Chapter 38-41 Flashcards
What do you do at the start of a shift?
Check equiment and supllies at start of shift by readiness. Talk to previous shift of oproblems. Check car head to toe when ambulance is on loo k for lights, brakes, or windsheilf wipers, check heat and air condition. If major thing isnt working have ambulance be out of service. Make sure doors work, doors lock, AED fully charged make you have four sets of some things expiration dates, make sure to have extra batteries for stretcher. document what you do, in house oxygen is full and how much is in it
What is the job of the EMD?
answer questions a ssign priority, mrfical instructions and coordinate, location nmber, problem, how old, sex conscious and breathing staying on line if hot or nonbreathing fast with lights
What do you do when driving?
tolerant of other drivers and mentally ready inn nonemergency siuations follow laws. Can park vehicle anywhere wont hurt or damage proerty orr person slowing only at stop signs pass other vehicles in no passing zones and go improper directions on streets . Can speed if wont hurt unders with limmits. Use sirens in only emergency when there is possible loss of life or limb of only when using driver exemptions and horns use similarly. Headlights on day or night use all lights when emergency approach intersectiond with caution no fast turns signal lane changes and turns be careful driving in grpup people cut off. Slow when approaching school don pass when lights flaashing. Have maps in ambulance
How do you respond to a crash?
keep people parked off highway, dont do u-turns, if first unit- blocks incident by parking upstreatm block traffic by using vehicle as barrier best use of this is fire truck and ambulances are best downstreatm. If extrication where vest helmet and wear gear. Place cones and flares upstreatm to warn and direct traffic reduce emergency lights, dont drive over debris and skid marks keep ambulance on same side as road avoid backin g up
What is packaging?
getting patient and the patient carrying device in one unit to be secured and transport. Apcakage so condition isnt aggravated caring for wounds, stabilize impaled objects, check all dressings and splints before placed on devicrr with it secured and covered. Always cover patient to protect and keep private and place plastic over when wet. Carryind device needs a minimum of three straps, chest, hip, and lower extremities. Lock stretcher in ambulance,
What do you do if a patient needs to bring someone else along?
If friend must come along try to have them use some other transportation if not have them travel in the operator’s compartment if child bring car seat and put in truck fill forms if bringing personal effects. Dont drive hot unless necessary.
What do you do once the patient is at the ED?
May have to wait in ambulance or with patient if ED is busy and continue care until they transfer care never put in bed and leave without transferring care. Help staff give verbal and PCR and transfer effects, then get release from hospital
What do you do after you drop off the patient?
Clena up ambulance getting rid of body fluids and splash sites putting towels in red bag, sweep away dirt, bag for laundry, deodorize. Clean and disinfect respirtory equipment. Replace expendable items masks gauze, splint and spine boards. Stretcher raise to high-level position making it easier flat with side rails lowered and unfastened straps, remove unsoiled stuff placing on clean and soiled stuff to designated, clean mattress (if blood use bleach) turn mattress, put sheet and disposable mat on center of mattress, open blanket fully, top sheet on top tuck everything under beat
What do you do if the patient is unconscious with no spinal injury?
or a patient with an altered mental status onto their side. If patient may go in cardiac arrest put board under him just in case. Loosen clothing.
What do you do after leaving the hospital?
Let EMD know u are on your way back and serviceable or not, and notify is you stop and leave for any reaosn, open windows on way back if had airborn disease or ventilating system not recirculation to air out, filll up ambulance. Clean patient care equipment anywhere it touched, clean and sanitize respiratory equpment (soak in germicidal solution), clean interior wash ahnds, replace extendable, replace oxygen, replace patient care equipment, maintain ambulance, clean exterior, report for service, complete unfinished report
What are the different kinds of disinfectants and what do you use them for?
Low-level disinfetant clean and kill germs on abmbulance floor and walls, intermediate-level disinfectant mixture of 1:100 bleach to water used to clean and kil germs on equipment surface, high level disinfectant cidex plus destory all forms of microbial life except high numbers of spores, sterilization of invasive equipment.
How do you prepare yourself for the next call?
Clean hands under fingernails change clothes with communicable disease blood or body fluid-soiled clothes cant be taken home to wash
When do you use air rescue?
speedy transport to distant trauma station, extrication of high-priority patient is prolonged or rescued from remote location. Clinical: in shock, glasgow coma scale 10 or less, head injury with altered mental status, chest truamama dn respiratory distress, penetrating injuries to body cavity, ampuation proximal to hand aor foot, extensive burns, serious mechanism of injury post-cardiac arrest with a pulse. Catheterization or surgery, stroke patients and hyperbaric oxygen (carbon monoxide) transfer from one hospital to another cardiac arrest if hypothermic. Name, call-back number, agency name, nature of situation, exact location crossraods and major landmarks and exact location of safe landing or gps coordinats. 100by 100 feet. Dont approach helicopter unless escorted by flight personnel direct loading of patient stay clear or tail rotars dont smoke within
What are the different kinds of specialty training?
vehicle rescue, water rescue, ice rescue, high-angle rescue, hazardous material response, trench rescue, dive rescue, backcountry or wilderness rescue, farm rescue, and confined-space rescue.
when u first arrive to a highway scene what do you do?
First person that arrives blocks scene to protect area, fire is best for this. Limited access highways first-due units go to seen backup wait outside until requested rescue trucks downstream of initial blocking vehicle park in same direction as traffic and stay in single file only turn when it won’t obstruct the flow of traffic. Have it block one and a half to two lanes of traffic workings toward work zone to protect crew wheels away from incident.
Where does EMS park in a highway scene?
EMS downstream and should be in between fire and crash only exit in safe zone and be in class 2 traffic safety vests and helmet cones and flares at angle across road and around site leave red/amber warning lights on ambulance.
What are the steps of vehicle extrication?
preparing for rescue, sizing up the situation, recognizing and managing hazards, stabilizing vehicle prior to entering, gaining access to patient, providing primary patient assessment and rapid trauma assessment, disentangling patient, immobilizing and extricating patient from vehicle, providing assessment care and transport, terminating rescue
What are the PPE EMTs where?
For gloces wear firefighters gloves but if u need more dexterity use intermediate-weight leather gloves. Turnout coat and everything that is brgithly colored wear stuff without rear brimand everything bright wearing safety glasses with side shields and lenses are vital.
How do you protect the patient?
aluminized rescue blanket protects form bad weather and flying particles, lightweight vinyl-coated paper tarpaulin from bad weather, wool blanket with aluminized blanket- when cold, short and long spine board, hard hats goggles hearing protectors disposable dust masks and thermal masks, emotional support.
When do you use flares?
avoid spilled fuel, dry vegetation, and other combustiles, dont throw flares out of moving vehicle position few at edge of dangers zone as soon as it is parked walk with flares toward oncoming traffic every ten feet dont turn back held away from body when igniting never use as traffic wand.
What do you do with airbags?
Smoke when airbag goes off wear protective and eye equipment can hurt patitne look at dash weheel and air bag to see if damaged. Must disconnect battery to make sure it doesnt go off 2-3 minutes. Dont step in front of bumper as it is spring loaded. Keep crowd control may have to ask bystander to help but will be liable if they were hurt
What is the danger zone?
zone where controling hazard for electrical
What is the safe zone?
nothing could harm keep yourself and others away form anything somewhat electrical. Keep people in cars or in wreckage wood handles can also conduct. Ground can be energized, if feel tingling means on energized ground. If feel tingling hop to safe place on one foot, shuffle away from danger area with both feet no break in contact between two feet and ground to incomplete circuit
What do you do when confronting a fire?
put on full protective gear, if hood open back to wind across base of fire with short bursts direct it in any direction toward engine if hood closed leave it be and get patients out. Fire in dash or upholstery apply directly but sparingly if in trunk leave. If people inside and fire is under vehicle try sweeping keeping source away. Never stand directly in front of a truck wheel approach from 45 degree angle.
