Medlegal Flashcards
What does continuity/admissibility of evidence
Preserving evidence according to the bls
This is knowing and being in tuned with what is going on around you
Situational awareness
Paramedics situational awareness
Being mindful of the potential for violence
Methamphetamine labs are dangerous to paramedics as they are?
Highly flammable chemicals
Toxic chemicals
Booby traps
3 Rs gangs operate on
Reputation
Respect
Retaliation
How to approach a vehicle drivers side
-Remain a safe distance
-minimum of 6m behind the stopped vehicle
-10 degree to the drivers side facing the shoulder and wheels turned to the left
-proceed to the rear passenger side trunk area
How to approach vehicle passengers side
Remain clear of the side door, 5m away from the passenger side at a 45 degree angle
How you approach a residence
-When entering through the front door, stand to doorknob side slightly to the right or left of the door never directly infront
-always announce yourself to the patient state “paramedics entering”
-identify primary/secondary egress in your environment
-scan room for weapons or any potential hazards/dangers
-backlighting should be used to position oneself between the ambulance lights and residence
Something that will likely stop projectiles such as bullets, it is physical shelter or protection
Cover
Something that may hide and prevent professionals from being seen, and however easily penetrated such as tall grass or shrubs
Concealment
-Walls are not necessarily safe covers? True or false
True
Most hostage situations last between?
4.5- 5 hours
For self defence if someone grabs your Wrists what to do
Jerk your forearm against their thumb
If someone grabs the front of your shirt what to do?
Twist their hand toward the thumb
To maintain the integrity of real evidence relied upon in court
Continuity
Evidence which fits within the rules of evidence may be admitted into a trial or hearing as admissible evidence
Admissibility of evidence
How can a paramedic keep the continuity or admissibility of evidence in a crime scene?
-documentation
-preserving evidence by being careful on scene with anything that potentially could be used as evidence in a court of law
-touch only what’s required and wear gloves
Is a statement made under oath
Testimonial evidence
Can be any item that comes from a nonliving origin or biological evidence from a living thing
Physical evidence
How to preserve as much evidence as possible
1: once the body is moved can’t be put back in its original position
2: careful attention whenever something is moved
3: use shortest, most direct path to patient and same path when leaving scene
4: try to keep all the evidence, do not throw away clothes or anything that’s at the scene
5: make sure you let the receiving facility know about the suspected foul play
10-200
No immediate danger
10-2000
Immediate danger
If a patient is sexually assaulted what to do?
-Make sure patient is not left alone
-advice the patient not to wash urinate or defecate until an examination is conducted at the receiving facility
Goals of orange
Rapid transport within the golden hour
Who is the scene command for landing site?
Paramedic, police or fire fighter designated as the landing zone coordinator
What is the landing zone coordinators job?
Is to select, set and secure the area for the helicopter to land
Who has the final say as to a safe alternative for landing the helicopter?
Pilot in command
-This is the first stage that occurs in the body, and it includes increased paleness in the face and other parts
-due to loss of circulating blood throughout the body
-usually starts in the face and extremities and happens rapidly within the first 15-20 minutes of death
Pallor mortis
This stage of post Morton is the second stag, is when body’s temperature drops to that of the outside temperature
Algor mortis
-This is the third stage of death, the body will go flaccid, but whole body will stiffen only after a few hours
-muscles need energy to work and because the brain and heart has stopped working the body is unable to produce ATP so the muscle stiffen
Rigor mortis
This is the 4th stage of death ( the final stage) blood tends to collect at certain parts of the body depending on the position of the body
Livor mortis
Obvious death is what code?
Code 5
What is SID
- sudden infant death
-unexplained death of an infant less than a year old
A face to face type of interaction which tries to achieve the physical and emotional well being of a patient
Therapeutic communication
Therapeutic communication techniques
1: active listening
2: silence
3: focusing
4: open ended questions
5: clarification
6: exploring
7: paraphrasing
8: reflecting
9: restating
10: providing leads
11: summarizing
12: acknowledgment
13: offering of self
This refers to the ways in which people use non verbal communication and interaction through touch
Haptics
Is how people use and perceive personal space around themselves
Proxemics
What is Ontario victims service
Is a service offered by the government for people who have experienced some sort of violence and require support
What is CCAC ( community care assess centre)
Is a non profit organization that helps people obtain health care and social services in their homes, community or in long term care homes