Icema Final Study Guide Questions And Answers

ICEMA FINAL STUDY GUIDE
QUESTIONS AND ANSWERS



Physician01on01Scene


What01they01can01and01cannot01do,01what01you01can01and01cannot01do01-01ans-

Organ01Donor01Information
What01do01you01do01with01this01information?01-01ans--
adult01patient01for01whom01it01appears01death01is01imminent;01a01reasonable01search01of
01the
patient's01belonging01should01be01made01to01determine01if01the01individual01carries01info
rmation
indicating01status01as01an01organ01donor

-
01EMS01field01personnel01shall01notify01the01receiving01hospital01if01organ01donor01inform
ation01is
discovered

-
01Any01organ01donor01document01discovered01should01be01transported01to01the01receivi
ng01hospital
with01the01patient01unless01the01investigating01law01enforcement01officer01requests01the
document

-
01EMS01field01personnel01should01briefly01note01the01results01of01the01search,01notificatio
n01of01hospital
and01witness01name(s)01on01the01patient01care01report

-
01No01search01is01to01be01made01by01EMS01field01personnel01after01the01patient01has01e
xpired

Patient01Restraints

,Requirements01for01applying01restraints?01-01ans-
only,01when01necessary,01in01situations01where01the01patient01is01potentially01violent01an
d01is
exhibiting01behavior01that01is01dangerous01to01self01or01others

aggressive01or01violent01behavior01may01be01a01symptom01of01medical01conditions01suc
h01as01head
trauma,01alcohol,01drug-
related01problems,01metabolic01disorders,01stress01and01psychiatric
disorders

method01of01restraint01used01shall01allow01for01adequate01monitoring01of01vital01signs01a
nd01shall01not
restrict01the01ability01to01protect01the01patient's01airway,01breathing,01or01compromise
neurological01or01vascular01status

Restraints01should01be01applied01by01law01enforcement01whenever01possible.01If01applie
d,01an
officer01is01required01to01remain01available01at01the01scene01or01during01transport01to01re
move01or
adjust01the01restraints01for01patient01safety

This01policy01is01not01intended01to01negate01the01need01for01law01enforcement01personn
el01to01use
appropriate01restraint01equipment01that01is01approved01by01its01respective01agency01to01
establish
scene-management01control

Patient01Refusal01of01Care-01Adult

What01is01needed01for01a01refusal?01-01ans--01A/O01x014
-01Notified01up01to01death
-01Fully01informed01of01situation
-01Base01hospital01contact
-01Signature

Treatment01and01Transportation01Recommendations01for01patients01with01Emerging
Infectious01Diseases

Treatment01for01the01patient?01-01ans--
01Treatment01for01a01symptomatic01individual01who01is01a01confirmed01case,01or01a01sus
pected01case01of
infectious01disease01is01supportive01based01upon01assessment01findings

,-
01IV01fluids01and01appropriate01medications01are01to01be01initiated01per01established01pr
otocols

Interfacility01Transfer01Guidelines

ALS01Do's01and01Don'ts01-01ans-EMT-
Ps01may01not01transport01a01patient01with01IV01drips01that01are01not01in01the01EMT-
P01scope01of
practice

-01EMT-Ps01may01not01transport01patients01with01blood01or01blood01products.

EMT-
Ps01may01initiate01prior01to01contact01protocols01if01the01patient's01condition01deteriorate
s,
then01must01contact01the01base01hospital

Hospital01Emergency01Response01Team01(HERT)

Definition01and01purpose01-01ans-Definition01
rapid01advanced01surgical01care01at01the01scene,01in01which01a01higher01level01of01on01s
cene01surgical01expertise,
physician01field01response

Purpose01
utilized01in01a01situation01where01a01life-
saving01procedure,01such01as01an01amputation,01is01required01due01to
the01inability01to01extricate01a01patient.01Life01before01limb01concept01is01utilized01as01a01
life-saving01measure,
not01as01a01time01saving01measure

-
01should01be01assembled01and01ready01to01respond01within012001minutes01of01a01reques
t

Medical01Response01to01a01Multi-Casualty01Incident

START01Triage

Definition01of01MCI

Care01priorities

Airship01transportation01guidelines01-01ans-StART01Triage

, Simple01Triage01and01Rapid01Treatment.01*01START01includes01rapidly01assessing01(in0
1less01than01101minute)01every01patient,01determining01which01of01401clinical01categories
01the01patient01belongs,01and01visibly01identifying01the01category01for01rescuers01who01wi
ll01treat01the01patient.

Definition01of01MCI
An01MCI01is01any01incident01where01personnel01on01scene01have01requested01additional
01responses01to01care
for01all01victims:
▫01Incident01requires01five01(5)01or01more01ambulances;01and/or
▫01Incident01involves01ten01(10)01or01more01patients;01and/or
▫01Requires01utilization01of01triage01tags;01and/or
▫01May01require01patient01distribution01to01more01than01one01(1)01hospital

Care01priorities
Adults01shall01be01triaged01according01to01START01as01outlined01in01Firescope.01Pediatr
ic01patients01shall01be
triaged01according01to01JumpSTART

Airship01transportation01guidelines
The01CCC01(County01Communications01Center)01shall01dispatch01all01air01resources01fo
r01the01MCI

Trauma01Triage01Criteria01-01ans-Special01considerations01not01related01to01the01injury
A01patient01shall01be01transported01to01the01closest01Trauma01Center01if01any01one01(1)0
1physiologic01criteria01is
present01following01a01traumatic01event.01Trauma01base01hospital01contact01shall01be01
made:

▫01GCS01less01than0114
▫01RR01less01than011001or01more01than0129
▫01(RR01less01than012001for01infant01less01than01101year01old)01or01need01for01ventilatory0
1support
▫01ADULT:01BP01less01than019001mm01Hg01or01tachycardia
▫01PEDS:01exhibits01inadequate01tissue01perfusion01or01abnormal01vital01signs01(accordi
ng01to01age)
90+(2xage),0170+(2xage)01hypotension,01220-age01for01heart01rate

BHO01when01and01why01for01trauma01criteria01-01ans-
If01any01Physiologic01criteria01is01met
-01If01any01Anatomic01criteria01is01met
01Penetrating01injuries01to01head,01neck,01torso01and01extremities01proximal01to01the01kn
ee01or01elbow
01Blunt01chest01trauma01resulting01in01chest01wall01instability01or01deformity01(e.g.,01flail01
chest01or01ecchymosis)
01Two01(2)01or01more01proximal01long01bone01fractures01(femur,01humerus)