PSYCH 10 EMT_midterm_study_guide
CHAPTER 1
1. What is the purpose of modern EMS
a. Modern EMS is part of a continuum of care that begins at the scene of
the emergency and continues through hospital discharge and
rehabilitation
2. Process of Scene Management
a.
3. What is medical direction?
a. Each EMS system must have a physician as a medical director to provide medical
oversight that includes overseeing patient care and delegating appropriate
medical practices to EMTs and other EMS personnel
4. How does one contact medical direction?
a. EMS provider and physician communicate by cell phone, telephone, radio, or
video technology with the physician providing immediate feedback and
medical direction to EMS personnel regarding the patient’s diagnosis,
condition, and emergency care.
b. medical direction may be at your receiving facility
i. in others, it is at a separate location
5. What are standing orders, on-line medical direction, off-line medical direction,
and protocols?
a. Protocols -- A primary charge of medical direction is developing and establishing
the guidelines under which the EMS personnel function. These guidelines are
referred to as protocols. Protocols comprise a full set of guidelines that define
the entire scope of medical care (triage, treatment, transport, destination).
Often referred to as orders, protocols may consist of clinical care guidelines that
can be provided by both off-line and on-line medical direction.
b. On-line medical direction -- takes place when the EMS provider and physician
communicate by cell phone, telephone, radio, or video technology with the
,PSYCH 10 EMT_midterm_study_guide
physician providing immediate feedback and medical direction to the EMS
personnel regarding the patient’s diagnosis, condition, and emergency care.
c. Off-line medical direction -- a function of indirect medical oversight, is
provided through a set of predetermined, written guidelines, often referred to
as standing orders, that allow EMTs to use their judgment to administer
emergency medical care according to the written guidelines without having to
contact a physician.
,PSYCH 10 EMT_midterm_study_guide
i. Standing orders -- a subject of protocols that do not require real
time physician input; predetermined, written guidelines
6.
7.
What are some areas or risks for the greatest chance of medical errors or mistakes?
a. High-risk factors in terms of patient safety – [“TACCS”]
i. Transfer of care from one provider to another **(IMPORTANT)**
ii. Ambulance transport destinations
iii. Communications with other providers
iv. Carrying and moving patients
v. Spine motion restriction decisions
b. Errors during patient care can cause harm, and usually result from:
i. Improper skill performance
ii. Not following the rules
iii. Lack of knowledge
8. What is a public health initiative?
a. “Preventative medicine is the best medicine”
b. Public health deals with protecting the health of an entire population
c. EMTs can play a role in identifying public health problem and in attempts to
reduce injury and illness and promote health
d. The 10 Greatest public health achievements in the US in the 20thcentury were --
i. Vaccinations
ii. Motor vehicle safety
iii. Workplace safety
iv. Control of infectious diseases
, PSYCH 10 EMT_midterm_study_guide
v. Reduction in deaths from coronary heart disease and stroke
vi. Safer and more healthful foods
vii. Decline in maternal and infant mortality
viii. Safe sex
ix. Fluoridation of drinking water
x. Reduction in the use of tobacco products
e. Roles of EMS in public health include:
i. Health prevention and promotion
CHAPTER 1
1. What is the purpose of modern EMS
a. Modern EMS is part of a continuum of care that begins at the scene of
the emergency and continues through hospital discharge and
rehabilitation
2. Process of Scene Management
a.
3. What is medical direction?
a. Each EMS system must have a physician as a medical director to provide medical
oversight that includes overseeing patient care and delegating appropriate
medical practices to EMTs and other EMS personnel
4. How does one contact medical direction?
a. EMS provider and physician communicate by cell phone, telephone, radio, or
video technology with the physician providing immediate feedback and
medical direction to EMS personnel regarding the patient’s diagnosis,
condition, and emergency care.
b. medical direction may be at your receiving facility
i. in others, it is at a separate location
5. What are standing orders, on-line medical direction, off-line medical direction,
and protocols?
a. Protocols -- A primary charge of medical direction is developing and establishing
the guidelines under which the EMS personnel function. These guidelines are
referred to as protocols. Protocols comprise a full set of guidelines that define
the entire scope of medical care (triage, treatment, transport, destination).
Often referred to as orders, protocols may consist of clinical care guidelines that
can be provided by both off-line and on-line medical direction.
b. On-line medical direction -- takes place when the EMS provider and physician
communicate by cell phone, telephone, radio, or video technology with the
,PSYCH 10 EMT_midterm_study_guide
physician providing immediate feedback and medical direction to the EMS
personnel regarding the patient’s diagnosis, condition, and emergency care.
c. Off-line medical direction -- a function of indirect medical oversight, is
provided through a set of predetermined, written guidelines, often referred to
as standing orders, that allow EMTs to use their judgment to administer
emergency medical care according to the written guidelines without having to
contact a physician.
,PSYCH 10 EMT_midterm_study_guide
i. Standing orders -- a subject of protocols that do not require real
time physician input; predetermined, written guidelines
6.
7.
What are some areas or risks for the greatest chance of medical errors or mistakes?
a. High-risk factors in terms of patient safety – [“TACCS”]
i. Transfer of care from one provider to another **(IMPORTANT)**
ii. Ambulance transport destinations
iii. Communications with other providers
iv. Carrying and moving patients
v. Spine motion restriction decisions
b. Errors during patient care can cause harm, and usually result from:
i. Improper skill performance
ii. Not following the rules
iii. Lack of knowledge
8. What is a public health initiative?
a. “Preventative medicine is the best medicine”
b. Public health deals with protecting the health of an entire population
c. EMTs can play a role in identifying public health problem and in attempts to
reduce injury and illness and promote health
d. The 10 Greatest public health achievements in the US in the 20thcentury were --
i. Vaccinations
ii. Motor vehicle safety
iii. Workplace safety
iv. Control of infectious diseases
, PSYCH 10 EMT_midterm_study_guide
v. Reduction in deaths from coronary heart disease and stroke
vi. Safer and more healthful foods
vii. Decline in maternal and infant mortality
viii. Safe sex
ix. Fluoridation of drinking water
x. Reduction in the use of tobacco products
e. Roles of EMS in public health include:
i. Health prevention and promotion
