Module 1 Assignment 4
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Health Science
Date
Apr 3, 2024
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5
Uploaded by HighnessSalamanderPerson1058
Module 1 Assignment 4
Steven Burris
School of EMS
DFW-23-11-K1-HYF-PAR
24 December 2023
Prompt 1
1.
The four elements that must be present to prove negligence are defined below.
a.
Duty is defined as ”what you, as a paramedic, must do and how you must do it.”
The first duty of a paramedic is “Do no harm”.
b.
Breach of Duty is defined as the paramedic failing to perform within the standard
of care laid out by the national registry and local protocols.
c.
Proximate Cause is defined as the act that fell below the standard of care caused
the injury to which the patient is noting in their lawsuit.
d.
Damage is defined as the harm the patient endured. This can include, but is not
limited to, Physical harm, emotional distress, loss of income, loss of enjoyment of
life, loss of spousal consortium, loss of household services and loss of future
earning capacity.
2.
The elements of SOAP and CHART are described below:
a.
SOAP stands for Subjective, Objective, Assessment and Plan. The Subjective
space is used to state that the patient has told you may have happened. The
Objective space is used to state facts that you have found during your time with
the patient. The assessment section is used to state all assessment findings. Finally
the Plan section is used to state what your treatment plans are for the patient.
b.
CHART. C-Chief Complaint, the complaint the patient states. H-History, Any
history gathered about the current incident and general patient history. A-
Assessment, all assessments and vitals noted during your time with the patient.
R-Treatment, Any treatments provided by you, other responders with you and
their outcome. T-Transport, where and how the patient was transported.
3.
A surgical mask is used for general sicknesses and general isolation precautions. A
surgical mask has much less protection than a N95. A N95 is used for isolation when you
have a patient that has a known respiratory illness such as TB.
Prompt 2
1.
Aerobic respiration is much more effective than anaerobic respiration because aerobic
respiration takes place in the presence of oxygen and anaerobic respiration means that
respiration is taking place during a period in which there is an absence of oxygen. Thus,
given that aerobic respiration takes place in the presence of oxygen a larger amount of
ATP is made (38 molecules) than during anaerobic respiration (only 2 molecules)
showing the efficiency difference.
2.
The primary problem with anaerobic respiration is that it takes place in the absence of
oxygen meaning that there is less ATP (stored energy) created. While this indicates a
reduced energy, it also results in a buildup of lactic acid which can lead to lactic acidosis
when aerobic respiration does not start up again soon enough.
3.
In a state of shock, glycolysis creates 2 ATP molecules as well as 2 NADH molecules,
and pyruvic acid which quickly turns to lactic acid without oxygen. While inefficient, the
2 ATP molecules are still an energy source.
4.
When that energy source is exhausted, the body goes into a state of lactic acidosis which
is an excess of lactic acid in the body.
5.
The risk in using large amounts of fluids (Crystalloids) to reperfuse a patient in a state of
shock is that the fluids do not have the same oxygen carrying capability as blood products
do, potentially perpetuating a state of oxygen deficiency within the body.
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