Safety
This person is a well trained person who uses a set of questions to determine information that may affect you directly?
Who is the emergency medical dispatcher
Fill in the blanks:
Injuries to Bones and Joints are usually caused by __
Burns are common to ____ and _____
Penetrating soft tissue injuries are associated with __?
1. Falls and MVC
2. Fires and Explosions
3. Gunshot and stabbing wounds
The final part of the scene size up should include this?
What is determining the number/type of any additional resources needed at the scene.
Steps taken when approaching the scene of an emergency call, taking standard precautions, noting the mechanism of injury or nature of illness, determining the number of patients, and deciding what if any additional resources to call for?
What is the scene size up
You respond to a head on collision of two automobiles late at night. There are no parent fluids leaking , no smoke involved, no wires down, and no abnormal smells. What type of PPE should you put on as you exit the ambulance?
Standard PPE: Gloves, Glasses, Safety Vest (HI-Viz)
This "zone" will be determined by the nature and severity of collision-produced hazards, and the ambulance should avoid parking here?
(If there are no apparent hazards, the zone should be extended to this many feet)
What is the Danger Zone/50 feet
This law states that a Body in motion will remain in motion unless acted upon by an outside force?
What is the Law of Inertia
Your ambulance is called to respond to an elderly woman with chest pain. You are greeted at the door by her husband who does not look well. He denies any complaints but is sweating and holding his chest. What would your appropriate action be?
Call for additional resources, that would include 1 additional ambulance.
The force or forces that may have caused the injury?
What is the mechanism of injury
You respond to a head on collision of two automobiles late at night. There are no parent fluids leaking , no smoke involved, no wires down, and no abnormal smells. How should you park your Ambulance if possible to provide the highest level of safety to you and the patients inside?
50-100' from the scene
Uphill and Upwind
Make Vehicle BIG. Make the scene as safe to provide care to patients.
The EMT/First Responder should use This reference manual when hazardous materials are involved
The Emergency Response Guide
How many collisions are there in a MVC?
Vehicle Striking an Object
Patient striking the interior of the vehicle
Organs of the patient strike surfaces within the patients body
You are called to the scene for a patient experiencing extreme back pain. This patient is located on the third floor of an apartment building, and who weighs approximately 450 pounds. What do you do?
Request additional resources for Lifting and Moving power.
An injury caused by an object that passes through the skin or other body tissues?
What is penetrating trauma
You respond to a head on collision of two automobiles late at night on busy Highway. You receive updates from the dispatcher that there are signs that hazards at the scene. Leaking fluid and abnormal smells. What resources would you request to the scene?
Police for traffic control/Accident Reconstruction
Fire for control of Hazmat concerns/Fire concerns/Extinguishment/Man-power
Additional ambulances since we have 2 vehicles, may have multiple patients injured.
Fighting or loud noises, visible weapons, alcohol or other drug use, and unusual silence can all be signals of what?
What is Danger or Violence at the scene.
There are several types of motor vehicle collisions. Can you name the (5) types?
1. Head on (Up/Over, Down/Under)
-Head, chest (no airbags)-Knees, legs, pelvis
2. Rear end (Whiplash, Head and Neck)
3. Side impact (T-bone)
-Lateral neck, chest, abdomen, pelvis, thighs
4. Rollover (most serious)
-potential for multiple impacts inside the vehicle, not wearing a seat belt, objects in the vehicle that can cause harm
5. Rotational (struck and spin)
-multiple injury patterns, spinning may strike another object or vehicle
Your ambulance is called for a patient with General weakness. Upon arrival two more persons in the same family develop the same food like symptoms. You suspect carbon monoxide poisoning, since they admit to have been having problems with the furnace. What do you do?
Remove the patients from the immediate environment, request additional ambulances to the scene, and request fire personnel or gas company personnel to respond for air monitoring.
Injury caused by a blow that does not penetrate the skin or other body tissues?
What is blunt force trauma
You respond to a residence for a patient suffering from a gunshot wound to the upper right abdomen. What do you Need to provide care for this patient?
We need to have Police on scene to ensure safety prior to entering the residence.
These help keep you safe while performing patent care. They should be readily available, either on your person or as the first items you encounter when opening a medical response kit?
What are Standard Precautions/BSI
The general guidelines from the US Dept. of Health and Human services and the CDC state that a Fall from these heights for an Adult and Child and should be transported to a trauma center?
Adult=Greater than 20 feet
Child under 15 yo=Greater than 10 feet or 2-3x patients height
This type of call overwhelms the Resources and Ability of initial providers to give adequate care on the scene?
Mass Casualty Incident
Your awareness that there may be injuries to a patient?
What is index of suspicion
You arrive an office building and see many people running out of the front inside doors in panic. One person appears bloody and is running towards your ambulance. What are your considerations?
Safety of our Personnel
Too close to the scene of potential violence
Need additional resources. (Police/Fire/EMS)
Questions:how many patients do we have?