ANSWERS GUARANTEE A+
✔✔Log Roll Technique - ✔✔- log roll the patient onto his or her side to place a patient
on a backboard
- kneel as close to the patient's side as possible
- keep your back straight and lean solely from the hips
- roll the patient w/o stopping until the patient is resting on his or her side and braced
against your thighs
- pulling toward you allows your legs to prevent the patient from rolling over completely
✔✔Wheeled Stretcher - ✔✔- most commonly used device to move and transport
patients
- can be rolled along the ground and weights between 40 and 145 lbs
- General features
* strong metal frame, adjustable to any height
* hinges at center allow the head end to be elevated
* guardrails prevent patient from rolling off
* mattress must be fluid resistant
* patient is secured with straps
✔✔Stair Chair - ✔✔- lightweight folding chair with a molded seat, adjustable safety
straps, and fold-out handles at both the head and feet
- use it when you must carry a conscious patient up or down a flight or other significant
incline
- use it if the patient's condition allows them to be placed in a sitting position
✔✔Aggressive ambulance driving and the effects it has on the public. - ✔✔Siren Risk-
Benefit Analysis
- the decision to activate emergency lighting and sirens will depend on:
* local protocols
* patient condition
* anticipated clinical outcome of the patient
✔✔Driver Anticipation - ✔✔- always assume that motorists around your vehicle have
not heard your sire/public address system or seen you
- always drive defensively
✔✔Cushion of Safety - ✔✔- maintain a safe following distance from the vehicles in front
of you
- try to avoid being tailgated (if you are, slow down)
- ensure blind spots do not prevent you from seeing vehicles or pedestrians
- never get out of ambulance to confront a driver
- be aware of blind spots and scan mirrors frequently
,✔✔Excessive Speed - ✔✔- unnecessary, dangerous, and does not increase the
patient's chance of survival
- makes it difficult to provide care in the patient compartment
- hinders the driver's reaction time
- increases the time and distance needed to stop the ambulance
✔✔How should an EMT handle being tailgated while driving an ambulance? - ✔✔- must
maintain a safe following distance from vehicles in front (cushion safety)
- if being tailgated, don't speed up, SLOW DOWN
✔✔Lifting procedures do's and don'ts - ✔✔DO's:
- keep back straight, vertical (upright) position, and lift w/o twisting
- always face the patient
- point feet in the same direction
DON'TS:
- lift a patient with arms outstretched
- place lateral force across spine and sideways leverage against the low back
✔✔Max weight for two EMTs to safely lift a Pt. - ✔✔250lbs is max weight
✔✔At the scene of a Law Enforcement tactical situation where should the EMT report to
- ✔✔- determine the location of the command post and report to the incident
commander for instructions
- the command post us usually located in an area that cannot be seen by the suspect
and is out of range of possible gunfire
- remain in this area and do not roam past this area
✔✔What is a 360 walk around - ✔✔- evaluates the hazard and determines the number
of patients
- Look for:
* mechanism of injury
* trapped or ejected patients
* the number of patients and vehicles involved
* safety concerns
✔✔Helicopter operations, do's and don'ts when you're near a helicopter - ✔✔- use
common sense
- don't go until the pilot has cleared it safely
✔✔Functions of the National Highway Traffic Safety Administration (NHTSA) and the
National Incident Management System (NIMS) - ✔✔- NHTSA: federal administrative
source for education standards and related documents; to provide knowledge,
understanding and skills in the EMT course
, - NIMS: provides a framework to enable federal, state, and local governments, as well
as private-sector and nongovernmental organizations, to work together effectively; used
to prepare for, prevent, respond to, and recover from domestic incidents
✔✔Know differences between, EMR, EMT, AEMT, PARAMEDIC. Know the job
functions and what they can do. *****Hint Supraglottic Airway****** - ✔✔- EMR: provides
basic, immediate care including bleeding control, CPR, AED, and emergency childbirth
* Law enforcement officers; firefighters; park rangers; lifeguards
* provide immediate BLS and urgent care (use limited equipment)
- EMT: includes all EMR skills, advanced Training in BLS, use of airway adjuncts,
noninvasive blood pressure monitoring, pulse oximetry, and assisting patients with
certain medications
* the course requires about 150 hrs
* Has knowledge and skills to provides basic emergency care
* Assumes responsibility for assessment, care, packaging, and transport of the patient
- AEMT: includes all of EMR and EMT skills, training in specific aspects of ALS,
advanced airway devices, IV therapy, and intraosseous access (IO), blood glucose
monitoring, and the admin of certain medications
* training adds knowledge and skills in specific aspects of ALS
> IV therapy
> Advanced airway adjuncts (***supraglottic airways***)
> administration of a limited number of medications
- Paramedic: includes all of EMR, EMT, and AEMT skills, has extensive training in ALS
including endotracheal intubation, emergency pharmacology, cardiac monitoring, and
other advanced assessment and treatment skills. the highest level of prehospital care.
* extensive course (1000-1300 hrs)
* training covers a wide range of ALS skills
> endotracheal intubation
> ***supraglottic airways***
> emergency pharmacology
> cardiac monitoring
> IV therapy
> other advanced assessment and treatment skills
✔✔What is the National EMS Scope of Practice Model - ✔✔a document that provides
overarching guidelines for the minimum skills each level of EMS provider should be able
to accomplish
✔✔State office of EMS functions and what they regulate - ✔✔standards for prehospital
emergency care and the providers who deliver it are governed by the laws in each state
and are typically regulated by a state office of EMS
✔✔How/why were nerve agents initially discovered - ✔✔- discovered while in search for
superior pesticide