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Flashcards in EMA Protocols and Treatments Deck (24):
1

What drugs are EMR's licensed to provide in BC?

ASA
Nitrous Oxide
Nitroglycerin
Glucose (Oral)
Oxygen

2

What are the steps in the Rescue Scene Evaluation?

Environment
Hazards
Mechanism of Injury

3

What is the purpose of the Rescue Scene Evaluation?

-To ensure that the scene is safe for the crew and patient.
-To provide info about the nature and extent of the Pt injuries or condition.

4

What are the steps of the Primary Survey?

LOC
Delicate Spine
Airway
Breathing
Circulation
Rapid Body
Survey Interventions
SOAP
Transport Decision

5

What is the purpose of the Primary Survey?

To identify and manage life and limb threatening injuries and conditions.

6

What are the steps in the secondary survey?

History
Vitals
Head-to-Toe Examination

7

What is the purpose of the secondary survey?

- To Identify the Pt chief complaint
- To establish a baseline set of vitals
- To gather info about the Pt injuries and condition

8

What are the types of treatments?

Wound Care
Fracture Management
Spinal Management
Burn Management
Management of Specific Injuries and Conditions

9

What are treatments?

Non-medical procedures that do not require direct physician supervision

10

What are Protocols?

Protocols allow the EMA to perform medical procedures that are normally in the domain of a physician.

11

What are the steps to Load and Transport?

Stretcher
Reassessment
Equipment
Transportation Mode
Notification

12

What are records and reports?

Reports are used to gather or give information regarding the Pt status and treatment.

Forms are used to record assessment and treatment of a Pt.

13

What are the 7 components of the Patient Assessment Model?

1. Rescue Scene Evaluation
2. Primary Survey
3. Secondary Survey
4. Treatments
5. Protocols
6. Load and Transport
7. Records and Reports

14

What are the 12 Primary Survey Critical Interventions?

1. C-Spine Stabilization
2. Obstructed Airway Procedures
3. Airway Maintenance and Suctioning
4. Ventilating the non-breathing Pt
5. Assisting inadequate of failing respirations
6. Sealing Open Chest Wounds
7. CPR
8. Controlling Hemorrhage
9. Stabilizing Fractures
10. Realigning Limb Fractures
11. Initiate Cooling of Burns
12. Oxygen

15

When would you perform C-Spine Stabilization in the Primary Survey?

- Mechanism of injury in which injury to the head and neck is possible
- Obvious injury above the level of the clavicles
- Unconscious Pt where trauma cannot be reasonably ruled out.

16

When would you perform Obstructed Airway Procedures in the Primary Survey?

- Absence of Respiration
- Inability to ventilate the Pt

17

When would you perform Airway maintenance and Suctioning in the Primary Survey?

- Decreased LOC
- Presence of fluids or potential obstructions in the upper airway

18

When would you assist inadequate of failing respirations in the primary survey?

- Abnormally fast or slow respirations
- Distressed respirations
- Shallow or laboured respirations, especially in the presence of decreased LOC or cyanosis.

19

When would you realign limb fractures in the Primary Survey?

Fractured limbs that are grossly deformed or with no distal pulses

20

When is oxygen administered in the primary survey?

- Altered LOC
- Respiratory Distress
- Pain
- Trauma
- Evidence of Shock (Tachycardia, Tachypnea, Pallor, Cyanosis

21

What are some BIOLOGICAL errors in measuring blood pressure?

1. Activity - Have the Pt rest for 5 minutes (in the pre-hospital setting, this is not always practical)

2. Position - Pt should be sitting/lying comfortably. Support the arm to avoid muscle contractions.

3. Stress - Anxiety and Pain can raise the reading.

22

What are some ENVIRONMENTAL errors in measuring blood pressure?

1. Noise - Try to eliminate surrounding noises

2. Surrounding Objects - Move furniture, etc, so that the jump bag hangs free

3. Temperature - Try to avoid cold temperatures which may cause constriction of the small arterioles.

23

What are some EQUIPMENT errors in measuring blood pressure?

1. Sphygmomanometer - Poor calibration, Leaky tubing, sticky roller valve.

2. Cuff - Make sure its the right size!

3. Stethoscope - Cracked or Kinked tubing. Wrong sized ear pieced. Broken Diaphragm Bell.

24

What are some INTERPRETATION errors in measuring blood pressure?

1. Digital Preference - Rounding up or down

2. Observer Bias - Prejudice of what the persons blood pressure should be.