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Ch02 eec3

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  • 1. Two Well-Being of the EMT-Basic Chapter
  • 2. Chapter
    • Effects of emotion and stress on the EMT-B
    • Death and dying and the reactions of the patient, family, and EMT-B
    • Safety at the scene
    • Exposure control
    • Body substance isolation throughout the call
    CORE CONCEPTS Two
  • 3. E MOTION AND STRESS
  • 4. EMS Stressful Situations: Mass-Casualty Incidents
  • 5. EMS Stressful Situations: Infant and Child Trauma
  • 6. EMS Stressful Situations: Amputations
  • 7. EMS Stressful Situations
    • Infant/elderly/spouse abuse
    • Death or injury of a coworker
  • 8. Stress: Warning Signs
    • Irritability toward coworkers, family, friends
    • Inability to concentrate
    • Insomnia and/or nightmares
    (Continued)
  • 9. Stress: Warning Signs
    • Anxiety
    • Indecisiveness
    • Guilt
    • Loss of appetite
    (Continued)
  • 10. Stress: Warning Signs
    • Loss of interest in sex
    • Isolation
    • Loss of interest in work
  • 11. Stress Management
    • Lifestyle Changes
    • Change diet
    Reduce sugar, caffeine, and alcohol. Avoid fatty foods. Increase carbohydrates. (Continued)
  • 12. Stress Management
    • Exercise
    • Relaxation
    • Meditation, visual imagery
    • Balance work, family,
    • Lifestyle Changes
    (Continued) recreation, and health
  • 13. Stress Management
    • Environmental Changes
    • Request shifts that allow more
    • Request duty assignment to
    time with family and friends. a less busy area. (Continued)
  • 14. Stress Management
    • Seek professional
    help if needed.
  • 15. Stress: Reactions of Family and Friends
    • Lack of understanding
    • Fear (of separation, being ignored)
    • Stress (caused by on-call situations)
    • Frustration (wanting to share)
  • 16. Critical Incident Stress Debriefing
  • 17.
    • Within 24 – 72 hours after incident
    • Open discussion (feelings, fears, reactions)
    • Completely confidential
    CISD (Continued)
  • 18.
    • Not an investigation or
    • CISD team offers suggestions
    interrogation on overcoming stress CISD
  • 19. Death and Dying Stages
    • Denial
    • Anger
    • Bargaining
    • Depression
    • Acceptance
  • 20. Death and Dying Patient and Family Needs
    • Dignity and Respect
    • Sharing
    • Communications
    • Privacy
    • Control
  • 21. Reaction of Family
    • Rage
    • Anger
    • Despair
    Death and Dying
  • 22. Dealing with Patient and Family
    • Listen empathetically.
    • Use a gentle tone of voice.
    • Use a reassuring touch, if appropriate.
    • Do not falsely reassure.
    Death and Dying
  • 23. S CENE SAFETY
  • 24.
    • Fighting or loud voices
    • Intoxicants or illegal drugs
    • Weapons
    • Crime scenes
    Indicators of Danger (Continued)
  • 25.
    • Pets
    • Hostile crowds
    • Broken glass, bloodstains
    Indicators of Danger
  • 26.
    • Sight
    • Hearing
    • Smell
    • “ Sixth sense”
    Use Your Senses
  • 27. Response to Danger: COVER hides and protects your body.
  • 28. Response to Danger: CONCEALMENT hides your body.
  • 29.
    • Leave the scene
    Response to Danger: RETREAT immediately.
    • Get far enough away.
    • Radio for police.
  • 30. Body armor may offer additional protection.
  • 31.
    • Electricity
    • Fire
    • Explosion
    • Hazardous materials
    Rescue: Identify Threats
  • 32.
    • Turnout gear
    • Puncture-proof gloves
    • Helmet
    • Eyewear
    Protective Clothing
  • 33. The police are responsible for securing the scene from violence. Violence
  • 34. Violence
    • Patients
    • Perpetrators of crimes
    • Bystanders
    • Family members
    Scene Dangers Come From:
  • 35.
    • EMT-B identifies situations.
    • Specialized teams control
    Hazardous Materials Incidents scene.
    • EMT-B treats patients after
    contamination is limited.
  • 36. Identify situations from a distance.
  • 37. Placards help identify hazardous materials.
  • 38. Emergency Response Guidebook (hazardous materials reference)
  • 39. B ODY SUBSTANCE ISOLATION
  • 40. Body Substance Isolation
    • Protects EMT-B and patient.
    • Assumes all body substances are
    • Procedures set by OSHA and
    • local policy.
    infectious.
  • 41. Since an exposure incident may be anxiety-provoking to new EMT-Bs, discuss with them your state laws and local policies regarding postexposure procedures. P RECEPTOR P EARL
  • 42. The biohazard symbol identifies potentially infectious items.
  • 43. Wash hands thoroughly, even if gloves were used.
  • 44. Wear latex, vinyl, or synthetic gloves.
  • 45. Use protective eyewear.
  • 46. Gowns protect clothing from fluid splatter.
  • 47. Mask/eyeshield combination offers protection from fluid splatter.
  • 48. N-95 respirator HEPA respirator (HEPA stands for “ high-efficiency particulate air”) Two NIOSH-approved respirators designed to protect caregivers against airborne pathogens
  • 49.
    • Preventive vaccines
    • Immune status verification (titer)
    • Testing (tuberculin PPD)
    Infectious Disease Prevention
  • 50. 1. What are the effects of emotion and stress on the EMT-B? 2. What are the reactions of the family, patient, and EMT-B to death and dying? 3. How can the EMT-B maintain a safe scene? 4. Discuss exposure control and how to take BSI throughout the call. R EVIEW QUESTIONS