7/7 EMS systems, medical terminology, stress, basic a&p

Types of medical direction

on line/direct- talking with them

off line/indirect- standing orders and protocols

standing orders

the things a medic can do without on line med control

protocols

the general steps and treatments a medic should do in different emergencies and situations.

classifications of medical control

prospective- before call- offline

concurrent- during call- online

retrospective- after the call- MD reviews

liscensure

represents permission granted to an individual by the state to perform certain restricted activities. The scope of practice represents the legal limits of the liscensed individuals performance.

certification

external verification of competencies that an individual has achieved and typically involves an exam process.

Registration

entering someones name and info into a record

local credentialing

individual is permitted by the and service and MD to practice within the EMS system under established protocols.

Reciprocity

the ability to use certification or liscensure within another state without having to retake classed or exams.

profession

a group of similar jobs or fields of interest that involve a responsibility to serve the public and require mastery of specific knowledge, expertise, and specialized skills

professionalism

following standards of conduct and performance for a given profession

list a 5 actvities associated with high risk tp pt safety

hand off

comms issues

med isues

airway issues

pt handling

ambulance crashes

spinal immobilization

end of shift

main 2 types of errors

system errors- the system fails you

individual errors- you fail

stress

a nonspecific mental or physical strain caused by internal or external factors that initiates a physiological response

stressor

something that causes stress

eustress- positive effect

distress- negative effect

3 buffers for stress

social support

admin support

exercise

three stages of general adaptive syndrome

alarm- this is when the body prepares to fight or flight- sympathetic activation

Resistance- if stress lasts a long time or it builds up, the body has to try to cope and adapt to the ongoing stress. This eventually fails.

exaustion- this is when the body begines to fail and the persons critical thinking, judgement, and physical performace are negatively effected. May effect immune systes

OR

recover/adaptation

when the compensation methods overcome the stressor effect or eliminate the stressor. The body begins to heal.

Name 4 emotional effects of stress

fear

denial

easily startled

panic attacks

feel overwhelemed

name 4 physiologic effects of stress

palpitations

SOB

headaches

N/V

hypertension

sweating

sleep changes

4 cognitive effects of stress

critical thinking slows

cant make decisions

memory declines

cant concentrate

confusion

behavioral effects of stress

withdrawn

short fuse

increased smoking

more alcohol or meds

change in eating habits

ways to manage stress

analyze stress

peer support or CISD

develop a plan

culturally competent therapist

angle of louis

ridge on sternum where manumbrium meets body of sternum- on second rib

5 parts of spinal cord and how many vertabrae

cervical 7

thoracic 12

lumbar 5

sacral 5

coccyx 4

how many true ribs do you have

false?

floating

all together

1-7 true

8-10 false

11-12 floating

3 spots for MI injection

gluteus medius

vastus lateralis

deltoid

extension

increases angle between two body parts

flexion

decreases angle between 2 body parts.

angle for fowlers

45

angle for semi fowlers

30

ectomy

cuttin out, removal

algesia

sensitive to pain

algia

pertaining to pain

esthesia

sensation

ia

condition

ic

pertaining to

lysis

breakdowm, seperation, destruction, loosening

lytic

to reduce, destroy, separate, breakdown

paresis

weakness

phagia

eating, swallowing

phasia

speech

plasty

repair of, tying of

plegia

paralysis

rrhaghia

bursting forth

sclerosis

hardening

scopy

exam by inspection

taxia

order, arrangement of

tomy

process if cutting

tropos

a change or a turn

um

structure, tissue, thing