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27 Cards in this Set
- Front
- Back
Medical control at the scene is established by NYS Public Health Law, Article ____. |
30 |
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_____ is responsible for coordinating EMS within the region. |
REMSCO |
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_____ is responsible for medical oversight. |
REMAC |
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_____ is responsible for coordination of patient care at the scene. |
The highest level prehospital provider from the EMS agency which first arrives |
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_____ is responsible for coordination of MCIs, unscheduled MEDEVACs, HAZMAT incidents, fires, crimes or unusual public health emergencies. |
FDNY |
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True or False EMTs and Paramedics may release patients to CFRs. |
False |
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If a patient care conflict arises with a public official, _____ shall receive a written statement from the crew via the appropriate supervisory personnel. |
REMAC |
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Physicians providing Direct Medical Control at the scene must have these items documented on PCR. |
(1) Name (2) NYS License or REMAC Number |
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True or False Non-REMAC physicians may direct BLS patient care without contacting telemetry. |
True (if they do not conflict with BLS protocol) |
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True or False Non-REMAC physicians may direct ALS on scene without telemetry contact. |
False They should be presented with a non-solicited intervention card, and telemetry should be contacted if they persist. |
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True or False A REMAC physician who is not part of an organized response may direct ALS on scene without telemetry contact. |
False? Telemetry must be contacted for approval. |
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True or False A REMAC physician who is part of an organized response may direct ALS on scene without telemetry contact. |
True They must be credentialed by the EMS Agency to provide Direct Medical Control. |
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True or False A REMAC physician who arrives on the scene but is not part of the organized response may direct ALS with telemetry approval, including discretionary decisions. |
False? A physician who is not part of an organized response may direct standing orders and medical control options after securing telemetry approval, but not discretionary decisions. |
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True or False If the paramedic is unable to contact telemetry to approve an unsolicited REMAC physician, the paramedic may follow the physicians orders at his/her discretion within the confines of the protocols. |
True |
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Patients with _____ must be taken to the nearest 911 receiving hospital. |
an unmanageable airway |
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In the event of suspected stroke, transport to the nearest stroke center unless one of these four conditions are met. |
(1) cardiac arrest (2) other higher priority medical condition (3) onset greater than 5 hours (4) OLMC directs otherwise |
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Major trauma always goes to the nearest trauma center unless one of these two conditions are met. |
(1) cardiac arrest (2) OLMC directs otherwise |
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Major burns always go to the nearest burn center unless one of these four conditions are met. |
(1) major trauma (2) cardiac arrest (3) OLMC directs otherwise (4) Burn MCI/Burn disaster |
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True or False When it comes to selecting a destination, major burns trump major trauma. |
False Major trauma goes to a trauma center, even if it's burned. |
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True or False Major trauma trumps major burns. |
True |
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Patients with major burns and major trauma must be taken to the nearest _____. |
trauma center |
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STEMI patients should be taken to the closest STEMI center unless... |
...the patient has other medical conditions that warrant transport to another facility. |
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STEMI patients with ____mm elevations in 2 or more contiguous leads should be transported to a STEMI center, as per medical control, although such cases are NOT to be noted as CODE STEMI. |
1 mm |
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STEMI patients with ____mm elevations in 2 or more contiguous leads should be transported to a STEMI center with telemetry notification and noted as CODE STEMI. |
equal to or greater than 2mm |
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If the mechanism of illness/injury do not indicate a need for specialty care, the patient must be transported to the nearest 911 receiving hospital unless one of the following two conditions is met: |
(1) cu[PS] & requested ER is <10 mins further (2) OLMC so directs |
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List the three (parenthetical) conditions, per GOP, that warrant transport of a STEMI patient to "the closest appropriate facility for that condition", rather than transport to a STEMI center. |
Trauma Burn CVA |
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If the mechanism of illness/injury and/or historical/physical findings indicates a need for another type of specialty care... |
...transport the patient to the nearest NYC 911 Receiving Facility with the specialty care capability. |