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West Coast EMT Block #1

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West Coast EMT Block #1 Mentally competent patients have the right to refuse treatment. T/F? - Correct Answers True When a patient is unconscious, you may provide treatment under the concept of _________________. - Correct Answers Implied consent List conditions where minors may, by state law, give consent for medical care despite their young age. - Correct Answers Married, armed services, pregnant __________ is sometimes necessary when you are confronted with a patient who is in need of medical treatment and transportation but is combative and presents a significant risk of danger to himself, herself, or others. - Correct Answers Forcible restraint What is the difference between advance directives and DNR orders? - Correct Answers An advance directive is a written document that specifies the types of care a patient would want if she were unable to express it herself. A DNR order prevents resuscitative efforts from starting if a patient goes into cardiac arrest. You respond to the home of a 72-year-old cancer patient with a valid DNR order. The patient's family has called because he is having difficulty breathing. Should you give him oxygen? - Correct Answers Yes. A DNR order only applies to resuscitative measures (ventilation, chest compressions, and defibrillation). The EMT must perform all other measures in his scope of practice to make DNR patients comfortable and safe, including giving oxygen, stopping bleeding, applying splints, etc. The laws that define what an EMT can do are called _________________. - Correct Answers Scope of Practice What four elements must be present to prove negligence? - Correct Answers Duty, Breach of Duty, Damages and Causation Despite the expressed refusal of care by a competent 40-year-old patient, you splint an ankle that you believe may be sprained. What crime have you committed by doing this? - Correct Answers Battery List four special situations that may, based on state or local laws, have to be reported. - Correct Answers Any four of the following: Abuse, injury during a felony, drug-related injuries, childbirth, scene of a crime, deceased patient, exposure to infectious disease The first key rule of lifting is to ____________. - Correct Answers keep the back in a straight, upright position and lift without twisting. What are the six steps of a power lift as described in Skill Drill 35-1? - Correct Answers 1. Tighten your back in its normal upright position and use your abdominal muscles to lock it in a slight curve. 2. Spread your legs apart about 15″, and bend your legs to lower your torso and arms. 3. With your arms extended down each side of your body, grasp the stretcher or backboard with your hands held palms up and just in front of the plane described by the anterior torso and imaginary lines extending vertically from it to the ground. 4. Adjust your orientation and position until the weight is balanced and centered between both arms. 5. Reposition your feet as necessary so that they are about 15″ apart with one slightly farther forward and rotated so that you and your center of gravity will be properly balanced between them. Be sure to straddle the object, keep your feet flat, and distribute your weight to the balls of the feet or just behind them. 6. With your arms extended downward, lift by straightening your legs until you are fully standing. Make sure your back is locked and that your upper body comes up before your hips. Which direction should the palms be facing when lifting? - Correct Answers Up

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Institution
West Coast EMT Block
Course
West Coast EMT Block

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Mentally competent patients have the right to refuse treatment. T/F? - Correct Answers True



When a patient is unconscious, you may provide treatment under the concept of _________________. -
Correct Answers Implied consent



List conditions where minors may, by state law, give consent for medical care despite their young age. -
Correct Answers Married, armed services, pregnant



__________ is sometimes necessary when you are confronted with a patient who is in need of medical
treatment and transportation but is combative and presents a significant risk of danger to himself,
herself, or others. - Correct Answers Forcible restraint



What is the difference between advance directives and DNR orders? - Correct Answers An advance
directive is a written document that specifies the types of care a patient would want if she were unable
to express it herself. A DNR order prevents resuscitative efforts from starting if a patient goes into
cardiac arrest.



You respond to the home of a 72-year-old cancer patient with a valid DNR order. The patient's family
has called because he is having difficulty breathing. Should you give him oxygen? - Correct Answers Yes.
A DNR order only applies to resuscitative measures (ventilation, chest compressions, and defibrillation).
The EMT must perform all other measures in his scope of practice to make DNR patients comfortable
and safe, including giving oxygen, stopping bleeding, applying splints, etc.



The laws that define what an EMT can do are called _________________. - Correct Answers Scope of
Practice



What four elements must be present to prove negligence? - Correct Answers Duty, Breach of Duty,
Damages and Causation



Despite the expressed refusal of care by a competent 40-year-old patient, you splint an ankle that you
believe may be sprained. What crime have you committed by doing this? - Correct Answers Battery

, List four special situations that may, based on state or local laws, have to be reported. - Correct
Answers Any four of the following: Abuse, injury during a felony, drug-related injuries, childbirth, scene
of a crime, deceased patient, exposure to infectious disease



The first key rule of lifting is to ____________. - Correct Answers keep the back in a straight, upright
position and lift without twisting.



What are the six steps of a power lift as described in Skill Drill 35-1? - Correct Answers 1. Tighten your
back in its normal upright position and use your abdominal muscles to lock it in a slight curve.

2. Spread yo

3. With your arms extended down each side of your body, grasp the stretcher or backboard with your
hands held palms up and just in front of the plane described by the anterior torso and imaginary lines
extending vertically from it to the ground.

4. Adjust your orientation and position until the weight is balanced and centered between both arms.

ther forward
and rotated so that you and your center of gravity will be properly balanced between them. Be sure to
straddle the object, keep your feet flat, and distribute your weight to the balls of the feet or just behind
them.

6. With your arms extended downward, lift by straightening your legs until you are fully standing. Make
sure your back is locked and that your upper body comes up before your hips.



Which direction should the palms be facing when lifting? - Correct Answers Up



Describe the diamond carry. - Correct Answers One EMT at the head end, one EMT at the foot end, and
an EMT on each side of the patient's torso.



Which end of the backboard should go down a flight of stairs first when carrying a patient on a
backboard? - Correct Answers Foot End



Where is most of the weight when carrying a patient in a supine position? - Correct Answers Head End



How far is safe to extend your arms when pulling a patient? - Correct
your torso

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Institution
West Coast EMT Block
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West Coast EMT Block

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