It is TRUE that if a medical professional recommends a treatment that follows conventional best-practice guidelines, MACRA allows for the possibility that they will be rated less favorably than other professionals.
The Medicare Access and CHIP Reauthorization Act of 2015, often known as the Permanent Doc Fix, is a piece of American legislation. Following the passage of the Affordable Care Act in 2010, the Bipartisan Act, which revised the Balanced Budget Act of 1997, made the most significant changes to the American healthcare system.
With the help of MACRA, a system that rewards high-value patient care and efficiency will replace the fee-for-service model. Medicare's provider payments under MACRA were altered in three significant ways.
Regulations relating to MACRA also cover financial incentives for doctors and other providers to use health IT. The Medicare Quality Payment Program was initiated as a result. The Merit-based Incentive Payment System (MIPS) or Advanced Alternative Payment Models (APMs) are two options for clinicians to engage in the Quality Payment Program. For doctors who qualify, MIPS is a scheme that combines three incentive systems into one. Clinicians that take part in cutting-edge payment models can receive rewards through APMs.
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Under MACRA, a medical provider who prescribes a treatment that does not adhere to traditional best-practice protocols may be evaluated negatively in comparison with other providers, even if the treatment is effective. This statement is true.
A treatment plan's key component is the relationship and trust between patients and clinicians. This association is impacted by shifting medical trends. The fundamental standards of conduct for all medical professionals are covered in this article. Medical ethical concerns frequently touch on matters of life and death. Patient rights, informed consent, confidentiality, competency, advance directives, carelessness, and many other topics are highlighted as serious health concerns. The proper actions to take in light of all the circumstances are what ethics is all about. It discusses the difference between what is proper and wrong at a particular moment and in a particular society.
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10. Which statement is true about hydration?
A. Dehydration impacts the function of the brain and can make concentrating more difficult.
B. Dehydration can lead to an increase in energy levels and an improvement in mood.
C. Dehydration results when your body has too much fluid to function normally.
O D. Your body doesn't get fluid from foods you eat.
Answer: A is the answer,
Explanation:
I believe you meant to say "Which statement is true about Dehydration?"
Nursing students are learning about the infectious process. They correctly identify the first stage of an infectious disease to be which period
The first stage of an infectious disease is the incubation period.
The incubation period is the time from the moment of exposure to an infectious agent until the onset of symptoms. During this stage, the infectious agent is multiplying and spreading within the host's body, but the host is not yet showing any signs or symptoms of the disease. This stage can last for a few days or even weeks, depending on the type of infectious agent and the host's individual response. It is during this stage that the person can unknowingly spread the infection to others, this is why it's important to know how to identify and prevent the spread of infectious diseases.
It's important to note that the incubation period is different from the prodromal period, which is the stage immediately before the onset of symptoms.
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Select the correct answer. When beginning an exercise program, it is important to gradually increase intensity and duration. A. True B. False
Answer:
A
Explanation:
just did it
What is the recommended frequency for cardiorespiratory training, if participating in vigorous-intensity exercise (e.g., jogging or running)
5 times a week is the recommended frequency for cardiorespiratory training if participating in moderate-intensity exercise like brisk walking.
Cardiorespiratory fitness (CRF) is the ability of the respiratory and circulatory systems to provide oxygen to the mitochondria of skeletal muscle for energy synthesis during physical activity. In adults, a low or unhealthy CRF is a powerful, independent predictor of CVD and all-cause death. CRF is a predictor of several health markers in adolescents, including cardiometabolic health, early CVD, academic achievement6, and mental health.
While RF is measured in some children, such as those who have congenital heart disease, asthma, or cystic fibrosis, CRF testing offers a broader variety of uses. CRF is a standardized health metric that can be followed over time & compared across groups.
Cardiorespiratory fitness has several advantages. It can lower the chance of developing heart disease, lung cancer, diabetes type 2 stroke, and other disorders. Cardiorespiratory fitness improves lung and heart health while also increasing emotions of well-being.
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A heath care provider is reviewing the history of a patient who is about to begin furosemide (Lasix) therapy to treat hypertension. Which of the following drugs that the patient takes should alert the health care professional to take further action?
A. Phenytoin (Dilantin) for a seizure disorder.
B. Lithium (lithobid) for bipolar disorder
C. Warfarin (Coumadin) to prevent blood clots
D. Erythromycin (erythrocin) for bronchitis
The drug regarding which patient should alert the health care professional is Lithium (lithobid) for bipolar disorder
The healthcare provider must be aware of any potential interactions between these two drugs if a patient is receiving lithium for bipolar disorder and is about to start furosemide (Lasix) therapy to treat hypertension. The body's electrolyte balance, particularly the quantities of sodium and potassium, can be impacted by both lithium and furosemide.
Because of this, the healthcare practitioner should carefully check the patient's electrolyte levels while they are taking these two drugs together and may need to change the dosage or frequency of one or both prescriptions. The patient should also be told about any dangers and adverse effects of taking these medications together by the healthcare professional.
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a 39 year old patient underwent a left femoral hernia repair. The postoperative diagnosis was recurrent left femoral hernia. What is the diagnosis code for this encounter
A femoral hernia typically develops near the top of the inner thigh when fatty tissue or a portion of the colon protrudes into the groin. Look for Hernia/femoral/recurrent in the ICD-10-CM Alphabetic Index. You're told to go to K41.91. Therefore, K41.91 will be the encounter's diagnosis code.
The femoral canal is when the femoral hernia pushes through a weak place in the abdominal wall, the surrounding muscular wall. Just below the groin, you could notice a bulge in the upper thigh. The majority of femoral hernias are symptomless. You can have some groin pain. When you stand, lift large objects, or exert yourself, it can get worse.
In order to communicate diseases, symptoms, aberrant findings, and other components of a patient's diagnosis in a fashion that is widely recognized by people in the medical and insurance industries, healthcare professionals employ the International Classification of Diseases (ICD) codes.
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I have a question???
ok sure ask it out, i wanna know it.
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which is the priority action in the immediate postoperative period of a child who has undergone a tonsillectomy
In the initial postoperative phase of a child who has had a tonsillectomy, aggressive hydration is the priority action.
The most crucial principle to remember tonsillectomy surgery is to stay hydrated. It is critical that the patient consume enough of fluids—more than usual—during the first 10-14 days to avoid dehydration. We feel that this reduces the chance of bleeding and, maybe, the temperature. If the patient is well hydrated, he or she will undoubtedly feel better.
Pedialyte is the best liquid, however weak Gatorade is an acceptable substitute. Sugary or caffeine-containing beverages are not suitable substitutes. Orange juice is quite acidic and will almost certainly sting. However, the ideal liquid is the one that the patient will drink in adequate quantity.
Avoid meals that are acidic, hot, hard, or crunchy since they might cause discomfort or bleeding. Rest. Bed rest is essential for several days following surgery, and vigorous activity like as jogging and biking should be discouraged for two weeks.
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A client who sustained serious burns now has a stress ulcer. Which clinical indicators of shock should the nurse immediately report to the primary healthcare provider
Serious burn injuries can result in a state of shock if the burn causes damage to the blood vessels. Symtpoms like weakness, Tachycardia, cold extremities, and diaphoresis should be brought to the attention of primary healthcare providers.
For a variety of causes, burn injury patients may develop psychological suffering. Just a few of the problems with burn injuries are the pain, the prognosis, and the drawn-out recovery times. The following are some additional reasons for similar emotional or mental distress: concerns about scars and physical appearance alterations. Skin tissue damage by hot (scald, flash, flame, contact), cold, electrical, chemical, radiation, sunlight, or other sources is known as a burn injury. One of the leading causes of morbidity and mortality worldwide is burns. They may cause severe disfigurement, physical damage, loss of employment, psychological issues, and a substantial financial burden.
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**GIVING A LOT OF POINTS**which tool would help a scientist observe cells
a- barometer
b- microscope
c- telescope
d-thermometer
Which one of the following is a positive effect of radiation?
a- medical scans of the body
b-high cost of electricity
c- fewer methods of travel
d- medicine to cure illness
Answer:
B. Microscope and A. medical scans of the body
Explanation:
sorry if I'm wrong
Should you Hold or Restrain a Person Having a Seizure?
It is not recommended to hold or restrain a person having a seizure.
It is generally not advised to hold or restrain a person having a seizure as it can be dangerous for both the person having the seizure and the person trying to restrain them. Instead, it is important to keep the person safe by removing any nearby hazards such as sharp objects or hard surfaces. Additionally, cushioning the person's head with something soft can help prevent injury. Stay with the person until the seizure is over, and make sure to time the seizure and note any unusual symptoms, if possible. If the seizure lasts longer than five minutes or the person has difficulty breathing, call your local emergency services immediately.
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regard placenta previa which of the following is true:
1. placenta previa can't be diagnosed by ultrasound
2. majority of low lying placenta at 20 week will remain so at term
3. the patient should be routinely managed as in patient with delay of delivery until the onset of labor
4. complication of placenta previa include need for cesarean, bleeding, accrete
(3&4) Patient should be routinely managed as in patient with delay of delivery until the onset of labor and complication of placenta previa include need for cesarean, bleeding, accrete are the truth regard placenta previa.
what is placenta previa?A prior delivery, being older than 35, and having a medical history that includes past surgeries like a caesarean section or uterine fibroid removal are all risk factors for placenta praevia.
The main sign occurs in the second half of pregnancy and is bright crimson vaginal bleeding without pain. Severe bleeding before or during delivery is another complication of the disease.
what is cesarean?The surgical operation known as a caesarean section, sometimes referred to as a C-section or caesarean delivery, involves delivering one or more babies through an incision made in the mother's belly. This procedure is frequently used when vaginal birth would endanger the mother or the baby.
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In patients at risk for meningitis/encephalitis, symptoms of headache, nausea, visual and gait disturbances are indications of:
In patients at risk for meningitis/encephalitis, symptoms of headache, nausea, visual and gait disturbances are indications of Increased intracranial pressure.
The pressure imposed by fluids such as cerebrospinal fluid inside the skull and on brain tissue is known as intracranial pressure. ICP is measured in millimetres of mercury and is typically 7-15 mmHg for a supine adult at rest. The body uses a variety of methods to maintain the ICP steady, with CSF pressures changing by roughly 1 mmHg in normal individuals due to changes in CSF production and absorption.
Changes in ICP are related to volume changes in one or more of the cranium's components. CSF pressure has been demonstrated to be affected by sudden changes in intrathoracic pressure during coughing, the valsalva manoeuvre, and vascular communication. Intracranial hypertension, also known as increased ICP or raised intracranial pressure, is a rise in cranial pressure. ICP is generally 7-15 mm Hg; above 20-25 mm Hg, the maximum range of normal, ICP therapy may be required.
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Bioengineered organs can potentially reduce the risk of transplants being rejected by a patient's immune system. What is the best design for a study that examines transplant rejection of bioengineered organs in different ethnic groups
Compare the frequency of transplant rejection of one organ among different ethnic groups of people.
Biological engineering, often known as bioengineering, is the use of biological concepts and engineering methods to develop practical, tangible, and commercially viable goods. The application of life sciences, physical sciences, mathematics, and engineering concepts to describe and solve issues in biology, medicine, health care, and other domains is known as bioengineering.
Healthy human cells (produced from organ tissue lost during surgery) and biomaterials are used to construct bioartificial organs. A bioartificial kidney, for example, is created by cleverly attaching kidney cells to a ′membrane′, a porous capillary built from artificial polymer fibre. Bioengineers and biomedical engineers commonly perform the following tasks: Create medical equipment and technologies such as artificial internal organs, body part replacements, and diagnostic instruments. Biomedical equipment installation, maintenance, and technical assistance.
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How long does a dream typically last near the end of the sleep cycle, just before waking?
Which of the following is an involuntary rhythmic movement of the eyes that is also associated with vestibular dysfunction
Nystagmus is an involuntary rhythmic movement of the eyes that is also associated with vestibular dysfunction
What is Nystagmus?A multitude of circumstances can cause nystagmus, an uncontrollable rhythmic side-to-side, up-and-down, or circular movement of the eyes. The condition of nystagmus itself is not harmful. It could, however, be linked to serious medical disorders, particularly those that impact the brain, like a stroke, brain tumor, poisoning, head trauma, and inflammatory diseases.
Various drugs, strokes, brain tumors, illnesses of the vestibular system, and other medical conditions are among the neurologic and medical causes of acquired nystagmus. The body struggles to maintain balance and may cause nystagmus when vestibular organs are not operating appropriately. For the majority of cases with congenital nystagmus, there is no cure. Depending on the reason, treatment for acquired nystagmus may vary. Nystagmus is sometimes irreversible.
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The complete question is -
Which of the following is an involuntary rhythmic movement of the eyes that is also associated with vestibular dysfunction?
a) Tinnitus (b) Vertigo (c) Presbycusis (d) Nystagmus
You are on scene at a suspected terror attack in which a RDD has detonated. A 67-year-old patient reports tightness in his chest. The patient is coughing up blood and is in respiratory distress. During the physical assessment, you notice subcutaneous emphysema. Which condition does the patient most likely have
The most likely diagnosis for a patient experiencing chest tightness, coughing up blood, and respiratory distress is a blast lung injury.
The patient most likely has a condition called a blast lung injury. It is a type of traumatic injury to the lungs that occurs as a result of exposure to a blast wave. Symptoms include tightness in the chest, coughing up blood, respiratory distress, and subcutaneous emphysema. Subcutaneous emphysema is the presence of air or gas in the subcutaneous tissue and is a sign of a blast lung injury.
The patient requires immediate medical attention, typically in a hospital setting with a trauma center. The treatment for a blast lung injury typically involves supportive care, such as oxygen therapy and mechanical ventilation, as well as management of any other injuries that the patient may have sustained.
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attach to sclera allowing precise and rapid movement of the eyeball
Answer:
EXTRAOCULAR MUSCLES
Explanation:
This is a group of 7 striated (fibrous, banded) muscles that connect to the sclera (see below) to control the movement of the eyes with rapid precision. :)
For a medication to work properly, the person taking the medication needs to take 1/2 oz. of this medication for every 40 lbs. per day. of body weight. How much medication should a person that weighs 180 lbs. take per day?
(i need a step-by-step answer)
180 divided by 40 gives 4.5
Convert 4.5 to a fraction and get 9/2
1/2 x 9/2 = 5
So 5 oz per day
A primary nurse receives prescriptions for a newly admitted client and has difficulty reading the healthcare provider's writing. Who should the nurse ask for clarification of this prescription
The healthcare provider who wrote the prescription should be called for clarification.
When a patient receiving intravenous vancomycin complains of ringing in both ears, what should the nurse do first?
Patients should discontinue taking vancomycin if they experience balance problems, hearing loss, or tinnitus in their ears. Ototoxicity brought on by vancomycin treatment may occasionally be irreversible.
Which move would the nurse make when preparing to administer a vancomycin infusion in order to prevent red man syndrome?
Red man syndrome can be avoided with the first dosage of vancomycin by giving patients diphenhydramine (1 g over 1 hour) prior to starting the infusion
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The nurse is developing a plan for psychoeducational sessions for a small group of adults diagnosed with schizophrenia. Which goal is best for this group
Demonstrate improved social skills, Improved social skills help patients maintain relationships with others.
What is schizophrenia?A severe mental illness called schizophrenia causes people to have aberrant perceptions of reality. The symptoms of schizophrenia may include hallucinations, delusions, and incredibly abnormal thought and behavior that make it difficult to go about daily activities and can even be incapacitating. Schizophrenia sufferers need ongoing care. Although the precise origin of schizophrenia is unknown, a mix of genetics, environment, and altered brain chemistry and structure may contribute.Decreased participation in daily activities, disordered speech or behavior, and ideas or sensations that seem disconnected from reality are all symptoms of schizophrenia. Also possible are issues with memory and focus.A combination of drugs, psychotherapy, and well-coordinated specialty care services are frequently used in the course of treatment, which is typically lifelong.To learn more about schizophrenia refer to:
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5. Which intervention regarding nutrition is implemented for clients who have undergone laryngectomy
Use enteral feedings after the procedure is implemented for clients who have undergone laryngectomy.
A laryngectomy is a surgical procedure that removes part or all of ones larynx (voice box). This procedure is used to treat laryngeal cancer and severe larynx injury. People who have a laryngectomy still can live a normal life. They must, however, learn new methods to breathe, talk, and swallow.
In 2013, over 60,000 persons in the United States had undergone a laryngectomy. Today, this figure is declining since fewer people smoke and improved surgical treatments may occasionally address diseases without removing the larynx.
Most individuals stay in the hospital for one to two weeks after having a laryngectomy. During this period, ones medical team will monitor your progress. You'll be fed through a feeding tube for the first several days. Your physician will remove the tube once you are able to swallow beverages.
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The drug development process involves many milestones. To be approved, potential drugs must demonstrate a positive patient outcome with minimization of harm. This is called ________.
To be approved, potential drugs must demonstrate a positive patient outcome with minimization of harm. This process of examine is simply called Clinical trials.
Recently, significant public investments in health care to find the medical treatments with the highest value have been sparked by the increase in health care expenses in the United States. The American Recovery and Reinvestment Act of 2009 specifically allocated $1.1 billion for "comparative effectiveness" research to assess "...clinical outcomes, effectiveness, and appropriateness of items, services, and procedures that are used to prevent, diagnose, or treat diseases, disorders, and other health conditions." 1 Despite the fact that a variety of study designs can achieve these objectives, randomized controlled trials (RCTs), in particular, continue to serve as the gold standard for comparing disease therapies. Clinical trial execution, however, requires a meticulous strategy based on scientific, statistical, moral, and legal considerations.
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A young mother is at the office for her 6-week visit. She is still experiencing mild lochia alba and is concerned that she has an infection. Which finding would the nurse interpret as supporting this suspicion
If the women is still having lochia alba and suspects for the infection, the nurse can give the validation if there is any foul smell along with the discharge.
Lochia alba is the last stage of yellowish white discharge from the body of the women after delivery of the child, which may last for 2 weeks to one month. Any bacterial infection in the vagina is generally detected by the formation of thick grey fluid, along with foul smell and irritation in the vaginal region. The women must be advised to undergo urine test to determine if there are any bacterial or fungal colonies inside her body so that specific treatment can be given to resolve this issue.
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Patients with damage in the left hemisphere often exhibit aphasia (inability to use or comprehend words). This is an example of
Patients with damage in the left hemisphere often exhibit aphasia (inability to use or comprehend words). This is an example of hemispheric lateralization.
Aphasia is characterised by an inability to interpret or formulate language as a result of injury to certain brain areas. The principal causes are stroke and head trauma; the incidence is difficult to ascertain, although stroke-related aphasia is believed to be 0.1-0.4% in the Global North. Aphasia may also be caused by brain tumours, infections, or neurodegenerative illnesses (such as dementias).
A person's speech or language must be considerably affected in one (or more) of the four components of communication following acquired brain damage to be diagnosed with aphasia. In the case of progressive aphasia, it must have diminished dramatically in a short period of time. Auditory comprehension, vocal expression, reading and writing, and functional communication are the four dimensions of communication.
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Mrs. G. reports an increase in her alcohol intake over the past 5 years. To screen her for problem drinking, you would use the:
To screen her for problem drinking, you would use the CAGE questionnaire.
The CAGE questionnaire is a commonly used screening tool for problem drinking and prospective alcohol issues. Its name is an abbreviation for its four questions. The questionnaire takes less than a minute to conduct and is frequently used as a rapid screening tool in primary care or other broad settings rather than as an in-depth interview for persons with alcoholism.
The CAGE questionnaire is not intended for a specific group, but rather to identify people who drink excessively and require therapy. The CAGE questionnaire is trustworthy and valid; nevertheless, it is not valid for diagnosing other drug use disorders, despite the fact that slightly modified versions of the CAGE questionnaire have been widely used for this purpose.
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In the early days of Biden's administration, the cold death hand of government regulation stretched farther than it did under Obama.
Answer:
Yes, the Biden administration has implemented more government regulations and restrictions than the Obama administration. This includes stricter environmental regulations, higher taxes, and more stringent labor laws. Additionally, the Biden administration has also implemented a number of executive orders that have further increased the power of the federal government.
Explanation:
The client is prepared, and procedural sedation anesthesia is established with morphine and midazolam. The client has ptosis and speaks in a slurred voice. Question 9 of 28 Which action should the nurse take
The first steps of the nurse when she sees a patient in the ptosis condition is that she must continue to monitor the patient regularly.
The condition of ptosis or droopy eyelids and slurred speech are the signs of the desired level of sedation for a client during the procedure and when the person is not in senses to govern his actions, it is the duty of the nurse to look after all the essential functions.
Anesthesia is a kind of medicine made from morphine and opioids which help in preventing pain in the body before surgery. Midazolam is also used as sedative in limited dosages.
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The health care provider has prescribed an over-the-counter antacid for a pregnant client in her first trimester who is having ongoing nausea, vomiting, and heartburn. Which instruction concerning the antacid should the nurse prioritize after noting the client is also prescribed a multivitamin supplement
The instruction concerning the antacid that the nurse should prioritize after noting the client is also prescribed a multivitamin supplement should be that the patient should take antacid 1 hour after the multivitamin.
The instruction that the nurse should prioritize after noting that the client is also prescribed a multivitamin supplement is that the patient should take the antacid 1 hour after the multivitamin. This is because certain antacids, when taken together with certain vitamins and minerals, can affect their absorption.
Many antacids contain aluminum, magnesium, or calcium, which can bind to dietary minerals such as iron, zinc, calcium, and folic acid, thus reducing their absorption. Therefore, it's recommended to take them at a separate time than when multivitamin supplements are taken to increase the effectiveness of the multivitamin and reduce the risk of nutrient deficiencies.
Additionally, separating the administration of the two agents would allow better identification of the treatment that is working best. It could be that the multivitamin is enough to alleviate the symptoms, and the antacid may not be needed after all.
It is also important to note that pregnant patients should always be counselled to check with their healthcare provider before taking any medication, including over-the-counter antacids, as some medications can be harmful to the developing fetus.
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What are some clues that would tell Alex that the scene is not safe to approach? Once the scene is deemed safe, what should Alex do to assess the people involved in the car accident?
How can you be of help in the event of a car accident? What would you do if you didn’t feel the scene was safe?
Answer:
Explanation:
At the scene of a car accident to see if it is not safe, check for any power lines that could have fallen. Leaking gasoline or fire.
IF it is safe make sure the people in the vehicle are ok and call 911 immediately if you dont have a phone point to someone and command them to call( most people assume the cops are already called and sometmes they arent). If the people are able to walk and are outside the vehicle alex should ask them if they know thier nanme, what day it is and see if their mind is ok. If she notices any injuries like bleeding, she should use compression if it is a deep wound. If it is a smaller wound simply tend to it. If they are unconcious Alex should first see if they are bleeding our still breathing.
If you are at an accident call an ambulance immediately. If the scene wasnt safe wait until proffesionals arrive and only act if there is no time to wait such as them bleeding out or not responding to your calls.