Paramedic 14 Review
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| Roles of Medical Director | 1) Educating and training personnel
2) Developing clinical protocols
3)Developing and assisting in a quality improvement program
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| Scope of practice | care that a paramedic is permitted to perform according to the state under its license or certification.
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| Off-line Medical Control | allows for the development of protocols, standing orders, procedures, and training
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| On-line Medical Control | provides immediate and specific patient care resources, allows telemetry transmission, allows for continuous quality improvement and can render on-scene assistance.
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| Negligence | professional action or inaction that does not meet the standard of ordinary care by health care provider
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| Elements of Negligence | Duty,
Breach of Duty,
Proximate Cause
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| Modes of radio operation: Simplex | portable unit that can only transmit or receive one mode (voice or telemetry) at any given time.
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| Modes of radio operation: Duplex | a network that allows two different frequencies at the same time to permit simultaneous transmission and reception (like a telephone)
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| Modes of radio operation: Multiplex | two or more signals- such as the paramedics voice and the patients ECG - for simultaneous transmission on one frequency.
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| Abandonment | form of negligence that involves the termination of care without the patients consent
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| Breath Sounds: Agonal | Irregular gasps that are few and far between. Usually represent stray neurological impulses in the dying patient.
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| Breath Sounds: Biot Respiration | resps with an irregular pattern, rate and depth with intermittent patterns of apnea. Indicative of severe brain injury or brain-stem herniation
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| Breath Sounds: Cheyne-Stokes respiration | Crescendo-decrescendo breathing with a period of apnea. Brain injury.
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| Breath Sounds: Central neurogenic hyperventalation | rapid and deep resp caused by increased intracranial pressure or direct brain injury. Drives carbon dioxide levels down and ph levels up, resulting in resp alkalosis.
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| Breath Sounds: Kussmaul | rapid and deep resps. caused by body's response to metabolic acidosis. the body is trying to rid itself of blood acetone via the lungs. seen in patients of dka. accompanied by fruity (acetone) breath odor.
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| Angina vs MI: Angina pectoris | sudden pain from myocaridial ischemia, caused by diminished circulation to cardiac muscles. Pain is usually substernal and often radiates to the arms, jaw, or abdomen and usually lasts 3 to 5 min and disappears with rest.
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| Angina vs MI: Acute Myocardial infarction | condition present with a period of cardiac ischemia caused by a sudden narrowing or complete occlusion of a coronary artery leads to death (necrosis) of myocardial tissue.
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| Angina vs MI: Stable Angina | angina pectoris characterized by periodic pain with a predictable pattern.
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