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what are the examples for several reasons to contact the hospital?
- > trauma
- > cardiac arrest
- > hazardous materials
- > bedbugs
- > cardiac or stroke alerts
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when calling ahead concerning a trauma patient, include
- > MIVT (mechanism, injuries, vitals and Rx)
- > ETA
- > GCS components
- > pt assessment findings (especially those pertinent to decision for trauma alert).
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paramedics who have transmitted an EKG are expected to ...
call and speak with MCP
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When calling with an alert (Trauma, Cardiac, or Stroke) say, "
We recommend a ______ alert"
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Deep, penetrating, cranial injuries is a circumstance for ...
Non-Initiation of Care
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Massive truncal wounds is an indication for ...
Non-initiation of care
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DNR Order -- present and valid is an indication for ...
Non-initiation of care
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A frozen body is a indication for ...
Non-initiation of care
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Rigor mortis, tissue decomposition, or sever dependent lividity are indications for ...
Non-initiation of care
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Excessive triage demans can be a indication for ...
Non-initiation of care
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Blunt trauma found in cardiac arrest can be a circumstance precluding non-initiation of care unless one of the following conditions is present:
- · Pt Tx to ED <5'
- · The arrest caused by medical condition
- · Focused blunt trauma to the chest (such as commotio cordis)
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If Tx to ED >15', penetrating trauma found in cardiac arrest can be an indication for ...
Non-initiation of care
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If Tx to ED >15', but Pt w/penetrating trauma in cardiac arrest after in EMS care...
Resuscitation will be initiated
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Once en route with a Pt in cardiac arrest ...
Continue care even if the time limits cannot be met.
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If care began and it is readily apparent to EMS that the Pt met non-initiation of care criteria, ...
resuscitation efforts may cease
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With DNR-CC, suctioning is ...
permitted
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With DNR-CC, Oxygen is ...
permitted
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With DNR-CC, splinting/immobilization is ...
permitted
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With DNR-CC, bleeding control is ...
permitted
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With DNR-CC, pain control is ...
permitted
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With DNR-CC, chest compressions are ...
not permitted
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With DNR-CC, airway adjuncts including CPAP and respiratory assistance is ...
not permitted
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With DNR-CC, resuscitative drugs are ...
not permitted
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With DNR-CC, defibrillation/cardioversion/monitoring are ...
not permitted
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With DNR-CCA, any standing orders Rx is permitted until ...
cardiac or respiratory arrest or agonal breathing
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When a Durable Power of Attorney for Healthcare (DPA-HC) is presentand the "Living Will and Qualifying Condition" box is checked, the DPA-HC can or cannot override the Pt's DNR status?
cannot
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May a Pt change their DNR status anytime verbally, in writing or by action?
Yes
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A Pt must be what age in order for ALS care to be terminated on-scene by MCP
18 yrs or older
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A Pt must have which cardiac rhythms in order for ALS care to be terminated on scene by MCP?
Asystole or PEA
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A Pt may not be in arrest due to this for ALS care to be terminated on scene by MCP?
hypothermia
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A Pt must have these two accesses established for ALS care to be terminated on scene by MCP.
advanced airway and vascular access
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PEA rate of higher than this should be given additional consideration before field termination is initiated?
40
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Pts in PEA with a rate ≥40 may not be in true ...
cardiac arrest and may not have palpable pulses due to hemodynamic instability.
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