-
Pervasive developmental disorder characterized by impairment of social interaction, severe behavioral problems, repetitve motor activites, impairment in verbal/nonverbal skils. Apprx 1 in every 150 children diagnosed. Males are 4x more likely affected then females; typically diagnosed by age 3.
Autism
-
Genetic chromosomal defect that can occur during fetal development resulting in mild to severe mental retardation. AKA trisomy 21, chromosome 21 fails to seperate resulting in the ovum having 24 chromosomes instead of the normal 23. Abnormalties include round head w/ flat occiput; enlarged, protruding tongue; wide-set eyes; congenital heart defect; thyroid problems; hearing & vision problems
Downs syndrome
-
Group of disorders cbaracterized by poorly controlled body movement. Result of damage to the developing fetal brain while in utero, traumatic head injury at birth or early childhood development, or from postpartum infection such as meningitis. Visual & hearing impairments, difficulty communicating, epilepsy, development delay, mental retardation.
Cerebral palsy
-
Birth defect caused by the incomplete closure of the spinal column that results in an exposed spinal cord and undeveloped vertebrae. 1 of the most common disabling birth defects in US. Most often requires the placement of a shunt to drain excessive amounts of cerebrospinal fluid from the brain. Partial to full paralysis on lower extremities, loss of bowel/bladder control,extremely allergic to latex
Spina bifida
-
Plastic tubr placed in surgical opening from the anterior part of the neck into the trachea. Temporary or permanent and passes from the neck directly into the major airways.
Tracheostomy tube
-
Placed directly into the stomach for feeding patients who cannot ingest fluids, food, or medication by mouth. Typically sutured in placeand may become dislodged during normal daily activities. Causes bleeding in the stomache; S&S are vague abdominal discomfort, nausea, vomiting ("coffee ground" emesis), blood in emesis.
Gastronomy tube AKA G-tube
-
Tubes that extend from the brain to the abdomen to drain excess cerebrospinal fluid that may accumulate near the brain.
Shunt
-
This type of shunt drains excess fluid from the ventricles of the brain into the peritoneum of the abdomen
Ventricular peritoneum shunt
-
This type of shunt drains excess fluid from the ventricles of the brain into the right atrium of the heart
Ventricular atrium shunt
-
When lifting, spread legs about 15" apart (shoulder width) keep back held upright and bring upper body down by bending the knees. Raise patient by raising your upper body & arms by straightening your legs until again standing. Safest & most powerful way to lift.
Good techniques for lifting
-
Specially designed stretcher that can be rolled along
The ground, weighs between 40 & 145 lbs. Not ideal for stair use
Wheeled ambulance stretcher
-
Used to bring conscious patient down to a waiting stretcher. Do not use if patients conditon does not allow for sitting position, cardiac arrest, unconscious patient.
Stair chair
-
Often called a Stokes litter, used to carry a patient across uneven terrain from a remote location that is inaccessible by ambulance or other vehicle. Used to carry patient across fields, rough terrain, trails, boats,or aall-terrain vehicle.
Basket stretcher
-
Also known as orthopedic stretcher, designed to be split into 2 or 4 pieces, sections are fitted around a patient that is laying on the ground or another relatively flat surface.
Scoop stretcher
-
Vehicle that is used for treating and transporting patients who need emergency medical treatment. The 1st motor-powered vehicle was introduced in .....
Ambulance; 1906
-
This design is conventional, truck cab-chassis w/ a modular body that can be transferred to anewer chassis as needed
Ambulance type 1
-
Standard van, foward-control integral cab-body
Ambulance type 2
-
Specialty van, foward-control integral cab-body
Ambulance type 3
-
When this vehicle is stopped with flashing red lights you can not pass whether emergency or not...
School bus
-
The killing of pathogenic agents by directly applying a chemical made for that purpose to a surface or equipment
Disinfection
-
A process, such as the use of heat that removes all microbial contamination
Sterilization
-
Used to evacuate medical & trauma patients. They land at or near the scene and transport patients to trauma facilities.
Air ambulance
-
Used for interhospital patient transfers over distances greater than 100 to 150 miles
Fixed-wing aircraft
-
Used to help provide emergency medical care to patients who need to be transported quickly over a short distance
Rotary-wing aircraft
-
Medical evacuation; performed by helicopter
Medivac
-
Area must be hard or grassy level surface, 100' x100' and no less then 60' x60', cleared of loose debris, no overhead or tall hazards, weighted cones or emergency vehicles used to mark landing spot, report if wind is strong
Helicopter landing zone requirements
-
Ensuring responder & public safety, achieving incident management goals, & ensuring the efficient use of resources
ICS
-
Principal referring to keeping the supervisor/worker ratio at 1 supervisor for 3 to 7 workers
Span of control
-
Sections, branches, divisions, & groups
Organizational divisions
-
Command, finance, logistics, operations, & planning
General staff of ICS
-
Person in charge of the overall incident. Assesses the incident, establish the strategic objectives & priorities, develop a plan to manage the incident
Incident commander
-
Responsible for documenting all expenditures in an incident for reimbursement. Consist of timre unit, procurement unit, compensation/claims unit, & cost unit
Finance section chief
-
Responsible for communications equipment, facilities,food & water, lighting, fuel, medical equipment & supplies for patients & emergency responders
Logistics section/ section chief
-
Responsible for managing the tactical operations in a complex incident, supervise the people working at the scene of the incident
Operations section/ section chief
-
Solves problems as they arrive, obtain data about the problem, analyze the previous incident plan, predict what or who is needed to make the new plan work
Planning section
-
Another part of the planning section; it is the central tool for planning during a response to a disaster emergency
Incident action plan
-
This person monitors the scenefor conditions or operations that may present a hazard to responders and patients
Safety officer
-
Provides the public and media with clear and understandable information
Public information officer
-
This person relays information and concerns among command, general staff, and other agencies
Liaison officer
-
Means "to sort" your patients based on the severity of their injuries. Goal is doing the greatest good for the greater number
Triage
-
First priority patients; usually have problems with ABCs, apprx breathing faster then 30 breaths/min or or slower then 10 breaths/min, head trauma, S&S of shock
-
Second priority; multiple injuries to bones or joints, back injuries with or without spinal injuries, can be delayed treatment & transportation
-
Third priority; walking wounded, "minimal treatment"
-
Supervise the primary goals of the medical branch-- triage, treatment, transport of patients.
Medical incident command
-
In charge of counting and prioritizing patients. Primary duty of the triage division or groupis to ensure that every patient receives initial assessment of their condition
Triage supervisor
-
Locate & set up the treatment area w/ a tierfor each priority patient. Ensure that secondary triage is performed & that adequate patient care is given. Responsibility to assist with moving patients to transportation area. Required to communicate with the medical branch director.
Treatment supervisor
-
Coordinates the transportation and distribution of patients to the appropriate receiving hospitals & ensures that hospitals do notbecome overwhelmed with patients. Requires coordination with incident command to help ensure that enough personnel and ambulances are in staging area. Key role is to communicate with the area hospitals to determine where to transport the patients. Documents & tracks the # of patients transported, & the facility destination of each vehicle & patient
Transportation supervisor
-
This person locates an area to stage equipment & responders, tracks unit arrivals, & sends out vehicles as needed.... this area should be established away from the scene bc the parked vehicles can be in the way
Staging supervisor/ staging area
-
Diamond shaped indicators that are placed on all 4 sides of highway transport vehicles, railroad tank cars, & other forms of transportation carrying hazardous material. Intended to give a general idea of the hazard inside a particular container
Placard
-
Measure of the health risk that a substance poses to someone who comes in contact with it
Toxicity levels
-
Tox level - includes materials that would cause little, if any, health hazard if you came into contact withthem
0
-
Tox level- includes materials that would cause irritation on contact but only mild residual injury, even w/out treatment
1
-
Tox level- includes materials that could cause temporary damage or residual injury unless prompt medical treatment is provided. Slightly hazardous bt require self-contained breathing apparatus if coming in contact
2
-
Tox level- Extremely hazardous materials to health. Requires full protective gear upon contact.
3
-
Tox level-materials are so hazardous that minimal contact will cause death
4
|
|