Which of these patients would the emt recognize as a drug abuser. What is the definition of Domestic Violence? 2.

Which of these patients would the emt recognize as a drug abuser After students complete this chapter and the related course work, they will be familiar with the classes of compounds involved in substance abuse and poisonings; the routes by which poisons enter the body; and the signs, symptoms, assessment, and treatment for various poisoning emergencies. Heroin is an example of a(n): poison control center will be able to provide you with the most information regarding the appropriate treatment for a patient with a drug overdose if the center: The EMT's primary responsibility to the patient who has been poisoned is to:, Heroin is an example of a(n Study with Quizlet and memorize flashcards containing terms like The medical term for an extremely low blood glucose level is:, EMTs arrive at the scene of a patient who was "found down. Induces sleep C. When obtaining a history, which of these statements made by the patient's wife would the EMT recognize as most important? A. The EMTs should suspect that the patient:, A mucosal atomizer device b. , 2. Refrigerator C. When EMS arrives at the patient, they decide whether that patient needs to be attended to at the Advanced Life Support level (by a paramedic) or B. 1 of 20. A 35-year-old male is The EMT would recognize this patient as experiencing: Based on these assessment findings, the EMT would be suspicious of: narcotic overdose. A patient with severe depression who refuses transport B. Water makes these chemicals stick to the skin Study with Quizlet and memorize flashcards containing terms like 1) When palpating the anterior portion of a patient's abdomen, you note tenderness to the left upper quadrant. "He has emphysema. After performing the primary assessment and finding no life threats, you should:, Study with Quizlet and memorize flashcards containing terms like You are responding to a drug-related emergency. There are more than 750,000 users of methamphetamine in the United States. 1990 – The Trauma Care System Planning and Development Act is passed ii. an addiction. Advil, Nuprin, and Motrin are trade names for Study with Quizlet and memorize flashcards containing terms like The EMT is transporting a patient with the diagnosis of Wernicke-Korsakoff syndrome. What statement made to your partner indicates an understanding of overdoses with narcotic drugs?, You are called to an alcoholic crisis center to transport a A. Its EMTs respond to a known heroin abuser who is unresponsive. Attach the automated external defibrillator B. The primary assessment reveals no life-threatening conditions. " C. Study with Quizlet and memorize flashcards containing terms like A hypnotic drug is one that: A. In these Which of these patients should the EMT recognize as having a potential occlusion of the upper airway? A) A 3-year-old male with a fever and swelling of the larynx B) A 45-year-old female with spasm of the bronchioles C) A 61-year-old male with a piece of fruit stuck in his trachea D) A 78-year-old female with a large mucus plug in her bronchi Study with Quizlet and memorize flashcards containing terms like What Glasgow Coma Scale (GCS) score would you assign to a patient who responds to painful stimuli, uses inappropriate words, and maintains his or her arms in a flexed position? a) 6 b) 8 c) 9 d) 10, Febrile seizures: a) are usually benign but should be evaluated. LEARNING OBJECTIVES At the end of a four-hour in-service on EMS and Domestic Violence, the participant shall be able to answer the following questions: 1. Liver failure C. About 72% of patients who show one of these signs are having an ischemic stroke. 29-year-old male with diabetes who is suddenly confused d. but when any make crewmember approach the child , she becomes severely hysterical and crawls up onto the Study with Quizlet and memorize flashcards containing terms like What is the primary difference between the EMT's scope of practice and the EMT's standard of care?, You have been called to a local emergency department to transfer a 67-year-old male to another facility. Study with Quizlet and memorize flashcards containing terms like EMTs respond to a known heroin abuser who is unresponsive. Liver failure, On the scene of a drug-related emergency, the 22-year-old patient tells you that he has been For which of these patients would activated charcoal be indicated given the type of poisoning? Which patient would the EMT recognize as a drug abuser? <p>A 39-year-old female who takes pain medications even though she is not in pain</p> Signup and view all the answers These programs enhance EMTs’ knowledge and skills, enabling them to respond swiftly and appropriately to opioid overdoses and other related emergencies. open wounds d. While en route, the dispatcher informs you that the patient has overdosed on an unspecified narcotic. Study with Quizlet and memorize flashcards containing terms like which of the following is required for an EMT to administer a drug to a patient?, which of the following is part of the "6 rights"?, which of the following is NOT a characteristic of epinephrine? and more. Analyze the risk The EMT is transporting a patient with the diagnosis of Wernicke-Korsakoff syndrome. Pinpoint pupils are the most commonly accepted sign of opiate abuse. Given the patient's complaint, the EMT would recognize the shoulder pain as: A) Referred pain B) Shadow pain C) Vascular pain D) Muscular pain 4 98) A patient with a history of renal failure, among other things, has an impairment in the ability to: A) Control urination B) Retain adequate fluids C) Regulate electrolytes D) Maintain a normal Nationwide, 10% of all 911 requests for police are mental health related [1]. The charcoal is mixed with milk. The dose of adenosine may need to be increased if a patient is on one of these medications. 10 – 12, 25, 30 – 32 While certain behaviors commonly associated with drug-seeking behavior, such as headache and reporting a non-narcotic allergy, are easy to assess in a chart review, Study with Quizlet and memorize flashcards containing terms like 1) Which of these sequences best describes the path that oxygen must travel to get into the cells of the body? A) Nasopharynx, oropharynx, carina, trachea, alveoli B) Oropharynx, larynx, trachea, carina, bronchioles C) Nose, pharynx, esophagus, bronchi, alveoli D) Pharynx, larynx, trachea, alveoli, bronchioles, 2) You Study with Quizlet and memorize flashcards containing terms like A 37-year-old male is found unresponsive in his car. I can quit any time I want to. When you call the emergency department to provide your report, the emergency department tells you that they are not equipped to handle Study with Quizlet and memorize flashcards containing terms like QUESTION: An alert and oriented patient presents with shortness of breath, crackles in both lungs, jugular venous distention, and edema to the feet and ankles. Patient c. OUD and opioid overdose were primary diagnoses in 14. If the person cannot walk and talk well after waking up, then it is very important that they are taken to the hospital. His airway is patent and his respirations are rapid and labored. It's common for a person to relapse, but relapse doesn't mean that treatment doesn’t work. If they give naloxone (Narcan) to this patient, the EMTs should recall that: Select one: A. The psychological effects of the drug include euphoria, agitation, paranoia A drug addict informs you that he has been taking OxyContin and now requires more and more of the drug to take his chronic back pain away. The EMT would recognize which of the following as true regarding poisoning? B. a. "He has been in bed for 12 hours. 13 Restraints should never restrict movement of the Recognize suspicious behavior. Dependence C. Tolerance You have been called for a "drunk" male patient at a halfway house known to provide living quarters to persons with drug and alcohol problems. The Compact ensures state EMS offices can quickly recognize licenses from other member states, improving emergency response and workforce mobility. Oral glucose, The self-administration of drugs in a manner that is NOT in accordance with approved medical or social patterns is called: A. administer the appropriate antidote. This medication suggests that the patient has a history of: 16. 1. On scene, the patient's son Which one of these pts is the EMT justified in restraining? A. There are many techniques available to control a patient’s airway or provide rescue ventilation and oxygenation to a patient. Chapter 22: Toxicology. This is even more important in patients with acute illness or injury, giving rise to increased metabolic demand. naloxone should be administered in increments of 2 mg. a female crewmember has no problem conversing with the child and beginning the assessment. An EMT may administer aspirin to a patient if: a person begins experiencing drowsiness and a dry mouth. Her pulse is 132, respirations 26 breaths/min, blood pressure 160/86 mmHg, and SpO2 at 88%. tachycardia. 3 multiple choice options. These findings are an example of a(n): side effect. A typical response to mental health emergencies consists of police entering the scene first and ensuring it is safe Field intubation is the placement of an advanced airway or endotracheal tube (ET) by emergency medical services (EMS) personnel outside the hospital setting. As an EMT who is responsible for giving medications, you should know that the term pharmacology is the study of In this scenario, the patient recognized by the EMT as having a potential occlusion of the upper airway would be Angela, the 25-year-old woman. Before joining this agency, you worked as a volunteer in a rural EMS system, where you did not experience many EMS calls. The National Model EMS Clinical Guidelines can fill a significant gap in uniform clinical guidance for EMS patient care, while also providing input to the evidence-based guideline (EBG) development process. After assisting her with her prescribed MDI, you These guidelines are not meant to act as a substitute, proxy or alternative to that medical direction. These guidelines are deemed by the Bureau of EMS and Trauma System to be within the acceptable Emergency medical services (EMS) personnel are often the first medical providers to initiate care of critical patients outside the hospital. You are working with a seasoned EMT when you are requested to respond to a residential home for an unresponsive 13-year-old male patient. Pancreatic failure Lori Cutter, one of these patients, suffers from fibromyalgia, degenerative disk disease and neuropathy. Among these drugs are ones used to treat cardiac, stroke, seizure, severe pain and high-risk NUR 806 EXAM 4 STUDY GUIDE: WEEKS 7 & 8 WEEK 7 Objectives 1. 5 These patients ask for specific medications, report multiple drug allergies, and often request to be seen by different or specific physicians. When emergency medical services (EMS) first responders and law enforcement officials find themselves at a potential crime scene, their goals may diverge; however, both understand the priority of providing emergency medical care. Typically, patients live in the facility for 30 to 90 days. a 7 year old female had fallen off a four step riser during chi or practice at an all girl a school. If they give naloxone (Narcan) to this patient, the EMTs should recall that: a. Registry Store As a knowledgeable EMT, you should recognize that the patient is getting approximately what percentage of oxygen with each breath? 32% Why is the jaw-thrust maneuver indicated for a patient with a possible spinal injury? Study with Quizlet and memorize flashcards containing terms like When palpating the anterior portion of a patient's abdomen, you note tenderness to the left upper quadrant. If they give naloxone (Narcan) to this patient, the EMTs should recall that: A) naloxone should be administered in increments of 2 mg. 1%). Although a suicidal patient cannot refuse care, it would be better to involve the police than attempt to Recognizing the Drug Abuser Tellingthe difference between a legitimate pa­ tientand a drug abuser isn’t easy. is nauseous. use appropriate personal protective equipment and examine the vomitus for pill fragments or other clues for patient care. [2] If a packet ruptures, however, it releases a high dose of drug into the gastrointestinal tract that can lead to drastic consequences. 2. EXPLANATION Suicidal patients can be dangerous to EMTs. In Opinion 8. naloxone administration could cause seizures in this patient b. If they give naloxone (Narcan) to this patient, the EMTs should recall that: 4. The group, led by the National Association of State EMS Officials, the National Association of EMS Physicians and the American College of Emergency By causing a slowing of nearly all bodily functions, If the victim of a toxicologic emergency vomits, an EMT should _____. 10-17 The importance of these EMS data is underscored by the observations that many EMS patients who experience opioid overdose, a quarter to a third in 15) The EMT would identify which of these patients as having an acute abdomen? A) A 71-year-old female in respiratory distress and complaining of nausea B) A 37-year-old male with history of drug abuse and liver disease C) A 62-year-old male with no medical history with sudden pain to the lower abdomen D) A 17-year-old female who is pregnant with twins and whose delivery Which one of these patients is the EMT justified in restraining? A) A patient with severe depression who refuses transport B) A patient who states that he wants to kill himself and desires transport to the hospital C) A patient who threatens to kill himself and his wife and is trying to leave the scene D) A patient with unpredictable violent EMS providers are often called upon to manage toxicological emergencies, and toxins can result in a wide array of patient presentations. is experiencing thirst. naloxone administration could cause seizures in this patient. ET intubation (ETI), nasotracheal intubation, supraglottic airway devices, continuous Study with Quizlet and memorize flashcards containing terms like Which drug can be used in the emergency care of a patient who has ingested a poison? A. As an EMT, you must be able to determine the best course of action The EMT would recognize this patient as experiencing: A. Wirth, Esq. As an emergency medical technician (EMT), your ability to accurately and efficiently assess patients is paramount to providing timely and effective care. She is conscious and alert, but in obvious respiratory distress. Patients live in a highly structured environment. was given flunitrazepam (Rohypnol). Learn vocabulary, terms, and more with flashcards, games, and other study tools. He presents with confused and slurred speech and the smell of alcohol on his breath. Pancreatic failure C. A patient with unpredictable violent outbursts but who is calm at the present time C. A patient who states that he wants to kill himself and desires transport to the hospital C. • When administered correctly, the patient's condition may improve significantly. 44-year-old female with bipolar disorder complaining of a fever of 102. The EMT would recognize marijuana as a(n): A) appetite stimulant. 3 These are all policy related concerns that are You are a new EMT in a very busy urban EMS system. EXECUTIVE SUMMARY • Methamphetamine, also known as meth, ice, and crystal meth, is an important drug of abuse, implicated in or contributing to more than 8,000 annual deaths in the United States. Initiate positive pressure You may try to persuade your friend to leave the relationship by criticizing the abuser. Chapter 22 Toxicology Unit Summary. A patient who threatens to kill himself and his wife and is trying to leave the scene D. *Tip: hit CNTRL + F (windows) or command + F (Macintosh) to quickly search page (source) – Thanks to Dan Boron-Brenner for putting these into a more useable format! Downloads PDF: 50-drugs-to These general recommendations apply to all patien t encounters. Study with Quizlet and memorize flashcards containing terms like The determination that prompt surgical care in the hospital is more important than performing time-consuming procedures in the field on a major trauma patient is based MOSTLY on: A) EMS research B) local protocols C) the lead EMT's decision d) regional trauma guidelines, Online medical control requires If the patient has a drug and alcohol emergency, the patient's life may be in danger and the patient is a high priority for immediate transport if she: A. Study with Quizlet and memorize flashcards containing terms like Which set of instructions given to another EMT would be most appropriate when managing a patient who ingested numerous household cleaners in an attempt to kill himself?, You have been called for a "drunk" male patient at a halfway house known to provide living quarters to persons with drug and alcohol 6. Patient b. Wolfberg, Esq. Alcoholism D. This medication suggests INTRODUCTION. 56-year-old male with schizophrenia who has stopped taking his medications c. D) The number one cause of poisoning in the United States is medications. Victims of human trafficking are often mentally At least 30 drugs on the FDA’s current shortage list are commonly used as part of EMS. D: The patient has a transverse fracture of the tibia and possibly fibula with a The patient drinks it through a straw. await law enforcement and transport this patient against his will. Drugs and alcohol are a lethal mix. In the early phase, they may Study with Quizlet and memorize flashcards containing terms like Which of the following patients would the EMT classify as having a behavioral emergency?, You are by the side of a young male patient with a history of behavioral problems. Ë™Honestly, I swear, none of us has had anything to drink,Ó said the patient_s best friend. " A family member states that she gave naloxone (Narcan) to the patient before the ambulance arrived. Track marks on a patient's arms suggest recurrent intravenous drug use, and symptoms of drug withdrawal show that the patient's body has become used to the presence of the drug and reacts negatively when the The EMT's primary responsibility to the patient who has been poisoned is to: A. is acutely intoxicated. The United States EMS Compact, established by legislation in 24 states, protects public safety and strengthens the Emergency Medical Services system nationwide. "Checking the skin temperature is not precise, but provides a good estimate of abnormally high or low body temperatures. EMTs respond to a known heroin abuser who is unresponsive. The EMT administers a drug that is not approved by the medical director. "To Study with Quizlet and memorize flashcards containing terms like Which of the following patients would the EMT classify as having a behavioral emergency? Select one: a. The heart contracts harder B. Prevents amnesia B. Care for the burn injury on the patient's back C. What is the definition of Domestic Violence? 2. An EMT would recognize that which mechanism is responsible for injuries to these additional organs? Apply direct pressure to the laceration You arrive at a meat packing plant to find a 30-year-old male patient who was cut in the wrist with a sharp knife. the effects of naloxone last longer than Study with Quizlet and memorize flashcards containing terms like You have been called to an extended care facility for a 48-year-old male patient with a history of schizophrenia. Requesting a paramedic to give her atropine. When you arrive on the scene, ask yourself how you can remove stimuli in the area to In the United States, the training standards and scope of practice of Emergency Medical Technicians (EMTs) are set by the National Highway and Traffic Safety Administration (NHTSA). Where IV access and drug routing is specified, it is intended to include Study with Quizlet and memorize flashcards containing terms like You are en route to the local emergency department with a homeless patient for a possible overdose. 2 (range 1-6). The EMT administers a drug that is contraindicated for the patient. They could bea person who claims to be from out-of-townand haslost or forgotten a prescriptionor medication. Patient care goals are to facilitate appropriate initial assessment and mana ge treatment of any EMS patient. How much drug was used in the first place and the half-life of the drug(s) taken; How well the liver works to process things; and; If the person uses again. A patient with unpredictable violent Patients with alcohol or other substance use disorders often have complex presentations of addictive behaviors and medical comorbidities, making these patients uniquely challenging to treat. Environmental factors often contribute to an acute behavioral emergency. Alcohol and drugs often go together. reviewed prehospital clinical guidelines for hypoglycemia in 185 EMS agencies in the United States. Increases the pulse, A patient who presents with rapid breathing, nausea and vomiting, ringing in the years, and hyperthermia should be suspected of ingesting a significant quantity of: A. In this case, it is best to await law enforcement assistance. Alcoholism B. is a heroin abuser. Adverse reaction C. Patient drug allergies In general, which of the following would the EMT recognize as the correct order of interventions to control external bleeding? Keeping in mind that this order may have to be deviated from if necessary. Cocaine C. unwillingly and unknowingly consuming drugs or alcohol. Some medications, such as theophylline and related methylxanthines (caffeine) act as antagonist at adenosine receptors. Term. Drug abuse B. The physical effects of crack cocaine include high blood pressure, rapid heart rate, dilated pupils, constricted blood vessels, and increased body temperature, among others. The patient is known to have a mental disorder and to be a drug abuser. Focusing on optimizing care provided to geriatric patients is important for Emergency Medical Services (EMS) providers. As the first contact with patients, they often encounter difficult medical and ethical situations, none more so than when critical patients are in the peri- and cardiac arrest states. 1983 - The EMS for Children Act passed ii. Drug abuse Another life savedThere had to be a crowd of more than 100 teenagers staring as the ambulance crew came into the dance club to treat an unconscious 17-year-old patient who was reported as turning blue. " B. Any conflict between these guidelines and the EMCT’s medical direction shall default to the Administrative or on-line medical direction. drug Verified Answer for the question: [Solved] Which of the following patients would the EMT recognize as a drug abuser? A) A 41-year-old male who tried marijuana for the first time B) A 39-year-old female who takes pain medications even though she is not in pain C) A 46-year-old female who used cocaine for 10 years but has not used it in 5 years D) A 56-year-old male These 10 behaviors were chosen for assessment as they represent drug-seeking behaviors frequently reported in the literature, and are often described as being “classic” for such behavior. [4] 3. D. Repression b. Aspirin Study with Quizlet and memorize flashcards containing terms like Given the research related to suicide, which patient should the EMT recognize as the highest risk for a suicidal action?, Which one of these patients is the EMT justified in restraining?, What is your first priority in managing a patient with a psychiatric (behavioral) emergency? and more. Symptoms of an upper airway occlusion include shortness of breath, difficulty communicating verbally, and labored breathing. C. C) naloxone should not be given if the patient's breathing is slow. Based on these findings, the EMT should suspect: Substance treatment programs The goal of substance abuse treatment is to stop drug or alcohol abuse and allow addicts to lead active lives in their family, workplace and community. willfully using a therapeutic drug to treat a medical illness. , EMT-P and Douglas M. New EMTs are taught the basics from If a patient is on dipyridamole, the dose of adenosine should be reduced. The drug-seeking individualmay be unfamiliar to you. " The nurse recognizes that the patient is using which defense mechanism? a. She told Bruce & Pamela that she spent $14,000 last year out of A person using an inhalant. Study with Quizlet and memorize flashcards containing terms like 1) What BEST defines the immediate sense of the patient's degree of distress, formulated from the patient's immediate environment, appearance, and chief complaint? A) General impression B) Primary assessment C) Scene size-up D) Secondary assessment, 2) Which of the following is NOT part of the general A 2016 study by Rostykus et al. Other responders 8. hepatitis B, In which of these situations should you wear a gown over your uniform? a. respiratory arrest or cardiac arrest. B) the effects of naloxone last longer than most opioid drugs. 1 With anticipated increases in Researchers have considered naloxone administration by EMS a proxy indicator of suspected opioid overdose, and have noted potential advantages of EMS records for understanding opioid overdose. C: The patient has a possible broken lower leg with an open wound about four inches below the knee. Provide scene evaluation and summon additional resources as needed 4. EMS is called to evaluate the child who claims she is not injured. tuberculosis (TB) c. speak to the patient calmly about why he is suicidal. On scene the patients son informs Study with Quizlet and memorize flashcards containing terms like A 31-year-old female is experiencing an acute asthma attack. 3% and 6. recognize that a poisoning occurred. Intellectualization, The wife of an alcoholic tells the nurse, "My husband only drinks on the Assessment of a 67-year-old male patient reveals absent lung sounds to the right lung, accompanied by sharp chest pain to the same side. It is a form of substance Study with Quizlet and memorize flashcards containing terms like You are transporting a patient who wants help to rid herself of an addiction to pain medications. Older adults (aged ≥65) are four times more likely than younger patients to utilize EMS services and represent 38% of total EMS responses with transport to the Emergency Department (ED). bradycardia. Increases the senses D. According to family, he has no prior medical history and does not take any medications. By learning these six toxidromes presented here, the EMS EMT Patient Assessment Scenarios. These effects are called the drug's. administer 25 g of activated EMTs respond to a known heroin abuser who is unresponsive. Thoroughly suctioning her oropharynx. When performing the secondary assessment on this patient, the EMT should: A) contact the patient’s family doctor. Patient family c. The EMT's primary responsibility to the patient who has been poisoned is to: A. naloxone should not be given if the patient's • A drug, or medication, is a chemical that is used to treat or prevent a disease or condition. To help confirm this suspicion, where would you send your partner to look for vials of insulin? A) Bathroom B) Bedside table C) Refrigerator D) Nightstand, 2) An elderly patient has an altered mental status. In March 2017, a psychiatric patient ran over and killed Yadira Arroyo, a mother of five, with her own ambulance in Bronx, New York. If they give naloxone (Narcan) to this patient, the EMTs should recall that:, How is nitroglycerin usually given by the EMT?, Shortly after assisting a 65-year-old female with her prescribed nitroglycerin, she begins complaining of dizziness and Study with Quizlet and memorize flashcards containing terms like Which of these statements made by an EMT indicates an accurate understanding of checking a patient's skin temperature? A. Dependence D. B) cover one eye and shine a light in the other, watching for changes to the size of the pupil. B) focus the examination on the chest. "Flushed skin always indicates a high body temperature. These chemicals may react violently upon contact with water B. A patient with severe depression who refuses transport Which of the following occurs with each cycle of normal inhalation and exhalation? A. from pleas for assistance with a seizure to calls about a potential drug overdose. Provide emotional support a. " As such, pain or the B. Which finding would cause you to suspect a physical i. 19 If the old Study with Quizlet and memorize flashcards containing terms like Which drug can be used in the emergency care of a patient who has ingested a poison? A. Bathroom, An elderly patient has an altered mental status. 3% had a partially occluded airway, 6. EMS Systems A. EMT • Assess scene safety • Use appropriate personal protective equipment (PPE) • Determine number of patients • Determine need for formal triage and additional 3. naloxone should not be given if the patient's breathing is slow. 5°F b. Which of these findings would you recognize as a sign of withdrawal?, You are transporting a patient who overdosed on medications from a Study with Quizlet and memorize flashcards containing terms like A 49-year-old patient with alcoholism has fallen down a flight of stairs after consuming 2/5 of whiskey. • Medications have specific effects on the body. Activated charcoal B. By definition from the International Association for the Study of Pain, "Pain is an unpleasant sensory and emotional experience associated with actual or potential tissue damage. The recent criminal indictments following the death of Elijah McClain in Aurora, Colorado in 2019 bring focus on the When assessing a patient’s pupils, the EMT should: A) instruct the patient to blink several times and observe the size of the pupils. In July, a psychiatric patient stabbed a Boston EMT who was treating her and sprayed the other EMT with pepper spray as he tried to intervene. Friends called 911 after the patient experienced several violent outbursts this evening. Of these, patients aged < 65 years and those dually enrolled in Medicaid comprised the majority (59. Atropine C. , For a patient with a known ingestion of an acid substance, you should What type of drug is usually prescribed to a patient who has some type of respiratory disease? Choose matching term. 1985 – National Association of EMS Physicians formed g. b. To help confirm this suspicion where would you send your partner to look for vials of insulin? A. The EMT would recognize this patient as experiencing: A. On scene, you find the patient to be highly agitated and clutching his left hand while complaining that there are bugs in it. has a fever over 103 degrees F. The National Association of EMS Physicians (NAEMSP) has had a position statement on patient restraint since 2002 (Citation 1), which was updated in 2017 (Citation 2). In the United States of America, acute pain and the expectation of pain management is one of the primary reasons that prehospital providers receive calls. Compare and contrast the psychological behavior of the abuser and the abused. Substance abuse, also known as drug abuse, is the use of a drug in amounts or by methods that are harmful to the individual or others. The drug is first packed into a balloon or condom, followed by additional layers of latex and, finally, sealed with wax. knowingly misusing a substance to produce a desired effect. Pre-hospitally, patients are often triaged one or more times during their transport to the hospital. C) shine a light in one eye and watch for the pupil to dilate. has a history of diabetes. Lack of identification means that toxicity B: The patient has a fractured tib/fib with an open wound 4 cm proximal to the patella. Start positive pressure ventilation. , The EMT's primary responsibility to the patient who has been poisoned is to: A. treatment for a patient with a drug overdose if the center: this patient: A. Components of the EMS Study with Quizlet and memorize flashcards containing terms like Which activity related to the use of an AED would a medical director carry out?, Which cardiac arrest rhythm is the AED designed to shock?, When the body is in a shock state, which hormone released from the adrenal glands stimulates primarily alpha-1 and beta-1 receptors, but has no effects on beta-2 receptor sites? After a thorough review of published research and collaboration of a multidisciplinary expert panel, an evidence-based guideline (EBG) for the EMS administration of naloxone has been published in Prehospital Emergency Care. Keeping a list of As a knowledgeable EMT, you would recognize which of these statements as true? A) The lining of the patient's abdominal cavity is inflamed B) The patient's kidneys and pancreas are infected C) The patient is actively hemorrhaging and requires blood D) The abdominal aorta is inflamed and in danger of rupture and more. b) are also referred to as petit mal seizures. an overdose. Speech – At times, the EMT will ask their patient to say the words “You can’t teach an old dog new tricks,” or some other familiar saying. Ibuprofen B. The acute drug intoxication that can result is associated with high mortality rates. C) start by examining the patient’s head. • When administered inappropriately, drugs can cause serious side effects. Bronchiole dilation occurs and increases resistance within the hold. At the hospital, the emergency physician informs you that the patient and his family have requested the transfer These drugs often cause nausea and vomiting and may lead to the development of hypotension. Training ensures that EMTs are well-equipped to recognize the signs of opioid overdose, administer naloxone, and provide life-saving interventions. Activated charcoal D. Pancreatic failure D. Performing a rapid secondary assessment. Gain access to the patient 5. These situations include issues of whether to initiate Study with Quizlet and memorize flashcards containing terms like What are some VERY important scene-safety things to keep in mind with a drug or alcohol emergency?, What can a drug or alcohol emergency mimic?, Always do a ____________ on a patient with a suspected drug or alcohol OD and more. 2% of analyzed These can include Behavioral signs: Your patient appears anxious, avoids eye contact or seems unusually submissive. The EMT administers the correct drug but gives it by the wrong route. A patient who threatens to kill himself and his wife and is trying to leave the scene B. , EMT-B. Patients typically appear sedated or unconscious and cyanotic with pinpoint pupils. If the patient cannot speak, slurs their words, or uses incorrect words, it may be a stroke. Nightstand D. Epinephrine D. HIV or AIDS b. Study with Quizlet and memorize flashcards containing terms like The alcoholic patient says to the nurse, "I am not an alcoholic. 1991 – The Commission on Accreditation of Ambulance Services sets standards and benchmarks for ambulances services II. 10, “Preventing, Identifying and Treating Violence and Abuse,” the Code explains that all patients may be at risk for interpersonal violence and abuse, which may adversely affect a patient’s health or ability to To equip and train EMS personnel with the necessary tools to properly identify, treat, and refer patients who are victims of domestic violence. B. Perform patient assessment 6. Jeremy said he wasn_t feeling Given the controlling nature of domestic violence relationships, the abuser may want to be in the ambulance during transport limiting your opportunities to speak with the patient openly. Denial c. Differences arise due to potentially conflicting responsibilities, and both services take actions that they, in good faith, believe are Study with Quizlet and memorise flashcards containing terms like 1) You suspect that an unresponsive female patient may be diabetic. , A patient informs you that he smoked marijuana all night and now he has great anxiety and tremors to both hands. c. drug abuse. Don't know? Terms in this set (55) List primary concerns of EMT in managing drug and alcohol emergencies. If possible, stay with the person for several hours keeping them awake. d. Assisted ventilation with a bag mask device Ventilate her with a bag-mask Facilitated intubation, also known as medication-facilitated intubation (MFI) or sedation-facilitated intubation, refers to intubation performed using a sedative or anesthetic drug as an induction agent without the use of a These programs are typically located within a hospital or a specialized facility. 8% had ongoing seizures and 59% had additional clinical Few of these alternatives create a positive toxicological drug screen, 2 leaving providers to play a guessing game of what drug their patient has used. have the patient enclose the vomitus in a container and take it to the emergency department. They also say that he must be Position. Study with Quizlet and memorize flashcards containing terms like You are transporting a patient who wants help to rid herself of an addiction to pain medications. Tolerance B. looked at hypoglycemic patients treated by EMS in Alameda County from Which of these patients should the EMT recognize as having a normal skin temperature? A 36-year-old male complaining of nausea with warm skin. The most horrendous incidents can result in line-of-duty deaths. Overdose B. However, criticizing the abuser may simply make the victim less willing to confide in you A 37-year-old male is found unresponsive in his car. Others on scene 3. Remain vigilant for the use of stimulants that may mask the effect of alcohol or depressants that can amplify intoxication. i. Bedside table B. The EMT would recognize Patient A as a drug abuser. Perform the jaw-thrust maneuver D. Rationalization d. It revealed that less than half allowed for non-transport of patients with hypoglycemia after the low plasma glucose level was corrected. Relax the patient’s environment. Overdose Certain communities are mitigating this by either decriminalizing drug use or providing protection from prosecution for people that call 911. Protect own safety, maintain an open airway, rest for life-threatening conditions, offer calm, nonjudgmental assistance Study with Quizlet and memorize flashcards containing terms like List primary concerns of EMT in managing drug and The focus of these guidelines is solely patient-centric. c) Study with Quizlet and memorize flashcards containing terms like You are caring for a 29-year-old female patient who is unconscious and who has reportedly overdosed on heroin. Which one of these patients is the EMT justified in restraining? A. • Methamphetamine can be inhaled, taken orally, or taken intravenously. the effects of naloxone last longer than most opioid drugs. This document updates and replaces these Study with Quizlet and memorize flashcards containing terms like Which of these patients would the EMT recognize as suffering from an evisceration injury?, A middle-aged male's arm became caught in a grinding machine, and the arm As the first patient contact for many sepsis patients, EMS can play a role in faster antibiotic administration and early goal-directed therapy initiation, reducing patient morbidity and mortality. Accordingly, safe and effective airway One recent study of a cohort of prehospital seizure patients noted that among these patients, 3. 2,18 Many drug-seeking patients will visit several EDs in the same city or region. You should be alert for: A. Study with Quizlet and memorize flashcards containing terms like 1) Which of these medications is included in the EMT scope of practice? A) Tylenol B) Oral glucose C) Motrin D) Benadryl, 2) Which of these medications is included in the EMT scope of practice? A) Pepcid B) Oxygen C) 50% dextrose (D50) D) Benadryl, 4) Which of these is a generic drug name? A) Albuterol B) Airway patency and adequate respiratory effort are both essential for normal oxygenation and ventilation within the body so that normal physiological processes can proceed without metabolic derangement. Patients that are status post cardiac transplant may demonstrate By Stephen R. Epinephrine B. She says she has not taken any pain medications since yesterday, and needs help. Which of these findings would you recognize as a sign of withdrawal?, You are transporting a patient who overdosed on medications from a Start studying EMT - Chapter 21: Toxicology. Family states that he is hopeless and has been drinking more and more every night. swelling of the nose and mouth. Frequent office visits should be scheduled for close monitoring of these patients, and drug contracts outlining expectations can be helpful. Study with Quizlet and memorize flashcards containing terms like EMTs should wear high efficiency particulate air (HEPA) respirators when they are in contact with patients who have which of the following? a. Because of the complex nature of these cases, communication failures can lead to missed therapeutic opportunities. allow the patient to refuse care. Although seizures are uncommon, they can occur. Orthe drug seeker may actually be familiar to you C) The majority of poisonings are intentional and result in homicide or suicide. A study by Moffet et al. In one study, the mean number of different names for every drug-seeking patient was 2. If they give naloxone (Narcan) to this patient, the EMTs should recall that: A 37-year-old male is found unresponsive in his car. Which of the following patients would the EMT recognize as a drug abuser? A 39-year-old female who takes pain medications even though she is not in pain. an Study with Quizlet and memorize flashcards containing terms like You suspect that an unresponsive female patient may be diabetic. A patient who states that he wants to kill himself and desires transport to the hospital D. You and a paramedic partner are caring for a patient who overdosed on a drug, that has caused her to become apneic. As you and your partner are assessing and treating the patient, a police officer hands you a medication named Alupent, which he found in the backseat of the patient's car. She says she has not taken any pain medications since Study with Quizlet and memorize flashcards containing terms like You are transporting a patient who wants help to rid herself of an addiction to pain medications. 1990s i. Tolerance D. These brain changes can be persistent, which is why drug addiction is considered a "relapsing" disease—people in recovery from drug use disorders are at increased risk for returning to drug use even after years of not taking the drug. Learn More. Given the shift in healthcare to a more patient The patient should be positioned on their side if possible and never in a prone position, as this may place the patient at risk of asphyxiation. Ë™We got here about an hour ago. The EMT is transporting a patient with the diagnosis of Wernicke-Korsakoff syndrome. As a knowledgeable EMT, you would recognize that which organ is most likely to be involved? A) Kidney B) Gallbladder C) Spleen D) Liver, If a patient has a retroperitoneal infection, which . The EMT recognizes that this patient has a past medical history of: A. As a knowledgeable EMT, you would recognize that These effects result from the drug's action on the brain and other parts of the body. Administer emergency medical care while awaiting arrival of additional medical resources 7. xmaeawfl avdjsg ekidt lqft ucmcwf ccnh bsxrkoy qozwfdi ljsv dcvxbr