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Brady 12th edition. Chapters 1-20 & 27

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Question
Answer
Protocols   show
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Who develops protocols?   show
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Standing Orders   show
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show A physician who assumes ultimate responsibility for the patient-care aspect of the EMS system.  
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show Oversight of the patent-care aspects of an EMS system by the Medical Director.  
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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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On-line Medical Direction   show
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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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show A strict form of infection control that is based on the assumption that all blood and other body fluids are infectious.  
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show A state of physical and/or psychological arousal to a stimulus.  
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Contamination   show
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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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show -clothes drag -head first drag -firefighters drag -firefighters carry -one-rescuer assist -two-rescue asist  
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Advanced Directive   show
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Urgent Move (take time to assess patient)   show
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Abandonment (#2 area of litigation/being sued for)   show
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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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show Permission from patient to assess, treat, and transport.  
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Consent from Children   show
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Possible exceptions to child consent (check local law)   show
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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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show DO NOT RESUSCITATE ORDER.  
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Duty to act   show
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Negligence   show
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Scope of practice   show
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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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Refusal of care (#1 area of litigation/being sued for)   show
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show Cellular functions using oxygen  
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Anearobic Metabolism   show
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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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Dehydration   show
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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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show The volume of air moved in 1 cycle of breathing.  
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Upper airway   show
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show -Begins at glottic opening (vocal cords) -Trachea (smooth muscle) -Bronchial passages -Alveoli  
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show -Disorder of lower airway -Smooth muscle constricts internal diameter of airway.  
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show Vomiting or retching that results when something is placed in the back of the pharynx. This is tied to the swallow reflex.  
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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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Jaw Thrust Maneuver   show
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Stridor   show
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Cyanosis   show
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Deffusion   show
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Hypoxia   show
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show Forcing air or oxygen into the lungs when a patient has stopped breathing or has inadequate breathing. Also called positive pressure ventilation.  
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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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show When breathing completely stops  
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Respiratory Failure   show
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Stoma   show
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Lung sounds   show
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show  
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show  
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