CPR
What is the preferred compression-to-ventilation ratio for 2-rescuer infant CPR?
15:2
What is an emergent move used for?
To move someone out of a life threatening situation
In the context of EMS practice, what does "duty to act" refer to?
The responsibility to provide care when on duty
What is the main goal of using Verbal Judo techniques on scene?
To gain voluntary compliance and reduce violence, while maintaining professionalism
DNR
Do Not Resuscitate
What are the three criteria for withholding or stopping CPR in the field?
DNR
Scene unsafe
Obvious signs of death
What is the large sheet with handles used for patient movement?
MegaMover
Written documentation specifying medical treatment if patient becomes unable to make decisions; also known as a living will or health care directive.
Advanced Directive
This verbal technique shows you’re listening and helps calm a person by repeating their message back in your own words.
Paraphrasing
What is the P is "SAMPLE"?
Past Pertinent Medical History
What is the first step when using an AED?
Turn it on
How should a patient be moved if no spinal injury is suspected and no additional tools are used (i.e. megamover, blanket)
Extremity Lift
Under arms and around knees
Federal law that requires hospitals to provide emergency medical treatment to anyone needing it, regardless of citizenship, legal status, or ability to pay.
EMTALA
Emergency Medical Treatment and Labor Act
When a patient is yelling or being hostile, your tone should be
calm
respectful
DOUBLE POINTS (must answer both correct)
What is the "S" in OPQRST?
What should you ask?
Severity
Scale from 0-10
What rhythms will an AED shock?
V-fib
V-tach
When using a stairchair, when can the tacks be used?
Only when going DOWN
Informed Consent
Permission for treatment given by competent patient after risks and benefits explained
You arrive at a scene where a patient is refusing care and says, “You people never help!” What could you say using Verbal Judo principles?
Something similar:
“I hear you. I want to make sure you’re okay before we leave. Can you tell me what’s going on?”
What is "SAMPLE"?
Signs/Symptoms
Allergies
Medications
Past Pertinent Medical History
Last in/out
Events leading up
800 Points!
You and your partner are the first EMTs on scene at a community center. A 52-year-old male is unresponsive, pulseless, and not breathing. A bystander has started compressions but stops when you arrive. You begin high-performance CPR. After the first 2-minute cycle, the AED analyzes and advises a shock. You deliver it, and CPR is resumed.
After the next cycle, the patient begins to move slightly and groan, but still has agonal breathing. You pause CPR to reassess and feel a weak carotid pulse.
What should you do next?
Continue to support breathing (use BVM at 1 breath every 5–6 seconds) since the patient has a pulse but is not breathing effectively.
You arrive to a scene where a patient is in a long narrow hallway and cannot walk. There are no stairs, but space is limited. What is the most appropriate movement device to use, and why?
Stairchair.
It fits in tight spaces and is safer than carrying by hand especially the larger distance.
Who can revoke a DNR?
The patient
Legal representative (Medical Durable POA)
Whatt is the 5-step approach?
1. Ask (ethical appeal)
2. Set context (reasonable appeal)
3. Present options (personal appeal)
4. Confirm (practical appeal)
5. Act (determination)
What is OPQRST used for?
To systematically assess pain and/or symptoms