general patient assessment, bleeding control, spinal stabilization, CPR; assist childbirth; if trained may apply O2, AED,

complex immobilization, restraints, work ambulance, assist medications; some endotracheal intubation

Same as EMT B plus advanced airway management, IV fluid therapy, other advanced skills; if trained may be cardiac technician, administer additional medications

Same as EMT I plus advanced patient assessment, trauma management, pharmacology, cardiology, other medical skills; courses in ACLS, PALS, BTLS, PHTLS

The expansion of the paramedic's own personal knowledge and skills,

To keep up with an emergency health care delivery system that is constantly being updated with more technologically advanced equipment and procedures to provide the opportunity to review material & address weak points in patient care.

the repetition of the patients words to encourage additional responses.

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i.e.:  "So you say your chest hurts"

statements used to focus the patient's feelings attention on one specific factor of the interview.

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i.e.:  "You say your chest doesn't hurt but you keep rubbing it."

is used to clarify ambiguous words or meanings.

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i.e.:  "Stop  let me make sure I got this correct."

process of informed observation

law that is derived from society's acceptance of customs and norms over time. Example: Miranda rights.

- the division of the legal system that deals with noncriminal issues and conflicts between two or more parties.

a civil wrong committed by one individual against another. Tort law claims include negligence, medical malpractice, assault, battery, and slander.

range of duties and skills paramedics are allowed and expected to perform

a legal doctrine invoked by plaintiffs to support a claim of negligence; "the thing speaks for itself"

an intentional false communication that injures another person's reputation or good name-written or verbal

consent for treatment that is given based on full disclosure of information

consent for treatment that is presumed for a patient who is mentally, physically, or emotionally unable to grant consent.  Also called emergency doctrine

Most commonly encountered with pt. who must be held for mental-health evaluation or as directed by law enforcement personnel

a legal document that allows a person to specify the kinds of medical treatment he wishes to receive should the need arise

- legal document, usually signed by the pt and his physician, whichindicates to medical personnel which, if any, life-sustaining measures should be taken when the pt.'s heart and respiratory functions have ceased.

An example of a quality improvement activity in EMS is:

Which of the following is the publication that first focused attention on the problem of motor vehicle deaths?

Paramedics should always provide care:

Acceptance of a code of professional ethics and etiquette

Which of the following best describes the paramedic's professional obligation?

The National Highway Traffic Safety Administration

Which of the following agencies developed and published the 1998 Paramedic National Standard Curriculum?

Your anticipation of possible injuries based on your analysis of the events

An act that unlawfully places a person in apprehension of immediate bodily harm without his consent.

Alert, Verbal, Painful, Unresponsive.  Used to establish alertness

The principle of doing good for the patient

Occurs when coping mechanisms no longer buffer job stressors, which can compromise personal health and well being.

List of possible causes for your patient’s symptoms

Identification with and understanding of another’s situations, feelings, and motives.

Intentional and unjustifiable detention of a person without his consent  or other legal authority.

Health Insurance Portability and Accountability act of 1996.  It changed the methods EMS providers use and file for insurance and Medicare payments.  Adds new layer to privacy protection.  Focuses on protecting patient confidentiality

Deviation from accepted standards of care recognized by law for the protection of others against unreasonable risk of harm.

4 elements of negligence

1.         Duty to act

2.         Breach of that duty

3.         Actual damages

4.         Proximate cause

Advocate for the patient by defending them, protecting them, and acting in their best interest.  Place the needs of your patient over your own self interest.

Latin for “first do no harm”.  Another word for nonmaleficence

To identify and correct any immediate life threatening airway, breathing or circulation problems.  Should take less than a minute

The process by which an agency grants automatic certification or licensure to an individual who has comparable certification or licensure from another agency

The degree of care, skill, and judgement that would be expected under like or similar circumstances by a similarly trained, reasonable paramedic in the same community

fluid in the lungs

Most common CHF

Sounds like "crackles"

"gunky" lung sounds

Mucus and infectious material

Chronic Bronchitis patients