NREMT Study Guide - EMS Operations

NHTSA - ANSWER National Highway Traffic Safety Administration NHTSA standards - ANSWER Regulation and Policy Resource Management Human Resources and Training Transportation Facilities Communications Public Infor ...

NHTSA - ANSWER National Highway Traffic Safety Administration NHTSA standards - ANSWER Regulation and Policy Resource Management Human Resources and Training Transportation Facilities Communications Public Information and Education Medical Direction Trauma Systems Evaluation highway safety act of 1966 - ANSWER Set standards for the design and safety of the highways passed by LBJ EMS Agenda for the Future - ANSWER Published in 1966 - document with the intent to make EMS a greater component in the health care system in the U.S. public safety access point - ANSWER A call center, staffed by trained personnel who are responsible for managing requests for police, fire, and ambulance services. primary service area - ANSWER The designated area in which the EMS agency is responsible for the provision of prehospital emergency care and transportation to the hospital. decontamination - ANSWER The removal or cleansing of dangerous chemicals and other dangerous or infectious materials. cold zone - ANSWER area where the Incident Command post and support functions are located. command - ANSWER the first on the scene to establish order and initiate the Incident Command System. hot zone - ANSWER area immediately surrounding a hazmat incident; extends far enough to prevent adverse effects outside the zone nims - ANSWER National Incident Management System staging area - ANSWER the area where ambulances are parked and other resources are held until needed staging supervisor - ANSWER person responsible for overseeing ambulances and ambulance personnel at a multiple-casualty incident. surge capacity - ANSWER a measurable representation of ability to manage a sudden influx of patients. It is dependent on a well functioning incident management system and the variables of space, supplies, staff, and any special considerations (contaminated or contagious patients, for example). (Source: ACEP, 2011). triage - ANSWER the medical screening of patients to determine their relative priority of need and the proper place of treatment warm zone - ANSWER area where personnel and equipment decontamination and zone support take place; it includes control points for the access corridor and thus assists in reducing the spread of contamination. priority 1 - ANSWER altered mental status or absent radial pulse or respirations greater than 30/min red - ANSWER priority 1 priority 2 - ANSWER alert and radial pulse present and respirations less than 30 yellow - ANSWER priority 2 priority 3 - ANSWER alert no life threat walking grean - ANSWER priority 3 priority 4 - ANSWER not breathing with open airway or no pulseb black - ANSWER priority 4 expressed consent - ANSWER consent given by adults who are of legal age and mentally competent to make a rational decision in regard to their medical well-being in loco parentis - ANSWER Refers to the legal responsibility of a person or organization to take on some of the functions and responsibilities of a parent. informed consent - ANSWER given consent with knowledge of risks and benefits emergency doctrine - ANSWER The principle of law that permits a health care provider to treat a patient in an emergency situation when the patient is incapable of granting consent because of an altered level of consciousness, disability, the effects of drugs or alcohol, or the patient's age. emancipated minor - ANSWER Person who is not 18 but has the same legal rights as an adult Presumptive signs of death - ANSWER -Unresponsiveness to painful stimuli -Lack of a carotid pulse or heartbeat -Absence of chest rise and fall -No deep tendon or corneal reflexes -Absence of pupillary reactivity -No systolic blood pressure -Profound cyanosis -Lowered or decreased body temperature definitive signs of death - ANSWER Obvious mortal damage, dependent lividity, rigor mortis, putrefaction. dependent lividity - ANSWER Blood settling to the lowest point of the body, causing discoloration of the skin. rigor mortis - ANSWER stiffness of the body that sets in several hours after death putrefaction - ANSWER the process of decay or rotting in a body or other organic matter standard of care - ANSWER the degree of care that a reasonably prudent person should exercise under the same or similar circumstances duty to act - ANSWER A medicolegal term relating to certain personnel who either by statute or by function have a responsibility to provide care. negligence - ANSWER EMT had duty to act EMT did not provide standard of care there was proximate causation proximate causation - ANSWER damages to patient were result of action or inaction of EMT res ipsa loquitor - ANSWER the thing speaks for itself torts - ANSWER Civil (not crimina) offense caused by negligence abandonment - ANSWER Leaving a patient after care has been initiated and before the patient has been transferred to someone with equal or greater medical training. assault - ANSWER placing a person in fear of bodily harm battery - ANSWER causing bodily harm to or restraining a person kidnapping - ANSWER the unlawful removal or restraint of a person against his or her will false imprisonment - ANSWER restraining an individual or restricting an individual's freedom libel - ANSWER A written defamation of a person's character, reputation, business, or property rights. slander - ANSWER False charges and malicious oral statements about someone Good Samaritan Law - ANSWER Provides limited protection to someone who voluntarily chooses to provide first aid gross negligence - ANSWER Conduct that constitutes a willful or reckless disregard for a duty or standard of care. wheeled ambulance stretcher - ANSWER Specifically designed stretcher that can be rolled along the ground backboard - ANSWER immobilize patients with possible spinal injury used to move patients out of awkward places power lift - ANSWER A lifting technique in which the EMT's back is held upright, with legs bent, and the patient is lifted when the EMT straightens the legs to raise the upper body and arms. power grip - ANSWER gripping with as much hand surface as possible in contact with the object being lifted, all fingers bent at the same angle, and hands at least 10 inches apart emergency move - ANSWER A move in which the patient is dragged or pulled from a dangerous scene before assessment and care are provided. urgent move - ANSWER Required when the patient must be moved quickly for treatment of an immediate threat to life. Performed WITH spinal precautions. nonurgent move - ANSWER a patient move made when no immediate threat to life exists bariatrics - ANSWER the branch of medicine concerned with the prevention and control of obesity and associated diseases scoop stretcher - ANSWER A stretcher that is designed to be split into two or four sections that can be fitted around a patient who is lying on the ground or other relatively flat surface; also called an orthopedic stretcher. direct ground lift - ANSWER A method of lifting and carrying a patient from ground level to a stretcher in which two or more rescuers kneel, curl the patient to their chests, stand, then reverse the process to lower the patient to the stretcher extremity lift - ANSWER A method of lifting and carrying a patient during which one rescuer slips hands under the patient's armpits and grasps the wrists, while another rescuer grasps the patient's knees. No apparent hazards (danger zone) - ANSWER 50 ft fuel spilled (danger zone) - ANSWER 100ft vehicle fire (danger zone) - ANSWER 100ft wires down (danger zone) - ANSWER diameter of wire hazardous material (danger zone) - ANSWER ERG Subjective - ANSWER info about the patient info someone tells you chief complaint SAMPLE Objective - ANSWER info you get from your own observations age, sex, weight, LOC, ABCs, vitals, general impression, physical assessment Assessment - ANSWER what you think is wrong with the patient Plan - ANSWER what you are going to do treatment and meds