10/2/24, 1:40 PM
EUNICE
Fisdap Operations Test WITH 100% SERE ANSWERS
- Don't clean the patient or remove any blood
- Don't allow family to enter the crime scene until permission is granted from medical
examiner, law enforcement or coroner
- Preserve the chain of evidence
- Avoid disturbing the scene unless necessary for medical care
- Take one way in one way out
- Touch only what you need to touch and remember to tell police if you touch or move
anything
techniques for preserving evidence at a - Move only what is necessary to provide proper emergency care
crime scene - If the police aren't present, move the patient only if the patient is in danger or must be
move for you to provide care
- Observe and document anything unusual
- If possible, dont cut through holes in clothing from possible stabbings or bullet
- Don't cut through any knot in a rope or tie, cut away from the knot, don't cover patient
with a sheet (possible clues)
- If raped, don't wash or allow patient to wash. Ask the patient not to change clothing,
use the bathroom, or take anything by mouth
- put evidence in a paper bag not a plastic bag because plastic bags sweat
identifying a weapon of mass destruction They will always large scale casualties and MCI - Chemical Biological Radiological
event Nuclear Explosive
- Intended to reduce transmission of infectious agents among patients and to reduce
indications for body substance isolation
the risk of transmission
(standard precautions)
- If a risk is present, wear appropriate PPE and disinfect/sterilize appropriately
additional resources for an electrical - Local electric service company
emergency
- 8+ years old or 100+lbs
- 30 second assessment to initially categorize patients for triage
- Based on respiratory status, perfusion status, and mental status
components of START triage assessment - Green = walking/wounded
- Yellow = delayed treatment
- Red = immediate treatment
- Black = dead or fatal injuries
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- Determine if extra resources are needed
- Take necessary standard precautions
components of scene size up - Evaluate the scene for safety hazards
- Determine the mechanism of injury or nature of the illness (why were you called?)
- Determine number of patients
- Consider contact with all body fluids as a hazard
- Wear examination gloves for every patient in contact with blood, infectious disease, or
maintaining scene safety other body fluids
- Consider the dispatch information
- EMT must adjust his actions and precautions as information become available
- Mass causality incidents place excessive demand on personnel and equipment
- Involves 3+ patients
identifying the need for additional resources
- Make sure there is enough or more than enough rescuers with advanced life saving
at a MCI
skills
- Number of resources depends on number of patients
- Check for danger
- Check for a response
- Open airway
components of primary survey
- Check breathing
- Check circulation
- Treat the steps as needed
- EMT wear (in some areas) bulletproof vests if they are in a situation that may involve
components of scene size up with gunshot
gun violence. Police usually tell EMTs to avoid gun violence situations.
patient
- Allow police to clear and secure the scene before approach the patient
- If dangers threaten, stay at a safe distance and call 911 or the local emergency number
- If the scene still is unsafe after you call, do not enter. Leave dangerous situations to
technique for approaching an unsafe scene
professionals like firefighters and police. Once they make the scene safe, you can offer
to help.
- Gloves, eyewear, hand washing, vaccination, cleaning and disinfecting non-disposable
equipment
body substance isolation for a patient with
- Know standard symptoms of Hep B (fatigue, nausea and loss of appetite, abdominal
hepatitis
pain, headache, fever, jaundice, dark urine) and Hep C ( jaundice, fatigue, abdominal
pain in RUQ, nausea, dark urine, loss of appetite)
-when the scene is unsafe (fire, hazmat, ect.)
- Altered mental status
- Inadequate respiratory rate or tidal volume
identifying the need for rapid extraction - Indications of shock
- Injuries to head, neck, chest, abdomen, and pelvis
- Fracture of both femurs
- Major bleeding
- Window punch
equipment used to obtain access to a patient - Stabilizing tools to prevent roll over
in a vehicle - Hydraulic spreaders and cutters
- Wheel chocks
- Wear protective clothing that covers skin and personal clothing during procedures or
Body substance isolation for a patient activities where contact with blood, saliva, or OPIM is anticipated.
coughing up blood - Wear mouth, nose, and eye protection during procedures that are likely to generate
splashes or spattering of blood or other body fluids.
Body substance isolation for a patient with - Gloves, eyewear, HEPA or N95 respirator, hand-washing, artificial ventilation, disinfect
tuberculosis non-disposable equipment with tuberculocidal agent
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