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EMS Systems, Medical/Legal, Anatomy & Body Positions | Emergency Care, 15th Edition — Limmer
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Department of Transportation (DOT)
The 1966 National Highway Safety Act charged which agency with EMS standards:
Standing Order
Applying O2 per written protocol without calling a physician:
Medical Director
physician who provides oversight and standing orders for EMT practice
Implied Consent
unconscious/unresponsive patient assumed to want care
Informed Consent
patient must be told what you plan to do and agree to it
EMR (Emergency Medical Responder)
activates EMS + immediate care for life-threatening problems
EMT
higher training than EMR, handles broader assessment and interventions
EMT Training Program
Training taken at regular intervals to supplement EMT education
QI Role of EMT
writing complete patient care reports
DNR (Do Not Resuscitate)
legal order instructing EMS not to initiate resuscitation
Advanced Directive
legal document stating patient's wishes for end-of-life care
Abandonment
Leaving a patient after care has been initiated and before the patient has been transferred to someone with equal or greater medical training.
Scope of Practice
what you are legally allowed to do as an EMT
Good Samaritan Laws
protect off-duty providers acting in good faith
Battery
touching without consent
Assault
threatening without touching
Confidentiality
patient info is protected; may share with treating providers (HIPAA)
child/elder abuse; dog bites; gunshot wounds; sexual assault
Which situations must EMTs report?
Radial
wrist
Brachial
upper arm
Carotid
neck
Femoral
groin
Fowler position
sitting position
supine
lying on the back
Prone
lying face down
Recovery/lateral recumbent
lying on the side
Lateral
to the side, away from the midline of the body
Medial
toward the midline of the body
Superior
toward the head
e.g., the chest is _______ to the abdomen
Inferior
away from the head, usually compared with another structure that is closer to the head
e.g., the lips are ______ to the nose
Anterior
the front of the body or a body part
Posterior
the back of the body or a body part
Proximal
closer to the torso
Distal
farther away from the torso
Midaxillary line
a line drawn vertically from the middle of the armpit to the ankle