NREMT-PARAMEDIC- EMS OPERATIONS

Keep the back in a straight, upright (vertical) position, and lift without twisting or bending

15 inches apart and shoulder width apart, And place your center of gravity between them. Bring the Upper body down by bending the legs then just straighten your legs and the upper body.

**This is also called the power lift. used for people who have weaker knees or thighs. Keeps arms as close to body as you can.

Its the power grip. your arm and hand has the greatest lifting strength when the arm and palm are facing UP. your hands should be at least 10 inches apart fingers underneath and thumb extended upward.

• Put the patient in the middle of the sheet.
• Roll up the excess

120 to 220 nothing more than 250 without 4 People.

• Strongest at the head
• when going down the stairs the heaviest is at the foot.
• taller person person should also be at the foot.

Move before assessment and care is provided. when there is potential danger adn you guys must move to a safe place.

** fire, explosives, or other hazardous materials. AND you inability to protect the paitents from other hazardous. and needing to get into a vehicle which someone needs life saving intervention.

• Vehicle or scene isnt safe
• -explosives or other hazardous are on the scene
• -the patient is hemodynamically unstable.
• -the paitent is blocking someone else seriously injured.

Direct ground lift- No spinal injury, found lying supine and has to be carried some distance.

Extremity lift-No spinal injury, narrow spaces.

• 1- Fear- fear of falling
• 2- Skin- loose skin can tear easy
• 3-Skeletal changes- spinal curvatures etc

** be sure to explain everything to them and be compassionate and gain their cooperation.

• 1- preparation of the call
• 2-Dispatch
• 3-En route
• 4-Arrival at scene
• 5-transfer of of patient to the ambulance
• 6-En route to the receiving facility
• 7-at the receiving facility
• 8-En route to the station
• 9-postrun

• 1-equipment and supplies for emergency care
• 2-driver compartment
• 3-two way radio
• 4-design to ensure safety and support
• 5- a design that can accommodate 2 patients

Type 1- Truck-Cab so that the back end can be changed out when needed.

type 2-standard van 

type 3- specialized integral cab body. dekalb county kind.

basic splinting, childbirth,gloves, sharps,

airway and vent stuff, basic country, splinting supplies, chilbirth supplies,AED, paitent transfer equipment and medication.

Fuel, oil,batteries, brake fluid,wheels tires, spare, horn, siren, AC, Heaters, doors, communications, coolant.

1-Speed does not save lifes

2-all passangers must wear seat belts at all times.

Ground transport too long, conditions or paitent needs more care than you can give.

Fixed wing and rotary wing helicopters.

• 5 inches for the side airbags
• 10 inches for the driver side.
• 20 inches away from passenger airbags that have NOT deployed.

• 1-prep
• 2-En route
• 3-arrival to scene
• 4-hazard control
• 5-support ops
• 6-gaining access
• 7-emergecy care
• 8-removal of paitent
• 9-transfer pt
• 10- termination.

Plans are Drawn up by co-operating agencies that assume shared responsibility for decision  making.

Person in charge of the overall incident

**especially in a Single command system.

Finanace is responisble for documenting all expenditures at the incident for reimbursment purposes.

**larger roles log staff hours

Logistics job is responsible for communication. food, water, fuel, lighting, and medical equipment and supplies for patient.

Operations job is responsible for carrying out the command of the incident commander. assigned to certain jobs to oversee and supervise.

Planning observes and solves Problems as they arise in the MCI. They are also responsible for the incident action plan

• Saftey-Moniters the scene for potential hazards to patients and res ponders.
• liasion- relays information and concerns to the command chain

the public information officer- talks to the Media etc

the Joint information camp-they are responsible for diseminating the message to prevent panic.

Triage supervisor-is in charge of counting and prioritizing paitents. making sure everyone gets the treatment needed.

Transportation officer sends people to the right hospitals and makes sure other hospitals dont become overwhelmed.

Staging supervisor is in charge of calling more additional resources. they should not drive to the scene without the direction of the staging supervisor.

the rehab supervisor provides a safe area for the res ponders from the environment.

Extrication supervisor-in charge of the search and rescue  and the morgue supervisor works with the area medical examiners.

primary is done in the field. and secondary is done as the patients are bought to the treatment area.

• IDME
• Immediate-Red
• Delayed- Yellow
• Minor-Green
• Expectant- Black

Simple Triage rapid treatment.

Start by calling out names and stuff. than work towards the non walking people. after that if the paitent is not breathing then open the airway, if they dont breathe then Black tagem...red tag them if they just start to breathe again.

patients who are younger than 8 years old and weight less than 100 pounds. children unable to walk and talk should be red tagged.

if peds paitent isnt breathing...check pulse, if none (black tag)

Battery

Societys expectation of you and your profession.

Negligence

• 1- if the duty to act was present
• 2-breach of duty was present
• 3-paitent or somthing suffered damage
• 4-the act constituting breech of duty was the proximate cause

they are determined by local and state laws  and professional organizations.

• should be 100 by 100....125 by 125 for larger copters. and should not exceed a slope of more than 10 degrees. should be clear of debris and hazards.
• - should be approached only from the front by the directions of the flight crew.

Prespiration, Perfusion and Mentation RPM should not take more than 30 seconds

Identifies risks and hazards, determine what type of equipment is needed. what procedures and precautions should be taken.

• Hot and red is the contaminated zone
• the yellow and warm zone is the decontamination
• and green and cold zone is safe area.

• Common law- case law or judge made law
• tort- civil case law dealing with private complaints
• administrative- general requirements and procedures

the range of duties and skills that is allowed and expected perform when needed.

• duty to act
• breech of duty
• damage
• causal connection

understand and agrees to the care needed for informed. and expressed is verbal, non-verbal, and written.

they must be legal age and mentally competent, intoxicated. prisoners and escapee

intentional unlawful detention of a person. restraint without proper justification.

Report your suspicions no matter what. no matter if your partner disagrees

Pull over and help your partner with CPR. cardiac arrest is a life threat and needs to be dealt with immediatly

it uses 2 channels which allows both parties to communicate simultaneously.

repeaters are used to cover more distance.

operate under implied consent and that the parents under normal circumstances would want their child treated and transported.

• D-Diahreea
• U-urination
• M-mitosis
• B-bradycardia
• E-emesis
• L-lacrimation
• S-Salivation

A system that has the capability of transmitting two signals, usually voice and ECG, on the same frequency.

A communication system that uses radios that transmit and receive on different frequencies. Radios can transmit and receive simultaneously.

Low-band radio waves are able to curve and follow the shape of the earth or move around obstacles. This enables communication over long distances

These frequencies are advantageous because they have high penetrating power and can easily pass through buildings. Disadvantages are that they only travel a short distance and are limited to line of sight.

A communication system that uses radios that transmit and receive on the same frequency. This means that only one radio in the system can transmit at a time.

duplex system

hepatitis A

contact of infectious materials with the eye, mouth or any mucous membranes.

the medical practice act.

a patient who is in clear need of medical attention can be treated and transported by law because he is a threat to himself or others.

Defamation.

type 2 ambulance

at least 100 feet from the accident, uphill and upwind to ensure saftey of the crew.