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West Coast EMT Block 1 Study Guide 1.Protocols: Protocols: described in a comprehensive guide delineating the EMT's scope of practice (what you can/can't do) 2.Standing order: Standing Order: part of protocols and designate what the EMT is required to do for a specific complaint or condition (what you are required to do in a specific incident & what you are already given permission to do) providers are not required to consult medical direction before implementing stand- ing orders (b/c they already have permission)
3.Draw Sheet technique: - to move the patient from a bed onto a
stretcher -place the stretcher next to the bed, making sure that it is the same or lower height than the bed -loosen the bottom sheet underneath or log roll the patient onto the 1 / 4
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blanket -reach across the stretcher and grasp the sheet or blanket firmly at the patient's head, chest, hips, and knees -gently slide the patient onto the stretcher
4.Scoop Stretcher: - to move patient
-designed to be split into two or four pieces -narrow, well constructed, and compact and have excellent body support features but are not adequate when used alone for standard immobilization of spinal injury -two halves of the device are unserted under each side of the patient, and the two sides are fastened together -the patient is then carried to the nearby prepared
stretcher STEPS:
1.adjust the scoop the proper length 2.position the stretcher, one side at a time. lift the patien'ts side slightly by pulling on the far hip and upper arm while your partner slides the stretcher into place 3.lock the stretcher ends together one at a time while lifting the patient slightly to avoid pinching 2 / 4
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4.apply and fasten strap to secure patient
5.Neonatal Isolette: - when you need to transport a neonatal (newborn)
patient from one hospital to another -sometimes referred to as an incubator -the isolette keeps the neonatal patient warm with moistened air in a clean environment and helps to protect the infant from noise, drafts, infection and excess handling
6.Different types of Non-Urgent Moves: - used when both scene and
patient are stable
-Direct Ground Lift: 3 / 4
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*for supine (lying upward) patients with no suspected spinal injury *for patients who need to be carried over some distance *EMTs stand side by side to lift/carry the patient 7.Extremity Lift:: - for patients with no suspected spinal injury who are supine or sitting -patients who are in a small space -one EMT is at the patient's head and the other at the patient's feet -coordinate moves verbally 8.Transfer Moves: - Direct Carry: move a supine patient from bed to stretcher
-Draw Sheet Method: move patient using a sheet or blanket
-Scoop Stretcher: the two halves of the device are inserted under
each side of the patient, and the two sides are fastened together. the patient is lifted and carried to the nearby prepared stretcher
9.Rapid extrication technique: - the patient is moved from sitting the
vehicle to supine, on a backboard in 1 minute or less; however, this method can increase damage if the patient has a spinal injury -When to use Rapid Extrication Technique
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