Discuss situations that require a medical consultation prior to treatment
What will be an ideal response?
In order to optimize safety, consultation with a patient's physician is sometimes needed prior to local anesthesia. Medical consultation may be considered when a patient has symptoms of undiagnosed disease and/or has not had regular medical exams. It may also be considered when there are gaps in information provided, when pregnant, or when other concerns suggest follow-up is necessary. Medical conditions that suggest a need for consultation include cardiovascular conditions, recent surgeries, uncontrolled hypertension, psychological conditions that may influence oral procedures, compromised liver and/or kidney function, immune system compromise, and any concerns regarding local anesthesia and/or treatment. A consult with a patient's physician is also recommended in order to clarify details and, in some cases, to ensure safety during anesthetic procedures. This is especially true if patients are unable to recall or appear to be withholding important details about medical conditions or current medications. An incomplete understanding of health status can result when there is no history of recent medical care.
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While riding a bike, a young boy fell onto a stick protruding from the ground. The stick impaled him in the neck. The boy immediately pulled the stick out and ran home, where his mother called 911. Assessment reveals a gaping wound to the right neck. All hemorrhage has clotted off and manual in-line spinal stabilization is being maintained. Which one of the following instructions should you
provide to the other EMTs on scene? A) "Take some sterile gauze and carefully place it inside the open wound to prevent additional bleeding." B) "Place an occlusive dressing over the wound and tape it on all four sides." C) "Apply a sterile dressing over the wound and hold it in place by wrapping roller gauze around his neck." D) "Do not worry about covering the wound, just place a cervical collar on him and carefully transfer him to the long board."
Select the appropriate HCPCS code for the following item
Ambulance response and treatment, no transport