ANSWERS(GRADED A+)
EMR - ANSWERThe first medically trained person to the scene
Duty to Act - ANSWERAn EMS legal responsibility to respond promptly to an
emergency scene and provide medical care
which department sets standards for EMR - ANSWERThe DOT national education
standards for EMR's.
Ten Standard Components of an EMS System - ANSWERRegulation and policy •
Resource management • Human resources and training • Transportation equipment
and systems • Medical and support facilities • Communications system Public
information and education • Medical direction • Trauma system and development •
Evaluation
First thing to do when on scene - ANSWER#1 is always to survey the scene for life
safety threats
Radio Repeater - ANSWERRadio system that automatically retransmits a radio
signal on a different frequency
Pathogens How are they transmitted? - ANSWERMicroorganisms that are capable
of causing disease/Contact with infected blood - Contact with airborne droplets -
Direct contact with infectious agents
expressed consent - ANSWERPermission for treatment given to an EMR by a
patient
Implied Consent - ANSWERWhen a patient is unconscious or when a serious threat
to life exists (assumed consent)
In 1966, Accidental Death and Disability: The Neglected Disease of Modern Society
was published. - ANSWERIn early 1970s, the US Department of Transportation
developed a national standard curriculum for training EMS providers.
Five stages of reaction to death and dying - ANSWERDenial, Anger, Bargaining,
Depression and Acceptance
(CISD) - ANSWERCritical Incident Stress Debriefing :Conducted within 24-72 hours
after incident by trained peers and mental health professionals
HIV transmitted - ANSWERis transmitted by contact with infected blood, semen, or
vaginal secretions. • Urine, nasal secretions or sputum only if they have blood in
them Wear gloves.
, Hepatitis B trans - ANSWERspread by direct contact with infected blood, but it is far
more contagious than HIV.
Tuberculosis (TB) - ANSWERWear a mask or a high-efficiency particulate air
(HEPA) respirator and apply oxygen to the pt. is spread by droplets from the
respiratory system.
Standard precautions Infectious Diseases - ANSWERAssume that all patients are
potentially infected with bloodborne pathogens. - Using standard precautions is the
most effective way of preventing exposure .
Standard precautions equipment - ANSWERAlways wear approved gloves, and
change gloves after contact with each patient. Wear a protective mask, eyewear, or
a face shield when you anticipate blood.
Hazardous materials - ANSWERFederal regulations require transport vehicles to be
marked with placards stop uphill and upwind and use binoculars to observe the
scene
Unstable objects - ANSWERCheck vehicle stability before entering the vehicle.
Undeployed air bags are hazards. - Fires and explosions can result in unstable
buildings.
Standard of Care - ANSWERThe standard of care is the manner in which you must
act or behave. You must treat the patient to the best of your ability. - You must
provide care that a reasonable, prudent person with similar training would provide
under similar circumstances.
Scope of Care - ANSWERAn outline of what the EMR is allowed to do - The US
Department of Transportation, Emergency Medical Responder Educational
Standards - Medical protocols or standing orders written by the EMS System Medical
Director - Online medical direction
Ethics - ANSWERTreating a patient ethically means doing so in a manner that
conforms to accepted professional standards of conduct.
Consent for minors - ANSWERUnder the law, minors are not considered capable of
speaking for themselves. dont treat unless the child has critical injuries. - If
permission cannot be quickly obtained, do not hesitate to give appropriate medical
care.
Communications systems can be divided into two categories: - ANSWERThose that
transmit voice communications - Those that transmit data
Communications With Patients - ANSWERIntroduce yourself by name and title. • Ask
the patient's name and use it (surname). • Make and keep eye contact. • Use
language the patient can understand. • Speak slowly, clearly, and distinctly.