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Advanced Care Paramedic (ACP)

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A recently graduated working paramedic is referred to as an Advanced Care Paramedic, or an ACP. An ACP follows a clinical structure, the first aspect of the format is called a primary survey which collects all emergency patient information. This compulsory technique aims to identify and control catastrophic medical events to ensure patients have the best outcome possible (Hodegetts et al., 2011). When conducting a primary survey of a patient an ACP would follow the basic structure of danger, response, airway, breathing and circulation; usually shortened into the acronym DRABC (Woo, 2000).
To begin the primary survey, DRABC should be started as soon as possible (QAS reference). It is crucial for effective, emergency response to patients suffering
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Upon arriving at the scene, the advanced care paramedic would begin the primary survey. All dangers would be assessed, including environmental dangers, animals, agitated bystanders and any other alarming cues. Once all dangers have been assessed the ACPs begin investigating the patient’s responsiveness using the acronym AVPU (QLD.gov.au, 2016). An assessment of their alertness, verbal response, response to painful stimuli or unconsciousness is completed. Once assessed, the patient’s airway is then checked to be clear of any obstructions to ensure proper respiration can occur, at this point, the triple airway manoeuvre would be adjusted to only the opening of the mouth and the jaw thrust (QLD.gov.au, 2015). If the patient complains of neck and back tenderness, neurological deficit, evidence of intoxication or a distracting injury (QLD.gov.au, 2016. 2) spinal immobilisation is required to ensure no further damage to the spinal cord occurs or an aid to keep the patient as calm as possible if a distracting injury (Hodegetts et al., 2011). The patient's breathing should then be assessed now that the spine in immobilised to ensure the depth, rate and rhythm of the breaths are adequate. If needed an oropharyngeal airway may need to be inserted into the mouth to keep the tongue from blocking the airway if it is tolerated (Higginson et al,. 2013). Lastly, in the primary survey, the…show more content…
Thus Paramedics Australasia devised an introduction to the clinical role of a paramedic, although slight variations in differing jurisdictions. Under Paramedics Australasia a paramedic is a health professional that provides emergency medical treatment and assessment, rapid patient response in an out-of-hospital setting (Paramedics.org, 2016) It is important for paramedics not to exceed their scope of practice as the patient outcome is significantly decreased, a multidisciplinary view on the care being provided is negatively affected which in turn ensures non-informed decisions are being made for the patient unknowingly (Paramedics.org, 2011). If a graduated paramedic exceeds their scope of practice, patient outcomes become substandard to the care they could provide within their scope of practise (Fitzgerald,
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