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Advanced Practice

QuestionAnswer
how do you calculate cardiac output and what is the range of normal stroke volume with each beat? CO = HRXSV SV normal is 60-80mL
How do you calculate BP BP = (HR X SV) X SVR
How do you calculate MAP MAP = [(2XDBP) +SBP]/3
Each person must decide how to behave and whatever decision that person makes is okay- what is this thought process called? Ethical Relativism
People should just fulfill their duties - what method of thought is this? Deontological
Actions can be judged as good or bad only after we know consequences of those actions - what is this known as? consequentialism
what is a subtype of consequentialism defined as doing the most good for the greatest number of people? utilitarianism
4 step sequence of communication in EMS response 1 detection and citizen access, 2 emergency medical dispatch, 3 after pt contact medical direction contact, 4 transfer of care
what is described as the public's first contact with EMS system who give prearrival instructions, support and coordination emergency medical dispatch
what kind of radio tech is described as long range, best in outdoors, works well in open areas and require large antennas to operate VHF
What kind of radio tech is described as short range, best indoors, works well in buildings or urban spaces, and require lot of power to operate? UHF
What type of communication system uses a computer to route transmissions to the first available frequency? trunked
what level of provider: usually person first to arrive (police, FF, industrial workers); provide basic airway and O2, vital signs, c-spine/Fx stabilizing, hemorrhage control, CPR/AED, emergency moves (48-60hrs) EMR
what level of provider: minimal level for ambulance personnel; emphasizes pt care and transportation of ill/injured; includes all EMR, advanced airways and O2, some medications (128-150hrs) EMT
what level of provider: All EMR&EMT skills; additional advanced airway and O2, IV's, some meds, some advanced airways (150-250hrs) AEMT
what level of provider: EMR/EMT/AEMT skills; ALS, ECG monitor and interpretation, cardiac therapy, IV/IO, 60+ meds (1,000-1,300hrs) Paramedic
what does primum non nocere mean? first, do no harm
what is the greatest hazard for EMS MVC's
Stages of grief denial, anger, bargaining, depression, acceptance
what are the 3 stages of general adaptation syndrome alarm, resistance, exhaustion
the most valid type of research study is? what's second? 1 = meta-analysis of randomized controlled trials 2 = randomized controlled trials
what kind of law sets basic government structures and protects people against government abuse constitutional
what kind of law changes and grows over the years where cases with similar facts should be decided in the same way common
what kind of law created by lawmaking/legislative bodies and takes precedence over common law; over federal, state, and local levels legislative
what kind of law is enacted by administrative/government agency at federal/state level (OSHA for example) administrative
category of law is a specific branch of civil law focused on addressing wrongful acts that cause harm to individuals or their property. tort
category of law covers all non-criminal disputes (contracts, property, family) civil
body of law that defines offenses against the public, state, or society, and punishing harmful behavior, such as felonies and misdemeanors, imprisonment or fines, rather than providing remedies for private disputes criminal law
four elements of negligence duty to act, breach of that duty, actual damages, and proximate cause
breach of duty can be malfeasance, misfeasance, and nonfeasance; what do these mean? malfeasance: wrong/unlawful act Misfeasance: legal act that is done harmfully Nonfeasance: failure to perform required act
res ipsa loquitur, what does this mean? the thing speaks for itself: must prove damages wouldn't have happened in absence of neglect under control at the time and patient didn't contribute to own injury
defamation is making a false intentional communication that injures a persons reputation and can be libel or slander but what do those teams mean? libel is written/media and slander is spoken
what is the doctrine that makes you liable for any negligent act committed by EMS personnel you are supervising Borrowed servant doctrine
social, religious, personal standards of right and wrong morals
rules of standards govern conduct of members of group or profession ethics
what is relativism different people have different beliefs about what is "right" and wrong
method that a person is bound to fulfill duties according to known rules without regard to good/bad consequinces deontological method
what is the term for actions being judges as good/bad only after know the consequences of those actions consequentialism
impartiality test would you be willing to undergo this procedure/action
universalizability test would you want this action performed in similar circumstances
interpersonal justifiability can you defend/justify your actions to others
What automatic feature improves outcomes among seriously injured by predicting severity of injury, decreased response times, assist with field triage/transport decisions, and decreased time to definitive care Advanced Automatic Collision Notification
USDOT national education standard have 3 domains what are they cognitive (facts/info knowledge), affective (assign emotions/values/attitudes to info), psychomotor (hands-on-skills)
the term for successfully completing educational program and passing exam confirming minimum competency certification
term for privilege to practice granted by gov't body licensure
term entering name/essential info within record to verify providers initial certification and monitor recert registration
term for agencies granting auto. cert/license with comparable from other agency reciprocity
federal specifications for ambulances to standardize design KKK-A-1822
type I ambulance conventional cab and chaises with no passageway to pt compartment (MCHD)
type II ambulance vanbulance
type III ambulance specialty van with forward cab integrated to body with passage to pt compartment
3 areas of medical errors skills-based, knowledge-based, rules-based
isometric vs isotonic exercises isometric = resistance held still (static hold) isotonic: full range of motion
biggest contributor to EMS burnout organizational stressors, dysfunctional with coworkers, sups, and management
term for how well the study supports the conclusions validity
primary tenet of public health identify and prevent injury and illness
Age of death - 65 gives what? years of productive life
primary prevention measures for health means what keep from ever occurring
secondary prevention measures for health means what changing trajectory of disease/injury process
tertiary prevention measures for health means what reduce symptoms and improve quality of life
both control and treatment group that independent variable is applied to have subjects randomly assigned to one group and demographics between groups that are similar experimental study
subjects not randomly assigned to study groups; greater chance demographically different groups and bias, less valid than experimental ○ Important because randomization in some situations is not possible or unethical○ Nonrandomized controlled trials quasi-experimental study
no control group. Single/multiple groups studied without comparison to control. Scientist doesn’t control variables. Less valid than experimental/quasi-experimental. many situations it is unethical to withhold treatment observational study
definition of how well study supports conclusions validity
what type of validity assures results can be generalized external
what type of validity ensures results can be attributed to the cause internal
study type randomized into treatment and control groups, can be single or double blind randomized control trial
what does meta analysis of RCT do that makes them better studies combine several prior studies
type of study that is observational of subjects who share certain conditions or receive treatment followed over time and compared with another group not affected by condition ; studies of twins cohort
study type observational; groups compared without control; looks at single point in time cross-sectional (analysis)
study type that looks at group of pt with similar condition case series
structured study of single pt who is unique/interesting to medical community in general case report
study type suitable for use before scientific research is available or occurring expert opinions/editorials/rational conjecture
study type understanding how certain drugs/procedures affect biological systems but findings in one species don’t necessarily apply to others; computer modeling is starting to replace aspects of this animal research (in vivo)
study type the most basic level; important in learning how universe functions bench research (in vitro)
Created by: Lindsey.George
 

 



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