EMT-Basic Final review latest study guide
EMT-Basic Final review
● first priority as an EMT- page 7- ensure personal safety
● Emergency Medical Dispatchers (EMDs)- Page 5- professional
telecommunicator, tasked with the gathering of information related
to medical emergencies and provide instructions for life saving
emergency care
● Who control EMS system state or federal government- Page 10- State
● on-line and off-line medical direction- page 11- offline is provided
through a set of predetermined, written guidelines that allow emts to
use their judgment to adminiser emergency medical care w/o having
to contact a physician. Online is permission via phone or radio.
● problem with calls from cell phones to 911- page 5- cell site (tower)
closest to 911 caller is often the only location identifier and also the
call can be sent to PSAP that doesnt service that particular area
● medical director- page 11- physician who is legally responsible for the
clinical and patient care aspects of the EMS system.
● what is an infectious disease- page 24 and 25- diseases transmitted by
blood and other potentially infectious substances or body fluids
● hand washing- page 26- single most important way you can prevent
the spread of infection
● Tuberculosis- page 29- almost vanished but made a dramatic
comeback. Pathogens are found in the lungs and other tissues of
the infected. Can be infected by droplets from the cough of
patient. Signs and symptoms include fever, cough (often bloody),
night sweats, weight loss. PPE is HEPA or N-95 respirator..
● Reaction to death and dying- page 18 and 19-
a. Five stages
i. Denial (not me)
ii. Anger (why me)
iii. Bargaining (okay but first let me..)
,EMT-Basic Final review latest study guide
iv. Depression (okay but i havent…)
,EMT-Basic Final review latest study guide
v. Acceptance (im not afraid to, its ok)
● Acute stress reaction- page 20 and 21- signs and symptoms
typically occur immediately or shortly after the incident.
● Scope of practice- page 40- actions and care that emt can legally
perform
● standard of care- page 41- The care that is expected to be provided
by an emt with similar training when managing a patient in a similar
situation.
● Do Not Resuscitate (DNR)- page 44- a legal document order that
most often governs resuscitation issues only. EMTs need to
determine if its valid and a physical copy must be present in order
for it to take effect.
● Consent- page 43- permission before providing care. Informed consent:
patient allows you to care for him. Expressed consent: must be
obtained if patient is alert and conscious, competent adult. Implied
consent: occurs when you assume that an unresponsive or
incompetent patient who is unable to make a rational decision.
● How to handle patient refuses care and transport- page 46 and 47- Try
again to persuade the patient to accept treatment or transport, make
sure patient is stable and competent and able to make rational
decisions, consult medical direction as needed, if the patient still
refuses clearly document what was told to the patient and have him
sign a refusal form.
● breach of the EMT's duty- Is when the Emt deviates from the standard of
care. Negligence is a deviation from the standard of care. Simple
negligence occurs when an EMT fails to perform care or when a
mistake is made in the treatment. Gross negligence is willful, wanton,
or extremely reckless patient care far beyond being negligent or
careless. Gross negligence is care that is constructed as being
dangerous to the patient will be charged with gross negligence. Gross
negligence may be so severe that it leads to criminal charges brought
against the EMT. Page:48
● objective finding: Information is measurable , observation ,or verifiable
2
, EMT-Basic Final review latest study guide
in some way. It might be a reference to the patient’s pulse rate or a
statement that the patient has discoloration below both eyes. Page:62
● legal aspects of the prehospital care report (PCR): Legal
document Your PCR becomes part of the patient’s permanent
medical record.
3
EMT-Basic Final review
● first priority as an EMT- page 7- ensure personal safety
● Emergency Medical Dispatchers (EMDs)- Page 5- professional
telecommunicator, tasked with the gathering of information related
to medical emergencies and provide instructions for life saving
emergency care
● Who control EMS system state or federal government- Page 10- State
● on-line and off-line medical direction- page 11- offline is provided
through a set of predetermined, written guidelines that allow emts to
use their judgment to adminiser emergency medical care w/o having
to contact a physician. Online is permission via phone or radio.
● problem with calls from cell phones to 911- page 5- cell site (tower)
closest to 911 caller is often the only location identifier and also the
call can be sent to PSAP that doesnt service that particular area
● medical director- page 11- physician who is legally responsible for the
clinical and patient care aspects of the EMS system.
● what is an infectious disease- page 24 and 25- diseases transmitted by
blood and other potentially infectious substances or body fluids
● hand washing- page 26- single most important way you can prevent
the spread of infection
● Tuberculosis- page 29- almost vanished but made a dramatic
comeback. Pathogens are found in the lungs and other tissues of
the infected. Can be infected by droplets from the cough of
patient. Signs and symptoms include fever, cough (often bloody),
night sweats, weight loss. PPE is HEPA or N-95 respirator..
● Reaction to death and dying- page 18 and 19-
a. Five stages
i. Denial (not me)
ii. Anger (why me)
iii. Bargaining (okay but first let me..)
,EMT-Basic Final review latest study guide
iv. Depression (okay but i havent…)
,EMT-Basic Final review latest study guide
v. Acceptance (im not afraid to, its ok)
● Acute stress reaction- page 20 and 21- signs and symptoms
typically occur immediately or shortly after the incident.
● Scope of practice- page 40- actions and care that emt can legally
perform
● standard of care- page 41- The care that is expected to be provided
by an emt with similar training when managing a patient in a similar
situation.
● Do Not Resuscitate (DNR)- page 44- a legal document order that
most often governs resuscitation issues only. EMTs need to
determine if its valid and a physical copy must be present in order
for it to take effect.
● Consent- page 43- permission before providing care. Informed consent:
patient allows you to care for him. Expressed consent: must be
obtained if patient is alert and conscious, competent adult. Implied
consent: occurs when you assume that an unresponsive or
incompetent patient who is unable to make a rational decision.
● How to handle patient refuses care and transport- page 46 and 47- Try
again to persuade the patient to accept treatment or transport, make
sure patient is stable and competent and able to make rational
decisions, consult medical direction as needed, if the patient still
refuses clearly document what was told to the patient and have him
sign a refusal form.
● breach of the EMT's duty- Is when the Emt deviates from the standard of
care. Negligence is a deviation from the standard of care. Simple
negligence occurs when an EMT fails to perform care or when a
mistake is made in the treatment. Gross negligence is willful, wanton,
or extremely reckless patient care far beyond being negligent or
careless. Gross negligence is care that is constructed as being
dangerous to the patient will be charged with gross negligence. Gross
negligence may be so severe that it leads to criminal charges brought
against the EMT. Page:48
● objective finding: Information is measurable , observation ,or verifiable
2
, EMT-Basic Final review latest study guide
in some way. It might be a reference to the patient’s pulse rate or a
statement that the patient has discoloration below both eyes. Page:62
● legal aspects of the prehospital care report (PCR): Legal
document Your PCR becomes part of the patient’s permanent
medical record.
3