serious blunt or any penetrating chest, neck and/or abdominal injury
  8. Symptomatic hypotension
  9. Symptomatic hypertension
  10. Diabetic related emergencies
  11. All facial burns; any 2 or 3 burns degree covering >10% of the body; all electric burns
  12. Altered level of consciousness (ALOC)
  13. Cerebrovascular accident (stroke)
  14. Overdose or accidental poisoning
  15. Imminent or post childbirth, and-or other OB/GYN emergencies
  16. Heat/ cold related environmental disorders
  17. First time seizure; repeated seizures; failure to fully recover from postictal state
  18. Severe orthopedic emergency (open fx, pelvic fx, multiple fx)
  19. Terminally ill patients in distress
  20. Injury to the spine with symptoms of neurological injury or injury to the spinal cord
  21. Death, possibly recent, that does not meet 901H criteria
  22. Any child under the age of 18 months EXHIBITING ANY OF THE ABOVE AND/OR:
    a) evidence of dehydration
    b) hyperthermia/hypothermia
    c) poor muscle tone
    d) failure to feed
  23. Any patient with any of the medical conditions who refuses treatment and/or transportation
19
Q

What does Required Paramedic
Assessment mean?

A

Meaning certain medical emergencies will require assessment by a paramedic and subsequent consultation with the EMS staff’s base hospital physician

20
Q

Is the base hospital physician a team member?

A

yes

21
Q

How should EMS personnel be assessing the patient in terms of deciding whether or not to treat the patient?

A

EMS personnel should assess the patient with an attitude that they should be looking for a reason to treat the patient, rather than looking for a reason not to treat the patient.

22
Q

Is CAMRA a recognized EMS provider agency?

A

Yes

23
Q

If an ALS member is needed what actions can you take?

A
  1. Initiate an additional team callout for an ALS member
  2. Request Command to have the local EMS agency respond a paramedic unit for radio consult from the
    Command Post.
  3. Use a cellular phone to contact the Base Hospital or Back up and follow the guidelines for patching.
    Use MCSO Search repeater dispatcher to “cross patch” you to the Base Hospital (last resort…)
24
Q

Does CAMRA have assess to medical control
for advice?

A

Yes, and has a responsibility to use it. Including BLS providers.

2024 Trials Prep (16 decks)

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