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Ems Operations - Page 1 OB/Gynecology - Page 11Pediatrics - Page 20 Airway - Page 30
Medical Emergencies - Page 39Trauma - 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 andrescuers.
•Look for airbag badging or labeling system
•A vehicles airbags system comes equipped with an energy capacitor that can store power forup 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 youleft the patient with, otherwise you could face allegations of abandonment. some agencieshave begun to require physician or nurse signatures to verify that the patient was left with amedical professional of a higher level of training. Another situation that may require you todocument a transfer of care is when you hand over your patient to another agency such as aparamedic 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 appropriatehazardous materials bag. For any reusable piece of equipment that has had direct contactwith the patient or patients bodily fluids, use a commercial disinfecting agent fordecontamination. Bleach diluted in water (1:10) can also be used as disinfecting agent.
WINDOWS USER 1Final Paramedic Fisdap Study Guide latest 2023 Assured A+. 10/19/23, 12:05 AM Final Paramedic Fisdap Study Guide
about:blank 2/13726.Documenting Medication Administration (471)
•Documentation is everything, if you did not document it, you didn’t do it. Always documentyour actions and the patients response on the on the patient care report after administering amedication. 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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about:blank 3/1372•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 thedisentanglement. For example, unless there is an immediate threat to fire, explosion, or otherdanger, you should preform a primary assessment and perform and critical interventionsbefore disentanglement begins. This may include providing c-spine immobilization, openingairway, providing O2, ventilations, or controlling significant bleeding. Once life threats havebeen treated, disentanglement can begin. Sometimes a patient must be removed quickly(Rapid extrication) because his or her general condition is deteriorating and time does notpermit meticulous splinting and dressing procedures. Quick removal may also occur if hazardsare present, such as as spilled gas or other materials that could endanger the patient orrescue personnel. The only time the patient should be moved prior to completion of initialcare, assessment, stabilization, and treatment is when the patient’s or emergency responderslife 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 emergencymedical 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 medicalcare. In the case of children and adults who have legal guardians, consent must be obtained, ifpossible, 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 thedoctrine of implied consent. You should also be aware of the legal principle known as “In locoparentis”. 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 daycare director may make treatment and transportation decisions on behalf of the minor. 10/19/23, 12:05 AM Final Paramedic Fisdap Study Guide
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A particularly difficult circumstance can arise if a parent or legal guardian refuses to grantconsent to treat a minor who clearly requires lifesaving or limb-saving treatment. Althoughadults clearly have the right to refuse treatment for themselves, state laws generally do notpermit a parent or guardian to deny treatment to a minor child. In fact, the failure of a parentto allow such treatment may constitute neglect. When confronted with such a circumstance, theparamedic should notify law enforcement and medical control. State law may permit the state to
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