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PREHOSPITAL EMERGENCY CARE 11TH EDITION CHAPTERS 1-6 QUESTIONS AND ANSWERS.
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PREHOSPITAL EMERGENCY CARE 11TH EDITION CHAPTERS 1-6 QUESTIONS AND ANSWERS.
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PREHOSPITAL EMERGENCY CARE11TH EDITION CHAPTERS 1-6
QUESTIONS AND ANSWERS
Advanced mmEmergency mmMedical mmTechnician mm- mmAnswer mm-Provides mmboth
mmbasic mmand mmlimited mmadvanced mmemergency mmmedical mmcare mmand
mmtransportation mmto mmpatients mmin mmthe mmper-hospital mmenvironment.
-Does mmeverything mman mmEMT mmdoes mmplus mmalso mmuses mmadvanced mmairway
mmdevices, mmmonitors mmblood mmglucose mmlevels, mmadministers mma mmselect
mmnumber mmof mmmedications
Americans mmWith mmDisabilities mmAct mm(ADA) mm- mmAnswer mm-Protects mmindividuals
mmwho mmhave mma mmdocumented mmdisability mmfrom mmbeing mmdenied mminitial mmor
mmcontinued mmemployment mmbased mmon mmtheir mmdisability mm
-Employer mmhas mmto mmmake mmthe mmnecessary mmadjustment mmso mmthe mmperson
mmwith mmthe mmdisability mmis mmnot mmdenied mmemployment.
Emergency mmMedical mmResponder mm- mmAnswer mm-Similar mmto mmfirst mmresponder
mmlevel
-Provides mmimmediate mmlifesaving mmcare mmto mmpatients mmwho mmhave mmaccessed
mmthe mmEMS mmsystem mmand mmwhile mmawaiting mmresponse mmfrom mma mmhigher-level
mmEMS mmpractitioner
What mmthey mmdo:
1. mmBasic mmairway, mmventilation, mmand mmoxygen mmdevices
2. mmVitals mm
3. mmStabilization mmof mmthe mmspine mmand mmsuspected mmextremity mminjuries mm
4. mmEye mmirrigation
5. mmBleeding mmcontrol
6. mmEmergency mmMoves, mmCPR
7. mmAutomated mmexternal mmdefibrillation mm(AED)
8. mmEmergency mmchildbirth mmcare
Emergency mmMedical mmTechnician mm- mmAnswer mm-Provide mmbasic mmemergency
mmmedical mmcare mmand mmtransportation mmto mmpatients mmwho mmaccess mmthe mmEMS
mmsystem
,What mmthey mmdo: mmeverything mman mmEMR mmdoes, mmbut mmon mman mmambulance,
mmplus:
1. mmUse mmadvanced mmoxygen mmtherapy mmand mmventilation mmequipment mm
2. mmPulse mmoximetry
3. mmAutomatic mmblood mmpressure mmmonitoring mmequipment
4. mmLimited mmmedication mmadministration
EMS mmSystem mm- mmAnswer mm-Permits mmpatient mmcare mmto mmbegin mmat mmthe
mmscene mmof mminjury mmor mmillness
-Part mmof mma mmcontinuum mmof mmpatient mmcare mmthat mmextends mmfrom mmthe mmtime
mmof mminjury mmor mmillness mmuntil mmrehabilitation mmor mmdischarge
Evidence-Based mmMedicine mm- mmAnswer mm-Focuses mmon mmresearch mmto mmprovide
mmclear mmevidence mmthat mmcertain mmprocedures, mmmedications, mmand mmequipment
mmimprove mmthe mmpatient's mmoutcome. mm
Steps mmthat mmare mmcommon mmin mmevidenced-based mmdecision mmmaking:
1. mmFormulate mma mmquestion mmabout mmemergency mmcare mmthat mmneeds mmto mmbe
mmanswered
2. mmSearch mmmedical mmliterature mmfor mmresearch mmdata mmthat mmare mmrelated
mmand mmapplicable mmto mmthe mmquestion
3. mmAppraise mmthe mmevidence mmfor mmvalidity mmand mmreliability mm
4. mmIF mmevidence mmsupports mma mmchange mmin mmpractice, mmchange mmprotocols
mmand mmimplement mmthe mmchange mmin mmpre-hospital mmemergency mmcare.
Limitation: mmnot mmenough mmresearch mmdone mmon mmit.
Medical mmDirection mm- mmAnswer mm-Developing mmand mmestablishing mmthe
mmguidelines mmunder mmwhich mmthe mmemergency mmmedical mmservice mmpersonnel
mmfunction.
Medical mmDirector mm- mmAnswer mm-Physician mmwho mmis mmlegally mmresponsible mmfor
mmthe mmclinical mmand mmpatient mmcare mmaspects mmof mmthe mmEMS mmsystem. mm
-Also mmteaches mmEMS mmeducation mmand mmrefresher mmcourses, mmfacilitates
mmquality mmimprovement mmsystem. mm
-Also mmresponsible mmfor mmproviding mmmedical mmdirection
Medical mmOversight mm- mmAnswer mm-Describes mmthe mmEMS mmsystem mmmedical
mmdirector's mmresponsibilities
-Include mmall mmof mmthe mmclinical mmand mmadministrative mmfunctions mmand mmactivities
mmperformed mmby mmthe mmmedical mmdirector
Off-line mmMedical mmDirection mm- mmAnswer mm-Provided mmthrough mma mmset mmof
mmpredetermined, mmwritten mmguidelines mmthat mmallow mmEMTs mmto mmuse mmtheir
,mmjudgement mmto mmadminister mmemergency mmmedical mmcare mm(without mmhaving
mmto mmcontact mmphysician)
On-line mmMedical mmDirection mm- mmAnswer mm-Requires mmthat mmthe mmEMT mmacquire
mmpermission mmfrom mma mmphysician mm(in mmany mmway) mmprior mmto mmadministering
mmspecific mmemergency mmcare.
Paramedic mm- mmAnswer mm-Can mmdo mmall mmthings mmEMTs mmand mmAEMTs mmdo
mmwith mmthe mmaddition mmof:
1. mmMore mmadvanced mmassessment mmand mmpatient mmmanagement mmskills mmand
mmprovision mmof mmthe mmhighest mmlevel mmof mmpre-hospital mmcare
2. mmField mmimpression
3. mmProvide mminvasive mmand mmdrug mminterventions mmas mmwell mmas mmtransport
Pre-hospital mmCare mm- mmAnswer mm-Emergency mmmedical mmtreatment mmgiven mmto
mmpatients mmbefore mmthey mmare mmtransported mmto mma mmhospital mmor mmother
mmfacility.
Protocols mm- mmAnswer mm-Comprise mma mmfull mmset mmof mmguidelines mmthat mmdefine
mmthe mmentire mmscope mmof mmmedical mmcare mm(triage, mmtreatment, mmtransport,
mmdestination).
-AKA mmorders, mmmay mmconsist mmof mmoff-line mmand mmon-line mmmedical mmdirection.
Quality mmImprovement mm- mmAnswer mm-AKA mmcontinuous mmquality mmimprovement
-System mmof mminternal mmand mmexternal mmreviews mmand mmaudits mmof mmall mmaspects
mmof mman mmemergency mmmedical mmsystem
-Goals mmare mmto mmidentify mmthose mmaspects mmof mmthe mmsystem mmthat mmcan mmbe
mmimproved mmand mmto mmimplement mmplans mmand mmprograms mmthat mmwill mmremedy
mmany mmshortcomings
Standing mmOrders mm- mmAnswer mm-Subset mmof mmprotocols mmthat mmdon't mmrequire
mmreal-time mmphysician mminput
-Sometimes mmcan mmbe mmperformed mmif mmcommunication mmcannot mmbe
mmestablished mmor mmis mmlost mmwith mmmedical mmdirection.
Describe mmlessons mmlearned mmin mmtrauma mmcare mmfrom mmexperiences mmin
mmKoren mmand mmVietnam mmconflicts mm- mmAnswer mm-It mmwas mmobvious mmthat
mminjured mmwar mmsoldiers mmin mmthese mmwars mmbenefited mmfrom mmemergency
mmcare mmin mmthe mmfield mmprior mmto mmtransport
-This mmhelped mmthe mmcivilian mmEMS mmsystem mmevolve mmimmensely
Describe mmThe mmPublication mmof mmAccidental mmDeath mmand mmDisability: mmThe
mmNeglected mmDisease mmof mmModern mmSociety mm- mmAnswer mm-AKA mmthe mmwhite
mmpaper mm
, -Detailed mmthe mmnumber mmof mmdeaths mmand mminjuries mmrelated mmto mmtraffic
mmcrashes mmin mmthe mmUnited mmStates. mm
-Also mmdetailed mmsevere mmdeficiencies mmin mmthe mmdelivery mmof mmpre-hospital
mmcare mmin mmthe mmUS mmand mmmade mmrecommendations mmintended mmto mmchange
mmambulance mmsystems, mmtraining mmrequirements, mmand mmthe mmprovision mmof
mmpre-hospital mmcare.
Highway mmSafety mmAct mmof mm1966 mm- mmAnswer mm-Required mmeach mmstate mmto
mmestablish mma mmhighway mmsafety mmprogram mmthat mmmet mmprescribed mmfederal
mmstandards mmand mmincluded mmemergency mmservices.
Emergency mmMedical mmServices mmAct mmof mm1973 mm- mmAnswer mm-Provided
mmaccess mmto mmmillions mmof mmdollars mmof mmfunding mmgeared mmto mmEMS mmsystem
mmplanning mmand mmimplementation, mmpersonnel mmavailability, mmand mmtraining.
Public mmCPR mmCourses mm- mmAnswer mm-Cardiopulmonary mmresuscitation mm
-American mmHeart mmAssociation mmbegan mmto mmteach mmCPR mmand mmbasic mmlife
mmsupport mmto mmthe mmpublic.
Publication mmof mmthe mmNational mmEmergency mmMedical mmServices mmEducation
mmand mmPractice mmBlueprint mm- mmAnswer mm-Defined mmissues mmrelated mmto mmEMS
mmtraining mmand mmeducation mmand mmwas mmintended mmto mmguide mmthe
mmdevelopment mmof mmnational mmtraining mmcurricula.
Publication mmof mmEMS mmAgenda mmFor mmThe mmFuture mmand mmThe mmEMS
mmEducation mmAgenda mmFor mmThe mmFuture: mmA mmSystems mmApproach mm-
mmAnswer mmEMS mmAgenda mmFor mmThe mmFuture: mm
-A mmdocument mmwith mmthe mmintent mmto mmmake mmEMS mma mmgreater mmcomponent
mmin mmthe mmhealth mmcare mmsystem mmin mmthe mmUnited mmStates mm(circa mm1999)
EMS mmEducation mmAgenda mmFor mmThe mmFuture: mmA mmSystems mmApproach
-Released mmto mmaddress mmthe mmissue mmof mmconsistency mmin mmthe mmeducation,
mmtraining, mmand mmcertification mmand mmlicensure mmof mmentry-level mmEMS
mmpersonnel mmnationally mm(circa mm2000).
Development mmof mmNational mmEMS mmCore mmContent, mmNational mmEMS mmScope
mmof mmPractice mmModel, mmand mmNational mmEMS mmEducation mmStandards mm-
mmAnswer mmDevelopment mmof mmNational mmEMS mmCore mmContent:
-Defined mmthe mmdomain mmof mmknowledge mmfound mmin mmthe mmNational mmEMS
mmScope mmof mmPractice. mmPromotes mmuniversal mmknowledge mmand mmskills mmfor
mmEMS mmpersonnel
National mmEMS mmScope mmof mmPractice mmModel:
-Defines mmfour mmlevels mmof mmEMS mmlicensure mmand mmthe mmcorresponding
mmknowledge mmand mmskills mmnecessary mmfor mmeach mmlevel. mm
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