PART III: REVIEW FOR THE WRITTEN EXAMINATION
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Emergency Medical Care
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Review some basics of human anatomy Find out how to perform initial patient assessment Learn about cardiopulmonary resuscitation (CPR) and other emergency medical techniques Find out about emergency removal and rescue techniques
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Modern re ghters are trained in the assessment and treatment of life-threatening conditions sustained by the public they serve They are responsible for stabilizing the scene of an accident or emergency situation and performing basic rst aid procedures, as well as assisting pre-hospital providers Patient assessment and basic medical treatment is essential to the role of the re ghter Upon the arrival of the ambulance, re ghters will transmit valuable information to emergency medical technicians (EMTs) and paramedics concerning the patient s condition, chief complaints, and any medical assistance that was administered prior to their arrival Today s re ghter is truly a multifaceted, life-saving professional
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BASICS OF BODY ANATOMY
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The human body is divided into areas with which re ghters should be very familiar A working knowledge of these will aid the rst responder to isolate the part of the body that is injured or that is giving the victim the most pain
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It will facilitate providing treatment and communicating information to incoming medical personnel The diagram shows the major areas of the human body The re department is often the rst agency to arrive at incidents where people are injured Fire ghters therefore should know the basic anatomy or structure of the body in order to communicate medical information to medical professionals (EMS) who will arrive subsequently
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MEDICAL DIRECTIONAL COMMUNICATION
Direction Anterior Posterior Superior Inferior Proximal Distal Medial Lateral Right Left Meaning Toward the front of the body Toward the back of the body Toward the head Toward the feet Toward the trunk of the body Away from the trunk of the body Toward the midline (imaginary line drawn down the center of the body) Away from the midline of the body The right side of the patient s body The left side of the patient s body
INITIAL PATIENT ASSESSMENT
When re ghters arrive at the scene of an accident or medical emergency, they must perform an initial assessment of the patient s status A general overview of the patient entails evaluating the scene to determine whether you are dealing with a trauma (injury sustained from a violent impact or sudden force) situation or a medical condition If you are responding to the scene of an auto accident you can assume that the patient(s) will be suffering from trauma injuries Conversely, arriving at a patient s home and noticing pills and drug paraphernalia on the kitchen table would most likely indicate you have a person with a medical/drug problem Other general conditions to consider are the patients age and gender Look for clues concerning the condition of the victim when you arrive on the scene Is the person bleeding Does the victim have contusions or abrasions that commonly result from trauma Are there obvious deformities to the extremities, shoulders or pelvis area, which could indicate that the victim is suffering from a dislocation or bone fracture Palpate or feel the patient s body to search for irregularities
PART III: REVIEW FOR THE WRITTEN EXAMINATION
(swelling, depressions, or tenderness) Also, utilize your sense of smell to ascertain if the victim has been drinking alcoholic beverages or has been poisoned The rst responder should also check the victim s vital signs (respirations, pulse, temperature, pupils, and blood pressure) to obtain an accurate assessment of the patient s condition The CUPS status assessment criteria may be used by rst responders to determine the seriousness of the patient s injury or illness Victims considered in Critical condition are receiving cardiopulmonary resuscitation (CPR), in respiratory arrest or requiring and receiving life-sustaining ventilation/ circulation support Unstable civilians are unresponsive to external stimuli or responsive but unable to obey commands They also may exhibit dif culty breathing Indications that a patient is going into shock (pale skin/rapid breathing), uncontrolled bleeding, and severe pain in any area of the body would warrant being classi ed as Potentially Unstable People with minor injuries and illnesses would be determined to be in Stable condition