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Santa Clara EMS Test
EMS personnel badges expire the same day as their EMS license
- โ โ True You can determine an injury as major trauma or minor trauma on scene by viewing the severity of the trauma - โ โ False A 26 year old male with an arrow through his left fore arm proximal to the elbow would be categorized as a major trauma
- โ โ False If a pt with a score of 4/5 on the GFAST scale has not shown any normal signs since _____ hours ago you would transport them to a comprehensive stroke center - โ โ 6 hours You would transport North trauma pt to _______, central trauma pt to _________, and eastern trauma pt to _________ - โ โ Stanford, Valley Medical, Regional Updated EMS policy notifications would be distributed as follows except for which medium? - โ โ Paper copy sent to every EMS provider A physician on scene give more information than if they are giving online direction? - โ โ False
When a patient passes away at their home during intervention what agency or person(s) are responsible for the deposition of the descendent? - โ โ The fire department or police (if present) Pediatric Trauma Hospitals - โ โ Stanford and Valley Med A patient who is a major trauma patient can ask to go to a hospital that is out of county and the EMT will comply - โ โ False Routine patient transport - โ โ transported to routine emergency department unless EMS system surge, hospital diversion, or patient needs specialty care Stroke Comprehensive - โ โ El camino, Good Sam, Regional, Stanford Stroke Primary - โ โ All except VA STEMI - โ โ All except PA, El camino, st, louise patient transport special circumstances - โ โ EMS surge, MCI, diversion DNR include - โ โ POLST for No CPR, DNR, DNR Medallions, Durable Power of Attorney
-Delegate county health officer Hazardous Material Procedure - โ โ 1) Safety + isolate area/deny entry
- establish command, identify hazardous materials 3)trained HAZMAT personnel allowed to treat area. EMS coordinate effort to provide hospital with pertinent info Hazardous Material Hospital Report - โ โ Chemical name, decon method, DOT reference #, appropriate treatment info, routing patient notification report, request ED to have personnel outside door to evaluate patient Hazardous Material pre-treatment procedure - โ โ Paramedic + IC must agree patient has been decontaminated. Then patient will be cleared for treatment/ transport Hazardous Material Accidental Exposure - โ โ EMS crew that may be exposed to hazardous material will stop and notify County that they are exposed. Fire will respond. If on scene, notificy IC. Contaminated crew will not transport until decontaminated Prehospital Task force/ Strike Team type 1 - โ โ 5 ALS ambulanes, EMT/Paramedic, 1 strike team lead with separate vehicle
Strike Team type 2 - โ โ 5 BLS ambulances with 2 EMT's, 1 strike team elader with separate vehicle Ambulance Task Force - โ โ 5 ambulances - 2 must be ALS ambulances. 1 task force leader with separate vehicle. EMS standard ID - โ โ all EMS personnel will wear uniforms that identify agencies when attached to 911 calls EMS Protective Gear indicated when... - โ โ when directed by IC, public safety personnel, county EMS supervisor, OSHA requirements call for gears Protective Gear Indications - โ โ FAA Alert, MPMP activation, HAZMAT events, incident on freeway/roadway, working with aircraft, mutual/automatic aid response, need for clear ID due to multi agency response Assessing the scene - โ โ If first on scene, one crew member becomes IC, other responsible for overall safety Fire/law enforcement takes over IC once on scene CAN report - โ โ Conditions Actions Needs Life Hazard Zone - โ โ would likely cause death/ seriour injury if exposed
-Environmental conditions -Individuals lacking qualifications or experience -defective equipment being used -assignment violates law or regulation, policies, or procedures Personnel Accountability Report (PAR) - โ โ -welfare check to verify safety/security of responders -includes all EMS unit including ride alongs PAR report - โ โ -visualize all personnel assigned to unit -determine that they are safe and present -Unit ID, Has par or does not have PAR, # assigned crew present, # non crew present -last assignment -last known location of personnel present Routine Medical Care Adult - โ โ Vitals, Glasgow Coma scale, BP, RR, Pulse, Pulse Ox, Temp, Glucose, ECG, Capnography Pediatric patient definition - โ โ neonate: 0-4 months infant: 1 month-1 year child: >1 year
pediatric <15 years Infectious Disease Control - โ โ Nitrile Gloves Eye protection hand washing after ever patient waterless hand sanitizer Contact transmission of Infectious disease control - โ โ occurs through pathogens through skin, vomit, draiing wounds, secretions (saliva, sweat). Wear impermeable gown Droplet transmissions Of Infectious disease control - โ โ occurs through inhalation or absorption of bodily fluid/substance droplets (influenza, rhinovirus). Wear surgical mask/face shields, impermeable gowns Airborne Transmission of Infectious Disease Control - โ โ occurs through inhalation or absorption of air that contains TB, measles, chickenpox. Wear N95/N100 respirator/ impermeable gowns Ventricular Assist Device VAD - โ โ VAD supplements cardiac ventricle in pumping blood to body VAD assessment difficulties - โ โ unable to palpate pulse, read BP, obtain pulse ox. EMS rely on consciousness, skin sign, cap refil
-remarkable = SMR -unremarkable = modified SMR Physician on scene - โ โ PCR Physicians Name CA medical License # Business Phone # Level of patient care involvement All procedures and treatments performed at scene Determination of Death - โ โ -decapitation -decomposition -incineration -obvious destruction of brain, lungs, heart -rigimortis -no pulse + PCR -elected to end life via end of life agreement What channel do you speak through to medical? - โ โ Medic 92 Adult Trauma Hospitals - โ โ Stanford, Valley Med, Regional
Fire can transport when - โ โ -pt needs RLS transport and county EMS is not on scene for at least 18 minutes -pt is in cardiac/respiratory arrest -STEMI/Stroke alert -Major Trauma Criteria -Needs rapid transport -uncontrollable airway EMS directors in an MCI can do all of the following except - โ โ Take jurisdiction of the local law enforcement In extremis means - โ โ -protruding limb -uncontrollable airway -unable to stop bleeding after use of tourniquet Medical Health Operational Area Coordinator - โ โ The Medical Health Operational Area Coordinator (MHOAC) for Santa Clara County is the Public Health Officer and EMS Director. -initial point of contact for all mutual aid requests -delegate available resources for mutual aid
-provide appropriate care to bystanders -complete PCR document reason for determination of death Physician on scene - โ โ Needs valid CA physicians license, other medical license and business address. physician will remain responsible for care until MD takes over. Must accompany crew to hospital
