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Advanced Practice
| Question | Answer |
|---|---|
| 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) |