Emergency Care In The Streets:chapters 1-5 Study For Test

Front 1

▪ The beginnings of the US DOT

Back 1

The ball started rolling with an article publish by the National Academy of Science & the National Research Council entitled "Accidental Death and Disability: The Neglected Disease of Modern Society" outlining 10 critical points within EMS. From this the National Highway Safety Act was instituted in 1966, thus creating the US DOT, providing authority & , finical support, curriculum for the development of EMS programs.

Front 2

▪ The "White Paper" and its critical points

Back 2

In 1966 the National Academy of Science and the National Research Council released a "White Paper" entitled "Accidental Death and Disability: The Neglected Disease of Modern Society" outlining 10 critical points. The 10 points are (1)The develop collaborative strategies to identify and address community health and safety issues. (2) Align the financial incentives of EMS and other health care providers and payers. (3)Participate in community-based prevention efforts. (4) Develop and pursue a national EMS research agenda. (5) Pass EMS legislation in each state to support innovation and integration. (6) Allocate adequate resources for medical direction. (7) Develop information systems that link EMS across its continuum. (8) Determine the costs and benefits of EMS to the community. (9) Ensure a nationwide availability of 9-1-1 as the emergency telephone number. (10) Ensure that all calls for emergency help are automatically accompanied by location-identifying information

Front 3

▪ The 10 elements developed by the NHTSA

Back 3

The National Highway Traffic Safety developed "10 System Elements" (1) Regulation and policy, (2) Resource management, (3) Human resources and training, (4) Transporting, (5) Facilities, (6) Communication, (7) Public information and education, (8) Medical direction, (9) Trauma systems, (10) Evaluation.

Front 4

▪ Definition of integrity

Back 4

good moral being.

Front 5

▪ Definition of standing orders

Back 5

A protocol that is written documented and signed by medical director.

Front 6

▪ Definition of protocols

Back 6

A treatment plan for a specific illness or injury.

Front 7

▪ Steps in research projects to protect participants

Back 7

Intro, Methods, Results, Discussion, and Conclusion.

Front 8

Three components of an exercise program.

Back 8

Target at three areas, cardiovascular endurance, flexibility, and physical strength.

Front 9

Target heart rate.

Back 9

Find resting HR.
Find max HR. Substrate age from 220.

Take Max HR minus resting HR and multiply by 0.7=Target HR

Target HR is a rate to hit each time you work out.

Front 10

Circadian rhythms

Back 10

Natural timing system or "internal clock," ignoring this system may cause problems with sleeping, thought, social function, coordination, etc. The recommendation is to avoid caffine, eat healthy meal on a regular schedule, and get plenty of sleep on a regular schedule.

Front 11

Characteristics of the fight-or-flight system

Back 11

A physiologic response to a profound stressor, featuring increased sympathetic tone resulting in dilation of pupils, increase HR, dilation of bronchi, mobilization of glucose, shunting blood away from GI tract and cerebrum, increase blood flow to skeletal muscles. This helps us to deal with a situation right now, but can be a physical or emotional strain if we do not learn to cope with its benefits and negative effects.

Front 12

Definition of biologic stess

Back 12

"Nonspecific response of the body to any demand made upon it." Stress is a reaction of the body to any agent or situation, stressor, that requires an individual to adapt.

Front 13

Definition of sympathetic nervous system

Back 13

Part of the autonomic, or involuntary, nervous system which prepare the body to deal with emergency.

Front 14

Components of pt's stress response

Back 14

Alarm reaction, which occurs in the fraction of a second the stressor presents its self, than the alert response, the reaction.

Front 15

Grieving process include:

Back 15

Denial, anger, bargaining, depression, and acceptance.

Front 16

Definition of intervention

Back 16

Specific prevention measures or activities designed to increase positive health and safety outcomes.

Front 17

Injury prevention; primary, secondary, tertiary

Back 17

Primary-Keeping an injury from ever occurring.
Secondary-Reducing the effects of an injury that has already happened.
Tertiary-Rehabilitate a person who has survived an injury.

Front 18

Death statics in the US in 2002

Back 18

Data showed that of ~161,000 injury deaths ~106,000 were unintentional, ~54,000 intentional, ~5,000 undetermined.

Front 19

Definition of injury surveillance

Back 19

The ongoing, systematic cellection, analysis, & interpretation of injury data essential to the planning, implementation, & evaluation of public health practice.

Front 20

Leading causes of death from injury

Back 20

Assaults (US data)

Front 21

Consideration for serious injury in children.

Back 21

Water, Heat, Toxic, high potential energy, ie stairs, guns, etc.

Front 22

Injury Prevention 5 Step Program

Back 22

(1) Community Assessment, (2) Define injury problem, (3) Set goals and objectives, (4) Plan and test intervention, (5) Implement and evaluate Intervention.

Front 23

assault

Back 23

When a person instills fear or immediate bodily harm or breach of bodily security to another.

Front 24

Battery

Back 24

One touches another without consent.

Front 25

Defamation

Back 25

A false statement written or verbal. Libel is written, slander is verbal.

Front 26

▪ Definition of ethics

Back 26

The philosophy of right and wrong, of moral duties, and of ideal professional behavior.

Front 27

▪ Definition of morality

Back 27

A code of conduct that can be defined by society, religion, or a person, affecting character, conduct, and conscience.

Front 28

▪ Pt autonomy

Back 28

The right to direct one's own care, and to decide how you want your end-of-life medical care provided.

Front 29

▪ What to do if the Paramedic disagrees with a physician order

Back 29

Remember you are with the pt and can see what is going on with the pt, communicate this fully with the physician. Never administer a medication that you feel will be harm the pt. If it is a procedure you are not train for answer in one of the two, (1) standing orders do not allow you to perform procedure, (2) I can only perform this if my medical director approves.

Front 30

Mobile Intensive Care Units came in to practice in the
A: 1920's and 1930's
B: 1940's and 1950's
C: 1950's and 1960;s
D: 1960's and 1970's

Back 30

C: 1950's and 1960's

Front 31

The EMT Paramedic national standard curriculum is regulated by the:

Back 31

DOT

Front 32

Some of the roles and responsibilities of the paramedic are:
A: preparation, scene management, and response
B: teamwork, respect, integrity and communications
C: empathy, self-motivation and patient communication
D: none of the above

Back 32

A: preparation, scene management, and response

Front 33

A: preparation, scene management, and response

Back 33

True

Front 34

One of the things you can do for a grieving parents mother is:
A: call CISD
B: use kind words like passed way or expired instead of death
C: let the family have time with their child to say goodbye
D: none of the above

Back 34

C: let the family have time with their child to say goodbye

Front 35

The classic study on death and dying was written by:

Back 35

Elisabeth Kubler-Ross

Front 36

A normal adult man has a resting heart rate of:

Back 36

70 BPM

Front 37

Mild stress can enhance your:
A: flight or fight resources
B: physical strength
C: appetite
D: mental acuity

Back 37

D: mental acuity

Front 38

EMS has the greatest impact in:
A: unintentional injury calls
B: intentional injury calls
C: secondary transportation calls
D: none of the above

Back 38

A: unintentional injury calls

Front 39

An injury risk is a potentially hazardous situation in which the well-being of people can be harmed. Education needs to be combined with what three other types of interventions?
A: enforcement, response, and audit
B: enforcement, response, and community of education
C: enforcement, economic incentives, and engineering/environment
D: enforcement, economic incentives, and review

Back 39

C: enforcement, economic incentives, and engineering/environment

Front 40

Changing the designs of products or spaces such as roads, can offer automatic protection from injury, often without conscious change of behavior by the individual. This is called:
A: economic interventions
B: passive intervention
C: active intervention
D: procedural intervention

Back 40

B: passive intervention

Front 41

Incentives in the form of free products that may reduce insurance rates are called:
A: passive interventions
B: active interventions
C: economic interventions
D: none of the above

Back 41

C: economic interventions

Front 42

Each year _____ to ____ of all children sustain an injury sufficiently severe to require medical attention, miss school, and or require bed rest:
A: 15 to 25
B: 15 to 30
C: 20 to 30
D: 20 to 25

Back 42

D: 20 to 25

Front 43

Children at greatest risk of injury are of lower:
A: age groups
B: mental ability
C: socioeconomic status
D: none of above

Back 43

C: socioeconomic status

Front 44

SMART stands for:

Back 44

simple, measurable, accurate, reportable, and trackable

Front 45

The public health model identifies and seeks to control three factors:

Back 45

agent, host, and environment

Front 46

Express consent is

Back 46

informed consent in writing.

Front 47

All but ________ states have some form of the Good Samaritan Law.

Back 47

13

Front 48

Bioethics

Back 48

A discipline within ethics that debates and discusses the health care of human beings.

Front 49

Two types of advance directives concerning end of life medical care are:

Back 49

The living will and the health care power of attorney.