TL;DR
Implied Consent: Legal doctrine allowing treatment of unconscious patients based on assumed consent to life-saving care.
Implied Consent
Definition
Legal doctrine allowing treatment of unconscious patients based on assumed consent to life-saving care.
Exam Focus Areas
On the Nremt Emt, Nremt Paramedic, Cna Nnaap, Medical Assistant exam(s), questions about implied consent typically test:
- Correct medication selection, dosing, and route of administration
- Recognition of signs and symptoms requiring immediate intervention
- Assessment findings that differentiate between similar presentations
Equipment & Tools
Equipment used in implied consent assessment and treatment:
- BVM
- Bag-valve-mask for manual ventilation. Available sizes: Adult (1500mL), Pediatric (500mL), Infant (250mL)
- King airway
- Supraglottic blind-insertion airway device. Available sizes: Size 3 (4-5 ft), Size 4 (5-6 ft), Size 5 (over 6 ft)
- Waveform capnograph
- Measures end-tidal CO2 continuously with waveform display. Available sizes: Mainstream (inline), Sidestream (sampling)
Troubleshooting
Troubleshooting implied consent in the field:
- Waveform capnograph: If measures end-tidal co2 continuously with waveform display fails, verify connections, check battery, try alternate equipment. Available sizes: Mainstream (inline), Sidestream (sampling)
- BVM: If bag-valve-mask for manual ventilation fails, verify connections, check battery, try alternate equipment. Available sizes: Adult (1500mL), Pediatric (500mL), Infant (250mL)
- IO drill: If intraosseous access device for emergent vascular access fails, verify connections, check battery, try alternate equipment. Available sizes: EZ-IO: 15mm (peds), 25mm (adult), 45mm (obese)
Calculation Methods
Dosage calculations related to implied consent in EMS:
- nitroglycerin: 0.4mg SL q5min x3 doses (SL)
- naloxone: 0.4-2mg IV/IM/IN, titrate to respirations (IV, IM, IN)
- adenosine: 6mg rapid IV push, then 12mg if needed (IV rapid push with flush)
Pediatric dosing: always calculate by weight (mg/kg). Use Broselow tape if weight is unknown.
Why It Matters
Implied consent and limitations tested on EMT, CNA, and MA exams.
Related Terms
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