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Emergency Medical Response > Unit 1 Ch 1-3 becoming an EMR > Flashcards

Unit 1 Ch 1-3 becoming an EMR Flashcards

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Royal College: Emergency Medicine flashcards USMLE® Step 1 flashcards
0
Q

Emergency medical services system (EMS)

A

Grouping of medical providers from 911 to the emergency department

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1
Q

Emergency Medical Responder

A

Training level to be a first responder to most calls

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2
Q

Public safety answering point (PSAP)

A

Location where emergency calls are answered

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3
Q

Emergency medical dispatcher (EMD)

A

Person who is trained to answer and prioritize emergency calls

**also capable of providing life saving information

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4
Q

emergency medical technician (EMT)

A

Minimum training level to staff an ambulance

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5
Q

Advanced EMT (AEMT)

A

Level of advanced training to start IVs and intubate

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6
Q

Paramedic

A

Highest level of nationally recognized training

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7
Q

Community paramedic

A

A paramedic with additional training who performs health care in people’s homes (such as well checks and screenings) that traditionally have been done in a doctors office or hospital

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8
Q

EMS systems provide a __________ that has more than one level.

A

Tiered response

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9
Q

Tiered response

A

System where EMT’s and paramedics respond separately

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10
Q

Trauma center

A

Hospital specializing in trauma care, 24 hour availability of a range of physician specialists and operating room.

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11
Q

Pediatric center

A

Hospital specializing in pediatric care, offers highly specialized care for children who are I’ll or injured.

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12
Q

Burn center

A

Hospital specializing in burn care

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13
Q

Cardiovascular care center

A

Hospital specializing in advanced cardiac care

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14
Q

Stroke center

A

Hospital specializing in advanced stroke care

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15
Q

Ten classic components of any EMS systems

A
  1. ) regulation & policy
  2. ) resource management
  3. ) human resources and training
  4. ) transportation
  5. ) facilities
  6. ) communications
  7. ) public info & education
  8. ) medical oversight
  9. ) trauma systems
  10. ) evaluation
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16
Q

Quality improvement

A

A dynamic system for continually evaluating and improving all aspects of an EMS agency

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17
Q

Responsibilities of the EMR

A
  • ensure personal safety as well as concern for the safety of your patient and others
  • maintain equipment readiness
  • evaluate and size up the scene
  • gain access to patients
  • perform patient assessment
  • administer care
  • provide emotional support
  • maintain continuity of care
  • maintain medical legal standards in patient care
  • contribute to public health
  • community relations
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18
Q

Professionalism

A

Treating others as you would want to be treated

Ensure that the EMR is perceived as a caring and competent member of the EMS system.

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19
Q

It’s up to you to prevent errors, the EMR can prevent errors by:

A
  • **double checking important facts/decisions
  • **use pocket reference guides, protocol books, or “cheat sheets”
  • **ask for help or for assistance
  • **debrief calls afterward and look for ways to improve processes and decisions
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20
Q

CPR

A

Cardio pulmonary resuscitation

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21
Q

Scene safety

A

Making sure the scene is safe, arguably the most important thing you will consider at an emergency call

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22
Q

Observe the scene as you approach, look for signs of:

A
  • **Obvious violence such as fighting or shouting
  • **the use or threatened use of weapons
  • **large or unruly crowds; people fleeing from the scene
  • **signs of drug or alcohol use by the patient, family or bystanders
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23
Q

4 basic procedures used in response to danger:

A
  1. ) cover
  2. ) concealment
  3. ) distraction
  4. ) retreat
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24
Q

Cover

A

Defensive position that hides your body & offers protection

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25
Q

Concealment

A

Defensive position that hides your body but offers no protection

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26
Q

Distraction

A

Utilizing items to block or disorient an aggressor

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27
Q

Retreat

A

Moving away from danger

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28
Q

Hazardous materials

A

Substances that are harmful to health

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29
Q

Placards

A

Signs indicating type of material in a container

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30
Q

Standard precautions

A

Contact precautions to prevent spread of disease

Ex: gloves

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31
Q

Airborne droplets

A

Particulate matter suspended in respiratory secretions

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32
Q

Infection

A

Organisms invading the immune system causing illness

33
Q

Vaccination

A

Injection to help prevent disease and illness

34
Q

Pathogens

A

Disease-causing agents

35
Q

Personal protective equipment (PPE)

A

Equipment used to prevent disease

36
Q

High-efficiency particulate air (HEPA)

A

Respirator or mask that filters ultra fine particles in the air

37
Q

Bacteria

A

Organisms causing infection

38
Q

Decay

A

Degrading of the skin and organ systems

39
Q

Rigor Mortis

A

Stiffening of the muscles and joints after death

40
Q

Dealing with grief

A 
Denial                     DABDA
Anger 
Bargaining
Depression 
Acceptance
41
Q

Body mechanics

A

Proper use of the body to lift

42
Q

Bariatric patient

A

A patient who is extremely overweight or obese

43
Q

Emergency moves

A

Moves done in extreme life threatening conditions

44
Q

Urgent moves

A

Moves done quickly but providing protection

*spinal injuries

45
Q

Long axis

A

Moving the patient while preserving the spine in-line position

46
Q

Inadequate breathing

A

Respiration pattern not consistent with life

47
Q

Altered mental status

A

Disorientation of the senses

48
Q

Shock

A

Inadequate perfusion of the body

49
Q

Hypothermia

A

Decreased body temp

50
Q

Frostbite

A

Injury caused by extreme cold exposure

51
Q

Supine position

A

Patient lying flat on back

52
Q

Patient restraint

A

Right lies with the police, best to have 4 or 5 rescuers to restrain a patient

53
Q

Scope of practice

A

Set of rules, regulations, and laws that designate how you legally function as an EMR

54
Q

Protocols

A

Written guidelines or instructions that describe appropriate assessment and care in specific situations

55
Q

Off-line medical direction

A

Written physician orders directing care and assessment based on a general set of signs and symptoms

56
Q

On-line medical direction

A

Physician orders received specific to an active patient’s signs and symptoms

57
Q

2 types of medical consent

A

Expressed consent

Implied consent

58
Q

Expressed consent

A

When a patient gives permission for care. Must be 18 or an emancipated minor, be in the right mental state and not impaired by alcohol or drugs to consent.

59
Q

Implied consent

A

Assuming permission of an unresponsive patient requiring care

60
Q

Emancipated minor

A

A minor who may receive the rights of an adult

61
Q

Refusal of care

A

Patient not permitting care

Must be an adult, able to understand consequences of refusal, and able to make an informed decision.

62
Q

Advanced directives

A

Legal documents giving a person’s instructions on medical decisions

Ex: whether CPR should be performed

63
Q

Do not resuscitate order

A

Written document of a patient requesting cardiac resuscitation not be performed

64
Q

Living will

A

Legal document created in advance in the event a person is unable to communicate their health care wishes at a time of injury or illness

65
Q

Durable power of attorney

A

Document designating a legal decision maker

66
Q

Health care proxy

A

Document designating a legal decision maker for medical decisions

***health care only

67
Q

Ethics

A

Moral judgements

68
Q

Tort

A

A legal wrongdoing

69
Q

Assault

A

The threat or act of physical harm

Salt before you batter

70
Q

Battery

A

Unlawful touching of a person

71
Q

Abandonment

A

Leaving a patient after beginning the provision of care

72
Q

Negligence

A

Failure to follow a standard of care

73
Q

Duty to act

A

Legal requirement to perform care

**while on duty

74
Q

Implied consent

A

Assuming permission of an unresponsive patient requiring care

75
Q

Emancipated minor

A

A minor who may receive the rights of an adult

76
Q

Refusal of care

A

Patient not permitting care

Must be an adult, able to understand consequences of refusal, and able to make an informed decision.

77
Q

Health insurance portability and accountability act (HIPAA)

A

Law regarding confidentiality of protected health information

78
Q

Exposure

A

Contact with a substance

78
Q

Needlestick

A

Accidental penetration of a needle

80
Q

Proximate causation

A

Harm caused by the action or inaction of a provider

82
Q

Breach of duty

A

Failure to perform or incorrectly performing an action

Emergency Medical Response (2 decks)

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