Unit 1 - professional responder Flashcards

1
Q

Give 3 examples of traditional and non-traditional professional responders

A

Traditional: emergency medical responder, primary care paramedic, advanced care paramedic
Non-traditional: athletic therapist, ski patrol, lifeguard

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2
Q

Golden Period of Trauma Care

A

Patients who receive care within “1 hour” of injury have a much higher rate of survival
EMS response in urban 6-8 mins
EMS transport 8-10 mins
○ ~20 minutes total

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3
Q

The platinum ten minutes

A

= initial assessment, intervention and packaging

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4
Q

Primary Responsibility

A

Ensure safety of self & others.
Gain access to the patient.
Identify life threatening conditions
Obtain more advanced medical care when needed (EMS).
Provide care for the patient.
Assist EMS personnel as needed.

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5
Q

Secondary Responsibility

A

Direct bystanders.
Document – saw, heard, did.
Maintain confidentiality.
Reassure others at the scene, without disclosing confidential information

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6
Q

What is the emergency health care team made up of

A
  • Charge person
  • Assistant
  • Control person
  • Call person
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7
Q

What makes up interpersonal communication

A
  • nonverbal
  • listening
  • language barriers
  • cultural and religious considerations
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8
Q

What are the guidelines for good communications

A
  • introduce yourself
  • eye contact and appropriate body language
  • speak directly to the patient
  • be aware of language and tone of voice
  • listen to the person
  • be calm and professional
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9
Q

What are the signs and symptoms of CIS (critical incident stress)

A
  • confusion
  • lowered attention span
  • poor concentration
  • denial
  • guilt
  • depression
  • anger
  • change in interactions with others
  • Increased or decreased appetite
  • uncharacteristic, excessive humour or silence
  • unusual behaviour
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10
Q

What is the difference between CIS and PTSD

A
  • CIS: acute, S/S appear soon after the event and may not last long
  • PTSD: chronic, S/S appear within 3 months of the event but and are longer-lasting
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11
Q

What’s the infants care act

A

In BC the infants care act allows teens under 19-12 years to make their own medical decisions, as long as the health care provider deems them competent
Quebec is 14 years old

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12
Q

What is negligence and what are the four things that make it up

A
  1. Duty: a legal obligation to assist someone in need when they cannot care for themselves.
    ○ Good Samaritan act cant be used here
    ○ Once your in your in to your highest ability
  2. Breach of Duty:
    ○ Omission (non-feasance)
    § Omitted, you didn’t do it
    ○ Commission (mis-feasance)
    § You did something but you didn’t do it right
    ○ Commission (mal-feasance)
    § You did something you shouldn’t have done resulting in injury
  3. Damage: Injury must have occurred.
  4. Proximate Cause: Direct link between the injury & breach of duty. (2&3)
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13
Q

Good Samaritan Act*

A

Only applies if you do not have a duty
They don’t exist everywhere (won’t be covered internationally)
Must call 911

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14
Q

What is expressed consent

A

A mentally competent person grants permission to provide care

Consent can be revoked at any time

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15
Q

What is implied consent

A

When the law assumes a person would want care
May include:
- unresponsive
- intoxicated
- confused
- mentally ill
- seriously ill/injured
- Unattended minors in need of emergency care

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16
Q

Refusal of Care

A

○ Honour the request.
○ Emphasize the need for care.
○ Repeat your offer to help.
○ Call EMS or police.
○ Have the refusal witnessed.
○ Follow local protocols for refusal of care.
○ Document refusal of care.

17
Q

Ending Care

A
  1. Only stop care when someone with > training takes over.
  2. A Responder’s obligation usually ends when the patient is transferred to more advanced medical personnel.
    ○ Responder who end care sooner can be charged with abandonment