The cold zone or clean zone is
an area where adequate decontamination has ensured that there will be no spread of any hazardous materials and EMS are
... [Show More] able to fully treat patients.
Traffic law requires that an ambulance must
stop for a stopped school bus and wait until the bus driver turns off the flashing lights and retracts the stop sign
01:05
01:42
When cutting the wires of a battery inside a vehicle...
The negative battery cable, often black in color, should be cut first. This will create a break in the electrical circuit of the vehicle. Be sure not to touch any metal component of the vehicle while doing this!
When approaching an intersection...
Always drive as far left as reasonable
You should never pass on the right because...
drivers are taught to pull to the right when they see an emergency vehicle.
Waiting for traffic to clear or taking a longer route may be safer but it...
will greatly reduce your response time in an emergency. Use these as a last resort and have good justification.
A mechanical-piston device and load distributing band device are capable of...
providing constant chest compressions for the patient in cardiac arrest
START triage uses the mnemonic
RPM(Respirations, pulse, mental status). Using this tool allows you to quickly and accurately triage any number of patients.
The cold, or green, zone is where the...
majority of treatment will occur. Patients in the cold zone have been decontaminated but emergency personnel should still take appropriate safety precautions.
If the pediatric patient is apneic but does have a pulse, you should..
reposition their airway and check for respirations.
If they still are not breathing...
you should administer 5 rescue breaths and then recheck respirations
If the patient is still apneic, they should be triaged as..
Deceased
00:43
01:42
If the pediatric patient is apneic and pulseless, they should be...
Deceased
A windshield survey is a
quick survey that will help you to form a general impression of the condition of the occupants in the vehicle and the resources you will need to help them.
Command, triage, and transportation are the
core of what all activities during a mass casualty incident are based on. Maintaining these three components creates a basic framework to help organize the mass casualty incident.
Autonomy refers
to the patient's right to refuse medical care. It also includes the patient's right to choose medical care. Despite having a life-threatening medical condition, you cannot force the patient to allow treatment or transport in this situation.
CHART
C- Chief Complaint
H- Patient Medical history and history of incident
A- Patient assesment
R- Treatment
T- Transport
Red tags...
(immediate) are used to label those who cannot survive without immediate treatment but who have a chance of survival.
Yellow tags
- (observation) for those who require observation (and possible later re-triage). Their condition is stable for the moment and, they are not in immediate danger of death. These victims will still need hospital care and would be treated immediately under normal circumstances.
Green tags
- (wait) are reserved for the "walking wounded" who will need medical care at some point, after more critical injuries have been treated.
Mitigation involves
early warning to disasters in an effort to try and reduce the destruction of an event.
The six basic components of the incident command system are:
command, operations, planning, logistics, finance, and safety.
Decontamination
is an important process at any hazardous materials incident and should be performed prior to placing patients in emergency apparatus. It is A process that involves removing, preventing, or reducing the spread of hazardous materials
DUMBELS
defecation, urination, miosis, bradycardia, emesis, lacrimation, salivation
A disaster is an incident
with 100 or more patients
a MCI can have anywhere from
twenty-six to ninety-nine patients
Patients in cardiac arrest are an absolute contraindication
for all types of aeromedical transport
Medically stable patients should use
ground transport
A DNR or Do Not Resuscitate Order is another name for
an advance directive
A GCS of less than 10 may mean
that a patient would benefit from aeromedical transport.
HEPA stands for
High Efficiency Particulate Air
Hepatitis C is a condition
in the liver that can lead to many life threatening conditions as the disease progresses throughout the patient's life. It is primarily spread through blood to blood contact.
Fire Hazard - Red
Flash Point-temp to incite air
Scales from 1-4 with increasing deadliness
HEALTH HAZARD - Blue
Scales from 1-4 with increasing deadliness
Reactivity (Instability) - Yellow
Scales from 1-4 with increasing deadliness
Specific Hazard - White
OX or OXY Oxidizer
W (with line through it) Use no water
Alpha radiation is a
very weak type of radiation that can be stopped by the skin.
The primary blast injury is
caused by the shockwave hitting the body.
Secondary blast injuries are caused
by fragments being propelled through the air and striking the body.
Tertiary blast injuries are
when the body is projected onto an object (i.e. thrown into a wall), or the object strikes them (i.e. a building collapsing onto someone).
During a technical rescue incident.
the safety of the rescue patient comes "last"
When performing safe parking, ensure that you
have parked far enough from the scene of the crash so that you have a safe working area as well as a buffer zone in case another vehicle strikes the emergency apparatus.
When parking your emergency vehicle to block oncoming traffic at the scene of a crash...
Park at a 45 degree angle to deflect traffic away from the incident if a vehicle does hit the emergency apparatus. If you need to shut down all lanes of the road, don't hesitate to do so. Your safety and the safety of all personnel at the scene is more important than keeping a road open for travel.
Type I ambulances are
a box-stylepassenger compartment on a truck chassis.
Type II ambulances are
a van chassis with a raised roof in the patient compartment.
Type III ambulances are
a box-stlye passenger compartment on a van chassis.
A patient's HIV status is protected healthcare information and therefore should not be
shared with the police unless you are presented with a formal subpoena
The Safety Officer is
ultimately in charge of deciding whether it is safe to proceed with a rescue operation.
The multiplex system is made up
of multiple duplex channels.
Duplex systems
send and receive data over the same frequency.
Combining duplex systems allows
for multiple tiers of communications to occur at once.
The helicopter crew's first priority is to
keep everyone safe. Approaching a helicopter without direction from a crew member is extremely dangerous and should never be done.
A Physician Orders for Life Sustaining Treatment (POLST) form is a
document created by you and your doctor that informs emergency care providers what kinds of treatments you want (and don't want) in a medical emergency.
Presence of fluids, airbag deployment, and electrical system components are
all categorized as vehicle hazards.
Environmental hazards include
time of day, weather, and temperature.
A strike team is
organized to include the same kind and type of resource.
Each strike team should havee.
a designated leader and have the ability to communicate between all single resources in the team.
A strike team may be
a part of a task force
Spinal boards were introduced to EMS in 1968 originally
for extrication of patients from diving accidents. Protocols were updated to include widespread use of spinal boards by the DOT in 1984.
On-line medical control is
through the use of radio or phone communication. Your standing orders or protocols all work off of off-line medical control. If you called to request additional medicine or something outside of your scope of practice, you are working off of on-line medical control.
Incendiary devices are
those that have decreased explosive power but increased heat production and potential to produce burns..
How far do you park from a fire hazard?
100 feet
The street you responded to is not considered confidential
True
None of our senses can detect radiation.
We must use a radiation detector in order to determine if it is present or not.
In Any distance of 30 nautical miles, or more, from a care facility,
the patient would get there faster by air. Thirty nautical miles is equal to 34.5 miles.
Libel and slander are
both defamatory statements, but libel is written and slander is spoken.
Battery is
unlawful contact.
Malfeasance is a
willful and intentional action that injures someone.
Life jackets, or personal floatation devices, should be
worn any time you are operating in or around water.
Nonmaleficence requires the
paramedic to provide the appropriate treatment to a patient while doing as little harm as possible.
Cribbing is used
to stabilize cars involved in motor vehicle crash while extrication is occurring.
The highest level of training for technical rescue is
the technician. The technician is trained to recognize a hazard, use specialized equipment, and supervise, perform, or participate in a technical rescue.
Airbag deployment can mimic the classic starring pattern caused by a patient's head hitting the windshield
True
You should never leave an elderly suicidal patient
alone. You may have to break into a house or room, especially if the patient is unconscious. You should always be prepared that a suicidal person has a weapon that could harm you, and you should call police as necessary.
The type of anthrax that poses the largest threat to the human population is
inhalation anthrax
Most bodily fluids or secretions, with the exception of sweat,
require standard precautions.
Flashlights (especially white) should not
be used while landing a helicopter as it could temporarily blind the pilot. Use of colored lights or traffic wands is preferred if they are available.
The three phases of spinal immobilization of a water rescue patient are:
in-water spinal immobilization, C-collar application, and backboarding and extrication of the patient from the water.
Assault is the
threat to commit harm to a person.
Battery is
actually committing the bodily harm to a person.
If exposed to the actual agent,
anthrax can infect people but transmission between one person and another does not occur readily
Simplex radios systems are
where only one person can transmit at a time.
A duplex radio system enables
both users to transmit and receive at the same time... a cellular phone is an example of a duplex radio system.
The three "T's" of a mass casualty incident. You can be assigned to perform any of these duties.
Triage, treatment, and transport [Show Less]