Operations Flashcards
Who monitors all radio traffic?
FCC
Mobile Radio
Fixed to apparatus that is mobile. I.E. Engine, Truck, Rig, Ambulance
Simplex
Only one person can talk at a time. Walkie talkie etc
Duplex
Both people can communicate at the same time. I.E. Cell phone
Multiplex
multimedia I.E. internet etc
EMS Language
Plain language
Personal Safety/Decon of Equipment
washing hands is best way to clean hands.
Alcohol based gel is next best
Equipment is cleaned using a bleach solution of 10:1 Water/Bleach
5 Stages of grieving
DABDA
Denial, anger, bargaining/bartering, Depression, Acceptance
Assault
Is the threat of violence. Scaring a patient with a needle or actually threat
TORT?
Civil Law
Battery
Touching or treating someone without permission.
Negligence
tort (civil wrong) that has led to injury/illness.
I.E. Giving too much medication or not giving something. Acting outside of protocols or not doing something in protocols.
Libel
Written defamation
Slander
Spoken (S=S) defamation
Good Samaritan Protection?
As a health care provider you are not elegible for G.S. law. You are held to your scope of practice and protocols.
TRIAGE Time
30 Seconds max per patient
START (Triage)
Simple Triage and Rapid Transport
RPM (Triage) Immediate Qualifications
Respirations less than 10 greater than 30?(immediate) RED TAG
Pulse/Perfusion-uncontrolled bleeding or cap refill greter-2sec- IMMEDIATE
Mentation-unable to follow simple commands-IMMEDIATE
NEED ANY ONE OF THE 3 TO BE IMMEDIATE
Triage Tag Color BLACK
Black-Deceased-Pt is not breathing you reposition the head they start breathing- then you let go they stop breathing -THEY are DECEASED
Triage color Red
IMMEDIATE-Resp-more than 30 and less 10
Pulse/Perfusion-uncontrolled bleeding or cap refill greater than 2 seconds
Mentation-unable to follow simple commands. Pt only need 1 of 3 to be IMMEDIATE
Triage color YELLOW
DELAYED-pt has none of the RPM criteria.
But injury prevents them from walking away, broken leg or c-spine
Traige color Green
Meets none of the RPM categories and can walk away.
ICS Command Operations Chain
CFLOP
Command, Financial, Logistics, Operations, Planning
ICS-Command
command staff, brass
ICS-Financial
Takes care of the money
ICS-Logistics
In charge of people-managing non people resources (Axe’s, ambulances, rigs etc)
ICS-Operations
Paramedics/FF boots on the ground
ICS-Planning
Information for anything that you will see during the day. Weather, planning, strategy
Unity of Command
Each person reports to one person only.
FF-Capt-BC-Chief
Span of Control
amount of people A single person can effectively manage. 3-7 people. Captain 3-4, BC-5 captains etc
UNIFIED COMMAND
multiple agencies working on the same incident working to accomplish the same goal. FDNY, NYPD, Port Authority, etc
Hazmat Scene Parking
UPHILL, UPWIND, UPSTREAM
Hazmat Zones
HOT-people being exposed contamination zone
Warm-DECON
Cold-EMS-treatment
Safety for EMS Personnel lifting techniques
use legs-never TWIST, keep close weight close to body not out away from you
3 Things that make a DNR Valid
Physician Signature
Patients Siganature
Date it goes into effect ( this is in case a patient has multiple DNR’s, HONOR THE MOST RECENT ONE)
Do DNR’s Expire?
NO
IS DNR a State or Federal Document?
STATE
Can you honor an out of state DNR?
YES-not very common due to illness making travel difficult
How do you approach a Chopper?
From the Front or with the flight crew.
So you can maintain eye contact with the pilot and he can wave you off if necessary.
GRADE-always approach from the downhill side!
Low Angle Rescue?
A slope of 15-35 degrees. Walkable ropes not necessary
High Angle Rescue?
Slope of 40-60 degrees.Ropes are necessary.
Types of Patient Consent (how many?)
Implied Consent-unconscious pt or minor w/no guardian
Expressed Consent-Call 911 “I can’t breathe”
Involuntary- 5150, lost legal right,suicidal or drunk walking through traffic, can’t make good decisions
Informed-wife calls on behalf of husband.Hubby says no I don’t need it. Then you explain what you are going to do, NITRO, IV ASPRIN etc and then he agrees. YOu explain
BSI
gloves, mask, err on the side of maximum protection
Traffic Point (2 points) where do you park?
50 ft away from the scene of an accident BEYOND THE SCENE/INCIDENT
If FD is on scene use their rig as a shield for you bus.
Big Rigs Hazardous Material Wreck Ref
ERG-Emergency Response Guidebook
Diamond Placards with Red, Yellow, Blue and White
NFPA 704-Red=flammability-Yellow=reactivity-Blue=Health hazard-White=special precautions
When should critical incident stress debrief Happen?
Within 24 hours.
What do you do if your partner starts to change after a critical incident?
Talk to your partner, then to your supervisor
