Term
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Definition
Chromosomal abnormality causes developmental delay with characteristic appearance
(Failure of the 2 chromosomes no. 21 in a parent to go into separate daughter cells during the first stage of sperm or egg cell formation, resulting in a triplet of chromosomes 21) |
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Term
| What are the special considerations with Down Syndrome? |
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Definition
About 25% of children with Down Syndrome have heart defects at birth
Many have congenital intestinal disorders, hearing defects and other illnesses
Extra time must be allowed for obtaining a history and for performing assessment and patient care procedures
These patients are usually calm around familiar faces, though may become violent around strangers if they feel uncomfortable |
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Term
| Are guide dogs allowed in an ambulance? |
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Definition
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Term
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Definition
Athetosis - involuntary writhing movements due to cerebral palsy
Other forms of cerebral palsy:
Spastic paralysis - abnormal stiffness and contraction of muscles
Ataxia - loss of coordination and balance |
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Term
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Definition
Weakness or paralysis of all four extremities and the trunk
Special Considerations
These patients often require additional manpower to assist with moving special equipment and to prepare them for transport |
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Term
| What does WHMIS stand for? |
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Definition
Workplace Hazardous Materials
Information System |
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Term
| What does MSDS stand for? |
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Definition
| Material Safety Data Sheets |
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Term
What do these mean in relation to hazardous materials?
- Concentration
- LD50
- LC50
- PIN
- CAS Registry Number |
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Definition
- LD50: the lethal dose that kills 50% of those exposed
- LC50: the lethal concentration in air (or water) that kills 50% (usually within 4 hours)
- PIN: product identification number
- CAS Registry Number: Chemical Abstracts Service - the US and international register if all chemicals |
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Term
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Definition
| Transport of Dangerous Goods |
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Term
| What must a Shipping Document contain? |
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Definition
- date
- shipper’s name and address
- shipper’s 24 hour phone number
- quantity of dangerous goods
- unit of measure (metric)
- number of packages
- dangerous good description, in order: shipping name, primary and subsidiary class, UN number, packing group
- Emergency Response Assistance Plan (ERAP): reference number, phone number |
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Term
| Where is the Shipping Document located in a truck? |
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Definition
When driver is in cab:
- within driver’s reach
When driver leaves cab:
- on seat, in pocket on driver’s door, etc. |
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Term
| What items should be carried in all ambulances? |
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Definition
Ventilation devices
Suction unit
Oxygen delivery
CPR equipment
Basic wound care
Splinting supplies
Childbirth supplies
Medications
AED
Jump kit
Patient transfer equipment
Other equipment as needed |
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Term
| What is the preferred position to hold an ambulance steering wheel? |
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Definition
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Term
| How many straps should you use to secure a patient in transit? |
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Definition
Be sure to secure the patient
with at least three straps
across the body |
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Term
| When should you consider aeromedical transportation? |
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Definition
- Ground transport time to appropriate facility poses a threat to patient's survival
- Weather, road or traffic conditions would seriously delay patient care
- Critical care personnel and specialized equipment are needed |
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Term
| How do you prepare a landing zone for an aircraft? |
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Definition
- Remove debris (as much as possible)
- Do NOT use flares to mark LZ
- Shine vehicle headlights at the LZ (not up at pilot)
- Fire department is good at assisting with this
- Secure and protect the patient and yourselves |
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Term
| How quickly do the American Heart Association recommend ALS in a cardiac arrest? |
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Definition
| American Heart Association recommends ALS within 8 minutes of cardiac arrest |
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Term
| What is the role of the Triage Officer in a Medical Incident Command System? |
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Definition
- Ensures proper utilization of initial triage assessment or local protocol
- Ensures triage tags are correct and secured to patients
- Requests additional resources through Medical Command
- Provides updates to Medical Command as necessary |
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Term
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Definition
The sorting of multiple cases into priorities for action.
Originally it was divided into 3 categories:
1 Less serious injury which can wait with no threat to life
2 Serious injury with threat to life who can be saved by urgent action
3 Such a serious injury that the casualty is dead or close to dying where there is no hope of survival |
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Term
| What is the START triage system? |
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Definition
Simple Triage and Rapid Transport system utilized by many EMS systems
A 60 second assessment that focuses on:
- Ability to walk
- Respiratory Effort
- Pulse/Perfusion
- Mentation/ Neurological Status
Remember: RPM (Respirations, Pulse, Mentation) |
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Term
| How do you classify patients using START? |
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Definition
- Critical – Red tag - priority 1
- Urgent – Yellow tag - priority 2
- Delayed – Green tag - priority 3
- Dead or dying – Black tag - priority 0 |
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Term
What triage category and international colour code?
- Compound fracture left femur
- Respirations over 30/min
- Radial pulse absent
- Awake |
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Definition
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Term
What triage category and international colour code?
- Sudden onset of chest pain with shortness of breath
- Respirations under 30/min
- Capillary refill under 2 seconds
- Awake |
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Definition
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Term
What triage category and international colour code?
- Facial injury
- Respirations over 30/min
- Capillary refill under 2 seconds
- Awake |
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Definition
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Term
What triage category and international colour code?
- Unable to move legs
- Respirations under 30/min
- Radial pulse present
- Awake |
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Definition
Delayed
?Yellow (Urgent)
???Green (Routine) |
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Term
What triage category and international colour code?
- No apparent injuries
- Respirations normal
- Radial pulse present
- Awake |
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Definition
Minor
Green (Routine if anything) |
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Term
What triage category and international colour code?
- Sucking chest wound
- Respirations over 30/min
- Radial pulse present
- Unconscious |
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Definition
|
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Term
What triage category and international colour code?
- Dislocated right shoulder
- Respirations under 30/min
- Radial pulse present
- Awake |
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Definition
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Term
What triage category and international colour code?
- No visible wounds
- Respirations none
- Radial pulse absent
- Unconscious |
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Definition
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Term
What triage category and international colour code?
- Scalp wound, estimated blood loss 500 mls
- Respirations over 30/min
- Radial pulse present
- Awake |
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Definition
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Term
What triage category and international colour code?
- Massive head injury
- Respirations under 30/min
- Radial pulse absent
- Unconscious |
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Definition
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Term
What triage category and international colour code?
- Bruising over abdomen, complaining of abdominal pain
- Respirations over 30/min
- Radial pulse present
- Awake |
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Definition
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Term
What triage category and international colour code?
- Female six months pregnant; broken left lower leg
- Respirations under 30/min
- Radial pulse present
- Awake |
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Definition
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Term
What triage category and international colour code?
- Severe difficulty breathing, chest sinks in on inspiration
- Respirations over 30/min
- Radial pulse present
- Awake |
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Definition
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Term
What triage category and international colour code?
- Minor abrasions
- Respirations under 30/min
- Radial pulse present
- Awake |
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Definition
Minor
Green (Routine - if anything) |
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Term
What triage category and international colour code?
- Bruise on forehead, blood in ears and nose
- Respirations under 30/min
- Radial pulse present
- Unconscious |
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Definition
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Term
What triage category and international colour code?
- Second degree burns, legs
- Respirations over 30/min
- Radial pulse present
- Awake |
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Definition
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Term
What triage category and international colour code?
- Blood in right eye
- Respirations under 30/min
- Radial pulse present
- Awake |
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Definition
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Term
What triage category and international colour code?
- Three month old infant, no visible injury
- Respirations absent
- Radial pulse absent
- Unconscious |
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Definition
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Term
What triage category and international colour code?
- Impaled object RUQ, difficulty breathing
- Respirations over 30/min
- Radial pulse present
- Awake |
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Definition
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Term
What triage category and international colour code?
- Patient saying the same words over and over, “what happened"?
- Respirations under 30/min
- Radial pulse present
- Awake |
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Definition
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Term
| What makes you consider a Hazardous Materials Situation? |
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Definition
- Visible cloud or odd-looking smoke coming from an escaping substance
- A leak or spill from a tank, container, truck, or railroad car
- An unusually strong, noxious, acrid odor
- Look for TDG Placards & WHMIS Labels |
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Term
| What do you do when you first arrive at a HazMat incident? |
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Definition
- Stop at safe distance upwind from site
- Call for a HazMat team
- Stay out of danger zone
- Gather as much information as possible
- Do not reenter the scene
- Do not leave until cleared by HazMat |
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Term
| What does Level 3 toxicity of a hazardous material mean? What protection is needed? |
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Definition
- Extremely hazardous
- Needs level B or A suit
(Level 0: no hazard, 1 & 2: slight - level C suit, 4: deadly on minimal exposure - level A suit) |
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Term
| What do you understand by the term ethical behaviour of an EMR? |
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Definition
- Providing the most effective, efficient, safe, and high quality patient care as is reasonably possible.
- Treating all patients with respect.
- Promoting the well being of all patients to the best of his/her abilities.
- Maintaining and improving professional competencies by actively engaging in the College's Continuing Competency Program and other opportunities for life-long learning.
- Protecting and maintaining patient confidentiality in accordance with the requirements of federal and provincial legislation.
- Recognizing the limitations of one's competencies and respecting the competencies of others in the care and treatment of all patients. |
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Term
| What are the four principles of lifting? |
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Definition
1. Keep the natural curve in your back
2. Contract your abdominal muscles
3. Avoid twisting
4. Hold it close |
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Term
| What action do you take if you find an impaled object? |
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Definition
1. Immobilize object using log cabin type dressing (must be delegated immediately)
2. Only remove it if
causing airway obstruction or interfering with hand placement CPR (after online direction)
3. If through and through, alternate transportation position
may be required |
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