Test 16 Flashcards
When was LUCAS device found to be effective in studies
When it was used within 15 minutes of initial EMS call
How does black widow venom work
Calcium channel mediated neurotransmitter release of acetylcholine and other excitatory neurotransmitters
How does coral snake venom work
Blocking release of acetylcholine at neuromuscular junctions
What is a Sked? When is it useful
A Sked is a flexible plastic device that slides easily over wet surfaces
Size of patient, multiple handles for dragging
Useful in caves
What is a stokes basket?
When is it useful?
Rigid metal frame
Used in outdoor angle rescue operations
Warm zone medical treatment
Potential or indirect life threats
Needle decompression, intubation, IV access
Hot zone treatment
Tourniquet application and extrication
Next line in combat medicine if bleeding not amenable to tourniquet placement
Hemostatic agent with a pressure dressing
Level B PPE
SCBA mask, chemical resistant suit, chemical resistant boots, and chemical resistant gloves
No vapor protection
What is the Emergency response guidebook
resource that will identify a given material based on its placard, and will give initial management principles for the scene
i.e the orange book
What study identifies patients based on outcomes
Case-Control studies
What study identifies patient’s based on exposure
Cohort studies
3 Legal claims arising from QI
Defamation
Anti-trist/tortious interference (loss of employment as result of discipline)
Patient claims of negligent supervision
National databases relevant to EMS providers
CODES (crash outcome data evaluation systems)
National trauma databank
CARES
NEMSIS
% V-Fib converted if shocked within first 3 minutes
70-80%
Survival decrease for every minute defibrillation is delayed
7-10%
Definition of fractal response times
The ability of the department to respond within a given time with a certain level of assurance
EMS responsibilities on the fireground
Medical monitoring
Warming or cooling based on the weather
Basic fluid replacement
Only one BLS or ALS crew
What does direct oversight over telephone allow medical director to do
To delegate more complex medical procedures to prehospital providers with guidance from physician
Risk factors for elder abuse
- Social isolation of older adult
- Dementia
- Shared living arrangement with abuser
What causes spatial disorientation in air transport
Conflict between visual and vestibular systems during flight
What is Sopite syndrome
Drowsiness associated with prolonged motion
Level A PPE
Fully encapsulating chemical resistant suit
Positive pressure SCBA
Double layers of chemical resistant gloves and boots
Level C PPE
Full face air purification device and non encapsulating chemical resistant suit with gloves and boots
Biggest danger in excavation efforts for victims
Re-suspension of dust particles
Revised trauma score
GCS + RR + Systolic blood pressure
Score of 0-4 assigned to each
