ALS

Question 1

Purpose of ALS

Answer 1

• reflects current practices and provides benchmark
• communicates standards of practice

Question 2

What are the elements for consent to treatment in non-emergency situations

Answer 2

• person must be capable
• must be related to treatment
• must be informed
• given voluntarily
• must not be obtained through misrepresentation or fraud

Question 3

Define Informed Consent

Answer 3

• received the following information that a reasonable person in the same circumstances would require in order to make a decison about the treatment
• nature of the treatment
• expected benefits
• material risk of the treatment
• material side effects of treatment
• alternative course of treatment
• consequence of not having treatment

Question 4

When will a paramedic patch to BH

Answer 4

• a directive contains a mandatory patch point
• an RBHP introduces a mandatory BHP patch point
• situtions that fall outside medical directives where the patient amy benefit from online medical direfction that falls within the prescribed paramedic scope of practice OR
• uncertainty aboutt he appropriateness of a medical directive

Question 5

What should a paramedic do if they are unable to contact BH for a mandatory patch point and have made reasonable attempts to contact BH

Answer 5

The paramedic may proceed if the pt is in severe distress and in the paramedics opinion the medical directive would still apply

Question 6

If there are different levels of paramedics responding to a scene, who has ultimate pt care responsibility?

Answer 6

The highest level paramedic

Question 7

When there is a TOC between 2 paramedics what information needs to be provided?

Answer 7

• current CTAS
• hisotry of pts problem
• relevant medical jistory
• pertinent physical findigns
• summary of management
• pts response to treatment
• reason for transfer

Question 8

When can you consdier very early transport in a medical cardiac arrest once an egress plan is organized

Answer 8

• pregnancy greater than 20 weeks
• hypothermia
• airway obstruction
• non-opiod drug overdose/toxicology
• or other known reversible cause of arrest

Question 9

How old does a pt need to be to get manual defib?

Answer 9

Older than 24 hours

Question 10

Howm old does the pt need to be for a medical TOR?

Answer 10

> 16 years of age

Question 11

What are the 3 non age conditons of a medical TOR?

Answer 11

• not witnessed by a paramedic
• No ROSC 20 minutes
• no shocks delivered

Question 12

At what age do you switch from peds defib settings to adult

Answer 12

8 or age of puberty