Medical Emergency Operations Study Guide. Contains 75 Questions and Answers

Operations Study Guide 1. When using PCR for research or quality assurance. What should you delete? o Pt’s name/ emt’s name/ response times/ treatments rendered Reason: HIPAA, do not release PTs Name or release inform ...

Operations Study Guide 1. When using PCR for research or quality assurance. What should you delete? o Pt’s name/ emt’s name/ response times/ treatments rendered Reason: HIPAA, do not release PTs Name or release information that’s descriptive of them. 2. 6 yo child fell at the park. No adult around. Type of consent? o Implied/ legal/ expressed/ pediatric Reason: they’re a minor, and no ones there to deny consent. 3. First to arrive. Using START, you should identify pts who? o Ambulatory/ deceased/ unresponsive/ breathing Reason: remove those patients who don’t have any life threatening situations. 4. Partner comes to work dirty and leaves trash. Best describe these actions? o Unethical/ unprofessional/ dangerous/ negligent Reason: remain professional at all times 5. Verbal consent to treatment is called? o Expressed/ implied/ defined/ legalized Reason: they have expressed verbally that they want to be treated 6. Elderly pt cut her hand, bleeding is controlled. She answers questions slowly and often pauses. Vitals are BP 110/80, 64, 14. What should you do? o Allow adequate time unless condition worsens/ yes or no ?/ document altered mental/ direct questions to someone else Reason: vitals are good but continue to monitor them. Some people need more time to respond than others. 7. MCI, pt asks for help. Disoriented and R 32. According to START, you should? o Mark as Immediate Reason: any abnormal vitals or altered mental status will classify the patient as immediate 8. MCI, how should you report info to transporting ambulance? o Neuro status and vitals/ medical and SAMPLE/ pt’s hospital pref/ MOI and who was at fault Reason: Respirations, perfusion and mental status are the only things that matter in an MCI 9. Pt condition should be corrected during primary survey? o 12 yo dyspnea from allergic reaction/ 28 yo rapid pulse stung by several bees/ 22 yo ab pain baseball bat/ 45 yo mod chest pain, no palp BP Reason: primary is ABC’s and the allergic reaction is affecting the airway 10. 58 yo heavy chest pressure. Ask you what is cause. You should? o Hospital staff will explain/ heart not getting enough O2/ acute MI/ can’t explain bc HIPAA 11. Legal case against you. What is your best defense in court? o Complete and thorough report/ dispatch records/ partner’s supporting testimony/ immediate recollection of events Reason: Documentation will help in a legal case because it notes all of the care you provided, why you provided it and any complications that may have prevented you from providing adequate care. 12. Alert 67 yo refuses care and requests a release form? What should you do? o Explain risks/ restrain and trans/ provide supportive care and allow refusal/ ask PD to place in protective custody treatment, document it, and attempt one last time to convince them to seek medical care. 13. Pt shot in head no signs of life. Brain matter on floor. You should? o Cover pt and contact coroner/ leave scene untouched and contact PD/ resus measures and tran/ permit fam to view and emotional support Reason: the patient cannot be saved. Leave the scene untouched so LE can start their investigation since he was shot. 14. Most effective way to stop spread of infectious diseases? o Gloves all pts/ good hand washing/ avoid bodily fluids/ face shield all calls Reason: Just wash ya hands 15. START, open airway, he begins breathing and is unresponsive. This pt should be classified? o Immediate Reason: AMS = immediate 16. Finalizing PCR, notice incorrect pulse reading. What should you do? o Single horizontal line, correct, initial Reason: never try to cover up a mistake. Always initial the crossed out mistake. 17. Arrive to a large fight, pointed to stab victim. You should? o Drive away and stage/ quickly load and tran/ treat and request ALS/ treat and request police 18. Pt dead when you arrive. Rigor mortis already set in. you should? o Direct fam to contact coroner and leave scene/ tell bad news and emotional support/ pt dead nothing you can do/ fam sign refusal and clear scene Reason: if family is present, tell bad news, if not then there’s nothing you can do. he dead. 19. Honor DNR when? o Given appropriate paperwork/ fam requests/ confirm with physician/ pt’s cond is irreversible Reason: never take anybody’s word about having a DNR. Request to see the physical copy. 20. Upon entering home elderly called 911 for chest pain you should? o General impress/ check BP/ collect meds/ load and go 21. A medical director issues permanent written orders that allow you to treat patients under certain circumstances. This is known as: o Standing order/ online medical direction/ advance directive/ designated agent 22. When approaching unsafe scene, you should: o Park ambulance so that you can easily make a quick retreat/ wear Kevlar vest to reduce threat of gunshot wound or stabbing/ leave on lights and sirens to scare off perpetrators/ stand clear view so that you can be identified as medical personal Reason: always park in a safe area that has an easy escape route 23. Suspect a chemical of mass destruction? o 75 people become sick with sudden onset of vomiting and diarrhea at parade/ you smell an unfamiliar bitter odor at scene of multi vehicl