Set 1: Intro To Critical Care Transport

Front 1

Critical care

Back 1

The complex, detailed health care that is provided to patients experiencing acute, life-threatening conditions

Front 2

11th century

Back 2

First record of moving injured patients occurs during the Crusades by the Knights of St. John

Front 3

French surgeon Dominique Jean Larrey designs ambulance volante (flying ambulance) to evacuate injured soldiers during French Revolution

Back 3

1792

Front 4

American surgeon Jonathan Letterman creates first American ambulance service during Civil War Battle of Antietam

Back 4

1862

Front 5

Bellevue Hospital in New York City establishes America's first city ambulance service

Back 5

1869

Front 6

Ambulance crews evolved to include driver and person responsible for patient care

Back 6

Early 1900s

Front 7

Prehospital coronary care provided by physicians in Dublin, Ireland based on research by Francis Pantridge, MD

Back 7

1966

Front 8

Prehospital defibrillation used in United States after creation of nation's first paramedic program in Miami, FL

Back 8

1969

Front 9

Physicians consider benefits of flight after witnessing balloon flight demonstrations by the Montgolfier brothers

Back 9

1784

Front 10

First documented case of air medical transport occurs when 160 wounded soldiers and civilians were transported during Prussian Siege of Paris

Back 10

1870

Front 11

Chief of the Dutch Medical Service M. de Mooy further pursues idea of using litters suspended from balloons to transport patients

Back 11

1890 to 1910

Front 12

Captain George Groaman of US Army Medical Corps builds a plane specifically designed to carry patients, but it crashes during testing; never receives government approval

Back 12

1909

Front 13

Igor Sikorsky invents the helicopter that would later be used by military as air ambulance

Back 13

1914

Front 14

French Dorand AR II serves as an air ambulance

Back 14

1917

Front 15

Post World War I, US Army focuses on development of air ambulances

Back 15

1920s

Front 16

Air ambulances specifically designed with multiple engines, heated cabins, and short runway capacity

Back 16

1930s

Front 17

Wounded airmen transported via helicopter in Burma during World War II, marking a new era of air medical transport

Back 17

April 23, 1944

Front 18

Wounded soldiers transported to MASH units on cots fitted on the skids of Bell-47 and Sikorksy S-51 helicopters during Korean War

Back 18

August 4, 1950

Front 19

Successful marriage of rapid air transport to specialty care facilities kindles interest in civilian arena

Back 19

Late 1950s to 1960s:

Front 20

St Anthony's Hospital in Denver, CO establishes first hospital-based air medical transport program

Back 20

1972

Front 21

NHTSA releases second report in ___indicating air ambulances are improperly equipped to handle critically ill or injured patients and are nothing more than flying taxis

Back 21

1981

Front 22

More than 650 air medical programs exist in the United States, each with specially trained flight crews

Back 22

2000s

Front 23

The standard types of mobile intensive care units used for critical care transports

Back 23

ground units, rotor-wing aircraft, or fixed-wing aircraft.

Front 24

Used to transport critically ill or injured patients up to distances of 50 miles from patient's location to receiving facility

Back 24

ground units

Front 25

Used to transport critically ill and injured patients in rural settings; can travel distances of up to 150 miles

Back 25

rotor-wing aircraft

Front 26

Used to transport critically ill or injured patients a distance of 150 miles or more

Back 26

fixed-wing aircraft

Front 27

Type of call indicating the need of critical care transport team:

Back 27

Mechanical ventilation, Vascular access devices, Vasoactive medications, Colloid infusions (ie, blood, plasma, or platelets), Cardiac-assist devices

Front 28

Use of cardiac assist devices may require certified ___to manage and monitor devices, while CCTPs manage all other aspects of patient care during transport

Back 28

Perfusionist

Front 29

2 types of medical direction:

Back 29

Protocols, online medical control

Front 30

Most commonly used combinations of health care professionals are:

Back 30

Nurse and paramedic, Nurse and respiratory therapist, Nurse and physician

Front 31

Additional crew members might include:

Back 31

Perfusionists, neonatalogists, pediatric intensivists

Front 32

___ ___-member configuration used less often due to cost and patient's needs

Back 32

3 team

Front 33

CCEMTP qualifications.

Back 33

Paramedic certificate from accredited program, 5 years experience, (BLS, acls, pals), trauma course, and sanctioned critical care course

Front 34

The 2 types of medical control.

Back 34

Protocol and online

Front 35

Define: Stress

Back 35

The wear and tear bodies experience during adjustment to the activities of daily life and the environment

Front 36

Define: Burnout

Back 36

A consequence of chronic, unrelieved stress

Front 37

S/S: Burnout

Back 37

Chronic fatigue, cynical attitude, changes in sleep patterns, loss of appetite, inability to concentrate

Front 38

S/S: Substance abuse

Back 38

Sudden changes in behavior, frequent absences from work, impulsive behavior and lack of self-control, physical symptoms such as dilated or restricted pupils- needle marks- red eyes

Front 39

Critical incident stress debriefing (CSID)

Back 39

This group based panel helps individuals deal with the stress of a traumatic event

Front 40

CSIDs should be held within this timeframe from a traumatic event

Back 40

24 to 72 hours

Front 41

CSIDs are usually necessary after these events

Back 41

Serious injury or death of a coworker, suicide of a colleague, multiple casualty incidents, serious injury or death of child, intense media attention to an incident

Front 42

CCEMTP general clothing requirements

Back 42

Flight suit should fit properly, be flame retarded, and never be tight or loose fitting

Front 43

Leather boots should be worn for this reason:

Back 43

To protect from the elements and fire.

Front 44

The hand protectant of choice in the flight medicine.

Back 44

Fire retardant gloves

Front 45

The five stages of death and dying

Back 45

Denial, anger, bargaining, depression, acceptance

Front 46

Define: Denial

Back 46

Disbelief in what is happening

Front 47

Define: anger

Back 47

"The patient asks ""why me"" Or thinks, ""it's not fair!"""

Front 48

Define: bargaining

Back 48

The person wishes to live for a certain amount of time before death

Front 49

Define: depression

Back 49

The person is sad and feels that nothing matters

Front 50

Define: acceptance

Back 50

The person comes to peace with the issue and accepts the outcome

Front 51

The primary function of quality improvement

Back 51

To generate data to be used to improve the quality of service provided

Front 52

The 3 steps to quality improvement

Back 52

Define quality, collect any lies data, improve quality