Flashcards in Operations Deck (48):
Who monitors all radio traffic?
Fixed to apparatus that is mobile. I.E. Engine, Truck, Rig, Ambulance
Only one person can talk at a time. Walkie talkie etc
Both people can communicate at the same time. I.E. Cell phone
multimedia I.E. internet etc
Personal Safety/Decon of Equipment
washing hands is best way to clean hands.
Alcohol based gel is next best
Equipment is cleaned using a bleach solution of 10:1 Water/Bleach
5 Stages of grieving
Denial, anger, bargaining/bartering, Depression, Acceptance
Is the threat of violence. Scaring a patient with a needle or actually threat
Touching or treating someone without permission.
tort (civil wrong) that has led to injury/illness.
I.E. Giving too much medication or not giving something. Acting outside of protocols or not doing something in protocols.
Spoken (S=S) defamation
Good Samaritan Protection?
As a health care provider you are not elegible for G.S. law. You are held to your scope of practice and protocols.
30 Seconds max per patient
Simple Triage and Rapid Transport
RPM (Triage) Immediate Qualifications
Respirations less than 10 greater than 30?(immediate) RED TAG
Pulse/Perfusion-uncontrolled bleeding or cap refill greter-2sec- IMMEDIATE
Mentation-unable to follow simple commands-IMMEDIATE
NEED ANY ONE OF THE 3 TO BE IMMEDIATE
Triage Tag Color BLACK
Black-Deceased-Pt is not breathing you reposition the head they start breathing- then you let go they stop breathing -THEY are DECEASED
Triage color Red
IMMEDIATE-Resp-more than 30 and less 10
Pulse/Perfusion-uncontrolled bleeding or cap refill greater than 2 seconds
Mentation-unable to follow simple commands. Pt only need 1 of 3 to be IMMEDIATE
Triage color YELLOW
DELAYED-pt has none of the RPM criteria.
But injury prevents them from walking away, broken leg or c-spine
Traige color Green
Meets none of the RPM categories and can walk away.
ICS Command Operations Chain
Command, Financial, Logistics, Operations, Planning
command staff, brass
Takes care of the money
In charge of people-managing non people resources (Axe's, ambulances, rigs etc)
Paramedics/FF boots on the ground
Information for anything that you will see during the day. Weather, planning, strategy
Unity of Command
Each person reports to one person only.
Span of Control
amount of people A single person can effectively manage. 3-7 people. Captain 3-4, BC-5 captains etc
multiple agencies working on the same incident working to accomplish the same goal. FDNY, NYPD, Port Authority, etc
Hazmat Scene Parking
UPHILL, UPWIND, UPSTREAM
HOT-people being exposed contamination zone
Safety for EMS Personnel lifting techniques
use legs-never TWIST, keep close weight close to body not out away from you
3 Things that make a DNR Valid
Date it goes into effect ( this is in case a patient has multiple DNR's, HONOR THE MOST RECENT ONE)
Do DNR's Expire?
IS DNR a State or Federal Document?
Can you honor an out of state DNR?
YES-not very common due to illness making travel difficult
How do you approach a Chopper?
From the Front or with the flight crew.
So you can maintain eye contact with the pilot and he can wave you off if necessary.
GRADE-always approach from the downhill side!
Low Angle Rescue?
A slope of 15-35 degrees. Walkable ropes not necessary
High Angle Rescue?
Slope of 40-60 degrees.Ropes are necessary.
Types of Patient Consent (how many?)
Implied Consent-unconscious pt or minor w/no guardian
Expressed Consent-Call 911 "I can't breathe"
Involuntary- 5150, lost legal right,suicidal or drunk walking through traffic, can't make good decisions
Informed-wife calls on behalf of husband.Hubby says no I don't need it. Then you explain what you are going to do, NITRO, IV ASPRIN etc and then he agrees. YOu explain
gloves, mask, err on the side of maximum protection
Traffic Point (2 points) where do you park?
50 ft away from the scene of an accident BEYOND THE SCENE/INCIDENT
If FD is on scene use their rig as a shield for you bus.
Big Rigs Hazardous Material Wreck Ref
ERG-Emergency Response Guidebook
Diamond Placards with Red, Yellow, Blue and White
NFPA 704-Red=flammability-Yellow=reactivity-Blue=Health hazard-White=special precautions
When should critical incident stress debrief Happen?
Within 24 hours.