EMR- Chapter 1

4 basic goals of EMT's

1- know what not to do 2- know how to provide care use EMR kit 3- know how to improvise 4- know how to assist other EMS providers

What is an example of an injury or illness prevention program?

Alcohol awareness

True or False: Quality Improvement is primarily a process by which an EMS system evaluates and disciplines employees

False

True or False: the EMS system involves only emergency medical care

False

EMR

The first medically trained person to arrive on the scene.

Which of the following statements regarding transport of a patient to the hospital is correct? a) patients may require immediate stabilization at the closest hospital and then transfer to another facility b) EMR's are legally obligated to accompany the patient in the back of the ambulance to the hospital c)IN most states and EMS systems, EMRs are not authorized to assist the EMT in the back of the ambulance d) any sick or injured patient should be transported to the closest hospital, regardless of the patient's condition

a) patients may require immediate stabilization at the closest hospital and then transfer to another facility

What level of EMS provider is able to perform limited ALS skills?

advanced EMT

When EMTs or paramedics arrive at the scene of an emergency, the EMR should:

assist the EMT's in continuing the care that he or she initiated

In order to keep his or her certification, an EMR must ____.

attend continuing education classes

You are the first medically trained person to arrive at the scene of a motor vehicle crash. The patient is conscious and is bleeding heavily from a wound on his head. He is still in the vehicle, which has power lines draped across the hood. You should: a) carefully remove the patient from the vehicle without touching any metal b) advice the patient to remain still and immediately contact the power company c) ask the patient to crawl out of the vehicle carefully without touching metal d)put on rubber gloves and carefully move the power lines away from the car

b) advice the patient to remain still and immediately contact the power company

To provide the best possible care for a patient, a) the medical director must be notified during every emergency b) a paramedic must be present at each and every emergency c) all EMS personnel must function effectively as a team d) the patient must receive rapid transport

c) all EMS personnel must function effectively as a team

Roles ad responsibilities of the EMR include all of the following, except: a) promptly and safely responding to the scene b) adequately assessing every patient c) transporting the patient to the hospital d) ensuring the safety of self and others

c) transporting the patient to the hospital

Which of the following is NOT a criterion used by the National Highway Traffic Safety Administration (NHTSA) to evaluate an EMS system? a)regulation and policy b)education of the public c)billing and collections d)resource management

c)billing and collections

Enhanced 911 centers have the ability to: a) automatically dispatch aeromedical support when a call is received b) provide immediate ALS instructions to the caller c) function as a medical control in the absence of a licensed physician d) determine the physical location of the caller via the computer

d) determine the physical location of the caller via the computer

Communication with a physician via two way radio or wireless telephone is an example of: a)offline medical control b)standard operating protocol c)indirect medical control d)online medical control

d)online medical control

BLS (Basic Life Support)

emergency lifesaving procedures performed without advanced emergency procedures to stabilize the condition of patients who have experiences sudden illness or injury

emergency response communication center

fire, police, 911 center, or seven digit telephone number used by one or all of the emergency agencies to receive and dispatch requests for emergency care (AKA- public safety answering point, or PSAP)

appropriate medical facility

hospital or medical clinic with adequate medical resources to provide continuing care to sick or injured patients who are transported after field treatment by EMR's

A 33 year old woman has a possible broken left ankle. She is in significant pain but is conscious and otherwise stable. What type of hospital transport, if any, does this patient require?

hospital transport but without lights and siren

What to document/ record after assisting patients

observations about scene patient's condition treatment you provided

paramedic

person trained and certified to provide advanced life support

advanced emergency medical technician (AEMT)

person who is able to perform BLS skills and limited ALS skills

EMT

person who is trained and certified to provide basic life support and certain other noninvasive prehospital medical procedures

Overall leader of the medical care team

physician or medical director

defibrillation

process of delivering an electric shock through a person's chest wall and heart for the purpose of ending lethal heart rhythms (ie- ventricular fibrillation) and help to establish normal heart contraction rhythms

Primary goal as an EMR

provide immediate care for a sick or injured patient; then assist EMTs/paramedics as they arrive

Typical sequence of events of the EMS system

reporting dispatch emergency medical response EMS vehicle response hospital care

6 components of EMS system in the quality improvement process

safety effectiveness patient-centeredness timeliness efficiency equitability

ALS (Advanced Life Support)

the use of specialized equipment (ie- cardiac monitors or defibrillators) and specialized techniques (ie- intravenous fluid administration or drug infusion or endotracheal intubation) to stabilize a patient's condition

A cardiac arrest patient's most crucial contact with the EMS system occurs when ___.

trained EMR's arrive at the patient's aide.

The EMR must possess the ability to:

treat patients with limited equipment