EMS Systems CHAPTER 1 Case Study Part 1 (1 of 3) You are dispatched to an episode of syncope at a local church. En route to the scene, the dispatcher informs you that your patient is an older woman who was reported by family members to have
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Presentation Transcript
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EMS Systems CHAPTER 1 Case Study<br>
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Part 1 (1 of 3) You are dispatched to an episode of syncope at a local church. En route to the scene, the dispatcher informs you that your patient is an older woman who was reported by family members to have fainted during a church ceremony. She is now conscious and complaining of shortness of breath and light-headedness. Because the location of this call is 15 minutes from your station, additional responders who are closer to the scene have also been dispatched.<br>
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Part 1 (2 of 3) EMTs quickly arrive on the scene to find a 70-year-old woman surrounded by members of her family, including her grandchildren, the eldest of whom was getting married. Her family members believe she is “just worn out,” and think that she should go home and rest. In a brief radio report, the EMTs provide you with this updated information. Shortly after arriving at the scene, you introduce yourself to the patient and perform an initial assessment.<br>
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Part 1 (3 of 3) How is patient care initiated for this or any call?
What role do dispatchers play in patient care?<br>
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Part 2 (1 of 2) As you perform a focused history and physical exam, your paramedic partner takes the patient’s vital signs. Her pulse rate and blood pressure concern you, and you apply the cardiac monitor. As you question the patient and her family about her medical history and events that have occurred during today’s festivities, you immediately note a significant tachycardia.<br>
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Part 2 (2 of 2) Compare the care EMTs can provide for this patient with the additional care a paramedic can provide.
How might the concepts of offline (indirect) medical control and online (direct) medical control affect the care of this patient?<br>
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Part 3 (1 of 3) Your partner asks the patient whether she has any allergies to medication and then administers an appropriate dose of Versed (midazolam) for sedation. You simultaneously prepare your equipment for synchronized cardioversion and explain to the patient what you must do, and what she should expect.<br>
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Part 3 (2 of 3) You advise the other responders to be prepared for deterioration of the patient’s condition and to notify the receiving facility of her condition and the treatment she has received. Having successfully converted your patient’s heart rhythm, you take another set of vital signs.<br>
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Part 3 (3 of 3) Is there one team member who is more important than another?<br>
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Part 4 (1 of 2) Your patient’s pulse has decreased, her blood pressure has increased, and she no longer feels short of breath or light-headed. Her skin signs are much improved, with color returning to her cheeks. You transport her to the emergency department and notify staff of your treatment and the results. Your patient and her entire family thank you and your partner in the emergency department for your help. You feel gratified to know that all your hard work has paid off.<br>
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Part 4 (2 of 2) Why is it important to keep skills and knowledge current?
Why is it important to work together as a team?<br>
