EMT-B Basic Final Exam Review With
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Who sets the curriculum for all EMS courses? - DOT
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Provides national standards for EMT testing and certification. - National Registery
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Physician who authorizes/delegates authority to provide medical care in the field. -
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Medical Control
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Recognition, patient assesment, continued assesment and stabilization in hospital,
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definitive care. - Continuum of Care
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Types of stress include: - Cumulative, post-traumatic stress reaction, eustruss, acute
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stress, and chronic stress
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S/S of stress include: - Increased respiratory rate, heart rate, and B/P, vasodilation,
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dialted pupils, tensed muscles, increased glucose levels, perspiration, deacreased blood
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flow to gastrointestinal tract, irritability, inability to concentrate, difficult or increased
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sleeping, anxiety, guilt, loss of appetite, decreased sexual activity, loss of interest in work,
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alcholism, drug use.
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Management of stress includes: - Eliminate stressors, change partners, get rid of
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negative personalities, change work hours, reduce overtime, change your attitude, don't
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obsess over what you can't change, excercise, diet.
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Fight or Flight response: - During an acute stress response, the autonomic nervous
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system is activated and the body increases level of cotricol, adrenilen, and other
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hormones that produce an increased heart rate, quick breathing, and higher BP. Blood is
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shunted from extremities to the big muscles to "fight or flight".
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Routes of transmission include: - Direct - touch or droplets
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Indirect - spread by inanimate objects II II II II II
Mechanical (vector born) - by insects II II II II II
Biological - Transmissions by which the germs live or grow II II II II II II II II II
Airborne - sneezes, coughs II II II
Dust - may carry pores, may remain for long periods.
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Control and prevention of contamination include? - Hand washing, gloves, eye
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protection, gowns, masks, mask, respirators, barrier devices, and immunizations.
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Duty to Act is? - An obligation to provide care.
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, Duties include: - Duty to:
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-Respond
-Obey laws and regulations
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-Operate an emergerncy vehicle reasonably and prudently
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-Provide care and transportation to expected standard
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-Provide care and transport consistent with the scope of practice and local medicine
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protocol
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-Continue and transport through to its appropriate conclusion
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The scope of practice is? - Descriptionof what assessment and treatment skills and
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EMT may legally perform.
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Implied consent is? - Consent in which a patient is unable to give consent and is
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provided treatment under the implication they would want treament.
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Informed consent is? - Permission for treatment given by a patient after the potential
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risks, benefits, and alternatives to treatment have been explained.
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Ethics - The discipline dealing with what is good and bad.
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Standard of care is? - The degree of medical care and skill that is expected of a
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resonably competent EMT acting in the same or similar circumstances.
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Confidentiality is? - Communication between you and the patient is considered
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confindential and can only be released to other medical staff or with a court order.
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Definite signs of death include: - Obvious mortal damage, dependent lividity, rigor
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mortis, putrefaction.
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Obvious mortal damage: - Injuries such as decapitation or non survivable injury.
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Dependent lividity - Blood settling to the lowest part of the body. "Pooling"
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Rigor mortis - Stiffening of body muscles caused by chemical changes in the body.
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Develops in the face and jaw, gradually extending downward. Onset is affected by body's
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ability to lose temp (thin=fast, fat body=slow). Occurs between 2-12 hours after death
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putrefaction - Decomposition of body tissue. Occurs between 20-96 hours.
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Anterioir - Front side of body
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Posterior - back of the body
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Midline - Imaginary line drawn vertically from middle of the forehead through the
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umbilicus floor
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