“To conserve life, alleviate suffering, promote health, do no harm, and encourage the quality and equal availability of emergency medical care”
Please read this information before your interview, you will be asked to recall some of these things
As part of EMS you play an important role in people’s lives, you are saving them. You must remain professional at all times and remember that your actions can have a profound impact on the people you treat.
When you arrive on scene, you are required to immediately assess who is in the most danger of losing their lives. This is called triaging.
You will be required to check vitals (pulse and breathing), the ones in the most danger are the ones that are the quietest.
If they are unconscious you must check their airway, breathing and circulation (ABC).
Airway: This means you make sure the airway is clear
Breathing: Check if they are breathing
Circulation: Check if they have a pulse and/or are bleeding. If they have no pulse, you must start CPR.
A set of CPR (/e cpr for the emote) consists of: 30 compressions to the chest, followed by 2 breaths, followed by checking their vitals. If they regain a pulse, stop CPR.
To perform CPR follow these steps:
- 3 sets of CPR (30 compressions and 2 breaths) – checking vitals between each round
- A shot of adrenaline
- 4th set of CPR (compressions and breaths) – check Vitals
- 1st Shock with AED (clear people around the patient, shoot them with your taser, check their vitals)
- 5th set of CPR (compressions and breaths)
- Declare your final (2nd) round of AED. If no pulse is to be found after that, complete the final set of compressions – check vitals and then record the city time as the time of death (TOD).
You will be asked to treat numerous gunshot wounds (GSWs) and stabbings. Below is the correct method for dealing with them:
Clean, gauze, bandage
- Clean with saline
- Pack the wound with gauze
- Bandage the wounds
Sometimes, you will need to take your patient to the hospital.
C-Collar, spinal board, ambulance
- Put a c-collar around the patient’s neck
- Secure them to a spinal board (make them aware that they will not be able to move whilst on the spinal board)
- Load them into the back of the ambulance, hook them up to a heart rate monitor if you are concerned about their pulse.
You will be asked to use some 10 codes. Below are the ones most commonly used:
10-04 – Acknowledged
11-99 – Medic/Officer down (these calls take priority).
10-41 – Coming on duty
10-42 – Coming off duty
10-47 – Injured patient
10-52 – Ambulance needed
10-76 – Enroute
You will see various levels of injury when examining patients.To treat these various levels of injury keep in mind the following:
Ibuprofen: Used when the injuries are minor.
Hydrocodone: Narcotic, used for moderate pain
Morphine (only command will carry this): Very strong narcotic, used only for severe pain.
One of the other common injuries you will come across is burns. Below is the following procedure for burns:
1st: Burn cream. 2nd: Burn cream, IV, bandage. 3rd: Burn dressing, IV, transport
When treating burns it’s important to remember the following:
- 1st degree burns: Think sunburn. Do NOT bandage this. Apply cooling burn cream.
- 2nd degree burns: These create blisters. Very painful, (tasering someone will cause a 2nd degree burn).
- Apply burn cream liberally
- Give IV fluids and offer strong pain medicine
- Bandage with film dressing.
- 3rd degree burns: Apply a burns dressing, put an IV in with saline and pain relief, transport to hospital.
- Usually it requires additional treatment at the hospital.