Paramedics desiring to enter a career in flight medicine generally are considered once they have:
A) 10 years of clinical street experience
B) Street experience really is not necessary as long as they take a critical care paramedic course
C) 3 to 5 years of clinical experience
D) 1 year of clinical street experience
Answer: C) 3 to 5 years of clinical experience
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After transferring care of a 77-year-old female to the ED nurse, the patient informs her that she has a history of heart problems and is having chest pain. On scene and throughout transport, the patient denied any complaint, despite your repeated inquiry. This has greatly upset your partner since he feels the patient made him look foolish in front of the emergency department staff. Based on your
knowledge of her age group, what explanation would you give your partner? A) "It is very common for patients in this age group not to tell you everything because most have some form of early dementia." B) "In the older population, most do not trust young people with personal information, such as their medical history." C) "This happens very frequently with people in this age group, so you must accept it and not get upset." D) "Many times persons in this age group will not be forthcoming with all that is going on because they are scared of losing their independence."
Abstract from Documentation: Refer to Bursa, Knee in the Alphabetic Index. What are the choices?
Preoperative Diagnosis: Vastus medialis oblique tear, left knee Postoperative Diagnosis: Traumatic bursal tear anterior, left knee Operative Procedure: Inspection, evacuation of hematoma of bursal tissue, left knee Indication: The patient is a 15-year-old male who injured his left knee while sliding into base during a baseball game. He developed immediate significant swelling and was unable to weight bear for the first few days. I saw him and felt that he might have injured the vastus medialis muscle. An MRI scan of the knee was obtained which demonstrated what appeared to be torn tissue in that area. He has a palpable gap in the area. He has had otherwise good extensor function. We elected to proceed with surgical inspection of the area and repair of suspected muscle tear. Description of Procedure: The patient received 1 g of Ancef. He was taken to the operating room and given a general anesthetic. I applied a tourniquet to the left thigh and the left lower extremity was prepared with Betadine gel paint and draped out freely. The leg was exsanguinated with an elastic bandage. I made a longitudinal incision beginning in the mid portion of the patella and extending proximally 4 inches, and dissected down through fairly thick subcutaneous tissue directly into hematoma. This was evacuated. I then split swollen bursal tissue and determined that the underlying vastus medialis muscle and its quadriceps attachment was intact. Further exploration revealed intact capsular tissues and completely intact patellar tendon and quadriceps tendon structures. The bursal tissue was quite hemorrhagic and thickened. No other treatment was indicated. The area was irrigated and I then closed the subcutaneous tissues with 2-0 Polysorb and the skin with staples. The incision was dressed with bacitracin ointment, 4x4 gauze, ABD pad, and an Ace wrap followed by a knee immobilizer. The patient tolerated the procedure well. There were no complications. He was taken to recovery in good condition.
Unintentional torts are acts not intended to cause harm. When a health-care practitioner fails to exercise ordinary care and the patient is injured, the practitioner may be charged with _______________.
Fill in the blank(s) with the appropriate word(s).
Of the different types of reptile, which includes iguanas and lizards?
A) Crocodilia B) Serpentes C) Chelonia D) Squamata