Online Medical Control
Name a PI that requires online medical control.
What is the STRK?
A patient with ABOP ( Abdominal Pain) can receive these treatments and proceed to the receiving facility with a notification.
What is IV, Zofran, and Fentanyl.
Decision making capacity.
What is a patients ability understand the circumstances around them and make an informed decision?
*understand the need for treatment
*understand the implications of receiving or not receiving tx & alternate forms of tx are available
*relate above into their values-then make a decision
All children must have a documented a color code with the corresponding.
What is weight in KG's?
Every Provider Impression (PI) has a corresponding.
What is TP number?
A medication that requires online medical control to repeat.
What is Normal Saline Bolus?
A patient is being treated for syncope, and has persistant hypotension after first saline bolus and a notification has been made to the MAR, the ETA is 10 minutes. This patient will now require additional steps to manage there care, please identify those steps.
What is online medical control for a second fluid bolus?
Identify patients that are at risk of bad outcomes
What is
#1. Extremes of age (< 12 months & > 70 yrs)#2. Pts with abn VS:
#2Adults: *HR > 120
*SBP < 90 or > 180
*DBP > 120
*RR > 24
*O2 sat < 94% (non COPD) < 88% (COPD)
Peds:
*Based on normal VS on peds drug cards
•#3. “High Risk CCS:
*CP *AP *syncope These pts are more challenging to fully
*SOB *GI or Vag bld evaluate in the field & should be
transported to the ER
Pediatric Assessment Triangle, describe work of breathing.
What is abnormal breath sounds, abnormal positioning, retractions, and nasal flairing?
Even if the patient has a minor medical or trauma Provider Impression-you must write.
What is the Treatment Protocol # you used.
The patient has been administered Versed 2-5mg IV/IM/IN for this condition.
What is Agitated Delirium?
Of these Provider Impressions, name those that require notification, Allergic Reaction (ALRX) , Behavioral/Psych Crisis (PSYC), BRUE, Chest Pain MI (CPMI), Resp. Arrest-Resp. Failure (RARF).
What is ALRX, PSYC, CPMI?
True or False, a person that is a danger to self or others can refuse transport.
What is false?
A patient that will be placed on a 5150, cannot sign out AMA or refuse transport.
True or False: You can administer two dose of Midazolam prior to base contact.
What is True.
Extra points: What is the destination for a patient in persistant active seizure, or 3 or more seizures without a lucid period?
In BASE box, you will always document MTP or....
What is 3 letter code for the Base contacted for online medical control?
A patient that has symptoms of redness, swelling to the face or airway, and hypotension. The PI would be.
What is Anaphylaxis?
For Extra points, EPi dose...
This is the definition of notification.
What is calling the receiving facility and giving them a brief report to include, PI, treatments provided, pertinent history, VS?
Describe Treat and Refer.
What is “Treat and Refer”: A patient who, after an assessment and treatment by EMS personnel, does not have an ongoing emergency medical condition, does not desire transport to the emergency department for evaluation, and is stable for referral to the patient’s regular healthcare provider or a doctor’s office or clinic.
What is an IO?
Extra points: The medication that can be inserted for pain control prior to fluid administration.
After choosing your PI and corresponding TP, your ______ must support these.
What is narrative?
A patient that is a STEMI requires online medical control.
What is not unless they are a ROSC, or require push dose EPI. Straight forward CPMI (Chest Pain MI) notify the SRC.
A patient that needs additional interventions would be upgraded from a notification to...
What is a full call in - online medical control?
Extra points, give an example of when this could happen.
Describe the process for Release on scene.
What is "Release at Scene" (Patients not requiring transport): A patient who, after an assessment by EMS personnel, does not have an emergency medical condition and does not appear to require immediate treatment and/or transportation. These patients meet one or more of the following conditions: Deny a medical condition and decline need for treatment Called EMS personnel for assistance for non-medical related issues (i.e., public assists) Meet criteria for “Treat and Refer”
New indications for use of CPAP in pediatrics.
What is ALL of the following criteria:
a. Greater than the length of the length-based resuscitation tape (i.e. Broselow™)
b. Awake
c. Cooperative
d. Able to follow commands?
If the patient has “No Medical Complaint” Provider Impression (NOMC), then the Treatment Protocol _______ is documented in the “PRO” box. You will document _____ in the “BASE” box.
What is #1201, MTP ?