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¬ Chapter. 1-6 Emergency Care in the Streets

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Define Plaintiff? - correct answers-the person who brings a legal action against another person. It is MOST important for the paramedic to exercise extreme care when using medical abbreviations because: - correct answers-many abbreviations have more than one meaning. What is MOLST orders? - correct answers-Like DNR but more expansive. Such as addressing intubation, feeding tubes, antibiotics, and palliative care. Most lawsuits against EMS providers result from: - correct answers-ambulance collisions. One of the major differences between laws and ethics is that laws: - correct answers-involve enforceable sanctions if violated. Patient autonomy is MOST accurately defined as the: - correct answers-patient's right to direct his or her own care and to decide how end-of-life care should be provided. Define Contributory negligence? - correct answers-acts committed by plaintiff that contributes to adverse outcomes. Proper documentation is an essential job function of a paramedic. Today, in the majority of the jurisdictions in the United States, this formal written report is referred to as a: - correct answers-patient care report. Resuscitation efforts would MOST likely be ceased in the prehospital setting on a patient with: - correct answers-blunt trauma arrest. Standard items that a paramedic must document on every call are called the: - correct answers-minimum data set. Define Minimum data set? - correct answers-the mandatory clinical assessment standard information that must be documented on every emergency call. What is the Ryan White Act? - correct answers-The federal law that provides certain safeguards and protections for health care workers who are exposed or potentially exposed to certain designated diseases. The judicial branch at the state level is responsible for: - correct answers-resolving disputes based on interpretation of law. The National Emergency Medical Services Information System (NEMSIS): - correct answers-collects relevant data from each state and uses the data for research. The principle that essentially means that you should take all due care in ensuring that your patient receives the best possible care and that your actions do nothing to harm the patient is called: - correct answers-first, do no harm. Transporting a competent adult patient without his or her consent would MOST likely result in allegations of: - correct answers-false imprisonment. When a competent adult patient refuses medical care, it is MOST important for the paramedic to: - correct answers-ensure that the patient is well informed about the situation at hand. Which of the following are situations in which you may treat the patient without obtaining his or her expressed consent? - correct answers-The correct answer is: A 9-year old Child is struck by a car. He is bleeding profusely. His parents cannot be located., A 42-year old man is injured in a motor vehicle crash in which his car was demolished. He has bruises on his forehead. He seems confused. He says, "I'm all right. Let me alone. Just call me a taxi.", A 30-year-old woman is pulled from the beach surf in cardiac arrest.,

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Chapter. 1-6 Emergency Care in the
Streets
Define Critical Incident? - correct answers-an incident that overwhelms the ability of an
EMS worker or system to cope with the experience, either at the scene or later.
A formal critical incident stress debriefing (CISD): - correct answers-is usually
coordinated by one or more professional counselors 24 to 72 hours after an incident
that is causing persistent symptoms in personnel.
Define Regression? - correct answers-a return to an earlier age level of behavior or
emotional adjustment during a crisis situation.
A man having a possible heart attack redirects his anger away from his condition and
toward the paramedic is called: - correct answers-Displacement
According to the 2010 Dietary Guidelines, the keys to controlling body weight include: -
correct answers-eating fewer calories while increasing physical activity.
As a part of your personal health assessment, you should: - correct answers-consider
hereditary factors that can impact your health.
Define Burnout? - correct answers-the exhaustion of physical or emotional strength.
Signs of PTSD? - correct answers--trouble getting incident out of thoughts
-flashbacks of incident
-appetite is not the same after incident
-laugh or cry for no good reason (after incident)
-withdrawing form coworkers or family
Define Delayed stress reaction? - correct answers-reaction to stress that occurs after a
stressful situation.
During an emergency call, you begin experiencing a significant amount of anxiety. The
patient's family is present and the patient's condition is critical. You should: - correct
answers-take deep breaths in through your nose and out through your mouth
Primary prevention focuses on: - correct answers-Keeping an injury or illness from
occurring.
What is the stages of grieving? - correct answers-Denial, anger, bargaining, depression,
acceptance
Most of a patient's psychological stress responses to an illness or injury are: - correct
answers-Not under his or her conscious control.
Define Distress? - correct answers-Negative or injurious stress.
Part of your therapeutic role as a paramedic includes: - correct answers-maintaining a
calm and confident attitude.
Define Secondary Prevention? - correct answers-Reducing the effects of an injury or
illness that has already happened.
Signs and symptoms of cumulative stress include: - correct answers-insomnia or
hypersomnia.
Standard precautions differ from universal precautions in that standard precautions: -
correct answers-are designed to approach all body fluids as being potentially infectious.
The ability to remain calm and think clearly when everything else is in disarray is a trait
of: - correct answers-professionalism.

, Define Projection? - correct answers-The attribution of one's own behavior or feelings to
others.
Define Eustress? - correct answers-The kind of stress that motivates an individual to
achieve.
The leading cause of death in the United States is: - correct answers-Heart Disease
The MOST common of all hereditary risk factors are: - correct answers-Heart disease
and cancer
The MOST effective injury prevention program is one that is: - correct answers-broad
and ongoing.
Define Injury Surveillance? - correct answers-The ongoing, systematic collection,
analysis, and interpretation of injury data essential to the planning, implementation, and
evaluation of public health practice
Outcome Objectives state what? - correct answers-the intended effect of the program
on participants or on the community i such terms as the participants' increased
knowledge, changed behaviors or attitudes, or decreased injury rates.
Define Public Health? - correct answers-the practice of preventing disease and
promoting good health within groups of people.
When a patient calls EMS for an apparent non-life-threatening condition, the paramedic
should: - correct answers-recall that what he or she considers to be a non-emergency
may be very emergent to the patient.
When lifting, the paramedic should spread his or her legs _____________ apart. -
correct answers-shoulder with
When you enter a situation in which everyone is under stress, it is important to
remember that: - correct answers-there is no guarantee that people are going to behave
appropriately.
Signs of Impending Burnout? - correct answers--lack of desire to report to work
-chronic fatigue or irritability
-decreased ability to concentrate
-emotional instability
A 17-year-old woman presents with acute abdominal pain while at a party with her
husband. You arrive at the scene, assess the patient, and advise her of the need for
EMS treatment and transport. However, the patient, who is conscious and alert, refuses
EMS treatment and transport and states that her husband will transport her in his car.
You should: - correct answers-advise her of the potential risks of refusing EMS
treatment and transport.
A 40-year-old man presents with bizarre behavior. His speech is slurred and he is very
belligerent. His blood glucose level is 35 mg/dL. The patient tells you to get out of his
house. You should: - correct answers-remain professional and advise the patient that he
is not legally capable of refusing EMS treatment.
A 77-year-old man with end-stage chronic obstructive pulmonary disorder and renal
failure is found unresponsive by his daughter. Your assessment reveals that the patient
is apneic and pulseless. The daughter presents you with an out-of-hospital do not
resuscitate (DNR) order; however, the document expired 3 months ago. You should: -
correct answers-begin CPR only and contact medical control for further guidance.

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