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Medical: 5

Cardiology: 2 ════════════════════════════════════════════════════════════════════════════════════ ══════════════════════════

  • (3)

    Therapy rendered

  • (4)

    Family present and apprised of the situation

  • (5)

    Communicate any resistance or uncertainty on the part of the family

  • (6)

    Maintain continuous documentation to include the ECG

  • (7)

    Mandatory review after the event

    • (a)

      Grief support (according to local protocol)

      • i)

        EMS assigned personnel

      • ii)

        Community agency referral

    • (b)

      Law enforcement (according to local protocol)

      • i)

        On-scene determination if the event/ patient requires assignment of the patient to the medical examiner

      • ii)

        On-scene law enforcement communicates with attending physician for the death certificate

      • iii)

        If there is any suspicion about the nature of the death, or if the physician refuses or hesitates to sign the death certificate

      • iv)

        No attending physician is identified (the patient will be assigned to the medical examiner)

XIV.

Vascular disorders

A.

Epidemiology

  • 1.

    Trauma

  • 2.

    Non-traumatic

    • a.

      Precipitating causes

      • (1)

        Atherosclerosis

      • (2)

        Aneurysm

        • (a)

          Atherosclerotic

        • (b)

          Dissecting

        • i)

          Cystic medial necrosis

        • (c)

          Infections

        • (d)

          Congenital

      • (3)

        Marfan's syndrome

      • (4)

        Inflammation

        • (a)

          Arterial

        • (b)

          Peripheral arterial atherosclerotic disease

      • (5)

        Occlusive disease

        • (a)

          Trauma

        • (b)

          Thrombosis

        • (c)

          Tumor

        • (d)

          Embolus

        • (e)

          Idiopathic

      • (6)

        Venous thrombosis

B.

(a)

Phlebitis

(b)

Varicose veins

Morbidity/ mortality

1. 2. 3 .

Pulmonary occlusion Cerebral occlusion Mesenteric occlusion

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────────────────────────── United States Department of Transportation National Highway Traffic Safety Administration Paramedic: National Standard Curriculum

34

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