Term
| Identify the key elements necessary for effective EMS system operations. |
|
Definition
| Citizen Activation, Dispatch, Prehospital Care, Hospital Care, Rehab |
|
|
Term
| State EMS Systems are responsible for... |
|
Definition
| Managinng the delivery of prehospital care; working with regional and state agencies to create protocols, standards and guidelines; providing collection services; and coordinate mutual aid and disaster planning. |
|
|
Term
| Advisory councils are responsible for... |
|
Definition
| Organizing EMS programs/activities and acting as liaison with national agencies. |
|
|
Term
| Advisory councils are made of... |
|
Definition
| Medical professionals, paraprofessionals, consumers, public and private agencies. |
|
|
Term
| NEMSIS is responsible for... |
|
Definition
| Developing nationwide EMS training curricula; evaluating patient/EMS system outcomes; facilitating research efforts; and addressing resources for disasters/domestic preparedness. |
|
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Term
| What are the five components of the EMS Education Agenda for the Future: an EMS Approach? |
|
Definition
-National EMS Core Content
-National EMS Scope of Practice Model
-National EMS Education Standards
-National EMS Certification
-National EMS Education Program Accreditation |
|
|
Term
| The National EMS Core Content component of the National EMS Education Agenda... |
|
Definition
| Defines entire domain of out-of-hospital practice; identified universal body of knowledge and skills for personnel. |
|
|
Term
| The National EMS Scope of Practice Model component of the NEEA... |
|
Definition
| Defined four levels of EMS personnel and minimum skills for each level. |
|
|
Term
| The National EMS Education Standards component of the NEEA... |
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Definition
| Defines competencies, clinical behaviors, and judgments; goal is to meet practicing guidelines. |
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|
Term
| Refers to the way in which a person follows the standards of a profession. |
|
Definition
|
|
Term
| Allows a person to engage in a profession or activity that otherwise would be unlawful; granted by govt authority. |
|
Definition
|
|
Term
| Grants authority to a person to take part in an activity; received from a government or nongovernment entity. |
|
Definition
|
|
Term
| The act of enrolling one's name in a register or book of record. |
|
Definition
|
|
Term
| Local process that allows a paramedic practice in a specific EMS agency, guided by a medical director. |
|
Definition
|
|
Term
| List the characteristics of the professional paramedic. |
|
Definition
| Integrity, Empathy, Self-motivation, Appearance and personal hygiene, self-confidence, communications, time mgmt, teamwork and diplomacy, respect, patient advocacy, and careful delivery of service. |
|
|
Term
| What are the benefits of on-line control? |
|
Definition
| Good for when patient care falls outside scope of standing orders; allows specific care; supersedes off-line medical direction. |
|
|
Term
| What are the benefits of off-line control? |
|
Definition
| Good for quick directives regarding treatment protocols; enables the paramedic to act more autonomously. |
|
|
Term
| What is the role of Continuous Quality Improvement Programs (CQIP)? |
|
Definition
| Ongoing study; improvement of a process, system or organization. |
|
|
Term
| What are the components of an effective CQIP? |
|
Definition
| Leadership, Information and analysis, strategic quality planning, human resource development and mgmt, EMS process mgmt, EMS results, and satisfaction of pts and other stakeholders. |
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|
Term
| What are the phases of comm that occur during a typical EMS event? |
|
Definition
| Occurrence of event; detection of need; notification and emergency response; arrival, treatment, preparation and transport; and preparation for next response |
|
|
Term
| What is the role of communication in EMS? |
|
Definition
| Allows info delivery between person in need, telecommunicator, and paramedic |
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|
Term
| 3 digit telephone number used to facilitate reporting of an emergency that requires a response by a public safety agency. |
|
Definition
|
|
Term
| The geographical area that has been granted authority by a state or local govt body to provide 911 service. |
|
Definition
|
|
Term
| A call placed to 911 in which the caller disconnects before the call can be answered by the public safety answering point (PSAP) telecommunicator. |
|
Definition
|
|
Term
| The analog or digital radio interface used in wireless telephone systems. |
|
Definition
| Advanced mobile phone service |
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|
Term
| A PSAP designated to receive calls when the primary PSAP is unavailable. |
|
Definition
|
|
Term
| System for routing 911 calls to one or more designated alternate locations if all 911 trunks to a primary PSAP are busy or out of service. |
|
Definition
|
|
Term
| The encoding of a carrier wave by variation of its amplitude in accordance with an input signal |
|
Definition
|
|
Term
| The customer premises equipment at which the telecommunicator answers and responds to calls. |
|
Definition
|
|
Term
| Any automated device that can access the 911 system, but does not provide for two way communication (prohibited in many states). |
|
Definition
| Automatic Alarm and Automatic Alerting Device |
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|
Term
| Equip that automatically distributes incoming calls to available PSAPs in order of receipt |
|
Definition
| Automatic call distributor |
|
|
Term
| The automatic display at the PSAP of the caller’s telephone number, the address or location of the telephone, and supplementary emergency services info. |
|
Definition
| Automatic Location Identifier |
|
|
Term
| The telephone number associated with the access line from which a call originates. |
|
Definition
| Automatic Number Identification (ANI) |
|
|
Term
| Typically, a disaster recovery answering point that serves as a backup to the primary PSAP and is not located at the same location as the primary PSAP. |
|
Definition
|
|
Term
| Does not support ANI or automatic location identification. |
|
Definition
|
|
Term
| The capability of the PSAP to maintain control of a 911 caller's access line, even if the caller hangs up. |
|
Definition
|
|
Term
| The callback number associated with a wireless telephone; similar to ANI for cell phones. |
|
Definition
|
|
Term
| The wireless telecomm antenna serving a specific geographical area. |
|
Definition
|
|
Term
| The physical path between two terminal locations. |
|
Definition
|
|
Term
| A computer-based system that aids PSAP telecommunicators by automating selected dispatching and record-keeping activities. |
|
Definition
| Computer-Aided Dispatch (CAD) |
|
|
Term
| An arrangement in which one or more public safety agencies choose to operate as a single 911 entity. |
|
Definition
|
|
Term
| A telephone circuit used for a single purpose, such as transmission of 911 calls. |
|
Definition
|
|
Term
| The performance of 911 call answering and dispatching by personnel at the primary PSAP. |
|
Definition
|
|
Term
| The practice of routing circuits along different physical paths to prevent total loss of 911 service in the event of a facility failure. |
|
Definition
|
|
Term
| The capability of a PSAP telecommunicator to ring the telephone on a held circuit; requires calling party hold. |
|
Definition
|
|
Term
| Message trunks capable of providing ANI, connecting the serving central office of the 911 calling party and the designated enhanced 911 control office. |
|
Definition
|
|
Term
| An emergency telephone system that includes network switching, database, and customer premises equipment elements capable of providing selective routing, selective transfer, fixed transfer, ANI, and automatic location ID. |
|
Definition
|
|
Term
| The capability of a PSAP attendant to disconnect a 911 call even if the calling party remains off the hook; used to prevent overloading of 911 trunks. |
|
Definition
|
|
Term
| Satellite based technology for determining location. |
|
Definition
|
|
Term
| A telephone enclosed in a box and placed along a highway that allows a motorist to summon emergency and nonemergency assistance. |
|
Definition
|
|
Term
| A program that collects, stores and collates data into reports to allow interpretation and evaluation of information such as performance, trends, and traffic capabilities. |
|
Definition
|
|
Term
| A database of street names and house number ranges w/in their associated communities defining emergency service zones and their associated emergency service numbers to enable proper routing of 911 calls. |
|
Definition
| Master street address guide |
|
|
Term
| A PSAP to which 911 calls are routed directly from the 911 control office. |
|
Definition
|
|
Term
| A facility equipped and staffed to receive 911 calls; receives the calls directly, and if the call is relayed or transferred, the next receiving PSAP is designated a secondary PSAP. |
|
Definition
| Public Safety Answering Point (PSAP) |
|
|
Term
| The routing of a 911 call to the proper PSAP based on the location of the caller; controlled by the emergency service number, which is derived from the customer’s location. |
|
Definition
|
|
Term
| As used in 911, a person trained and employed in public safety telecommunications. |
|
Definition
|
|
Term
| Typically, a communication path between central office switches or between the 911 control office and the PSAP. |
|
Definition
|
|
Term
| Minimum requirements for radio equip used by ambulance services: |
|
Definition
| Self contained desktop transceiver with speaker; microphone; antenna; mobile unit; two-way radio with multiple-frequency capability |
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|
Term
| Handheld portable radios capable of contact with base station and data recording are elements of a ________ EMS comm system. |
|
Definition
|
|
Term
| Remote consoles, high-power transmitters, repeaters, satellite receivers, and high-power multifrequency vehicle radios are elements of a ________ EMS comm system. |
|
Definition
|
|
Term
| This communication operation mode requires a transmitter, with a receiver at each end that operate on the same frequency, with only one end operating at a time (preventing interruption. |
|
Definition
|
|
Term
| This EMS comm operation mode uses two frequencies allowing both parties to communicate at the same time. Allows interruption. |
|
Definition
|
|
Term
| This EMS comm ops mode transmits telemetry, voice simultaneously from field; party can interrupt as needed; voice transmission may interfere with transmission data; and is most common mode used today. |
|
Definition
|
|
Term
| These are comm systems with 5 or more repeaters that work as a group (each repeater with a different channel); is advantageous in major metropolitan areas with heavy radio freqs; locks out all other sharing users and bars interference from other agencies. |
|
Definition
|
|
Term
| How do trunked systems operate? |
|
Definition
| Radio transmissions originate, find available repeater in the system, and computer switches transmission to chosen repeater. |
|
|
Term
| Receiving and processing calls; dispatching and coordinating EMS resources; relaying medical info between entities; and coordinating with public safety agencies are the roles of... |
|
Definition
| Dispatching as it applies to pre-hospital emergency medical care |
|
|
Term
| EMS systems use _________ radio communications protocol. |
|
Definition
|
|
Term
| General guidelines for radio comm: |
|
Definition
| Formulate message so comm is effective; speak into microphone at 2-3 in; speak slowly, clearly; enunciate; speak in normal pitch; be brief, concise; break long messages into shorter ones; avoid codes; avoid dialect or slang; advise receiving party upon completed transmission; confirm message rcvd; always be professional, polite, and calm. |
|
|
Term
| What situations are a paramedic legally required to report? |
|
Definition
-Neglect or child abuse
-Neglect or abuse of seniors
-Spousal abuse
-Rape, sexual assault
-Gunshot wounds
-Stab wounds
-Animal bites
-Certain communicable diseases |
|
|
Term
| Four elements involved in a claim of negligence. |
|
Definition
| Duty to act, breach of duty, harm, causation |
|
|
Term
| Describe measures paramedics may take to protect themselves from claims of negligence. |
|
Definition
| Education: training, continuing ed, and skills retention; appropriate quality improvement; appropriate medical direction; accurate, thorough documentation; professional demeanor |
|
|
Term
| Patient consent that signifies the individual knows, understands, and agrees to the care rendered. |
|
Definition
|
|
Term
| Verbal or written consent to treatment. |
|
Definition
|
|
Term
| This consent presumes that an unconscious person without decisional capacity who needs emergency care would consent to lifesaving care if able to do so. |
|
Definition
|
|
Term
| Describe the paramedic's responsibilities regarding patient confidentiality. |
|
Definition
| Paramedics have a legal and ethical duty to protect a patient's privacy. |
|
|
Term
| Describe actions to be taken in a refusal-of-care situation. |
|
Definition
| Assess LOC/Orientation; explain each procedure why it is needed, and consequences of refusal carefully; answer any Pt questions; contact medical control; document thoroughly. |
|
|
Term
| What are the legal considerations related to Pt transport? |
|
Definition
| -Driver must conform to laws, regs, policies, and must operate the vehicle in a manner that safeguards the Pt |
|
|
Term
| What are the right of way privileges granted to EMS drivers? |
|
Definition
-Travel slightly faster than posted speed
-Move safely fm one lane into the opposite lane of traffic
-Safely enter and pass through intersections on a red light
-Use audible and visual warning devices appropriately
-Park in unauthorized areas |
|
|
Term
| What are the legal considerations related to Pt transport specific to hospital choice? |
|
Definition
| The hospital to which the Pt is taken should be based on Pt needs and hospital capability, but the Pt's choice should be honored. |
|
|
Term
| What are the legal considerations related to payer protocols? |
|
Definition
| In life and limb emergencies, payer protocols should not be a factor in providing care and transporting to the nearest facility. |
|
|
Term
| What are the legal implications related to resuscitation and Pt death? |
|
Definition
| Witholding or stopping resuscitation; advance directives; potential organ donation; death in the field |
|
|
Term
| Pts should be resuscitated until one of the following occur: |
|
Definition
-Restoration of effective, spontaneous circulation and ventilation
-transfer of care to senior emergency medical professional
-presence of reliable criteria indicating irreversible death
-healthcare provider is unable to continue
-valid DNR is presented
-Online authorization from medical control or prior medical protocol allows |
|
|
Term
| What should the paramedic do if CPR is requested by family members despite a DNR, or if the order is suspected to be invalid? |
|
Definition
| Initiate resuscitation and contact medical direction |
|
|
Term
| These are legal documents executed to inform health care providers of a Pt's wishes in the event the person becomes incapacitated and unable to convey these wishes directly. |
|
Definition
|
|
Term
| What is the legally accepted order for approaching family about organ donation? |
|
Definition
Spouse
Adult son or daughter
Parents
Siblings
Legal guardian |
|
|
Term
| What role do medics play in organ donation? |
|
Definition
| Eval potential donors, establish comm with medical direction, and provide emergency care to maintain viable organs. |
|
|
Term
| What should a medic do when they encounter an apparent death in the field? |
|
Definition
-Contact medical direction and follow protocols
-Document any observations or unusual findings
-Notify appropriate authorities
-Disturb the scene as little as possible
-Provide emotional support |
|
|
Term
| What is the importance of EMS research? |
|
Definition
| Essential to continued evolution, and insight on intended effects, cost effectiveness. |
|
|
Term
| Distinguish between professional accountability, legal accountability, and moral accountability. |
|
Definition
Professional--to patient, medical director, EMS system; must meet standard of care
Legal
Moral--personal values and beliefs |
|
|
Term
| The discipline relating to right and wrong, moral duty and obligation, moral principles and values and moral character. |
|
Definition
|
|
Term
| A standard for honorable behavior designed by a group with expected conformity. |
|
Definition
|
|
Term
| The systematic study of moral dimensions, including the moral vision, decisions, conduct and policies of the life sciences and health care. |
|
Definition
|
|
Term
| Describe the rapid approach strategy used to resolve ethical conflicts in an emergency. |
|
Definition
-Ask if you have experienced a similar problem that can be used for precedent
-If not, see if you can delay to deliberate with co-workers/med direction
-If can't buy time, use the set of three tests (impartiality, universalizability and interpersonal justifiability test) |
|
|
Term
| In this test for resolving an ethical dilemma, you ask if you would accept the action if you were in the patient's place. |
|
Definition
|
|
Term
| For this test, used to solve an ethical dilemma, ask if you would feel comfortable having the action performed in all relevantly similar circumstances. |
|
Definition
|
|
Term
| In this test, used to solve an ethical dilemma, ask if you are able to provide good reasons to justify and defend your actions to others. |
|
Definition
| Interpersonal Justifiability Test |
|
|
Term
| What are the ethical issues related to allocation of resources? |
|
Definition
| Health insurance, treatment decisions when resources are inadequate, mutliple-casualty disaster, rationing of care required based on ethically oriented criteria |
|
|
Term
| What are the ethical issues related to decisions surrounding resuscitation? |
|
Definition
| Advance directives, living wills, self-determination documents (these make it easier, w/o documents decisions may not be so clear) |
|
|
Term
| What are the ethical issues related to confidentiality? |
|
Definition
-PPI is not to be disclosed by health care professionals w/o consent
-However, in some cases release is mandated by law (HIV, public health benefit, etc.) |
|
|
Term
| What are the ethical issues related to consent |
|
Definition
-Legal right to decide medical care
-Pts who refuse lifesaving care can create legal and ethical conflicts |
|
|
Term
| Factors to consider for ethical dilemmas involving futile situations. |
|
Definition
-May pose dilemma when lack of agreement about treatment goals exists
-Consult medical direction to assist |
|
|
Term
| Laws protecting pts from unethical health care practices, economic triage, and patient dumping are ethical dilemmas relating to... |
|
Definition
| Obligations to provide care |
|
|
Term
| Conflict existing between the duty to follow medical control, and the duty to provide for patient needs may cause ethical dilemmas related to... |
|
Definition
|
|
Term
| What are the ethical dilemmas related to care that a paramedic may face? |
|
Definition
| Futile situations, obligation to provide care, patient advocacy, and role as physician extender |
|
|
Term
| What are the prehospital ethical dilemmas the paramedic may face? |
|
Definition
| Allocation of resources, decisions surrounding resuscitation, confidentiality, and consent |
|
|
Term
| What can be done daily to reduce risk of infectious disease exposure? |
|
Definition
-Be aware of common exposure sources
-Use personal protection
-Know what to do if exposure occurs |
|
|
Term
|
Definition
| Gloves, masks, gowns, HEPA filters |
|
|
Term
| Actions to be taken following significant exposure to a patient's body fluids. |
|
Definition
-Immediately wash
-Report to receiving hospital asap
-Immediately document
-Comply with req'd reporting responsibilities/timeframes
-Cooperate with investigation
-Be screened
-Obtain proper immunization boosters
-Obtain full medical follow-up |
|
|
Term
| Health insurance, Rx decisions when resources are inadequate, multiple-casualty disaster, rationing of care required are ethical issues related to... |
|
Definition
|
|
Term
| Advance directives, living wills, and self-determination documents are ethical issues related to... |
|
Definition
| Decisions surrounding resuscitation |
|
|
Term
| What should a paramedic do in futile situations? |
|
Definition
| Consult medical direction |
|
|
Term
| This law protects patients from unethical health care practices. |
|
Definition
| Emergency Medical Treatment Active Labor Act (EMTALA) |
|
|
Term
| Evaluating impact of Pts care based on fiscal aspects important to the hospital. |
|
Definition
|
|
Term
| Unstable Pt transfer, discharged for financial reasons. |
|
Definition
|
|
Term
| In moments when paramedic accountability conflicts with patient advocacy, what should the medic do? |
|
Definition
| Ethical to err on the side of providing for Pt's needs |
|
|
Term
| What daily measures can be taken to reduce the risk of infectious disease exposure? |
|
Definition
| Be aware of common exposure sources, use personal protection, and know what to do if exposure occurs |
|
|
Term
|
Definition
| Gloves, masks, gowns, HEPA filters (when tuberculosis confirmed) |
|
|
Term
| What measures can be taken to reduce the risk of infectious disease exposure? |
|
Definition
-Practice universal precautions
-Follow engineering, work practices
-Maintain good personal health, hygiene habits
-Maintain immunizations
-Practice BSI
-Use sharps containers
-Properly clean, disinfect, dispose of use material/equipment immediately
Separate and label all soiled laundry and equipment until items can be cleaned and disinfected. |
|
|
Term
| What actions should be taken following a significant exposure to a Pt's blood or other body fluids? |
|
Definition
-Immediately was contact area
-Report asap to rcving hospital and agency designated official
-Immediately document
-Comply with req'd reporting responsibilities
-Cooperate with incident investigation
-Be screened
-Obtain proper immunization boosters
-Obtain full medical follow-up |
|
|
Term
| This anxiety occurs in certain situations or unusual circumstances, and is normal and healthy. |
|
Definition
|
|
Term
| What does normal anxiety do for someone? |
|
Definition
| Provides a warning system that protects persons from being overwhelmed by a sudden stimulation. |
|
|
Term
| This is an ongoing state of vigilance or alertness beyond the initial conflict or emergency, and despite resolution. |
|
Definition
|
|
Term
| This is a process that involves learning successful ways to deal with stressful situations. |
|
Definition
|
|
Term
| What occurs during the adaptation process? |
|
Definition
| Usually begins with defense mechanisms, then coping skills are developed, followed by problem solving, and finally concluding with mastery. |
|
|
Term
| These are adaptive functions of the personality; assist a person in adjusting to stressful situations and help people avoid dealing with the problems. |
|
Definition
|
|
Term
| An active confronting process, involves gathering info and using the info to change or adjust to a new situation. |
|
Definition
|
|
Term
| This stress reaction involves analyzing a problem and finding options to deal with the issue now and in the future. |
|
Definition
|
|
Term
| This is the ability to see multiple options and solutions for challenging situations; results from extensive experience and the use of effective coping mechanisms. |
|
Definition
|
|
Term
| Reframing, controlled breathing, progressive relaxation, and guided imagery are examples of... |
|
Definition
| Stress-reduction techniques |
|
|
Term
| This stress reduction technique involves first looking at the situation from a different emotional viewpoint and then placing it in a different frame that fits the facts of another situation equally well. |
|
Definition
|
|
Term
| This is a natural stress control technique where a person concentrates on depth and rate of breathing to achieve a calming effect. |
|
Definition
|
|
Term
| Stress reduction technique in which the person systematically tightens and relaxes particular muscle groups, fooling the brain into initiating muscle relaxation throughout the body. |
|
Definition
|
|
Term
| This stress-reduction technique involves focusing on an image that helps relieve stress during meditation. |
|
Definition
|
|
Term
| Documenting scene situations that affect care, aiding in tracking care skills of paramedic, and documentation of ALS skills for recertificaiton are uses of... |
|
Definition
|
|
Term
| What is the purpose of the Pt care report? |
|
Definition
| Demonstrates continuity of care, provides a legal record of care provided, assists financial reimbursement, and assists quality improvement studies/research. |
|
|
Term
| What are the components of an accurate, thorough PCR? |
|
Definition
-Dates
-Response times
-Difficulties en route
-Comm difficulties
-Scene observations
-Reasons for extended on-scene time
-Previous care provided
-Time of extrication
-Time of Pt transport
-Reason for hospital selection |
|
|
Term
| What are the elements of a properly written EMS document? |
|
Definition
-Accurate and complete
-Legible
-Timely
-Unaltered
-Free of nonprofessional/extraneous info |
|
|
Term
| What are examples of effective systems for documenting the narrative section of a pre-hospital PCR? |
|
Definition
SAMPLE
SOAP
CHART
CHEATED
Head to toe
Chronological
Patient Mgmt Approach |
|
|
Term
| What does SOAP stand for? |
|
Definition
Subjective Data
Objective Data
Assessment Data
Plan Patient Management |
|
|
Term
| This section of SOAP contains all Pt symptoms, the chief complaint, associated symptoms, history, current meds/allergies, and info provided by Pt, family bystanders, etc. |
|
Definition
|
|
Term
| This section of SOAP contains pertinent physical exam data, vital signs, LOC, physical exam findings, EKG, Pulse ox, and blood glucose determinations. |
|
Definition
|
|
Term
| This section of SOAP contains the clinical impression of the Pt (based on subjective and objective data). |
|
Definition
|
|
Term
| This section of SOAP contains treatment provided and requests for addn'l Rx. |
|
Definition
|
|
Term
| What should be documented when a Pt refusal is involved? |
|
Definition
-Physical assessment findings
-Paramedic's advice
-Advice from medical direction
-Clinical info that suggests Pt able to make the decision to refuse
-Witness' signature
-Complete narrative, including quotations and statements by others |
|
|
Term
| What needs to be documented when care, or transportation is not needed? |
|
Definition
| If cancelled en route, document the agency that cancelled the call. |
|
|
Term
| What is the appropriate method to make revisions/corrections to the PCR? |
|
Definition
-Make it as soon as the need is realized
-Note the purpose of the revision
-Note the date and time the revision was made
-Ensure the revision was made by the original author |
|
|
Term
| Research where events are monitored, analyzed w/o attempt to manipulate/alter outcome. |
|
Definition
|
|
Term
| Research where the intervention is introduced and effects are monitored for outcome. |
|
Definition
|
|
Term
| Research where specific question, hypothesis, and data collection are defined before study begins. |
|
Definition
|
|
Term
| Research where specific question, hypothesis, and data collection are defined after data already exists. |
|
Definition
|
|
Term
| Research where a group of subjects is studied during specified period of time. |
|
Definition
|
|
Term
| Traditional medical practice based on medical knowledge, intuition, and judgment. |
|
Definition
|
|
Term
| What criteria should be evaluated when reading a research paper? |
|
Definition
Read critically, review:
-population
-inclusion/exclusion criteria
-data collection
-results
-discussion and conclusion |
|
|
Term
| What are the 10 steps to perform research? |
|
Definition
-Prepare question
-Write hypothesis
-Decide what to measure, and best way to measure it
-Define population
-Identify study limitations
-Seek study approval
-Obtain informed consent
-Gather data after conducting pilot trials
-Analyze data after conducting pilot trials
-Determine what to do with the research |
|
|
Term
| What are the uses of a PCR? |
|
Definition
| Medical continuity of care, quality improvement, legal record, supply tracking, performance eval, state reporting, education, and skill tracking. |
|
|
Term
| Inappropriate documentation may result in _________ and ________ consequences. |
|
Definition
|
|
Term
| What situations require special documentation? |
|
Definition
| Patient refusal of care or transport, care or transport not provided/needed, and mass casualty incidents |
|
|
Term
| What is the purpose of the PCR? |
|
Definition
| To document the key elements of patient assessment, care and transport. |
|
|
Term
| The process by which one person or group transmits meaning to others. |
|
Definition
|
|
Term
| What are the four barriers to communication? |
|
Definition
| Attributes of the receiver, selective perception, semantic problems, and time pressures |
|
|
Term
| This barrier to successful communication stems from different people reacting in different ways to the same message or idea. |
|
Definition
| Attributes of the receiver |
|
|
Term
| This barrier to communication arises from the tendency of people to listen to only a part of an idea or message. |
|
Definition
|
|
Term
| This barrier to communication is a result of commonly used words having different meanings for different people. |
|
Definition
|
|
Term
| This barrier to communication occurs when normal channels of comm are bypassed or shortened due to a time crunch. |
|
Definition
|
|
Term
| Three elements of that protect against claims of negligence. |
|
Definition
| Training, competent Pt care skills, and full documentation |
|
|
Term
| What are the legal issues related to Pt transport? |
|
Definition
| Level of care during transport, use of emergency veh. operating privileges, choice of Pt destination, and payer protocols |
|
|
Term
| Legal responsibilities for the Pt continue until... |
|
Definition
| Transfer of care or it is clear the Pt no longer requires care |
|
|
Term
| What are two concepts of ethical healthcare? |
|
Definition
| Provide Pt benefit, and do no harm. |
|
|
Term
| That all resources should be allocated fairly is an accepted _______ value. |
|
Definition
|
|
Term
| A health care professional is not allowed to reveal details supplied by the Pt to others w/o the Pt's consent; this is the principle of.. |
|
Definition
|
|
Term
| Factors that must be considered to ensure appropriate timing of medical and mechanical skills during rescue: |
|
Definition
-Pt access
-Initiation of Tx at the site
-Release of Pt fm entrapment
-Continuous medical care throughout |
|
|
Term
| What are the phases of a rescue operation? |
|
Definition
-Arrival and scene size-up
-Hazard control
-Gaining Pt access
-Medical Tx
-Disentanglement
-Pt packaging
-Transportation |
|
|
Term
| What is the PPE for rescuers? |
|
Definition
-Impact resistant helmet w/ ear protection and chinstrip
-Safety goggles w/ strap and vents
-Turnout gear
-Waterproof slip resistant gloves
-Steel toe/sole boots
-SCBA |
|
|
Term
| What are the hazards that may be present during an EMS Op on the highway? |
|
Definition
-Alternative fuel veh
-Electrical power
-Unstable vehicles
-Undeployed air bags or SRS |
|
|
Term
| How far should a rescuer stay from an airbag? |
|
Definition
Side impact-5 in
Driver-10 in
Passenger-20 in |
|
|
Term
| What are special considerations for pre-hospital assessment? |
|
Definition
-Assessment can be complicated by weather, temp, access, equip limitations, Pt entrapment and PPE (mobility)
-Difficulty exposing Pt
-Restrictive clothing and PPE
-Limited lighting and cramped space
-Difficulty transporting equip to Pt |
|
|
Term
| What are special considerations for mgmt of Pt exposure during rescue ops? |
|
Definition
| Protect the Pt from extrication damage, heat, cold, and external elements. |
|
|
Term
| What are special considerations for mgmt of ALS measures in rescue ops? |
|
Definition
| BLS is mandatory and ALS should only be provided if necessary |
|
|
Term
| What are the special considerations for mgmt of Pt monitoring during rescue ops? |
|
Definition
| LOC and vitals must be monitored thru the rescue |
|
|
Term
| What are the special considerations for mgmt of pain control during rescue ops? |
|
Definition
| Provide Pt w/ drugs that will reduce pain during extrication |
|
|
Term
| Which federal law enabled creation of the US DOT and the NHTSA and provided funding for EMS? |
|
Definition
|
|
Term
| Which component is at the center of the EMS system? |
|
Definition
|
|
Term
| Which component of the EMS Education Agenda for the future is designed primarily to protect the public? |
|
Definition
|
|
Term
| This describes the manner in which a paramedic follows the practice, guidelines, and ethical considerations of prehospital emergency care. |
|
Definition
|
|
Term
| Making sure the ambulance is adequately stocked is within the role of a paramedic as defined by... |
|
Definition
|
|
Term
| The _________ is responsible for monitoring the quality of EMS care. |
|
Definition
| EMS Physician Medical Director |
|
|
Term
| What should be done if a man, claiming to be a physician, is attempting to direct care in an inappropriate manner on a cardiac arrest call? |
|
Definition
| Contact online medical direction for instructions |
|
|
Term
| "Continuing education programs" demonstrates a prospective method of a _____________ model. |
|
Definition
| Continuous Quality Improvement |
|
|
Term
| Which error prevention strategy involves asking yourself, "Am I doing the right thing?" |
|
Definition
|
|
Term
| Applying colored tape to distinguish between look alike medicines is an example of an _________ method to reduce the risk of medication error? |
|
Definition
|
|
Term
| The highest risk activity on an EMS call is... |
|
Definition
| Responding lights and sirens |
|
|
Term
| A unit of frequency equal to one cycle per sec |
|
Definition
|
|
Term
| The ability to transmit or receive in one direction at a time. |
|
Definition
|
|
Term
| A grouping of radio equipment that includes a transmitter and receiver. |
|
Definition
|
|
Term
| Radio freqs between 300 and 3000 MHz. |
|
Definition
|
|
Term
| The ability to transmit and receive simultaneously through two different freqs. |
|
Definition
|
|
Term
| A unit of frequency equal to 1 million cycles per second. |
|
Definition
|
|
Term
| Radio freqs between 30 and 300 MHz. |
|
Definition
|
|
Term
| A unit that receives transmissions from a mobile radio and retransmits them at higher power on another freq. |
|
Definition
|
|
Term
| Three common causes of environmental interference with radio transmissions. |
|
Definition
| Mountains, Dense foliage, and Tall bldgs |
|
|
Term
| Describe 4 responsibilities of an EMS dispatcher. |
|
Definition
-Rcv calls fro EMS assistance
-Dispatch/coordinate EMS resources
-Relay med info
Coordinate with public safety agencies |
|
|
Term
| 3 essential pieces of info a dispatcher must obtain from a bystander who calls in to report a MVC. |
|
Definition
-Name/callback # of caller
-Location of the MVC
-Nature of the emergency scene |
|
|
Term
| What are three ways the FCC directly influences EMS? |
|
Definition
-Licensing and frequencies
-Establishing equipment standards
-Enforcing rules and regs |
|
|
Term
| 6 actions a paramedic may take to ensure clear and understandable radio transmissions. |
|
Definition
-Speak 2-3 in away fm the device
-Speak slowly
-Don't use emotion
-Be concise
-Don't use codes
-Advise when done transmitting |
|
|
Term
| Manipulation of the intended idea for communication is known as... |
|
Definition
|
|
Term
| A mobile unit is a component of a ________ communication system. |
|
Definition
|
|
Term
| A radio receiver circuit used for suppressing the audio portion of unwanted radio noises or signals is called... |
|
Definition
|
|
Term
| The term for the number of repetitive cycles per second completed by a radio wave. |
|
Definition
|
|
Term
| Transmission and reception of electrocardiograms over the radio or telephone. |
|
Definition
|
|
Term
| How is the strongest signal selected when numerous satellite receivers are used? |
|
Definition
|
|
Term
| What are dispatch services located away from base stations that facilitate comm with field personnel known as? |
|
Definition
|
|
Term
| What is an advantage of comm with cell phones? |
|
Definition
| They provide a secure link between EMS and the hospital. |
|
|
Term
| A function of pre-arrival instructions is to... |
|
Definition
| Provide life-saving instructions |
|
|
Term
| What is the role of the FCC? |
|
Definition
| To monitor freqs for appropriate usage. |
|
|
Term
| Forcefully restraining the arm of an alert, competent Pt while an IV line is placed is... |
|
Definition
|
|
Term
| As a joke, advising the ER staff that the Pt is a prostitute may legally result in... |
|
Definition
|
|
Term
| Telling a friend that you treated a nurse you both know for an OD is known as ... |
|
Definition
| Invasion of Privacy (libel) |
|
|
Term
| Restraining an alert, conscious adult with an obvious fracture and transporting him against his will is... |
|
Definition
|
|
Term
| Documenting that the Pt is homosexual and remarking "Now let's see them get insurance", is... |
|
Definition
|
|
Term
| Leaving a Pt in the ER to go on another call before you have an opportunity to give a report to the nurse is... |
|
Definition
|
|
Term
| Name three effective means by which the paramedic can avoid claims of liability when providing Pt care. |
|
Definition
-Obtain appropriate training
-Deliver competent care
-Ensure thorough documentation |
|
|
Term
| Which branch of law is also referred to as Tort Law? |
|
Definition
|
|
Term
| What is necessary for successful prosecution of a criminal law case? |
|
Definition
|
|
Term
| This act provides protection for the paramedic with regards to infectious disease. |
|
Definition
|
|
Term
| You are caring for an elderly Pt who experienced a syncopal episode, and he now refuses care. What action must you take to ensure legal compliance during this refusal process? |
|
Definition
| Tell the Pt that if he changes his mind, he can call you again. |
|
|
Term
| According to the AHA, what criteria must be met to stop CPR in the prehospital setting after you have initiated ALS procedures? |
|
Definition
| Persistent asystole or agonal rhythm is present, and no reversible causes are identified. |
|
|
Term
| In an unblinded study when the paramedic is assessing the Pt's response to a new drug that relieves pain, who would know when the study Rx is being given as opposed to the control Rx? |
|
Definition
| The Pt, the paramedic, and researcher |
|
|
Term
| You are conducting research for a drug to treat cardiac arrest. Only you and your partner have been trained to gather the data, so the drug will be used only on days that you work. This type of subject selection is called... |
|
Definition
|
|
Term
| Before research is approved by an institutional review board, what must you prove? |
|
Definition
|
|
Term
| Which section of a research article describes the step-by-step processes to conduct the research? |
|
Definition
|
|
Term
| Which type of statistical analysis has findings that suggest the results in the sample could be generalized to the entire population? |
|
Definition
|
|
Term
| What is the primary goal of the institutional review board? |
|
Definition
|
|
Term
| Which type of consent would be most common when performing cardiac arrest studies? |
|
Definition
|
|
Term
| (Defense mech) A rape victim cannot recall anything from the time she was abducted until the police find her. |
|
Definition
|
|
Term
| (Defense mech) A paramedic who was passed over for a promotion states that the boss always plays favorites. |
|
Definition
|
|
Term
| (Defense mech) A paramedic is upset by a violent death and washes all the vehicles in the garage. |
|
Definition
|
|
Term
| (Defense mech) A victim of an auto accident refuses to acknowledge that he cannot move his legs. |
|
Definition
|
|
Term
| (Defense mech) An EMT who gave poor care complains about the Pt's hospital Rx. |
|
Definition
|
|
Term
| (Defense mech) A 10 yo begins to suck his thumb en route to the hospital after sustaining a fracture from a fall. |
|
Definition
|
|
Term
| List three potential symptoms of decompensation fm the effects of long-term stress. |
|
Definition
| Irritability, fatigue, withdrawal |
|
|
Term
| T or F, indigestion or change in bowel habits is a warning sign of cancer. |
|
Definition
|
|
Term
| T or F, water is one of the most important nutrients. |
|
Definition
|
|
Term
| Generalized feelings of apprehension are called... |
|
Definition
|
|
Term
| Critical incident stress debriefing is most helpful for what kinds of situations? |
|
Definition
| Ones in which a high degree of stress is perceived. |
|
|
Term
| A child acting as though nothing has happened is a normal response to the death of a close family member, T or F. |
|
Definition
|
|
Term
| School-age children (7-12 yo) believe that death... |
|
Definition
| Happens to others, not themselves |
|
|
Term
| Making associations or implying a cause. |
|
Definition
|
|
Term
| Paraphrasing a Pt's words. |
|
Definition
|
|
Term
| Pausing for several moments. |
|
Definition
|
|
Term
| Reviewing and open-ended questions. |
|
Definition
|
|
Term
| Having the Pt rephrase a word. |
|
Definition
|
|
Term
|
Definition
|
|
Term
| Refocusing on one aspect of the interview. |
|
Definition
|
|
Term
| List 6 actions the medic can use to convey that he/she is actively listening to the Pt. |
|
Definition
-Face the Pt when he speaks
-Maintain eye contact
-Avoid crossing arms/legs
-Avoid distracting body mvmts
-Nod at appropriate times
-Lean toward the Pt |
|
|
Term
| A planned act to communicate and obtain information is known as... |
|
Definition
| Therapeutic Communication |
|
|
Term
| When a message is put into an understandable format, it is considered... |
|
Definition
|
|
Term
| When you try to see the situation from another person's POV, you are demonstrating... |
|
Definition
|
|
Term
| What is the most effective method for communicating with a hearing-impaired Pt in the prehospital setting? |
|
Definition
| Whatever method the Pt prefers |
|
|
Term
|
Definition
| Medical continuity of care, quality improvement, legal record, supply tracking, performance eval, state reporting, education, and skill tracking. |
|
|
Term
| What should you document when your response is cancelled en route to the scene? |
|
Definition
| Canceling authority and time of cancellation |
|
|
Term
| When correcting a PCR, individual strikeouts are ok. T or F |
|
Definition
| False (entire sentence should be re-written) |
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
| Infant Reflex, head turns toward facial stimulation. |
|
Definition
|
|
Term
| Infant Reflex, lips pucker when mouth contacts nipple. |
|
Definition
|
|
Term
| Infant Reflex, toes spread up and out when sole stroked. |
|
Definition
|
|
Term
| Infant Reflex, mouth opens if palm is pressed when supine. |
|
Definition
|
|
Term
| Infant Reflex, infant stretches and then hugs self after loud noise. |
|
Definition
|
|
Term
| What are causes of physical and emotional challenges in late adulthood? |
|
Definition
| Decreased mobility, disease processes, cognitive loss, and death of a companion |
|
|
Term
| A HR of 140/min at rest would be considered normal for what age group? |
|
Definition
|
|
Term
| What physiological changes occur at birth? |
|
Definition
| Pulmonary vascular resistance decreases, SVR increases, ductus venosus contricts, and right ventricular pressure decreases. |
|
|
Term
| T or F, infant's lose body heat and fluid through respirations. |
|
Definition
|
|
Term
| This is a protective survival reflex in infants. |
|
Definition
|
|
Term
| For which type of temperament might low intensity of reactions and a negative mood be observed? |
|
Definition
|
|
Term
| T or F, toddlers hemoglobin approaches adult levels. |
|
Definition
|
|
Term
| Which parenting style tends to produce children who are responsible, assertive, and self-reliant? |
|
Definition
|
|
Term
| This style of parenting tends to produce children who have low motivation and self-esteem. |
|
Definition
|
|
Term
| This style of parenting tends to produce dicontented, distrustful, and self-centered children. |
|
Definition
|
|
Term
| Regarding development of peer relationships in the toddler or preschool age group, they are formed with others at ... |
|
Definition
|
|
Term
| T or F, regarding school aged children, growth rates are slower than infants/toddlers, lymphatic tissue is larger relative to adults, primary teeth are lost and replaced with permananet teeth, and skull growth is 95% complete. |
|
Definition
|
|
Term
| Conventional reasoning is a stage in which phase of the psychosocial development of a child? |
|
Definition
|
|
Term
| What stimulates the release of hormones that initiate the physical changes of puberty in girls? |
|
Definition
|
|
Term
| Regarding teenagers and psychosocial issues, the number one cause of death in gay teens is... |
|
Definition
|
|
Term
| On which developmental issue do early adults often focus? |
|
Definition
|
|
Term
| Which health-related concern is common in middle-aged adults? |
|
Definition
|
|
Term
| Where do deaths from unintentional causes rank in the US? |
|
Definition
|
|
Term
| Why are EMS providers ideal to assist with an educational plan to reduce a community's incidence of drowning? |
|
Definition
| They are welcomed into homes and public places |
|
|
Term
| How can EMS agencies promote the involvement of staff members in community wellness programs? |
|
Definition
| Provide a salary for off-duty injury prevention work |
|
|
Term
| What community resources can you use as sources of information to determine whether the makeup of your community is changing? |
|
Definition
|
|
Term
| A support group would be an example of what kind of activity? |
|
Definition
|
|
Term
| A drunk-u-drama is an example of what kind of activity? |
|
Definition
| Primary health prevention |
|
|
Term
| A stop smoking campaign is an example of what kind of activity? |
|
Definition
| Secondary intervention (they already smoked) |
|
|
Term
| What is the primary goal of public health activities? |
|
Definition
| Preventing illness and injury |
|
|
Term
| Infection that produces influenza-like symptoms, dark-colored urine, and light-colored stools. |
|
Definition
|
|
Term
| Macular rash that can cause severe birth defects if a susceptible mother is exposed in pregnancy. |
|
Definition
|
|
Term
| Bacterial pulmonary infection spread by airborne droplets. |
|
Definition
|
|
Term
| Viral infection that impairs the ability of the body to fight other infectious diseases. |
|
Definition
|
|
Term
| Sexually transmitted disease characterized in the early stage by a painless chancre. |
|
Definition
|
|
Term
| Inflammation of the lining of the CNS that may produce headache, stiff neck, seizures, and coma. |
|
Definition
|
|
Term
| Bacterial infection that produces mucopurulent discharge but rarely causes septicemia. |
|
Definition
|
|
Term
| Generalized illness accompanied by vesicular lesions, fever, and malaise. |
|
Definition
|
|
Term
| What are the 6 elements that must be present for an infectious disease to occur? |
|
Definition
-Pathogenic agent
-Reservoir
-Portal of exit fm reservoir
-Transmission conducive environment
-Portal of entry to new host
-Susceptibility of new host |
|
|
Term
| During this stage of HIV, the Pt may have swollen lymph nodes, fever, and sore throat. |
|
Definition
| Acute retroviral infection |
|
|
Term
| During this stage of HIV, the Pt will have enlarged lymph nodes. |
|
Definition
|
|
Term
| During this stage of HIV, the Pt may have oral lesions, bacterial pneumonia, shingles, and pulmonary tuberculosis. |
|
Definition
| Early symptomatic infection |
|
|
Term
| During this stage of HIV, the Pt may have diarrhea, tumors, dementia, neurologic symptoms, and opportunistic infections. |
|
Definition
| Late symptomatic infection |
|
|
Term
| What are chronic signs or symptoms that may develop in untreated syphilis? |
|
Definition
-Paresis
-Wide gait
-Ataxia
-Psychosis
-Myocardial insufficiency |
|
|
Term
| What agency is responsible for establishing the guidelines for BSI and universal (standard) precautions? |
|
Definition
| Centers for Disease Control and Prevention |
|
|
Term
| How can you interrupt the portal of entry in the chain of elements of an infectious disease? |
|
Definition
| Wear gloves as defined in BSI guidelines |
|
|
Term
| The internal defense that provides antibodies to destroy invading organisms is produced by... |
|
Definition
|
|
Term
| The infectious disease phase that begins when the agent invades the body and ends when the disease process begins is which period? |
|
Definition
|
|
Term
| This infectious disease phase begins when the latent period ends and continues as long as the agent is present and can spread to others. |
|
Definition
|
|
Term
| This infectious disease phase begins with invasion of the body and ends when the agent can be shed or communicated. |
|
Definition
|
|
Term
| This infectious disease phase follows the incubation period and has variable lengths. |
|
Definition
|
|
Term
| Death caused by hepatitis is most likely to occur from which strain of the virus? |
|
Definition
|
|
Term
| Which sign or symptom can help to distinguish pneumonia from other respiratory illnesses? |
|
Definition
| Shaking chills and chest pain |
|
|
Term
| This is a classic sign/symptom of tetanus. |
|
Definition
|
|
Term
| What is the reaction causing muscle spasms that prevents a patient with rabies from drinking called? |
|
Definition
|
|
Term
| What is the primary mode of transmission for rubella, mumps and varicella? |
|
Definition
|
|
Term
| This is a complication of varicella. |
|
Definition
|
|
Term
| Which childhood disease is characterized by a violent cough that can persist for 1-2 months? |
|
Definition
|
|
Term
| What secondary complication of influenza often is associated with severe illness or death? |
|
Definition
|
|
Term
| Which S&S associated with mononucleosis could produce a life-threatening condition if the patient is not maintained at rest? |
|
Definition
|
|
Term
| Which body system harbors the dormant herpes virus? |
|
Definition
|
|
Term
| When should assessment of the potential for violence at the scene begin? |
|
Definition
|
|
Term
| What may indicate that the residence you are about to enter is potentially dangerous? |
|
Definition
|
|
Term
| When approaching a single vehicle stopped along the highway, approach should be from the... |
|
Definition
|
|
Term
| What is most likely to protect a paramedic from danger during a violent street scene? |
|
Definition
|
|
Term
| How can you learn about gang-related activity in your EMS response area? |
|
Definition
|
|
Term
| Why is a response to a meth lab risky? |
|
Definition
|
|
Term
| This should raise suspicion of domestic violence. |
|
Definition
|
|
Term
| What is the safest EMS safety strategy in a dangerous situation? |
|
Definition
|
|
Term
| These are clues that a patient may become violent. |
|
Definition
| Verbal abuse, boxer stance, and clenched fists |
|
|
Term
| T or F, an ice pick may easily pass through body armor. |
|
Definition
|
|
Term
| Tactical Paramedic training usually includes... |
|
Definition
| Advanced hazard assessment |
|
|
Term
| These standards designate design standards for types I, II, and III ambulances. |
|
Definition
|
|
Term
| Why are routine ambulance equipment checks essential? |
|
Definition
| So that essential equipment is available and in working order during Pt care |
|
|
Term
| What should determine emergency vehicle placement in a community? |
|
Definition
| Average response times that meet national standards |
|
|
Term
| How can the paramedic promote safety when responding to a vehicle crash on the highway? |
|
Definition
| Park 100 ft past the crash |
|
|
Term
| All air medical crew members should receive specialized training in... |
|
Definition
|
|
Term
| Aside from ensuring safety, rescue ops should be guided by... |
|
Definition
| Medical and physical needs of the Pt |
|
|
Term
| What is the responsibility of the paramedic in any rescue situation? |
|
Definition
| Know when it is safe to attempt rescue |
|
|
Term
| What routine safety measure should be used to protect the Pt during a vehicle rescue that does not involve fire/hazmat? |
|
Definition
|
|
Term
| According to OSHA and NFPA standards, rescuers should have ACCESS to what PPE? |
|
Definition
|
|
Term
| When responding to swift water rescue, the paramedic should not walk in fast-moving water that is over... |
|
Definition
|
|
Term
| These factors will contribute to drowning. |
|
Definition
| Cool water temp, drugs, and alcohol use |
|
|
Term
| What is the first measure that should be used to attempt rescue for a person in the water? |
|
Definition
|
|
Term
| T or F, an oxygen level over 22% would be considered hazardous. |
|
Definition
|
|
Term
| This is a clue that a silo is oxygen limiting. |
|
Definition
|
|
Term
| A medic may enter a trench collapse w/o specialized equipment when the trench is less than... |
|
Definition
|
|
Term
| What should the paramedic do to reduce the risk of fire at the scene of a motor vehicle collision? |
|
Definition
|
|
Term
| With regards to an undeployed airbag, what measure may create a hazard for rescuers? |
|
Definition
| Cutting the steering column to disable the system |
|
|
Term
| This is a complication of crush syndrome. |
|
Definition
|
|
Term
| If a driver side air bag has not deployed, how far away from it will you stay? |
|
Definition
|
|
Term
| Contracts agreeing to interagency exchange of resources when necessary. |
|
Definition
|
|
Term
| Pumpers, ladders, rescue trucks. |
|
Definition
|
|
Term
| Rendezvous location for all arriving EMS, fire and rescue equipment. |
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Definition
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|
Term
| Responsible for coordination of major incident situation. |
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Definition
|
|
Term
| Which phase of major incident planning involves establishing an inventory of community resources needed for selected disasters? |
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Definition
|
|
Term
| What are the 5 major components of FEMAs ICS organization? |
|
Definition
-Command
-Finance
-Logistics
-Ops
-Planning |
|
|
Term
| What has the highest priority when the IC is considering whether to expand the ICS organization during an incident? |
|
Definition
|
|
Term
| What is the primary responsibility of the section chiefs in an MCI? |
|
Definition
| To make sure that section members are working toward a common goal. |
|
|
Term
| Which section has overall responsibility for the areas that provide care to medical staff? |
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Definition
|
|
Term
| Is extrication group resource an appropriate role for a physician brought to the scene from a local hospital? |
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Definition
|
|
Term
| The most appropriate radio comm during an MCI would be between... |
|
Definition
| Command and section officers |
|
|
Term
| Pt classification during MCI should be based on... |
|
Definition
-Physiologic signs
-Anatomic injury
-Concurrent disease |
|
|
Term
| What information should be included on the patient tracking log? |
|
Definition
Patient's priority
Pt ID
Transporting unit
Hospital destination |
|
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Term
| In triage, patients are sorted, airways are opened, and... |
|
Definition
|
|
Term
| What best defines a major incident that requires use of the ICS? |
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Definition
| Rescuers do not have enough help or equipment to manage the scene in a timely manner. |
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Term
| This is any substance or material that is capable of posing an unreasonable risk to health, safety, and property. |
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Definition
|
|
Term
| Weight of pure vapor compared with the weight of an equal volume of dry air. |
|
Definition
|
|
Term
| Dose of chemical that will kill 50% of animals. |
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Definition
|
|
Term
| Exposure limit of 15 min. |
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Definition
|
|
Term
| Gas or vapor concentration that will burn or explode with ignition source. |
|
Definition
| Flammable or exposure limits |
|
|
Term
| Safe exposure for a 40 hr work week. |
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Definition
|
|
Term
| Minimum temp to ignite gas without spark or flame. |
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Definition
|
|
Term
| Atmosphere that causes immediate harm. |
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Definition
|
|
Term
| Vapor's ability to mix with water. |
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Definition
|
|
Term
| Maximum concentration not to be exceeded even for a moment. |
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Definition
|
|
Term
| Temperature at which liquid produces enough vapor to ignite and flash over but not continue to burn without more heat. |
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Definition
|
|
Term
| Health hazards of arsenic |
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Definition
|
|
Term
| Health hazards of halogenated hydrocarbons |
|
Definition
| Hepatotoxin and cardiotoxin |
|
|
Term
| Health hazards of hydrochloric acid |
|
Definition
|
|
Term
| Health hazards of hydrogen cyanide |
|
Definition
|
|
Term
|
Definition
|
|
Term
| Health hazards of malathion |
|
Definition
|
|
Term
| Health hazards of mercury |
|
Definition
| Nephrotoxin, neurotoxin and hemotoxin |
|
|
Term
| What health problems can be encountered when an individual is exposed to irritants? |
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Definition
| Damage to the respiratory tract and eye irritation. |
|
|
Term
| What health problems can be encountered when an individual is exposed to asphyxiants? |
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Definition
| Deprive body tissues of oxygen. |
|
|
Term
| What health problems can be encountered when an individual is exposed to nerve poisons, anesthetics and narcotics? |
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Definition
| Disruption of the nervous system |
|
|
Term
| What health problems can be encountered when an individual is exposed to hepatotoxins? |
|
Definition
|
|
Term
| What health problems can be encountered when an individual is exposed to cardiotoxins? |
|
Definition
|
|
Term
| What health problems can be encountered when an individual is exposed to neurotoxins? |
|
Definition
| Neurological and behavioral disruption |
|
|
Term
| What health problems can be encountered when an individual is exposed to hemotoxins? |
|
Definition
| Destruction of red blood cells |
|
|
Term
| What health problems can be encountered when an individual is exposed to carcinogens? |
|
Definition
|
|
Term
| What term describes the legislation, enacted in 1986, that established requirements for federal, state, and local government and industry regarding emergency planning and the reporting of HazMat? |
|
Definition
| Superfund Amendments and Reauthorization Act |
|
|
Term
| According to the HAZWOPER, what are the five categories of individuals who may respond to a Hazmat incident? |
|
Definition
-First responder-awareness
-First responder-operations
-Hazmat Tech
-Hazmat Specialist
-On-scene IC |
|
|
Term
| The United Nations labeling system is a/an (formal/informal) means of identifying hazardous products. |
|
Definition
|
|
Term
| T or F, seizure is a general S&S of inhalation exposure to Hazmat. |
|
Definition
|
|
Term
| T or F, external exposure to corrosive materials will generally cause burns. |
|
Definition
|
|
Term
| How should rescuers approach the scene of a hazmat incident? |
|
Definition
|
|
Term
Which of the following is included in the "pre-suit" medical monitoring of an individual who will be entering a hazmat situation:
-End-tidal CO2
-Reflexes
-Blood glucose
-Weight |
|
Definition
|
|
Term
| General recommendations for emergency management of contaminated Pts includes cutting off... |
|
Definition
|
|
Term
| What is performed during the "pre-suit" examination? |
|
Definition
-Baseline vitals
-Rescuer informed of S&S of contamination or exposure |
|
|
Term
| What is performed during the "post-entry" exam? |
|
Definition
-Vital signs
-Monitor rescure for S&S of exposure and heat-related illness |
|
|
Term
| Steps for rescuer decon leaving hot zone: |
|
Definition
-Remove and place outer gloves and boots in receptacle
-Remove SCBA
-Remove protective clothing
-Shower twice
-Put on clean clothes
-Obtain med eval |
|
|
Term
| How may hazardous materials enter the body? |
|
Definition
| Ingestion, absorption, injection and inhalation |
|
|
Term
| What are the formal means of identifying hazmat? |
|
Definition
| Placards, shipping papers, MSDS |
|
|
Term
| What are the informal means of identifying hazmat? |
|
Definition
| Visual indicators (vapor), container characteristics, company name and smell |
|
|
Term
| Illnesses caused by bacteria found in rodents. |
|
Definition
|
|
Term
| Nerve agent that has a camphorlike odor. |
|
Definition
|
|
Term
| Thick, odorless liquid used as a nerve agent. |
|
Definition
|
|
Term
| Gray, poisonous gas that smells like mown hay. |
|
Definition
|
|
Term
|
Definition
|
|
Term
| Bacterial disease spread by rodent fleas. |
|
Definition
|
|
Term
| Poisonous cytotoxin from a plant. |
|
Definition
|
|
Term
| Nerve agent that has a fruity odor. |
|
Definition
|
|
Term
| Anthrax, botulism, plauge, ricin, tularemia and smallpox are all... |
|
Definition
|
|
Term
| Sarin, soman, tabun and VX are all.... |
|
Definition
|
|
Term
| Nerve agents cause a __________ overdrive. |
|
Definition
|
|
Term
| What is the antidote for nerve agent exposure? |
|
Definition
| Atropine and 2PAM (pralidoxime chloride) |
|
|
Term
| What are the five categories of WMD? |
|
Definition
BNICE
Biological
Nuclear
Incendiary
Chemical
Explosive |
|
|
Term
| What are the different categories of biological agents? |
|
Definition
Category A-high morbidity and mortality
Category B-moderate morbidity and low mortality
Category C-emerging pathogens |
|
|
Term
| List four agents that could cause sudden onset of difficulty breathing, blurred vision, HA, and weakness. |
|
Definition
| Sarin, soman, tabun, and VX |
|
|
Term
| List three factors that would affect the degree of contamination from a dirty bomb. |
|
Definition
-Size of the explosion
-Amount of radioactive material
-Weather |
|
|
Term
| List three special considerations for a paramedic responding to a WMD incident. |
|
Definition
-Secondary devices
-Crowd control
-Crime scene preservation |
|
|
Term
| Which WMD exposure route has the potential for the greatest number of casualties? |
|
Definition
|
|
Term
| This type of infection can cause severe respiratory distress and sepsis in later stages. |
|
Definition
|
|
Term
| A large number of Pts who ate at the salad bar are complaining of nausea, blurred vision and dry mouth. Several have difficulty swallowing and complain they are having trouble breathing. What might this be? |
|
Definition
|
|
Term
| You are caring for a Pt suspected to have smallpox. What PPE is indicated? |
|
Definition
| Respiratory and contact protection |
|
|
Term
| A large number of Pts have excessive tearing, salivation, severe dyspnea w/ wheezing, weakness, drooling and hypoTN. What Tx should you provide along with O2? |
|
Definition
|
|
Term
| According to the Office for Domestic Preparedness, what are the responsibilities of EMS providers in preparing for and responding to incidents of terrorism involving WMD agents? |
|
Definition
| Implement incident operations |
|
|
Term
| Itching, papular lesion that becomes vesicular, black eschar; S&S resembling those of a cold followed by respiratory distress and sepsis are signs of... |
|
Definition
|
|
Term
| Fever, fainting, SOB, cough, bloody sputum and GI symptoms are signs of... |
|
Definition
|
|
Term
| High fever, fatigue, HA and backache; w/in 2-3 days rash and skin lesions that crust and scar, joint deformities and blindness are signs of... |
|
Definition
|
|
Term
| N, dry mouth, blurred vision, dysphagia, fatigue and dyspnea are signs of... |
|
Definition
|
|
Term
| Fever, HA, chills, malaise, GI illness, DIC, ARF and possible death are signs of... |
|
Definition
|
|
Term
| Severe respiratory symptoms and/or failure, severe GI symptoms, vascular collapse, and seizures are signs of... |
|
Definition
|
|
Term
|
Definition
| Antitoxin, mechanical ventilation |
|
|
Term
| How is tularemia treated? |
|
Definition
|
|
Term
| Published standards that address competencies for EMS workers at hazmat scenes. |
|
Definition
|
|
Term
| Published rules to govern training requirements, emergency plans, medical checkups, and other safety precautions for workers at uncontrolled hazardous waste sites and those responding to hazardous chemical spills. |
|
Definition
|
|
Term
| Medical exams for members of hazmat teams, providing medical care, record keeping and periodic eval of the surveillance program are tasks of a... |
|
Definition
| Hazmat medical monitoring program |
|
|
Term
| The first agency to arrive at the scene of a hazmat incident must... |
|
Definition
-Detect and ID the materials
-Assess the risk of exposure
-Consider potential for fire/explosion
-Gather info from onsite personnel/resources
-Confine and control the incident |
|
|
Term
| What are the primary goals of decon? |
|
Definition
-Reduce Pt's dosage of material
-Decrease the threat of secondary contamination
-Reduce the risk of rescuer injury |
|
|
Term
| What are paramedic tactics for safety? |
|
Definition
-Avoidance
-Tactical retreat
-Cover and concealment
-Distraction
-Evasive maneuvers |
|
|
Term
| What are the seven phases of a rescue operation? |
|
Definition
-Arrival and scene size-up
-Hazard control
-Gaining access to the Pt
-Medical Tx
-Disentanglement
-Pt packaging
-Transportation |
|
|
Term
| What are the six major hazards associated with confined spaces? |
|
Definition
-Oxygen-deficient atmospheres
-Chemical or toxic exposure and explosion
-Engulfment
-Machinery entrapment
-Electricity
-Structural concerns |
|
|
Term
| Environments with oxygen concentrations below ______ are considered hazardous. |
|
Definition
|
|
Term
| 60 sec assessment that focuses on the patient's ability to walk, respiratory effort, pulse/perfusion and mental status. |
|
Definition
|
|
Term
| You assess a Pt with a RR below 30, capillary refill < 2 sec, and can follow commands, and can walk. What triage category is the Pt? |
|
Definition
|
|
Term
| You triage a Pt that meets 30-2-can-do, but cannot walk, what category is the Pt? |
|
Definition
|
|
Term
| You triage a Pt that is unconscious, has rapid breathing, delayed or absent cap refill, or an absent radial pulse. How would this Pt be triaged? |
|
Definition
|
|
Term
| If you triage a Pt that's not breathing, what should you do? |
|
Definition
Open the airway:
-If the Pt spontaneously begins breathing, consider delayed
-If the Pt does not begin breathing, consider dead |
|
|
Term
| Identify the eight factors that influence safe ambulance ops. |
|
Definition
A. Appropriate use of personal restraints
B. Appropriate use of escorts
C. Environmental conditions
D. Appropriate use of warning devices
E. Proceeding safely through intersections
F. Parking at the emergency scene
G. Operating with due regard for safety of others
H. Safely moving a Pt into and out of the ambulance |
|
|
Term
| Identify ambulance types. |
|
Definition
A. Type I—based on the chassis-cabs of light duty pickup trucks
B. Type II—based on modern passenger/cargo vans
C. Type III—based on chassis-cabs of light duty vans |
|
|
Term
| The time after an injury has occurred when the patient and observers remain acutely aware of what has happened and may be more receptive to being taught ways that the event or illness could have been prevented. |
|
Definition
|
|
Term
| An assessment of a target community to identify needs and resources required to provide prevention and wellness promotion activities |
|
Definition
| Community Health Assessment |
|
|
Term
|
Definition
a. HR avg is 120 BPM
b. RR 25/min
c. BP systolic 90 mm Hg
d. Temp 98-100 |
|
|
Term
|
Definition
1. HR 80-130 BPM
2. RR 20-30/min
3. BP 70-100 mm Hg
4. Temp 96.8-99.9 degrees |
|
|
Term
|
Definition
1. HR 80-100 BPM
2. RR 20-30/min
3. BP 80-100 mm Hg
4. Temp 96.8-99.6 degrees |
|
|
Term
| Vitals of a school-aged child. |
|
Definition
a. HR 70-110 BPM
b. RR 20-30/min
c. BP systolic 80-120 mm Hg
d. Temp 98.6 |
|
|
Term
|
Definition
a. HR 55-105 BPM
b. RR 12-20/min
c. BP systolic 100-120 mm Hg
d. Temp 98.6 |
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|
