Firefighter First Response

Health

State of physical- mental- social well being

First aid

Emergency care given to an injured or ill person

First aider

Takes charge of scene ad gives first aid

Abandonment

Terminating care without transferring patient

Negligence

Failure to use the same level of care as someone else

Patient competence

ability to make decisions based on presented information

Consent

Permission for something to happen

Forms of Consent (4)

Expressed (Verbal)-Implied-Informed-Parental

Expressed (verbal) consent

Patient gives you permission

Implied consent

Injury causes inability to give consent

Parental consent

Adult gives permission to treat child

Informed consent

Give patient info that may help patient make decision

Scope of Practice

Range of duties firefighters are able to perform

Duty to act

legal obligation of responder to give care

Breach of duty

failure to obtain consent or failure to provide necessary/allowed care

Actual damages

any physical or emotional consequences

Proximate cause

direct result of Responders actions

Good Samaritan Principles

Protects you in the event you stop to give first aid

Reporting criminal acts

Obligation to report criminal acts that cause injury (ex. Child abuse- suicide)

Preserving Evidence

Ensure steps are taken to protect potential information that may be useful to law enforcement

Safe Zone

Conduct 360 prior to entering residence/hot zone

Chief complaint

Reason for the call

Alert and Oriented x3

Person- Place-Thing (Name-Location-Birthday)

C.H.A.T.

Chief Complaint- History- Assessment- Treatments

Refusal of Case

Patients do not want treatment/transport

What does PCR include

Name- age- gender- birthdate-address-vitals

3 Components to wellness

Physical- Mental- Emotional

B.S.I

Body Substance Isolation

Critical Incidents

Traumatic event that causes strong emotional reactions

C.I.S.

Critical Incident Stress

Warning sign of CIS

Cognitive- Psychological- Physical

Defusing

Discuss stressful incident afterwards

Debriefing

Trained team discussing stressful incident

C.I.S.D

Critical Incident Stress Debriefing (CISD)

5 Stages of Grieving Process

Denial- Anger- Bargaining- Depression- Acceptance

Pathogens

Micro-organisms that cause disease (ex. Viruses-parasites)

Communicable Disease

Caused by micro-organism transmitted person to person

Modes of Transmission for disease

Physical- Ingestion- Airborne- Blood borne

4 BSI components

Education- hand washing- PPE- Cleaning contaminated surfaces

Anatomy

Study of bodies structures

Supine

All or part of body lying face up

Prone

All of part of body lying face down

Semi- Fowler

Semi-sitting position

Lateral Recumbent

Body on its side- left/ right lateral recumbent

Trendelenburg

Body is flat on back- feet raised 15-30 degrees

Anterior (ventral)

front surface of body

Posterior (dorsal)

Back surface of body

Superior

Towards the head-Upper

Inferior

Towards the feet- lower

Midline

Imaginary line- divide body into left and right half

Proximal

Closer to point of reference

Distal

Further from the point of reference

Flexion

Bending at a joint

Extension

Straightening at a joint

Superficial

Near the surface

Deep

Far from the surface

External

Outside of the body

Internal

Inside the body

Musculoskeletal system

bones- muscles- ligaments

Respiratory system

Male and female specifics

Circulatory system

Heart and blood vessels

Thoracic cavity

Heart and lungs

Abdominal cavity

Contains organs

Pelvic cavity

Protect bladder-rectum-reproductive organs

Nasopharynx

Back of nasal cavity to the soft palate

Oropharynx

Part of pharynx between soft palate and epiglottis from mouth

Trachea

hollow tube- connects pharynx to bronchi- ALLOWS AIR TO LUNGS

Epiglottis

Cartilage that closes during swallowing

Larynx

voice box- contains vocal cords

Intercostal muscles

External + Internal muscles between ribs- assist in respiration

Diaphragm

Separates chest and abdominal cavity- forces inspiration

Respiration

Passage of air in and out of lungs

Phases of Respiration

Inhalation (air in) and Expiration (Air out)

Inhalation

Oxygen is 21%- use 5%-exhale 16%

Heart chambers (4)

Right/left atrium- Right/left Ventricle

Major blood vessels in heart (5)

Superior/Inferior Vena Cava- Pulmonary Artery/veins- Aorta

Main valves in heart (4)

Tricuspid -pulmonary - mitral- aortic valves

Arteries

Carry blood away from the heart

Veins

Return blood to heart

Capillaries

Sight of O2 or CO2

Venules

Vessel branches from capillaries leading to veins

Arterioles

Vessels branches from the arteries to the capillaries

Red Blood cells

Eurythrocytes- Rich in hemoglobin (protein)

Hemoglobin

Bonds to oxygen

White blood cells

Leukocytes- Cells of immune system

Platelets

Responsible for blood clotting- combines with fibrin to control bleeding

Plasma

Liquid part of blood- transport substances through blood

Central Nervous System (CNS)

Brain- Spinal Cord

Peripheral Nervous System (PNS)

Somatic- Automatic

Automatic (PNS)

Fight or Flight

Somatic (PNS)

Rest and Digest

Sympathetic

Increase heart rate-respiratory rate- Sweating

Parasympathetic

Slow organs down to normal range

Frontal Lobe

Movement and personality

Parietal Lobe

Controls sensation

Temporal Lobe

Control hearing

Occipital Lobe

Visual Cortex

Pons

relay center for information in/out of cerebellum

Medulla Oblongata

Sympathetic/parasympathetic system

Cerebellum

Muscular movement