Term
| How long is the residency training for an ED doc? |
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Definition
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Term
| What is the difference between the four different employment arrangements of most emergency physicians practices? Private, institutional, corporate, governmental |
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Definition
-Private- a democratic group of EP's staff an ED under contract
-Institutional- independent contractor relationship with the hospital
-Corporate- independent contractor relationship with a third party staffing company that services multiple EDs
-Governmental- government agency |
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Term
| What plans were enacted in 1961 in response to the increase in ED visits and lack of physician EM skills? |
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Definition
| Pontiac and Alexandria PLans |
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Term
| In 1970 what association was formed for scientific and educational purposes by medical school faculty practicing EM? What university was the first to have an EM residency? |
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Definition
-university association for emergency medical services (UAEMS)
-UC |
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Term
| In 1974 what association was formed to unite the initial residents in the field of EM? |
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Definition
| The emergency medicine residents association (EMRA) |
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Term
| Where did the first osteopathic emergency medicine residency begin? what year? |
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Definition
| 1979 at the philadelphia college of osteopathic emergency medicine |
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Term
| where was the world's first trauma center? what year did it open? |
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Definition
| Birmingham Accident Hospital, opened in Birmingham, England in 1941 |
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Term
| the concept of trauma centers in the US was developed at what university? |
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Definition
| UNiversity of Maryland, Baltimore |
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Term
| Trauma centers vary in their specific capabilities and are identified by level, which level is the highest? |
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Definition
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Term
| the first wheeled ambulances transported _______ soldiers to awaiting physicians in the 1790's |
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Definition
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Term
| The "white paper" entitled accidental death and disability: the neglected disease of modern society made a number of recommendations regarding _________ systems |
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Definition
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Term
| The success of the Durham, NC fire dept EMT program helped support the development of which progression? |
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Definition
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Term
| What is EMTALA? what did it do? |
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Definition
-the emergency medical treatment and labor act
-it ensured public access to emergency services regardless of ability to pay
-medicare participating hospitals have specific obligations to provide a MSE when a request is made for exam or treatment of an EMC, including active labor, regardless of an individual's ability to pay
-hospitals are then required to provide stabilizing tx for patients with EMCs |
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Term
| EMTALA was the first de facto national health care policy for the ________ |
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Definition
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Term
| Does a signature of a pt. by itself meet the legal requirement of informed consent? |
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Definition
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Term
| What are the 5 things that must have a screening exam and be treated in minors regardless of a consenting adult? |
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Definition
-STI
-pregnancy
-drug, alcohol, dependency
-rape
-mental illness |
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Term
| what are the 4 things a plaintiff must demonstrate in a malpractice case? |
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Definition
-duty to treat
-breached this duty
-breach was cause of injury
-plaintiff suffered actual injury |
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Term
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Definition
| rights of the individual to self determination |
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Term
| respect for _________ is the basis for informed consent and advanced directives |
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Definition
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Term
| in the context of healthcare, what does justice mean? |
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Definition
| an impartial and fair approach to treatment and distribution of resources |
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Term
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Definition
| actions that promote the wellbeing of others |
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Term
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Definition
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Term
| What are three things that need to be considered when deciding about the use of restraints? |
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Definition
1. is the patient competent to make decisions about his/her health care?
2. duty to protect the patient and other ED staff
3. protection of 3rd parties |
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Term
| Describe seclusion (method of restraint) |
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Definition
| placing of a patient alone in a locked room from which he/she cannot leave |
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Term
| what three medications are examples of drugs used for chemical restraint? |
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Definition
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Term
| When should physical restraints be used? |
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Definition
| if in the ED physician's medical opinion, the patient is a danger to themselves, other patients or the staff |
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Term
| What is the team approach to physical restraint? |
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Definition
| 6 members, one for each extremity, plus one for the head, and one to apply restraints |
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