EMR Final Exam Solved 100% Correct

EMS System - ANSWER-A network of resources to provide emergency care and transport victims of sudden illness and injury Enhanced 911 System - ANSWER-Allows caller to be identified by the dispatch system by providing the callers phone numbers and address from which they are calling Seven Levels of EMS training - ANSWER-1. Emergency Medical Responder (DOTrans, Basic, Advanced) 2. EMT Basic 3. AEMT (Advanced EMT) 4. Intermediate 85,99 5. EMT Paramedic 6. Critical Care Paramedic 7. TEMS (Tactical EMS) Five Roles / Responsibilities of the EMR - ANSWER-1. Personal Health and Safety 2. Caring Attitude, Maintaining Composure 3. Neat, Clean, and Professional Appearance 4. Keep Up to Date knowledge and skills 5. Put Patients needs as a priority Eustress - ANSWER-Good Stress Distress - ANSWER-Bad Stress Five Common Causes of Stress - ANSWER-mass casualty violence amputations death Pediatric patients Five Stages of the Grieving Process - ANSWER-1. Denial (Disbelief) 2. Anger 3. Bargaining 4. Depression 5. Acceptance Five Signs of Stress - ANSWER-irritability can't concentrate difficulty sleeping anxiety (guilt) loss of appetite Four Lifestyle Changes to Deal with Stress - ANSWER-1. Eat healthier 2. Exercise (Meditation) 3. Balance Work 4. Listening to Family and friends CISD - ANSWER-Critical Incident Stress Debriefing Critical Incident Stress Debriefing: Purpose - ANSWER-Deals with Traumatic Incidents, a debriefing is a confidential group meeting which encourages open discussion of the incident. The goal is to assist the EMS personal in dealing with the stress related to the incident Four Types of Body Substance Isolation - ANSWER-Hand washing Proper disposal of medical equipment use of personal protective equipment Scene Safety (?) Scene Safety - ANSWER-Assessment of scene (surroundings) that will provide information to the first responder and will help ensure their well-being Scope of Practice - ANSWER-The legal duties to the patient, medical director, and public Standard of Care - ANSWER-care expected based on training and experience taking into account the conditions under which the care is rendered Competence - ANSWER-The ability to understand questions and to the implication of decisions made ( do you know who / where / what you are? ) Expressed Consent - ANSWER-The patient must be told in an easy to understand nature and the extent of the procedure to be preformed as well as the possible risks involved Implied Consent - ANSWER-Consent based on the assumption that the unresponsive patient would consent to life saving interventions Advanced Directives - ANSWER-Written documentation that specifies what medical treatment a patient wishes to have and what to withhold should the patient become unable to make a decision Assault and Battery - ANSWER-Unlawfully touching a patient without consent providing emergency medical care when a competent patient does not consent to the emergency medical care Abandonment - ANSWER-Terminating care of the patient without insuring that care will continue at the same level or higher Four Components of Negligence - ANSWER-1. Duty to act (legal obligation) 2. Breach of Duty (failure to act) 3. Injury where Inflicted (some injury occurred) 4. Proximate Cause (the actions of the EMR caused injury) Negligence - ANSWER-Deviating from the accepted standard of care resulting in further injury of the patient Good Samaritan Law - ANSWER-State Laws intended to protect care providers from liability if they deliver the standard care in good faith to the level of their training and to the best of their ability. Don't protect from Wanton, Gross, or Willful Negligence Anatomical Position - ANSWER-body is erect facing forward, arms are at the sides palms face forward Anterior / Posterior - ANSWER-Front / Back Medial / Lateral - ANSWER-Toward the Middle / Toward the side Superior / Inferior - ANSWER-Toward the Head / Toward the Feet Skeletal - ANSWER-Gives the Body its shape protects vital internal organs Axial - ANSWER-Skull only movable bone is the mandible Muscular - ANSWER-Gives the Body shape Protects interal organs provides for movement Muscles are Voluntary (cardiac is involuntary) Respiratory - ANSWER-Delivers oxgen to the body removes carbon Circulatory - ANSWER-Delivers oxgen and nutrients to the tissues and removes waste products from the tissues Central Nervous System - ANSWER-Brain and Spinal Cord Peripheral Nervous System - ANSWER-Does not regenerate when injured Skin - ANSWER-Protects the body from the environment, bacteria and other organisms regulates temperature and prevents dehydration Senses heat/cold touch pressure and pain transmits to the brain and spinal cord The Breathing Process - ANSWER-Trachea to Bronchiole Tubes to Bronchiole to Alevoli Body Mechanics - ANSWER-The proper use of the body to facial lifting and moving to prevent injury Rules of Body Mechanics to prevent Injury - ANSWER-weight of patient and need for help know your physical ability and limitations lift without twisting and feet properly communicate clearly with partner Reasons for using an Emergency Move - ANSWER-immediate danger to the patient if not moved life saving care cant be given further injury is potential Lifting techniques - ANSWER-The Firefighter's Carry Blanket Lift Drag Direct Ground Lift Chair Lift (Extremity Lift) Recovery Position - ANSWER-Left Side Unresponsive without trauma Right Side Unresponsive without drama Allow the patient to assume a position of comfort Injuries which require spinal immobilization - ANSWER-Spine Neck Head Clinical Death - ANSWER-The moment that breathing and heart activity stops, this death can be reversed Biological Death - ANSWER-Death of brain cells this death irreversible occurs 6-10 minutes of respiratory arrest Brain Damage begins - ANSWER-within 4 to 6 minutes opening the air way: unresponsive, gag reflex - ANSWER-Nasal Airway Using a Nasal Airway - ANSWER-measure nose to corner of mouth insert longer side down right nostril one breath every 5 seconds (adult) opening the air way: unresponsive, no gag reflex - ANSWER-Oral Airway Using an Oral Airway - ANSWER-measure earlobe to corner of mouth insert curved part up until tension is felt then rotate and insert rest of the way One breath every 5 seconds (adult) Maintain an Open Airway - ANSWER-Nasal Airway Oral Airway Open a patient's Airway - ANSWER-Head Tilt / Chin Lift Jaw Thrust Clearing an Airway - ANSWER-The Recovery Position Finger Sweeps Suctioning Max Suction Time - ANSWER-adult 15 sec child 10 sec infant 5 sec Normal Resp. Rate - ANSWER-adult 12-20 breaths pm child 15-30 breath pm infant 25-50 breath pm Five Methods for Ventilating a Patient - ANSWER-mouth to mask two person valve mask mouth to barrier device one person bag valve mask mouth to mouth Rates for Rescue Breathing (breath : second) - ANSWER-Adult 1:5 Child 1:3-5 Infant :3-5 Newborn: 1:1.5 Oxygen Flow Rate: Non-rebreather face mask - ANSWER-12-15 liter per minute 80-95% oxygen Oxygen Flow Rate: Nasal Cannula - ANSWER-2-8 liters per minute 22-44% oxygen Five Components of Patient Assessment - ANSWER-Scene Size Up Primary Secondary Reassess Patient Care Report