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27 Cards in this Set

  • Front
  • Back

Medical control at the scene is established by NYS Public Health Law, Article ____.

30

_____ is responsible for coordinating EMS within the region.

REMSCO

_____ is responsible for medical oversight.

REMAC

_____ is responsible for coordination of patient care at the scene.

The highest level prehospital provider from the EMS agency which first arrives

_____ is responsible for coordination of MCIs, unscheduled MEDEVACs, HAZMAT incidents, fires, crimes or unusual public health emergencies.

FDNY

True or False


EMTs and Paramedics may release patients to CFRs.

False

If a patient care conflict arises with a public official, _____ shall receive a written statement from the crew via the appropriate supervisory personnel.

REMAC

Physicians providing Direct Medical Control at the scene must have these items documented on PCR.

(1) Name


(2) NYS License or REMAC Number

True or False


Non-REMAC physicians may direct BLS patient care without contacting telemetry.

True


(if they do not conflict with BLS protocol)

True or False


Non-REMAC physicians may direct ALS on scene without telemetry contact.

False


They should be presented with a non-solicited intervention card, and telemetry should be contacted if they persist.

True or False


A REMAC physician who is not part of an organized response may direct ALS on scene without telemetry contact.

False?


Telemetry must be contacted for approval.

True or False


A REMAC physician who is part of an organized response may direct ALS on scene without telemetry contact.

True


They must be credentialed by the EMS Agency to provide Direct Medical Control.

True or False


A REMAC physician who arrives on the scene but is not part of the organized response may direct ALS with telemetry approval, including discretionary decisions.

False?


A physician who is not part of an organized response may direct standing orders and medical control options after securing telemetry approval, but not discretionary decisions.

True or False


If the paramedic is unable to contact telemetry to approve an unsolicited REMAC physician, the paramedic may follow the physicians orders at his/her discretion within the confines of the protocols.

True

Patients with _____ must be taken to the nearest 911 receiving hospital.

an unmanageable airway

In the event of suspected stroke, transport to the nearest stroke center unless one of these four conditions are met.

(1) cardiac arrest


(2) other higher priority medical condition


(3) onset greater than 5 hours


(4) OLMC directs otherwise

Major trauma always goes to the nearest trauma center unless one of these two conditions are met.

(1) cardiac arrest


(2) OLMC directs otherwise

Major burns always go to the nearest burn center unless one of these four conditions are met.

(1) major trauma


(2) cardiac arrest


(3) OLMC directs otherwise


(4) Burn MCI/Burn disaster

True or False


When it comes to selecting a destination, major burns trump major trauma.

False


Major trauma goes to a trauma center, even if it's burned.

True or False


Major trauma trumps major burns.

True

Patients with major burns and major trauma must be taken to the nearest _____.

trauma center

STEMI patients should be taken to the closest STEMI center unless...

...the patient has other medical conditions that warrant transport to another facility.

STEMI patients with ____mm elevations in 2 or more contiguous leads should be transported to a STEMI center, as per medical control, although such cases are NOT to be noted as CODE STEMI.

1 mm

STEMI patients with ____mm elevations in 2 or more contiguous leads should be transported to a STEMI center with telemetry notification and noted as CODE STEMI.

equal to or greater than 2mm

If the mechanism of illness/injury do not indicate a need for specialty care, the patient must be transported to the nearest 911 receiving hospital unless one of the following two conditions is met:

(1) cu[PS] & requested ER is <10 mins further


(2) OLMC so directs

List the three (parenthetical) conditions, per GOP, that warrant transport of a STEMI patient to "the closest appropriate facility for that condition", rather than transport to a STEMI center.

Trauma


Burn


CVA

If the mechanism of illness/injury and/or historical/physical findings indicates a need for another type of specialty care...

...transport the patient to the nearest NYC 911 Receiving Facility with the specialty care capability.