EMS1055 Midterm
Study online at https://quizlet.com/_hln5oh
1. Know the medical legal responsibilities of an EMR, such as Duty to Act and
Standard of Care.: If you are employed by an agency as an EMR and you are dispatched to the scene of an
accident or illness, you have a duty to act.
you must proceed promptly to the scene and render emergency medical care within the limits of your training and
available equipment.
Failure to respond or render care leaves you and your agency vulnerable to legal action.
¡The standard of care is the manner in which you must act or behave
You must meet two criteria
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 circum-
stances.
2. standard of care: Written, accepted levels of emergency care expected by reason of training and profession;
written by legal or professional organizations so that patients are not exposed to unreasonable risk or harm.
3. scope of practice: a set of regulations and ethical considerations that define the scope, or extent and limits,
of the EMT's or EMS job
4. Duty to Act: Your legal responsibility to do something in the case of an emergency
5. Abandonment: Leaving a patient after care has been initiated and before the patient has been transferred
to someone with equal or greater medical training.
6. Know the levels of patient consent: expressed
implied
consent for minors
consent for mentally ill
patients refusal of care
Advanced directives
7. expressed consent: The patient actually lets you know—verbally or nonverbally—that he or she is willing
to accept treatment
The patient must be of legal age and able to make a rational decision.
8. implied consent: The patient does not specifically refuse emergency care.
Do not hesitate to treat an unconscious patient.
, EMS1055 Midterm
Study online at https://quizlet.com/_hln5oh
9. Consent for minors: Under the law, minors are not considered capable of speaking for themselves.
Emergency treatment must wait until a patient or legal guardian consents to the treatment.
If permission cannot be quickly obtained, do not hesitate to give appropriate medical care.
10. Consent of the Mentally Ill: If the person appears to be a threat to self or others, place this person
under medical care.
Know your state's legal mechanisms for handling these patients.
Do not hesitate to involve law enforcement agencies.
11. living will: A document that indicates what medical intervention an individual wants if he or she becomes
incapable of expressing those wishes.
12. DNR (do not resuscitate): an order that tells medical professionals not to perform CPR
13. refusal of care: An unwillingness to receive first aid or medical
treatment expressed by a victim (or the victim's parent
or guardian) who must give consent.
14. Know the pulse points and what blood pressure is required for them to be
palpated: carotid 60mm Hg
femoral 70mm Hg
radial 80mm Hg
pedal 90-100mm Hg
systolic pressures
Remember head to toes in anatomic position
15. carotid pulse: the pulse felt along the large carotid artery on either side of the neck. Blood pressure is at
least 60 systolic
16. femoral pulse: Pulse felt on either side of the groin; Femoral artery. blood pressure is at least 70 systolic.
17. brachial pulse: the pulse felt in the upper arm. (often used for infants.)
18. radial pulse: the pulse felt at the wrist. blood pressure is at least 80 systolic.
19. pedal pulse: The pulse rate obtained on the top of the foot. blood pressure is at least 90-100 systolic
20. how to take pulse: count for 15 sec and multiply beats by 4
21. Know how to assess an AVPU score: A: alert
V: verbal
P: pain (sternal rub)
, EMS1055 Midterm
Study online at https://quizlet.com/_hln5oh
U: unresponsive
are you okay?
shake gently
gentle sternum rub
no response: unconscious
22. Know how to open an airway and when you use each method: head tilt chin lift
jaw thrust maneuver
clear possible obstructions
airway adjuncts
OPA
NPA
King tube
Intubation
if you can talk then you have an airway
must check airway for a patient that is not alert
23. head tilt-chin lift maneuver: -place patient on back
-place on hand on forehead and apply firm pressure backward
-place tips of your fingers under the bony part of the lower jaw
-lift chin forward and tilt back the head
DO NOT USE on suspected c-spine injury
24. jaw-thrust maneuver: -use if you suspect a neck injury
-place patient on back
-place fingers behind the lower jaw and move the jaw forward
-tilt head back to a neutral or slight sniffing position
-use your thumbs to pull down the lower jaw opening the mouth enough to allow breathing
25. checking and removing possible obstructions: potential blocks include: secretions such as
vomit, mucus or blood.
foreign objects: candy, food, or dirt
Study online at https://quizlet.com/_hln5oh
1. Know the medical legal responsibilities of an EMR, such as Duty to Act and
Standard of Care.: If you are employed by an agency as an EMR and you are dispatched to the scene of an
accident or illness, you have a duty to act.
you must proceed promptly to the scene and render emergency medical care within the limits of your training and
available equipment.
Failure to respond or render care leaves you and your agency vulnerable to legal action.
¡The standard of care is the manner in which you must act or behave
You must meet two criteria
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 circum-
stances.
2. standard of care: Written, accepted levels of emergency care expected by reason of training and profession;
written by legal or professional organizations so that patients are not exposed to unreasonable risk or harm.
3. scope of practice: a set of regulations and ethical considerations that define the scope, or extent and limits,
of the EMT's or EMS job
4. Duty to Act: Your legal responsibility to do something in the case of an emergency
5. Abandonment: Leaving a patient after care has been initiated and before the patient has been transferred
to someone with equal or greater medical training.
6. Know the levels of patient consent: expressed
implied
consent for minors
consent for mentally ill
patients refusal of care
Advanced directives
7. expressed consent: The patient actually lets you know—verbally or nonverbally—that he or she is willing
to accept treatment
The patient must be of legal age and able to make a rational decision.
8. implied consent: The patient does not specifically refuse emergency care.
Do not hesitate to treat an unconscious patient.
, EMS1055 Midterm
Study online at https://quizlet.com/_hln5oh
9. Consent for minors: Under the law, minors are not considered capable of speaking for themselves.
Emergency treatment must wait until a patient or legal guardian consents to the treatment.
If permission cannot be quickly obtained, do not hesitate to give appropriate medical care.
10. Consent of the Mentally Ill: If the person appears to be a threat to self or others, place this person
under medical care.
Know your state's legal mechanisms for handling these patients.
Do not hesitate to involve law enforcement agencies.
11. living will: A document that indicates what medical intervention an individual wants if he or she becomes
incapable of expressing those wishes.
12. DNR (do not resuscitate): an order that tells medical professionals not to perform CPR
13. refusal of care: An unwillingness to receive first aid or medical
treatment expressed by a victim (or the victim's parent
or guardian) who must give consent.
14. Know the pulse points and what blood pressure is required for them to be
palpated: carotid 60mm Hg
femoral 70mm Hg
radial 80mm Hg
pedal 90-100mm Hg
systolic pressures
Remember head to toes in anatomic position
15. carotid pulse: the pulse felt along the large carotid artery on either side of the neck. Blood pressure is at
least 60 systolic
16. femoral pulse: Pulse felt on either side of the groin; Femoral artery. blood pressure is at least 70 systolic.
17. brachial pulse: the pulse felt in the upper arm. (often used for infants.)
18. radial pulse: the pulse felt at the wrist. blood pressure is at least 80 systolic.
19. pedal pulse: The pulse rate obtained on the top of the foot. blood pressure is at least 90-100 systolic
20. how to take pulse: count for 15 sec and multiply beats by 4
21. Know how to assess an AVPU score: A: alert
V: verbal
P: pain (sternal rub)
, EMS1055 Midterm
Study online at https://quizlet.com/_hln5oh
U: unresponsive
are you okay?
shake gently
gentle sternum rub
no response: unconscious
22. Know how to open an airway and when you use each method: head tilt chin lift
jaw thrust maneuver
clear possible obstructions
airway adjuncts
OPA
NPA
King tube
Intubation
if you can talk then you have an airway
must check airway for a patient that is not alert
23. head tilt-chin lift maneuver: -place patient on back
-place on hand on forehead and apply firm pressure backward
-place tips of your fingers under the bony part of the lower jaw
-lift chin forward and tilt back the head
DO NOT USE on suspected c-spine injury
24. jaw-thrust maneuver: -use if you suspect a neck injury
-place patient on back
-place fingers behind the lower jaw and move the jaw forward
-tilt head back to a neutral or slight sniffing position
-use your thumbs to pull down the lower jaw opening the mouth enough to allow breathing
25. checking and removing possible obstructions: potential blocks include: secretions such as
vomit, mucus or blood.
foreign objects: candy, food, or dirt
