Final Paramedic Fisdap Study Guide latest 2023 Assured A+.
Ems Operations - Page 1
OB/Gynecology - Page 11
Pediatrics - Page 20
Airway - Page 30
Med... [Show More] ical Emergencies - Page 39
Trauma - Page
Cardiology - Page - Page 54
EMS OPERATIONS
1. Airbags Safety During Extrication (2228)
• Un-deployed airbags may deploy during extrication and cause harm to the patients and
rescuers.
• Look for airbag badging or labeling system
• A vehicles airbags system comes equipped with an energy capacitor that can store power for
up to 30 mins in some models
• Remove key from ignition
4.Criteria for Transferring Care of Patient (154)
• In your documentation of care, it is important that you were able to show in whose care you
left the patient with, otherwise you could face allegations of abandonment. some agencies
have begun to require physician or nurse signatures to verify that the patient was left with a
medical professional of a higher level of training. Another situation that may require you to
document a transfer of care is when you hand over your patient to another agency such as a
paramedic transport crew or an air medical team.
5.Decontamination of Airway Equipment
• Sanitize and disinfect everything after a call
• Any piece of equipment that is intended for single use should be discarded in an appropriate
hazardous materials bag. For any reusable piece of equipment that has had direct contact
with the patient or patients bodily fluids, use a commercial disinfecting agent for
decontamination. Bleach diluted in water (1:10) can also be used as disinfecting agent.
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6.Documenting Medication Administration (471)
• Documentation is everything, if you did not document it, you didn’t do it. Always document
your actions and the patients response on the on the patient care report after administering a
medication. This includes...
- Name
- Dose
- Time
- Route
- Persons name who administered it
- Patients response to the medication, whether positive or negative
7.Indications for N95 Mask
• 95 (Heppa) Mask on you, surgical or normal mask on patient
8.Indications for Rapid Extrication (1677-1699) (2226)
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• Patient can be moved from sitting in a car to laying supine on a backboard in 2 mins.
Indications listed below
- The vehicle or scene is unsafe
- The patient cannot be properly assessed before being removed from the car
- The patient needs immediate intervention that requires a supine position
- The patients condition requires immediate transport to the hospital
- The patient blocks your access to another seriously injured patient
• A team member should remain with the patient to direct the rescuers who are preforming the
disentanglement. For example, unless there is an immediate threat to fire, explosion, or other
danger, you should preform a primary assessment and perform and critical interventions
before disentanglement begins. This may include providing c-spine immobilization, opening
airway, providing O2, ventilations, or controlling significant bleeding. Once life threats have
been treated, disentanglement can begin. Sometimes a patient must be removed quickly
(Rapid extrication) because his or her general condition is deteriorating and time does not
permit meticulous splinting and dressing procedures. Quick removal may also occur if hazards
are present, such as as spilled gas or other materials that could endanger the patient or
rescue personnel. The only time the patient should be moved prior to completion of initial
care, assessment, stabilization, and treatment is when the patient’s or emergency responders
life is in immediate danger.
10. Making Decisions Regarding a Patients Request to Refuse Care
(96-99)
• Patients with decision-making capacity have the right to refuse all or part of the emergency
medical care offered to them
• Refusing care - Needs to be informed consent.
• Need to use your “People skills” and just talk to the patient
· Ensure your pt is fully informed about their current situa琀椀on, his or her right
to receive or refuse medical care, and the consequences of a refusal of care
· Unresponsive pa琀椀ents may be treated under implied consent
· Involve online medical control if pt have severe injuries but refusing care
· Document carefully and have pt sign AMA
Minors - Because minors have no legal status, they can neither refuse no consent to medical
care. In the case of children and adults who have legal guardians, consent must be obtained, if
possible, from a parent or legal guardian of the patient. If the parent or guardian is not available,
emergency treatment to sustain life may be undertaken without direct consent under the
doctrine of implied consent. You should also be aware of the legal principle known as “In loco
parentis”. This term literally means “In place of the parent”. This principle may apply in school,
day care, or summer camp situations if a parent is unavailable. The school administrator or day
care director may make treatment and transportation decisions on behalf of the minor.
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A particularly difficult circumstance can arise if a parent or legal guardian refuses to grant
consent to treat a minor who clearly requires lifesaving or limb-saving treatment. Although
adults clearly have the right to refuse treatment for themselves, state laws generally do not
permit a parent or guardian to deny treatment to a minor child. In fact, the failure of a parent
to allow such treatment may constitute neglect. When confronted with such a circumstance, the
paramedic should notify law enforcement and medical control. State law may permit the state to
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assume custody of the child for purpose of ensuring that necessary emergency treatment be
provided.
Emancipated Minors - are under legal age in a given state but can be treated as legal adults
because certain circumstances. By court order. Marriage, pregnancy, or active military service.
They can accept or deny care.
12. Operations within a
HazMat Scene Responding
to Hazmat incidents
· Look for warning signs such as patient S/S, placards, labels, etc.
· Placards or labels may be found on building, trucks/railway cars, drums/storage
vessels
· Intentional ingestion of chemicals and activities occurring at illicit labs or potential
terrorist activities may have no obvious signs
· Some chemicals are odorized (propane, methane) where other dangerous
substances are odorless (carbon monoxide)
· If you approach a scene where more than one person has collapsed due to
respiratory distress, suspect the presence had a hazardous material
· When arriving, you should stop at a safe distance, uphill and upwind from the scene
· Items to report include:
o Exact location
o Atmosphereic conditions
o Size/shape of containers
o Chemical ID number or symbols
o # of victims with S/S
o Type and number of additional resources. [Show Less]
