Test 15 Flashcards
Bicarb AHA class for cardiac arrest
Class III
Prehospital hypotension increase in mortality for shock?
30% increase compared to patients who were normotensive
Benefits of prehospital Medical Threat Assessment prior to tactical activities
- Decrease liability by assessment of team member health prior to engagement
- Assures correct equipment brought to scene
- Prevent dehydration
- Increase retention and mission effectiveness
What is a medical threat assessment
Evaluation of medical threats that may confront medical providers during a response
Percentage of carbon monoxide poisonings that occur in a residence? During winter?
75% occur in residences
40% during the winter
3 things that narrow a confidence interval
- Decreasing confidence level (alpha)
- Increasing sample size
- Decreasing variability of the data
What is often not considered when evaluating cost of EMS system? Why?
Taxes, and other revenue transfers not directly involved in the provision of EMS care
These revenue transfers do not provide direct effect in terms of providing EMS care, and the care provided is not influenced by whether the system pays the taxes or they are paid by an outside entity
What analysis measures quality of life years
Quality-Utility analysis
What does a cost-effectiveness analysis measure
Natural unit, such as years of life gained or health care resources consumed in relation to cost of intervention
Cost per transport formula
Cost per unit hour / (U/UH)
Cost per capita formula
EMS cost / Population served
What organization accredits EMS con ed
Commission on Accreditation for Prehospital Continuing Education (CAPCE)
When does being fired represent a liberty interest and not a property interest
Charges of immorality, dishonesty, alcoholism or incompetence
Elderly field triage “special considerations”
- Risk increases after age 55
- SBP < 110 may represent shock after 65
- Low impact mechanisms may result in severe injury
Note: anticoagulation and head injury not limited to elderly
Areas of concern for bruising in mobile children
- Upper arms
- Torso
- Thighs
- Cheeks
- Buttocks
- Genetalia