kinetic energy - ANS the energy an object has due to its motion
principle - ANS a fundamental scientific or evidence based tent for pt improvement or survival
preference - ANS how the specific prehospital care provider achieves the principle
preference used to accom...
kinetic energy - ANS the energy an object has due to its motion
principle - ANS a fundamental scientific or evidence based tent for pt improvement or
survival
preference - ANS how the specific prehospital care provider achieves the principle
preference used to accomplish depends on several factors - ANS situation that exists
condition of the pt
fund of knowledge, skills, and experience of the prehospital care provider
local protocols
equipment available
situation involves all of the factors - ANS hazards on scene
number of pt involved
location of the pt
postion og the vechile
contamination or hazardous materials concerns
potential for fire
weather
scene control and security by law enforcement
time and distance to hospital
number of providers
bystanders
transportation on scene
May change overtime on scene
condition of the pt - ANS major question that will affect decision making is "how sick the pt
is?"
factors that will facilitate this - ANS age of the pt, physiologic factors that affect end organ
perfusion (blood pressure, PULSE, VENTILATORY RATE, SKIN, TEMP), causes of trauma, the
pt medical condition prior to the event, medication, alcohol and drug use
, fund of the knowledge of the prehospital care provider - ANS comes from several sources
including initial training, cme course, local protocols, overall experience, and skill
comfort level of performing a skill depends on the frequency which it has been performed
local protocols - ANS define what a phtls provider is credentialed to do in the field, they are
intended to guide the approach to pt in a way that is systematic and consistent with the best
practice levels
equipment available - ANS experience of prehospital care provider does not matter if he or
she dose not have the right equipment q
components critical thinking in emergency medical care - ANS 1.asses the situation
2.asses the pt
3.asses the available resources
4.analyze the possible solutions
5. select the best answer to manage the situation and pt
6.develop the plan of action
7. initiate the plan action
8.ressess the response of the pt to the plan of action
9. make any needed adjustments or changes to plan of action
10. continue with steps 8 and 9 until this phase of care is completed
steps in critical thinking assessment - ANS analysis
construction of a plan
action
reassessment
changes along the way
using critical thinking to control biases - ANS 1) Assume the worst case scenario until
proven other wise
2)uphold the Hippocratic oath "primum non nocere" or first do no harm
Ethics principles - ANS
ethics - ANS is using a set of moral principles to assist in determining what the right thing
to do
ethical decision making includes - ANS autonomy nonmaleficence, beneficence, and
justice
autonomy is greek word for - ANS "self rule", In medicine it refer to the pt right to direct his
or or her own health care free from interference or under influence
The management of posthospital trauma must reflect - ANS 1. gain access to the pt
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