Brady 12th edition. Chapters 1-20 & 27
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| Protocols | show 🗑
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| Who develops protocols? | show 🗑
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| show | A policy or protocol issued by a Medical Director that authorizes EMTs and others to perform particular skills in certian situations.
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| Medical Director | show 🗑
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| Medical DIRECTION | show 🗑
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| show | Consists of standing orders issued by the Medical Director that allow EMTs to give certain medications or perform certain procedures without speaking to the Medical Director or another physician.
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| show | Consists of orders given directly by the on-duty physician to an EMT in the field by radio or telephone.
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| Quality Improvement | show 🗑
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| show | Being aware of potential dangers always a priority. Determining scene safety will be the MOST important decision on any call.
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| BSI | show 🗑
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| Pathogens | show 🗑
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| Standard percautions | show 🗑
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| Stress | show 🗑
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| show | The introduction of dangerous chemicals, disease, or infectious materials.
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| Stages of Stress | show 🗑
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| show | -Hazardeous scene. -Repositioning required to care for life threatening conditions. -Must reach other patents in more critical condition.
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| Emergency Move Techniques | show 🗑
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| Advanced Directive | show 🗑
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| show | -required treatment can be performed only if patient is moved. -patient's condition is deteriorating. -performed with precautions for spinal injury.
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| show | Once care initiated, may not be discontinued until transferred to medical personal of equal or greater training.
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| Assult & Battery | show 🗑
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| Confidentiality | show 🗑
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| Expressed consent | show 🗑
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| Implied consent | show 🗑
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| Patient consent | show 🗑
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| show | -minors not permitted to provide consent for treatment. -obtain from parent or gardian.
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| show | -In loco parentis -Emancipated minors -Life-threatening illness or injury -Minors who have children -Minors serving in armed forces
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| show | -Adult patients incapable of informed decisons about care. -State and local laws and protocols permit transport of such patients under implied consent.
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| show | -Patient considered threat to self or others. -Court order. -Usually requires decision by mental health professional or police officer. -If patient restrained,must not risk legal liability.
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| DNR Order | show 🗑
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| show | -Obligation to provide care. -While on duty, EMT obligated to provide care if no threat to own safety. -Duty to act not always clear -Off duty -on duty, out of jurisdiction -FOLLOW LOCAL LAWS AND PROTOCOLS -FOLLOW OWN CONSCIENCE
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| show | -Something that was not done, or was done incorrectly. -MUST PROVE -Emt had duty to act -Breach of duty-EMT failed to provide standard of care expected or failed to act. -Proximate causation-patient suffered harm because of EMTs action or inaction.
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| show | -Regulation and ethical considerations that define extent or limits of job duties. -May include skills and procedures. -Determined by national, state, local laws, statutes, and protocols.
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| show | -Care expected from EMT with similar training for patient in a similar situation. -Meeting standard of care reduces risk of legal action. -SCOPE OF PRACTICE (WHAT YOU CAN DO) -STANDARD OF CARE (HOW YOU SHOULD DO IT)
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| show | -Patient may refuse care or transport -Legally able to consent -Mentally competent and oriented -FULLY INFORMED OF RISKS -SIGNS RELEASE FORM -DESPITE ALL PRECAUTIONS, EMT MAY STILL BE HELD LIABLE.
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| show | Cellular functions using oxygen
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| show | Cellular functions not using oxygen -Creates much less eneryg and much more waste. -Body becomes acedic, impacts body function.
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| show | -The amount of blood ejected from the heart in 1 minute (heart rate X stroke volume) -Slowing heart rate or decreasing stroke volume reduces cardiac output. -Rapid heart rates reduces cardiac output
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| show | The amount of blood ejected form the heart in 1 contraction.
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| show | Swelling associated with the movement of water into the interstitial space.
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| show | And abnormally low amount of water in the body.
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| Hypoperfusion | show 🗑
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| show | The amount of air breathed in during each respiration multiplied by the number of breaths per minute.
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| show | The supply of oxygen to, and removal of wastes from, the cells and tissues of the body as a result of the flow of blood through the capillaries.
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| Tidal Volume | show 🗑
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| show | Begins at the mouth and nose -air is warmed and humified in nasal turbinates. -Includes Phyrnx -Orogharynx, nasopharynx, and laryngopharynx -Ends at glottic opening -Vocal cords divide the upper and lower airways.
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| show | -Begins at glottic opening (vocal cords) -Trachea (smooth muscle) -Bronchial passages -Alveoli
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| Bronchoconstriction (Affects Carina to Alveoli) | show 🗑
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| Gag reflex | show 🗑
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| show | -Place one hand on forehead and fingertips of the other hand on under patients lower jaw. -Tilt head -Lift chin -DO NOT ALLOW MOUTH TO CLOSE -USED ON PATIENTS WHO ARE NOT KNOWN OR SUSPECTED TO HAVE A SPINAL INJURY.
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| show | -Place one hand on each side of the patient's lower jaw at angles of jaw below ears. -Use index fingers, push angles of patients lower jaw forward -DO NOT TILT OR ROTATE PATIENTS HEAD -USED IF PATIENT IS KNOWN OR SUSPECTED TO HAVE HEAD OR SPINAL INJURY
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| show | A high pitched sound generated from partially obstructed air flowin the UPPER AIRWAY.
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| Cyanosis | show 🗑
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| Deffusion | show 🗑
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| Hypoxia | show 🗑
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| Artificial Ventilation | show 🗑
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| show | The diffusion of oxygen and carbon dioxide between the alveoli and the blood (pulmonary respiration) and between the blood and the cells (cellular respiration). Also used to mean, simply, breathing.
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| Respiratory arrest | show 🗑
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| Respiratory Failure | show 🗑
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| show | A permanent surgical opening in the neck through which a patient breathes.
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| Respiratory rate | show 🗑
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