Medical (in process) Flashcards
Should you administer first aid?
Only if you are and EMT or higher
How often should you monitor vitals?
Every 5 Min or less for critical
Every 15min for non-critical
What should be checked on the PT before and after restraint and throughout evacuation?
Check Pulse, Motor, Sensory (PMS)
What are some considerations for patient packaging in the winter?
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
What is a traction splint used to treat?
Mid-shaft femur fractures, to improve patient comfort and better bone alignment
How do you apply a traction splint?
- First rescuer applies manual stabilization above and below injury
- Remove excess clothing, shoe if possible to assess PMS (pulse motor sensation)
- Measure splint using unaffected leg
- Apply according to instructions
- Reassess PMS after applied and with vital signs
Some contradictions to using a traction splint include..
Injury to the knee or close to the knee, injury to the hip or pelvis, partial amputation, and lower leg or ankle injury
Medical Encounter Form
What does the team Basic Life Support kit include?
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
What is the difference between a KED and a SKED?
a KED is a semi-rigid brace that secures the head, neck and torso in an anatomically neutral position.
What are some considerations for patient packaging in the summer?
Sun protection
access to water
keeping PT cool
(add more)??
What does DTO and DTS stand for?
Danger to Others
Danger to Self
What are the required medical certifications for recruits, RT1, RT2, RS, Ops Chief
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
Do patients need to consent to treatment?
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
What does it mean when a patient is AMA
Against Medical Advice
The AMA form is used when a patient refuses any or further treatment which CAMRA EMS believes to be necessary
What is our backup base station to JCL-NM?
JCL-DV
What is CAMRA relationship with John C Lincoln in regards to our EMS services
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.
What is the “Required Paramedic
Assessment Criteria?”
All subjects CAMRA has contact with that have the following medical emergencies:
- 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).
- Cardiac or respiratory arrest
- Near drowning
- Chest pain
- Respiratory distress
- Cardiac irregularities
- Serious blunt or any penetrating chest, neck and/or abdominal injury
- Symptomatic hypotension
- Symptomatic hypertension
- Diabetic related emergencies
- All facial burns; any 2 or 3 burns degree covering >10% of the body; all electric burns
- Altered level of consciousness (ALOC)
- Cerebrovascular accident (stroke)
- Overdose or accidental poisoning
- Imminent or post childbirth, and-or other OB/GYN emergencies
- Heat/ cold related environmental disorders
- First time seizure; repeated seizures; failure to fully recover from postictal state
- Severe orthopedic emergency (open fx, pelvic fx, multiple fx)
- Terminally ill patients in distress
- Injury to the spine with symptoms of neurological injury or injury to the spinal cord
- Death, possibly recent, that does not meet 901H criteria
- 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 - Any patient with any of the medical conditions who refuses treatment and/or transportation
What does Required Paramedic
Assessment mean?
Meaning certain medical emergencies will require assessment by a paramedic and subsequent consultation with the EMS staff’s base hospital physician
Is the base hospital physician a team member?
yes
How should EMS personnel be assessing the patient in terms of deciding whether or not to treat the patient?
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.
Is CAMRA a recognized EMS provider agency?
Yes
If an ALS member is needed what actions can you take?
- Initiate an additional team callout for an ALS member
- Request Command to have the local EMS agency respond a paramedic unit for radio consult from the
Command Post. - 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…)
Does CAMRA have assess to medical control
for advice?
Yes, and has a responsibility to use it. Including BLS providers.
