4)Communications
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The document discusses the components and operation of emergency medical communication systems, which coordinate activities between the scene, ambulance, and hospital. Key parts of the system include base station radios at fixed locations, mobile radios in ambulances, portable radios, and repeater systems to relay signals. The communication center receives emergency requests, dispatches responders, notifies hospitals, and provides medical dispatch instructions. Proper radio procedures and patient reporting are outlined to ensure effective communication.
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The document discusses the importance of effective communication in healthcare. It notes that communication is vital for understanding patients, assessing needs, and teamwork. However, barriers like lack of training and time can negatively impact communication. Poor communication has been a factor in many medical complaints and litigation. The document provides guidance on techniques for delivering bad news, addressing patient reactions, and improving communication skills through training. Effective communication can help patients better manage the consequences of bad news.
Sbs33 secondary
The secondary assessment focuses on gathering the patient's medical history and examining body areas related to the chief complaint. It includes collecting information on allergies, medications, past medical issues, and current health status. The assessment also involves examining the head, eyes, ears, nose, mouth, neck, chest, abdomen, pelvis, and extremities to check for injuries or other issues related to the presenting condition.
Sbs33 secondary
The secondary assessment focuses on gathering the patient's medical history and examining body areas related to the chief complaint. It includes collecting information on allergies, medications, past medical issues, and current health status. The assessment also involves examining the head, eyes, ears, nose, mouth, neck, chest, abdomen, pelvis, and extremities to check for injuries or other issues related to the presenting condition.
Resident Duty in Casualty
This document discusses best practices for delivering bad news to patients' loved ones in the emergency department. It recommends using the SPIKES protocol, which involves setting up a private meeting, understanding the relatives' perceptions, getting their permission to share the news, providing small amounts of understandable information while checking for comprehension, acknowledging their emotions, and summarizing while providing support and next steps. Effective communication is important for the patients' families and protects doctors from medico-legal issues. Overall, delivering bad news requires sophisticated communication skills to support the relatives through this difficult time.
L&E Chapter 008
This document discusses communication in nursing, including:
1) The components of the communication process, factors that influence communication, and effective vs ineffective communication techniques.
2) Guidelines for communicating with physicians by phone, delegating tasks effectively, and using computers for communication within a healthcare agency.
3) Challenges nurses face in developing communication skills and communicating with specific patient populations like those with hearing impairments, the elderly, children, and other cultures.
Communication skills ppt @ bec doms mba 1 st sem
This document discusses effective communication and counseling skills for doctors. It emphasizes letting patients express themselves, active listening, establishing eye contact, and using a positive tone. When counseling parents of a non-improving or critically ill child, doctors should explain the situation clearly, instill hope while being honest, and offer emotional support during and after the child's death. The goal is to help parents understand through empathetic communication.
History Taking.
The document provides guidance on taking a patient's medical history. It discusses the importance of obtaining an accurate history and outlines the general approach and structure for conducting a history, including introducing oneself, ensuring confidentiality, listening to the patient, and asking open-ended questions. It then covers how to record specific components of the history, such as the chief complaint, history of present illness, past medical history, drug history, family history, and social history.
Medico Legal Aspects Of Prehospital Care
This document provides an overview of legal and ethical issues in prehospital emergency care. It discusses the differences between legal, ethical and moral responsibilities and reviews laws impacting EMS providers, such as scope of practice and vehicle operation laws. It also examines accountability and malpractice, including the standard of care and elements required to prove negligence. Specific issues related to patient consent, refusals, restraint and confidentiality are analyzed. The document concludes with discussions of operational concerns like equipment failure, documentation requirements and interactions with law enforcement.
History taking skills
The document discusses the importance of history taking skills in medical education. It outlines the key elements of an effective history, including introducing oneself, using open and closed-ended questions, actively listening, and tailoring the history to the presenting complaint. The standard history taking format is also described, covering identifying data, chief complaint, history of present illness, past medical history, medications, allergies, and family/social histories. Special challenges in history taking and common pitfalls are also addressed.
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31)Gaining Access
The document discusses the fundamentals and types of extrication performed by EMTs. It emphasizes ensuring personal and patient safety as the top priority. EMTs should administer care before extrication, immobilize the patient securely, protect them from hazards during removal, and continue providing care along the path of least resistance.
29)Infants And Children
This document provides guidance on assessing and treating infants, children, and adolescents in emergency situations. It covers developmental considerations, common illnesses and injuries, approaches to examination, and special needs. Infants and young children may be distressed by separation from parents and physical contact. Examinations should proceed from head to toe to reduce anxiety. Respiratory assessments and airway management require modified techniques due to pediatric anatomy. Trauma patterns differ from adults and internal injuries can be occult.
28)Obstetrics And Gynecology
The document provides an overview of obstetrics and gynecology topics including fetal and maternal anatomy, the stages and process of labor and delivery, potential complications during pregnancy and delivery, and newborn care procedures. Key areas covered include fetal development in the uterus, the placenta and umbilical cord, stages of labor from contractions to delivery, potential emergencies like preeclampsia and postpartum hemorrhage, contents of an obstetric kit, and steps for managing both normal and abnormal deliveries as well as newborn resuscitation.
27)Injuries To The Head And Spine
The document discusses injuries to the head and spine, including the nervous system and its components. It covers types of spinal injuries like compression, flexion, and extension injuries. It describes symptoms of spinal injuries and complications. It provides guidelines for immobilizing and caring for patients with potential head and spinal injuries.
26)Musculoskeletal Care
The document provides an overview of the musculoskeletal system, including its components, functions, and types of injuries. It describes the axial skeleton (skull, vertebral column, thoracic cage), appendicular skeleton (upper and lower extremities, pelvis), and their bones. It also discusses joints, types of forces that can cause injuries, classifications of fractures, and injuries to ligaments, tendons, muscles. Guidelines are provided for assessing and splinting various bone and joint injuries, including long bone fractures, joint injuries, and femur fractures treated with traction splints. Throughout, it emphasizes immobilizing the injured area and assessing distal circulation before and after splinting.
25)Soft Tissue Injuries
Soft tissue injuries can be closed or open wounds. Closed injuries like contusions and hematomas involve damage below the skin surface. Open injuries break the skin and include abrasions, lacerations, and avulsions. Special considerations include chest, abdominal, and impalement wounds. Treatment focuses on controlling bleeding, preventing infection, splinting injuries, and rapid transport.
23)Behavioral Emergencies
Behavioral emergencies involve abnormal behavior that is unacceptable or dangerous to the patient or others. Common causes include medical issues, drugs/alcohol, psychiatric problems, and situational stress. EMTs must assess for risk of harm, determine if the patient is suicidal or violent, and intervene appropriately which may include restraint if necessary for safety. Any use of force should be reasonable and well-documented to protect EMTs from potential legal issues.
22)Environmental Emergencies
The document discusses various environmental emergencies including heat-related illnesses, hypothermia and cold injuries, bites and stings, and water-related emergencies. It describes the predisposing factors, signs and symptoms, and treatment approaches for these conditions. The key aspects of patient assessment and care are to remove them from the dangerous environment, monitor for changes in mental status and vital signs, provide oxygenation and cooling or warming as indicated, and rapidly transport to definitive care.
21)Altered Mental Status
Altered mental status (AMS) refers to any change from a person's normal mental state and can be caused by problems in the brain or body affecting the brain. Prehospital goals are to ensure adequate ventilation and circulation, administer oxygen and glucose, assess and treat underlying causes, and consider the possibility of trauma. The nervous system controls voluntary and involuntary functions through the central nervous system (brain and spinal cord) and peripheral nervous system (nerves). Common causes of AMS include structural issues like strokes, metabolic derangements from external factors like poisoning or internal problems like hypoxia or organ failure. Diabetic emergencies can cause AMS due to hypo- or hyperglycemia. Seizures are also a potential cause
20)Poisoning And Overdose
This document provides information on poisoning and overdose, including types of exposures, signs and symptoms by route of exposure, specific toxins, assessment considerations, management strategies, and activated charcoal administration. It discusses ingestion, inhalation, absorption, and injection as routes of exposure. Common toxins described include sedatives, opioids, stimulants, alcohol, analgesics, organophosphates, and food poisoning. Assessment involves considering the substance, amount, and time of exposure. Management focuses on airway control, ventilation, absorption prevention, and symptom treatment. Activated charcoal is indicated for ingestions to bind toxins and prevent absorption.
19)Allergies
Anaphylaxis is an exaggerated immune response to a substance that can affect multiple organ systems. It is a diffuse, severe reaction that occurs rapidly upon exposure to an antigen. Symptoms may include hives, swelling, difficulty breathing, low blood pressure, nausea and more. Treatment involves administering epinephrine to reverse the reaction, maintaining an open airway, and stabilizing cardiovascular function. Patients experiencing anaphylaxis require rapid transport to a hospital for further treatment and monitoring, as their condition can deteriorate quickly.
17)Respiratory Emergencies
This document provides an overview of respiratory system anatomy and physiology and discusses several respiratory emergencies. It describes the functions of the upper and lower airways, gas exchange, ventilation, and respiratory assessment. Key respiratory emergencies covered include chronic obstructive pulmonary disease (COPD), asthma, pneumonia, pneumothorax, and hyperventilation syndrome. Patient presentation, treatment, and management are discussed for each condition.
16)General Pharmacology
General Pharmacology discusses drugs that EMTs carry and can assist patients with. EMTs may administer oral glucose for hypoglycemia, activated charcoal for overdoses, nitroglycerin for chest pain, and metered-dose inhalers or epinephrine for respiratory emergencies. EMTs must follow the six rights before assisting with any patient medications and reassess patients after medication administration. Special considerations include adjusting pediatric dosages based on weight and monitoring elderly patients due to multiple medications and slower drug metabolism.
13)Focused History And Physical Exam Medical
This document provides guidance on performing a focused history and physical exam for medical patients. It outlines components of the SAMPLE and OPQRST methods for obtaining a patient's history. SAMPLE focuses on Signs/Symptoms, Allergies, Medications, Past medical history, Last oral intake, and Events leading to the condition. OPQRST delves deeper into the chief complaint, assessing Onset, Provocation, Quality, Radiation, and Severity of symptoms and their Time course. Based on the history and initial vital signs, medical providers then conduct a focused physical exam of relevant body areas and establish a treatment plan.
11)Initial Assessment
1) The document provides guidance on performing an initial assessment of a patient which includes rapidly evaluating the respiratory, circulatory and nervous systems to identify and treat any life-threatening conditions.
2) The assessment involves checking the patient's mental status, airway, breathing, circulation, and skin to evaluate condition and determine priority of care as either "stay and play" or "load and go".
3) Key assessments include checking alertness, breathing rate and effort, pulse, bleeding, temperature, skin color, and capillary refill to evaluate perfusion and oxygenation. Life-threatening issues are treated immediately and transportation priority is determined.
9)Scene Size Up
The document discusses key considerations for safely assessing and securing a scene of injury or illness. It emphasizes determining personal protective equipment needs, evaluating potential environmental hazards, understanding the mechanism of injury or nature of illness, and requesting additional resources if needed before making contact with any patients. Reassessment of safety is important throughout care.
6)The Human Body
The document provides an overview of human anatomy and physiology, with a focus on the respiratory and circulatory systems. It defines anatomy and physiology, describes anatomical terms and positions, and reviews the key structures and functions of the skeletal, respiratory, and circulatory systems. The respiratory system section examines the upper airway, lower airway, gas exchange, and respiratory evaluation. The circulatory system section states its overall function of nutrient/oxygen transport and waste removal.
8)Airway
This document provides an overview of the respiratory system, including its structures and functions. It describes the upper airway including the nose, mouth, pharynx and larynx. It then describes the lower airway structures like the trachea, bronchi, bronchioles and lungs. It discusses gas exchange that occurs in the lungs via diffusion between alveoli and capillaries. It also covers respiratory physiology including ventilation, respiration and gas exchange. Finally, it discusses respiratory assessment and various respiratory conditions like distress, failure and arrest as well as airway management techniques.
7)Baseline Vital Signs And Sample History
This document provides guidance on performing a baseline medical assessment of a patient, including vital signs and SAMPLE history. It describes how to evaluate respiratory rate and sounds, pulse rate, blood pressure, temperature, skin signs, pupils, and collect a SAMPLE history which inquires about the patient's signs/symptoms, allergies, medications, pertinent medical history, last oral intake, and events leading to the present illness or injury. Performing a thorough baseline assessment establishes the patient's initial medical status and provides information to guide care.
3)Medico Legal And Ethical Issues
This document discusses various medical/legal and ethical issues that EMTs may encounter including confidentiality, reporting requirements, scope of practice, standard of care, negligence, consent, refusals, do not resuscitate orders, advanced directives, special situations, and risk management. It provides definitions and explanations of these key concepts and how they relate to prehospital care.
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4)Communications
- 26. Go forth and communicate!