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Final Course Review

Final Course Review. Final Exam Preparation Section-by-section, take-home points. EMS Delivery models Distribution of EMS providers EMT Responsibilities Confidentiality Priorities – Who’s Quality Improvement Rights of Refusal Emancipated Minor Assault/Battery. Adv. Direct./DNR/DNAR

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Final Course Review

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  1. Final Course Review Final Exam Preparation Section-by-section, take-home points.

  2. EMS Delivery models Distribution of EMS providers EMT Responsibilities Confidentiality Priorities – Who’s Quality Improvement Rights of Refusal Emancipated Minor Assault/Battery Adv. Direct./DNR/DNAR Consent – Types of Standard of Care Suicide Attempt – Refusal EMT Legal Defense Negligence Scope of Practice Protocols On-Line/Off-line Med Dir Section 1 – Intro to EMS

  3. EMT Response to stress While responding Scene Size up Sequence of Actions Critical Incident Warning Signs Stages of Grieving Protective Equipment What & When Perfusion Major Arteries – Names Relative Terms Distal, Prox. Lat, Med... Ant, Post, Supine, Prone Respiratory System Digestive System Thoracic Cavity Abdominal Cavity Blood Products & Function Sternum Section 1 – Intro to EMS

  4. Flow of blood LV –Body – RA – RV – Lung – LA Aorta – Artery –Arterioles – Cap’s – venules – veins – VC Ulna Wrist Bones Muscle Types & Examples Vertebrae in spine SAMPLE Skin Conditions Pediatric Vital Signs Pupil Reactions (Light/Dark…) Vital Signs Respiratory Exam Labored Breathing Accessory Muscles Amount of air exchanged Aerobic vs Anaerobic Wheezing/Rales Alveoli Section 1 – Intro to EMS

  5. Section 1 – Introduction to EMS • Types & Stages of Shock • Cardiogenic/Hypovolemic • Early/Late (S/S) • Ficke Principle (Shock) • Types of Bleeding • PASG Usage (Ind/Cont.) • OPA/NPA Sizing • Rescue Breathing

  6. Components of a drug Label Bronchodilators The Drugs (Ind./Cont./SE, rte) Oral Glucose Oxygen Epinephrine AC NTG Asthma (S/S) Pulmonary Edema (S/S) AtherosclerosisArteriosclerosis Chain of Survival Steps in treating CHF Cardiogenic Shock (s/s) CVA vs TIA Treating a Diabetic GCS (3-15 (4,5,6)) Left side brain damage = right side signs CO Poisoning (s/s) Section 2 Non-Traumatic Emergencies

  7. Placenta (function) Presenting Part Miscarraige Wrapped Cord Section 2Non-Traumatic Emergencies

  8. Section 3Traumatic Emergencies • Kinetic Energy KE = ½ mV2 • Contusion/Abrasion/Avulsion/Crush • Chemical Burns (Eye = 20 minutes) • SYMPTOMS vs SIGNS of Injury • Pneumothorax (S/S) • Trachea Deviates? • Abd injuries (organ vs quadrant) • Short Board Immobilization • PMS Distal to injuries • % Burns

  9. Section 4Special Patient Populations • Pediatric BLS (FBAO procedures) • Common injuries in kids • Heat conservation

  10. Section 5EMS Operations • Interpersonal Communications • Hospital reports = speak clearly… • Role of dispatcher • Types of Moves • (Emergency/Urgent…)

  11. Section 6Special Topics • NREMT • Recertification • Skills maintenance • CE • Blood borne pathogens

  12. Almost the End of the Course • 3/06/04 • Second Midterm EXAM—includes Module 6 & Behaviour & OB from Module 4 • TAKE MAKE-UP EXAMS • Finish Lab skills sheets • Instructor sign off’s • Practice

  13. 3/13/04 • LAST LAB • Written Final Exam—Module 7 included • Last chance to submit Clinical Hours Verification Sheets and SOAP charts—these are required. • Practice for the Certification Exam

  14. The Skills Stations(Facts, Figures & Pitfalls) • Trauma • Medical • Airway / BVM • Spinal (Supine especially, but know KED too) • Cardiac Arrest / AED • Random Skills

  15. Trauma • Most fail in the first minute or two of the station • C/C (critical criteria often affected) • BSI • Safety • C-Spine with airway • Oxygen • Secondary before primary • Ran out of time

  16. Medical • C/C • Harmful Measures • NTG & Low B/P • No medical direction • Primary before secondary • Wrong intervention • Oxygen

  17. Airway BVM • 20 Seconds!!!

  18. Spinal Immobilization • Immediate Immobilization • Wrong Size C-collar • NO C-Collar • Poor Strapping • Movement • CMS/SMV/PMS Before & After

  19. Cardiac Arrest / AED • CPR (Stop & Restart) • Clear Patient • Didn’t use defibrillator

  20. Random Skills • Traction • Sager/Hare • Oxygen Delivery • Bleeding-Wounds-Shock • Suction • CPR/FBAO any combination of ages • Long Bone Immobilization • Joint Injury • Mouth-to-mask (just like BVM only you are the bag)

  21. Paperwork • MUST HAVE ON 3/13/02 • CWE Verification form (signed x 3) • SOAP Chart

  22. Grades • Posted Online • Web Page • http://newterra.chemeketa.edu/faculty/ems/n/basic.htm • Points Accumulation • Grades in to registrar • Sunday 3/14/2004 • Pulled from DHS Roster 3/15/2004

  23. State/Certification Exam • Written Exam • 03/17/2004 Wednesday • 6 PM • ***Building ?? – Main Campus*** • Bring Photo ID • Practical Exam • 03/20/2004 & 03/21/2004 • 8 AM • Building 8 Rm112 • Bring Photo ID • Bring lunch, this is all day and no one leaves B-8

  24. State Exam • How to dress • How to act • Same day retests… • Later retests. • Certifying Officer… • If any candidate loses control/acts inappropriately, ie “goes off on the CO etc”, no one will get results that day and no re-tests that day.

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