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Objectives
1.
2.
3.
4.
5.
Objectives
Recognize signs and symptoms of stress reactions (slides 22-23
).
7. Describe lifestyle changes you can make to help you deal with
stress (slides 24-27).
8. Describe responses your friends and family may have to your
work in EMS (slides 28-29).
9. Describe changes in the work environment that can help you
manage job-related stress (slides 30-31).
10. Discuss the components of a comprehensive system of critical
incident stress management (slides 32-36).
11. Describe measures you can take to protect yourself from
exposure to diseases caused by pathogens and accidental and
work-related injury (slides 37-46).
6.
Objectives
12. Give examples of diseases caused by each of the
different types of pathogens (bacteria, viruses, fungi,
protozoa, and helminths) (slides 38-39).
13. Describe the Standard Precautions that must be taken
to protect health care workers from exposure to
infectious diseases (slides 40-44).
14. Describe the personal protective equipment that may
be used by EMS personnel (slides 42-43).
15. Explain the role of immunizations and tuberculosis
testing in maintaining good health (slide 45).
Objectives
16. Discuss the risks and preventive measures for specific
infectious diseases of concern to EMTs, including (
slides 47-61):
a.
b.
c.
d.
e.
f.
g.
Hepatitis B
Hepatitis C
Tuberculosis
Acquired immune deficiency syndrome
Severe acute respiratory syndrome
West Nile virus
Infections due to multidrug-resistant organisms
Objectives
17. Explain the risks and measures that can be taken to
protect yourself against the following hazards
(slides 62-68):
a.
b.
c.
d.
Hazardous materials
Hazardous rescue situations
Traffic-related injuries
Violence and crime
Multimedia Directory
Slide 36Grief and a Childs Death Video
Slide 42Putting on Clean Gloves Video
Slide 54Epidemiology of AIDS Video
Topics
Emotional Aspects of Emergency Care
Scene Safety
Wellness Principles
CASE STUDY
Dispatch
Upon Arrival
Emotional Aspects of
Emergency Care
Back to Topics
Denial
Anger
Bargaining
Depression
Acceptance
Back to Objectives
Back to Objectives
Maintain patients
dignity
Show respect
Communicate
Dont give false
assurances
Listen
empathetically
Use a gentle tone
of voice
High-Stress Situations
Back to Objectives
Stress Reactions
Types of Reactions
Back to Objectives
Acute
Delayed
Cumulative
( Mark C. Ide)
Stress Reactions
Back to Objectives
Stress Management
Make Lifestyle
Changes
Back to Objectives
Diet
Exercise
Relax
Avoid self-medication
Stress Management
Stress Management
Recognize the
Response of Your
Family and Friends
Back to Objectives
Lack of understanding
Fear of separation or of being
ignored
Worry about on-call situations
Inability to plan
Frustrated desire to share
Stress Management
Back to Objectives
Use a buddy
system
Encourage and
support
coworkers
Exercise
Request a
rotation of duty
assignment
Stress Management
Back to Objectives
Critical incident
Critical incident stress
debriefing (CISD)
Defusing
Click here to view a video on the topic of grief and a childs death.
Return to Directory
Scene Safety
Back to Topics
Back to Objectives
Pathogens
Bacteria
Viruses
Fungi
Protozoa
Helminths
Back to Objectives
Standard Precautions
Back to Objectives
Hand Washing
Eye protection
Protective gloves
Gowns
Masks
Additional Guidelines
Cleaning
Disinfecting
Sterilization
Immunizations
( Michal Heron)
Back to Objectives
PPD
Tetanus
Hep B
Influenza
Polio
MMR
Varicella
Reporting
Exposure
Date
Time
Amount of fluid
Details of exposure
Hepatitis B
Back to Objectives
Protective procedure
-
Gloves, wash
Vaccines
Double bag
Clean and disinfect
Hepatitis C
Transmitted primarily
through needle sticks
No vaccine
Standard Precautions
Needle safety
Tuberculosis
Spread by droplets
Protective
procedures
Gloves
N95
Wash hands
Disinfect
nondisposable
equipment
Acquired Immune
Deficiency Syndrome
(AIDS)
Epidemiology of AIDS
Spread through
Sexual contact
Infected needles
Infected blood
Mother-child
transmission
Standard Precautions
Severe Acute
Respiratory Syndrome
(SARS)
Respiratory virus
Transmitted by droplets in close proximity
Protective procedure
Surgical mask, eye protection, gloves
Spread by mosquitoes
Symptoms can be mild to severe
Especially dangerous in young and elderly
Use Standard Precautions
Multidrug-Resistant
Organisms
Resist antimicrobial
drugs
Common in long-term
care facilities
Pathogens include
MRSA
VRE
PRSP
DRSP
Spread through
direct contact
Follow Standard
Precautions
Hazardous Materials
Back to Objectives
Use binoculars
Identify placards
Allow trained personnel to rescue injured
Treat after decontamination, if possible
Rescue Situations
( Mark C. Ide)
High-Visibility Vest
American National
Standards Institute (ANSI)
Class one
Class two
Class three
Wellness Principles
Back to Topics
Physical Well-Being
Physical Fitness
Back to Objectives
Cardiovascular
Endurance
Physical Well-Being
Adequate Sleep
Methods to Improve
Quality and Amount of Sleep
Select a cool and dark environment
Choose an uninterrupted block of time
when sleep can be achieved
Avoid heavy meals, caffeine, or
exercise immediately prior to sleep
Turn off phone ringers and pagers to
reduce interruptions
Physical Well-Being
Smoking Cessation
Increases risk of
Cardiovascular and pulmonary disease
Cancer
Physical Well-Being
Mental Well-Being
CASE STUDY
Follow-Up
CASE STUDY
Primary Assessment
Husband holding wife and daughters
hostage
Two hours later still not permitted in
Husband then releases two children
Single gunshot then heard
CASE STUDY
Primary Assessment
Husband then begins to shoot
randomly
Fire then returned by special tactics
team
CASE STUDY
Patient Assessment
After scene is secure, you are
permitted to enter
Police officer DOA
Gunman DOA
Wife DOA
CASE STUDY
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