Occupational Safety and Health Administration
- The federal regulatory compliance agency
- develops, publishes, and enforces guidelines concerning safety in the workplace
Posttraumatic stress disorder
- A delayed stress reaction to a prior incident
- This delayed reaction is often the result of one or more unresolved issues concerning the incident.
General adaptation syndrome
-The body's response to stress
-begins with an alarm response, followed by a stage of reaction and resistance, and then recovery or, if the stress is prolonged, exhaustion.
- the way in which an infectious disease is spread: contact, airborne, by vehicles, or by vectors.
Emergency Response Guidebook
- A preliminary action guide for first responders
-operating at a hazardous materials incident in coordination with the US Department of Transportation's labels and placards marking system.
-The ERG was jointly developed by the DOT, the Secretariat of Communications and Transportation of Mexico, and Transport Canada.
-Inflammation of the liver
-usually caused by a viral infection, that causes fever, loss of appetite, jaundice, fatigue, and altered liver function.
-Procedures to reduce transmission of infection among patients and health care personnel
-a person has had contact with blood, body fluids, tissues, or airborne particles in a manner that suggests disease transmission may occur.
Two type of Sexual harassment
- Unwelcome sexual advance
1. Quid pro quo
- the harasser requests sexual favors in exchange for sth else
2. Hostile work environment
- jokes, touching, leering, requests for a date, talking about body parts
-> report to your supervisor immediately and keep notes
-The presence of infectious organisms or foreign bodies on or in objects
- e.g. dressings, water, food, needles, wounds, or a patient's body.
- the heart fails to generate effective and detectable blood flow
- pulses are not palpable in cardiac arrest, even if muscular and electrical activity continues in the heart.
The grieving process
1. Denial - Refusal to accept diagnosis or care, unrealistic demands for miracles, or persistent failure to understand why there is no improvement
2. Anger, hostility - Projection of bad news onto the environment and commonly in all directions.
3. Bargaining - An attempt to secure a prize for good behavior or promise to change lifestyle.
4. Depression - Internalized anger, hopelessness, and the desire to die.
5. Acceptance - Acceptance of impending death by the patient, or the acceptance of the death of a loved one.
Concerns of the Dying, Critically Ill, or Injured Patient
- Pain and fear
- Anger and Hostility
- Mental health problems
- Receiving unrelated bad news
Emotional, physical and environmental situations or conditions that may cause physiologic,physical, and psychological responses
The body's response to stress
Begins with an alarm response, followed by a stage of reaction and resistance, and the recovery or, if the stress is prolonged, exhaustion
Events that can trigger critical incident stress include:
- Mass-casualty incidents
- Serious injury or traumatic death of a child
- Crash with injuries, caused byan emergency services provider while responding to or from a call
- Death or serious injury of a coworker in the line of duty
Critical incident stress management
- A process that confronts the responses to critical incidents and defuses them, directing the emergency services personnel toward physical and emotional equilibrium.
Transmission of a communicable disease from one person to another by physical contact
Protective measures that have traditionally been developed by the Centers for Disease Control and Prevention for use in dealing with objects, blood, body fluids, and other potential exposure risks of communicable disease.
The abnormal invasion of a host or host tissues by organisms such as bacteria, viruses, or parasites, with or without signs or symptoms of disease.
Exposure or transmission of disease from one person to another by contact with a contaminated object.
The primary federal agency that conducts and supports public health activities in the United States. The CDC is part of the US Department of Health and Human Services.
Pathogenic microorganisms that are present in human blood and can cause disease in humans. These pathogens include, but are not limited to, hepatitis B virus and human immunodeficiency virus (HIV).
Procedures to reduce transmission of infection among patients and health care personnel.
The way in which an infectious disease is spread: contact, airborne, by vehicles, or by vectors.
human immunodeficiency virus
Acquired immunodeficiency syndrome (AIDS) is caused by HIV, which damages the cells in the body's immune system so that the body is unable to fight infection or certain cancers.
The individual in the department who is charged with the responsibility of managing exposures and infection control issues.
Basic concept of stand and precautions
Assumption that every person is potentially infected or can spread an organism that transmitted in the health care setting. Therefore, you must apply infection-control procedures to reduce infection in patients and health care personnel.
Describe the process for proper handwashing
1. Use soap and water.
2. Rub your hands together for at least 20 seconds to work up a lather
3. Rinse your hands using warm water.
4. Dry your hands with a paper towel and use the paper to turn off the faucet.
List the three layers of clothing recommended for cold weather
1. Thin inner layer
2. Thermal middle layer
3. Outer layer
List the four principal determinants of violence
1. past history
3. Vocal activity
4. Physical activity
Proper glove removal technique
1. Partially remove the first glove by pinching at the wrist. Be careful to touch only the outside of the glove.
2. Remove the second glove by pinching the exterior with your partially gloved hand.
3. Pull the second glove inside-out toward the fingertips.
4. Grasp both gloves with your free hand, touching only the clean, interior surfaces.
The use of an animal to spread an organism from one person or place to another.
2 Mask, 1 respirator, 2 barrier devices
Standard surgical mask
Pocket mask or bag-mask device
- If blood or body fluid spatter is a possibility
- place on patient if suspect has an airborne disease
- reduce the risk of transmission of germs from the patient into the air
If supect patient has tuberculosis
Surgical mask (patient) + HEPA high-efficiency particulate air respirator (self)
- High-efficiency particulate air respirator
- If suspect patient has tuberculosis
- should comply with OSHA standards, which state the facial hair (such as long sideburns or a mustache), will prevent a proper fit.
General Postexposure Management
If you are exposed to a patient's blood or bodily fluids:
- Turn over patient care to another EMS provider.
- Clean the exposed area.
- Rinse eyes if necessary.
- Activate your department's infection control plan.
Stress Management on the Job
-EMS is a high-stress job.
-Important to know causes and how to deal with stress
Physiologic signs of stress
-Increased respirations and heart rate
-Increased blood pressure
-Cool, clammy skin
-Increased blood glucose level
-Decreased blood flow to gastrointestinal tract
General adaptation syndrome:
Alarm response to stress
Reaction and resistance
Prolonged or excessive stress has been proved:
To be a strong contributor to heart disease, hypertension, cancer, alcoholism, and depression
Warning Signs of Stress
-Irritability toward coworkers, family, friends
-Inability to concentrate
-Sadness, anxiety, or guilt
-Loss of appetite
-Loss of interest in sexual activities
-Loss of interest in work
-Increased use of alcohol
-Recreational drug use
-Physical symptoms such as chronic pain
-Feelings of hopelessness
Strategies to Manage Stress
- Minimize or eliminate stressors.
- Change partners to avoid a negative or hostile personality.
- Change work hours.
- Change the work environment.
- Cut back on overtime.
- Change your attitude about the stressor.
- Talk about your feelings.
- Seek professional counseling if needed.
- Do not obsess over frustrations.
- Try to adopt relaxed, philosophical outlook.
- Expand social support system.
- Sustain friends and interests outside emergency services.
- Minimize physical response to stress
- Deep breathing
- Periodic stretching
- Regular exercise
The EMT's role in Death and Dying:
- Ask how you can help.
- Reinforce reality.
- Be honest.
- Allow the patient/family to grieve.
Caring for Critically Ill and Injured Patients
Avoid sad and grim comments.
- Orient the patient.
- Be honest.
- Deal with possible initial refusal of care.
- Allow for hope.
- Locate and notify family members.