A 25 year old woman who is 32 weeks pregnant, calls 9-1-1 to report that she is having severe abdominal pain. Which is the correct card to select from the EMD cardset?
1- Abdominal Pain/Problems
24- Pregnancy/Childbirth/Miscarriage
10- Chest Pain
5- Back Pain
True or False. The blue text in parenthesis throughout the EMD proctols are to be read to the caller.
What is this icon for?
Poison Control Protcol
Chemical Suicide
Hazmat Information
What is this icon?
Compression Monitor
Breathing Detector
Ground Stability Detector
True or False. Pain reported in the arm(s), jaw, neck, or upper back should be considered equivalent to chest pain.
A caller reports that her 70 year old husband is feeling like fainting, weak and dizzy. What would be the most appropriate card to go to?
31- Unconscious/Fainting (Near)
19- Heart Problems/A.I.C.D
32- Unknown Problem (Person Down)
26- Sick Person (Specific Diagnosis)
True or False. It is okay to ask, "What symptoms is the patient experiencing" after asking, "Tell me exactly what happened" if the answer provided by the caller seems vague.
There are 4 priority symptoms. What are they?
Chest Pain, Stroke, Bleeding, Allergic Reaction
Bleeding, Breathing, Chest Pain, Consciousness
Abdominal Pain, Overdose, Pregnancy, Bleeding
Breathing, Chest Pain, Breathing, Abdominal Pain
True or False. In the EMD Protocols, there are 9 Protocols that you can get an ECHO level determinate from on case entry.
True or False. There is an instruction on card 15- Electrocution/Lightning to advise callers to "Take shelter immediately inside an enclosed vehicle or building."
The first card in the EMD/EFD cardset is card...
0- Case Entry
1- Abdominal Pain
Case Exit
True or False. This instruction may come up on various cards throughout the EMD protocols. It is important that this instruction is read every single time as written.
True or False. It is acceptable to provide reassurance to a caller at any point in time during call taker interrogation.
True or False. It is important to obtain a location first when someone calls 9-1-1 indicating that their vehicle is sinking in water.
True or False. When a question is obvious during case entry, it is okay to answer the question and not ask the caller.
True or False. If a caller is reporting that someone has been hit over the head by someone else with a pipe, it is okay to go to card 30- Traumatic Injuries (Specific).
True or False. It is okay to stop questioning at anytime during caller interrogation to provide DLS (dispatch life support) instructions such as bleeding control, CPR and choking.
True or False. The International Academy of Emergency Dispatch (IAED) decides the response priority codes that emergency vehicles must abide by in various jurisdictions.
True or False. When a patient's breathing status is questionable, it is not necessary to utilize the Breathing Diagnostic Tool to determine breathing effectiveness.
True or False. There are 2 ways to access and utilize the ASA Diagnostic Tool.
Stroke Diagnostic Tool
Suspect Questioning Tool
Breathing Verification Tool
Person Description Tool
The Pulse Check Tool is used to check a patient pulse to determine a heart rate when on card 19- Heart Problems/A.I.C.D.
True or False. You can use this card selection tool to select a new chief complaint when you receive new and updated information.
When a caller states, "Can't breathe," "Unable to breathe," or a similar description, this should be considered as INEFFECTIVE BREATHING on case entry in the medical protocols.
Please select one or more of the following answers.
Asking questions/providing instructions exactly as written is extremely important because...
It makes the instructions to a caller clear and easy to understand and follow
It reduces the liability on a call taker and puts the responsibility back on the caller
It provides the caller with a sense of pride
It removes the guess work of trying to determine what instructions to give to the caller
True or False. A caller is Yellowknife requesting an ambulance for their friend in Edmonton who is sending them texts about harming themselves. It is acceptable to ask a caller to hangup, text their friend back and have their friend call 9-1-1 in the location they are in for help.
As per the International Academy of Emergency Dispatch, "When in doubt, send them out" and "Always err in the direction of caller safety" are a part of the 4 main rules of EMD/EFD dispatch.
True or False. More than 70 percent of callers are first and second party callers and therefore can provide information and some help.
True or False. De Luca's Law states, EMDs will follow all protocols per se, avoiding freelance questioning or information unless it enhances, not replaces, the written protocol questions and scripts.
True or False. Frenza's Law states, "A thing not looked for is always found."
True or False. When the Breathing Verification Tool icon is displaying as RED, not purple, it indicates that it's use is mandatory.
The Emergency Dispatcher should get the caller to repeat back the address and phone number as:
the Emergency Dispatcher repeating a similar address that is not correct, the caller may agree with as they are distraught
it provides the most accurate verification as the original provider of the address and phone number is providing it
Stating "please repeat the address for verification" does not typically irritate or confuse callers
it makes it clear to the caller that the Emergency Dispatcher understands what is going on and is getting help right away.
True or False. All electrocution and lightning strike patients are assumed to be in cardiac arrest until effective breathing is physically verified. Stay on the line with the caller until breathing can be safely verified.
Keeping a caller on the line in some dangerous incidents could create more danger by making them visible or more accessible to a violent patient or intruder. A way we can reduce the risk to callers is;
advise the caller to get somewhere safe and call back when safe
advise the caller to grab some sort of weapon to prepare to defend themselves
follow the text in case exit on what to do for caller danger for various situations
at any point stop caller interrogation and advise them to get somewhere safe and call back
True or False. EMD's first rule of hypothermia, "They're not dead until they're warm and dead."
It is normal for a caller to react to traumatic events through stress. The trick is to recognize and deal with the reaction. A great way to keep a caller calm enough to answer your questions and have them follow your instructions is to;
raise your voice to talk louder than them so they can hear you
speak at a steady and consistent tone
speak clearly and use repetitive persistence when necessary
address the caller by name if known
True or False. A Wake Effect Collision is where a collision is caused by an emergency vehicle, but does not directly involve the emergency vehicle.
True or False. Dispatch determinate codes OMEGA to ECHO in conjunction with proper medical protocols to triage emergency calls and local response policies, were developed as a way to decrease the number of "hot" (lights and siren) responses and decrease the number of potential emergency vehicle collisions.
True or False. Only people who have been trained in any International Academy of Emergency Dispatch (IAED) discpline, (EMD, EFD, EPD) for a period of 5 years or more can submit a "request to change" proposal form to the IAED.
True or False. Never ask the callers, "Do you want to help?" when attempting to provide life saving PDI's/PAI's.
True or False. Most home fires happen between 10pm and 6am.
Local Fire Administration/Agency must define and authorize for dispatch purposes, what constitutes a;
High Rise Large Non-Dwelling Building/Structure Small Non-Dwelling Building/Structure Commercial/Industrial Building
True or False. The questions in RED during Key Questions in a protocol are safety questions and MUST be asked.
These icons displayed for EFD ProQA are;
Equipment/Supplies Information, Subject's Outdoor/Backcountry Experience, Peron's Description, Vehicle Description
Go to Specific PAI, Equipment/Supplies Information, Lost Person Description, Accelerator Stuck & Can't Stop Vehicle
Vehicle Description, New Case, Urgent Message, Equipment/Supplies Information
Equipment/Supplies Information, Subject's Outdoor/Backcountry Experience, Lost Person Description, Clothing Description
After you have completed key questioning and dispatched out your resources with a determinate, the caller provides you with a change to one of the questions asked. You would change the answer to the question and update it by:
selecting the KQ tab at the top of the screen
clicking on the white box indicated "52- Alarms" and select a new chief complaint
double click on the question you want to change to open it and select the new answer
select the reconfigure button at the top of the ProQA screen where the icons are to get your new response determinate code
True or False. The summary tab in ProQA provides a basic overview of information, based on the questions answered into ProQA.
When using the Rule of Nines Tool, you have the option of;
using the tool to determine burn percentage for an adult/child
using the tool to determine burn percentage for an infant
using the tool to determine burn percentage for animals such as cats/dogs
using the tool to determine burn percentage and have that information transferred into ProQA upon hitting "close"
True or False. REPORTED BUILDING/STRUCTURE FIRES should be coded as ECHO.
For electrical transformer explosions, use EFD Protocol 57- Explosion.
In the Fire Protocols, if the chief complaint involves both a hazardous material and a fire, use the chief complaint that;
best addresses the hazardous material
best addresses the fire
has the most PDIs/PAIs
provides the best customer service
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