PE-0131 Study Guide - Comprehensive Midterm Guide: Intravenous Therapy, Radial Artery, Avpu

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Tufts
PE-0131
MIDTERM EXAM
STUDY GUIDE
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PE-131
1/27/17
Chapter 1 Lecture - EMS Systems
Most states have four training and licensure levels:
-EMR - basic life support (BLS)
-EMT - training in BLS including automated external defibrillation (AEDs), airway
adjuncts, assisting patients with certain medications
-AEMT - advanced life support (ALS), IV therapy
-Paramedic - ALS, endotracheal intubation, emergency pharmacology, cardiac
monitoring, other advanced skills assessment and treatment skills
Medical director - provides oversight, policy director
Medical control - physicians that is communicating with you during the call, in
Massachusetts they must communicate live via radio or telephone
Information Systems - used to efficiently document the care that has been delivered,
information can be used to improve care, can help determine average on-scene time for
trauma patients
Roles and Responsibilities of the EMT!
1. Keep vehicles and equipment
ready
2. Ensure safety
3. Be family with emergency
vehicle
4. On-scene leadership
5. Scene evaluation
6. Call for additional resources
as needed
7. Gain patient access
8. Perform a patient assessment
9. Give emergency medical care
while awaiting additional
support
10. Give emotional support
11. Maintain continuity of care
12. Resolve emergency incidents
13. Uphold medical and legal
standards
14. Ensure and protect patient
privacy
15. Give administrative support
16. Constantly continue
professional development
17. Know the community
18. Give back to the profession !
Chapter 2 Lecture - Workforce Safety and Wellness
EMS is stressful so minimize stress as best you can
Take care of yourself but eating well, sleeping, and exercising (common sense)
Caring for Critically Ill and Injured
- Introduce yourself
- Response of the critical patient include: anxiety, fear, pain
- Be confident so they have confidence in you
Physical signs of death
- Absence of circulation and respiratory function
- if the body is still warm, initiate care
- if hypothermia is present initiate care
- Lack of pulse
- Absence of breath sounds
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PE-131
1/27/17
- Dependent lividity (blood pooling)
- Profound cyanosis
- Decreased body temperature not related to outside weather or temperature
Definitively dead
- Decapitation, transection
- Rigor mortis - stiffening of body post death
- Putrefaction - decomposition of body
Medical Examiner Cases (Keep notes of any care provided - ALS not BLS)!
-DOA
- Unknown cause of death
- Suicide
-Violent death
- Poisoning
- Accidents
- Criminal act
-Unattended death!
Grieving process (DABDA)
1. Denial
2. Anger
3. Bargaining
4. Depression
5. Acceptance
RULE #1 - Everyone is infection, the only way to assure that you will be safe from getting
infected is to treat every patient with caution
Body Substance Isolation (BSI)
- Hand washing
- Eye protection - googles or face shields are best
- Masks and gowns
HEPA mask= 100% filtration, can not draw in enough air to work in it
N95 mask= 95% filtration, can work in
- Wear gloves - of there is any possibility for exposure to blood or body fluids
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