exam study guide solutions
In addition to any specific criteria for withholding or discontinuing
resuscitation contained within individual treatment protocols, resusitative
efforts may be withheld, discontinued, and/or death determined under the
following circumstances (BLS) - ANSWER✔✔-1. Five signs of immediate
DOA
2. A pulseless and/or apneic patient with a valid DNR
3. A pulseless and/or apneic patiend who has exercised his/her right to die
under the end of life option.
if criteria met EMS will discontinue resuscitate effort, cancel prehospital
personnel in route, provide appropriate care to bystanders, and complete
PCR documentation about actions taken and reason for pronounced death.
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,valid forms of identification for a physician on scene - ANSWER✔✔-valid
CA physicians medical license
other ID that indicates physician CA medical license # and business
address
physical involvement of a physician at the scene. - ANSWER✔✔-patient
must give consent. then care may be relinqueshed to the physician who
will remain responsible for care until another MD takes over. physician
may manage care, but ultimately accepts responsibility for patient. must
accompany crew and patient in ambulance.
documentation when physician at scene (5 things) - ANSWER✔✔-1.
physician name
2. CA medical license #
3. business phone #
4. level of patient care involvement
5. all procedures and treatments performed at the scene.
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, patient destinations: patient choice - ANSWER✔✔-patient may
betransported to requested facility as long as facility meets medical
requirements, barring any EMS surge and hospital diversion.
patient destination: routine patient destination - ANSWER✔✔-patients
may be transported to routine emergency department UNLESS patient
meets criteria that requires specialty care.
SCCO Specialties Trauma facilities - ANSWER✔✔-Trauma: Regional MC,
Stanford, Santa Clara Valley MC
SCCO Specialties Psyciatric: - ANSWER✔✔-psyciatric: El Camino MV,
Santa Clara Valley MC EPS, PA VA hospital, Stanford.
SCCO Specialties Burn - ANSWER✔✔-Santa Clara Valley Medical Center
SCCO Specialties Stroke - ANSWER✔✔-Comprehensive: El Camino MV,
Good Samaritan, Regional Medical center SJ
Primary: All hospitals except PA VA hospital
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