Essentials of Fire Fighting 6 th Edition Firefighter I

1. Essentials of Fire Fighting 6th Edition Firefighter I Chapter 22 — Emergency Medical Care for Fire Department First Responders

2. Learning Objective 1 • Describe the roles the fire service may take in providing emergency medical care.

3. DISCUSSION QUESTION • Why are firefighters often cross-trained as emergency medical technicians (EMTs) or Paramedics?

4. The fire service is a key participant in providing emergency medical service.

5. Ambulance services are provided in several ways.

6. Fire departments provide on scene medical care at various service levels.

7. REVIEW QUESTION • What are the roles the fire service may take in providing emergency medical care?

8. Learning Objective 2 • Summarize patient confidentiality requirements.

9. DISCUSSION QUESTION • What information is included in the protected medical information (PMI) of a patient?

10. Patient confidentiality centers around protected medical information (PMI).

11. Medical information privacy is covered by applicable laws.

12. Good professional practice is to be as discreet as possible with all PMI.

13. REVIEW QUESTION • What does the Health Information Portability and Accountability Act (HIPPA) of 1996 require regarding patient confidentiality?

14. Learning Objective 3 • Distinguish among commonly encountered communicable diseases.

15. Learning Objective 4 • Summarize immunization considerations for first responders.

16. Infection control measures can be used to reduce the risk of infection.

17. There are several commonly encountered communicable diseases. (Cont.)

18. CAUTION • Medical equipment and surfaces should be decontaminated immediately following soiling to prevent the possible spread of infectious diseases to responders and other patients.

19. There are several commonly encountered communicable diseases.

20. Immunizations may be required by your jurisdiction.

21. REVIEW QUESTION • What are the communicable diseases commonly encountered by firefighters? • What types of immunizations may first responders be required to have?

22. Learning Objective 5 • Explain the importance of body substance isolation (BSI).

23. Pathogens to protect against are both bloodborne and airborne.

24. Proper body substance isolation (BSI) is the best way to protect yourself.

25. Hand washing is one part of maintaining proper BSI.

26. BSI also requires the proper use of different types of PPE.

27. Cleaning and disposal of contaminated items is another part of proper BSI.

28. REVIEW QUESTION • What are some basic ways first responders can practice body substance isolation (BSI)?

29. Learning Objective 6 • Explain actions taken for basic patient assessment.

30. Patient assessment must be completed before treatment can begin.

31. The airway is an assessment of the passage where air travels when breathing.

32. Look, listen, and feel to determine breathing assessment.

33. Circulation/compressions are easily determined by feeling for a pulse.

34. REVIEW QUESTION • What actions are taken to assess a patient’s condition?

35. Learning Objective 7 • Compare and contrast CPR techniques for adults, children, and infants.

36. Learning Objective 8 • Explain when to administer and when to discontinue CPR.

37. Clinical death, known as cardiac arrest, may require defibrillation.

38. Cardiopulmonary resuscitation (CPR) may be required for several reasons.

39. Chest compressions, the main component of CPR, are performed differently depending on patient age. (Cont.)

40. Chest compressions, the main component of CPR, are performed differently depending on patient age. (Cont.)

41. Chest compressions, the main component of CPR, are performed differently depending on patient age. (Cont.)

42. Chest compressions, the main component of CPR, are performed differently depending on patient age.

43. REVIEW QUESTION • How do CPR techniques for adults, children, and infants differ from one another?

44. Once begun, CPR should only be discontinued in specific circumstances.

45. You should understand the emotional nature of cardiac events.

46. REVIEW QUESTION • When should a first responder administer and discontinue CPR?

47. Learning Objective 9 • Describe basic types of external bleeding.

48. Learning Objective 10 • Explain the use of direct pressure and elevation to control external bleeding.

49. Bleeding control is an extremely important aspect of medical treatment.

50. You should recognize the signs of the three types of external bleeding.