Pre-hospital Emergency Care
Word count: 791
Choice count: 23
Section count: 15
Image count: 15
Error count: 12
Field Related Analysis
Paramedics : 63 matches
(ambulance, cardiac, cardiac arrest, care, cooperative, cpr, doctor, emergency, hospital, intervention, level, nurse, pain, patient, resuscitation, shift, sleep, stage, supervisor, truck, paramedics)Education : 36 matches
(choice, don, first, intervention, knowledge, level, training)Nursing : 27 matches
(ambulance, b.d., cancer, capacity, cpr, doctor, eye, hospital, lead)Target Structure: (2 matches)
internship (1 match)
ojt (1 match)
Pre-hospital Emergency Care
Where should I go work?
I am at the finish lining of the program and I just finis my final internship. Now, I need to choose where I am gonna work.
Choice 1 : The Cooperative des paramedics de l'Outaouais.
Choice 2 : Urgence-Sante.
The Cooperative des paramedics de l'Outaouais.
It's your first shift in Gatineau. You are responding in a CHSLD to an 80-year-old man who's in a cardiac arrest. The Nurse tell you to do the CPR but also tell you not to intubate him, the son of the man tells you not to do CPR and the daughter tells you to do all you can to resuscitate her dad.
Choice 1 : You do the CPR but don't intubate.
Choice 2 : You don't initiate CPR.
Choice 3 : You do the CPR.
You do the CPR but don't intubate.
Can you trust the nurse? Do she really knows the patient and is level of care?
Choice 1 : You trust the nurse.
Choice 2 : You ask for a paper signed by a doctor.
You trust the nurse.
Wrong choice! You should always ask for a legal document when dealing with this type of intervention. The patient didn't want any CPR.
Choice 1 : Start again
You ask for a paper signed by a doctor.
Good job, you make the right choice because the patient doesn't want any CPR.
Choice 1 : Start again
You don't initiate CPR.
Great job! Because of your great knowledge you ask the nurse for the official paper signed by the doctor. On the paper you see the inscription DNR which means do not resuscitate.
Choice 1 : Start again
You do the CPR.
Difficult day on the job! The old man didn't want to be resuscitated, but now because of your CPR technique the patient is alive. He wanted to die because of his stage 4 cancer, but now he will have to continue his life with his terrible pain. You will have to have a talk with the human resources about this. You will have to do something to correct this error.
Choice 1 : You do an on the job training.
Choice 2 : You quit the job.
You do an on the job training.
Great! By doing an OJT you will be able to go back on the road very soon with better knowledge.
Choice 1 : Start again
Urgence-Sante.
Great! You choose Urgence-Sante, the corporation deserving Montreal and Laval. I hope you know you will be very busy in these two sector...maybe to busy. It's your first shift, and you are in retention at the hospital. You've been there waiting for your patient to have a bed for 3 hours. What should you do during this time?
Choice 1 : You keep a good eye on your patient.
Choice 2 : You eat your lunch.
Choice 3 : You go sleep in the ambulance.
You keep a good eye on your patient.
You did the right thing! Your patient is crashing, you need to do something right now, or he will die!
Choice 1 : You run to go get a nurse.
Choice 2 : You take your patient in the resuscitation room.
You run to go get a nurse.
You run, you run, and you run, but you can't find any nurse, they're too busy with the other patient. The hospital is at full capacity. As we know, when a patient is crashing, time is a life saver. The extra time you spend trying finding a nurse will cost some neuron to the patient. He will never be the same.
Choice 1 : Start again
You take your patient in the resuscitation room.
Good move! Time is life. You just save this man life. I bet his family will be very happy of your choice's. By taking the lead and directly initiate CPR you just change a family life.
Choice 1 : Start again
You eat your lunch.
So, you are hungry? It's a good choice to go eat now! As you are working at Montreal and Laval there is a lot of call waiting for an ambulance. You'll probably not be able to take your hour of lunch, so you better eat right now or never.
Choice 1 : Start again
You go sleep in the ambulance.
You are working on the night shift. I can understand you are tired but maybe your supervisor will not be happy, what a bad luck, he just shoved up at the hospital, and he catches you sleeping in the truck. How you are gonna handle this with the human resources?
Choice 1 : Start again
