SNHD EMT EMS PROTOCOLS EXAM QUESTIONSWITH COMPLETE 100% VERIFIED SOLUTIONS 2024/2025, Exams of Nursing

Download SNHD EMT EMS PROTOCOLS EXAM QUESTIONSWITH COMPLETE 100% VERIFIED SOLUTIONS 2024/2025 and more Exams Nursing in PDF only on Docsity! SNHD EMT EMS PROTOCOLS EXAM QUESTIONSWITH COMPLETE 100% VERIFIED SOLUTIONS 2024/2025 Pediatric Oral Glucose Indication Glucose <60mg/dL Newborn Oral Glucose Indication Glucose <40mg/dL Pediatric pulse rate for cardiac arrest <60bpm Pediatric Narcan Dose and Route 2-4mg intranasal What age is considered pediatric for sexual assault victims? <18 years old During an internal disaster by a hospital that hospital should be bypassed unless the patient is in cardiac arrest or adequate ventilation cannot be established Mild, Moderate, and Sever signs of allergic reactions (Peds & Adults) Mild- Skin reaction Moderate- skin reaction w/ some respiratory involvement but the patient can still maintain good tidal volume and air exchange Severe- Respiratory difficulty Who should you never use Narcan on? Newborns Pediatric Patients with altered mental status- it is important to not excuse____ causes Drugs, alcohol, or diabetes Should narcan be administered before or after advanced airway procedures? Before A pediatric patients HR is less than 60bpm, what now? Immediately begin CPR Pediatric Rule of 9's - Head 18% BSA Pediatric Rule of 9's - Arms 9% BSA Each Pediatric Rule of 9's - Legs 14% BSA Each Pediatric Rule of 9's - Anterior Trunk 18% BSA Pediatric Rule of 9's - Posterior Trunk 18% BSA Pediatric Rule of 9's - Groin 1% BSA Life resuscitating treatment includes Chest compressions Defibrillation Assisted ventilations Prior to transfer who is responsible for notifying the reciveiving staff of reason, patient condition, and ETA? The physician to the receiving physician Criteria a patient must meet in order to be transported to a drug and alcohol rehab facility (vs an emergency room) BP: 90-180/60-100 Pulse: 60-120 Respiratory Rate: 12-22 Blood Glucose: 60-250 GCS: >14 Spo2: >94% or >90% for a smoker No Medical Complications No signs of trauma No suspected head trauma Approval of physican or mediacal staff prior to transport When resuscitation efforts are terminated what should you do with medical interventions? leave them in place When can you transport or move a body w/o permission from the coroners office? Never Indication for manual cervical stabilization Midline cervical tenderness Focal neurologic deficit AMS Moderate Hypothermia Criteria 82-90 degrees F Severe Hypothermia Criteria <82 degrees F What kind of drugs can elevate body temperature? Cocaine, Amphetamines, and salicylates STEMI stands for ST elevation myocardial infarction EMT-B treatment for STEMI 324mg aspirin or patients dose of nitroglycerin Key Feature of heat cramps Benign (not harmful) muscle cramps Key Feature of heat exhaustion Altered mental status, hypotension, elevated temperture Key Feature of of heat stroke Altered mental status and body temp >104% Field signs of preeclampsia Change of vision, headache, and RUQ Abdomen pain examples of opiates morphine, heroin, methadone, codeine, oxycodone Key signs of CHF JVD Pink Frothy sputum (Pedal) Edema Bilateral rales Key signs of a grand Mal seizure Loss of consciousness Incontinence Oral Trauma Key signs of focal seizures -Only 1 part of the body affected -Not typically associated w loss of consciousness Hypotension is typically defined as _______ but ______ A systolic BP <90, should be interpreted based on patients normal blood pressure Causes of hypovolemic shock (loss of blood and fluid apply) Hemorrhage, trauma, etc Causes of cardiogenic shock Heart failure, MI, Cardiomyopathy (disease that makes heart pump more difficult, and myocardial contusion (bruise of the heart muscle) Cause of disruptive shock (abnormal distribution of blood flow) Sepsis, anaphylaxis, and neurogenic toxins Causes of obstructive shock (shock due to obstruction to a great vessel/heart) Pericardial tamponade, pulmonary embolus, etc R.A.C.E stands for (Stroke score) Rapid, Arterial, Occlusion, evaluation Lowest RACE score 0 Highest RACE score 9 RACE Score - Facial Palsy 0- Absent 1- Mild 2- Severe RACE Score - Arm Motor Function 0- normal/mild 1- moderate 2- severe RACE Score - Leg Motor Function 0- normal/mild 1-moderate 2-severe RACE Score - Head & Gaze Deviation 0-absent 1- present RACE Score - Aphasia 0-both tasks done correctly 1-one task done correctly 2- neither task done correctly RACE Score - Agnosia 0- recognizes arm and impairment 1- Recognizes arm OR impairment 2- does not recognize arm or impairment How to conduct a aphasia RACE score test Instruct patient to "Close your eyes and make a fist" When to conduct the aphasia test right hemiparesis When to conduct the agnosia test left hemiparesis Hemiparesis weakness on one side of the body Burn patients are prone to hypothermia Do NOT use a manual compression device on what types of patients Pregnant Patients After the AED is read (whether shockable or not) what do you do? Immediately begin CPR How long and w with do you flush the eyes out with? Water or normal saline for 10-15 minutes Adult cardiac arrest witnessed by EMS or CPR in progress (Rate & Rhythm) & AED application Begin CCC at a rate of 100-120bpm and apply AED right away Adult Cardiac Arrest unwitnessed by EMS & no CPR in progress & AED application Begin CCC for 2 minutes before applying the AED APGAR stands for activity, pulse, grimace, appearance, respiration When do you record APGAR score 1 an 5 min after birth APGAR - Activity points 0- Absent 1- Flex arms 2- Active APGAR - Pulse points 0- absents 1- Below 100bpm 2- Over 100bpm APGAR - Grimace points 0- no reaction 1- minimal response 2- prompt response APGAR - Appearance points -type of liquid submerged in - Depth of drowning - Time emerged Key factor to consider with a drowning victim Possible trauma Neonatal Resuscitation CPR ratio 3:1 Step to Neonatal Resuscitation - Warm - Open airway - Dry baby - stimulate baby - ventilation managment - Spo2 monitor What do you cover a thermal burn with? dry sterile dressing What to remove from a thermal burn exposure patient? Smouldering clothing and jewelry Never transport a patient in the ___ position Prone Adult oral glucose indication <60 mg/dL A BVM is acceptable when pulse oximetry is kept above 90% In a suspected brain injury, position the bed___ at a 30 degree angle How many waiting room criteria must be present? All Step 1 of Trauma Field Triage Measure vial signs and level of consciousness Step 2 of Trauma Field Triage Assess anatomy of injury Step 3 of Trauma Field Triage Assess MOI and evidence of high energy impact Step 4 Trauma Field Triage Assess special patients Step 1 of Trauma Field Triage Criteria A. GCS is 13 or less B. Systolic BP <90mmHg C. Respiratory Rate less than 10 or more than 29 D. Is in need of ventilatory Support Step 2 of Trauma Field Triage Criteria A. Penetrating injuries to head, neck, torso, or extremities proximal to elbow or knee B. Chest wall instability or deformity C. Two or more proximal long bone fractures D. Crushed, devolved, mangled, or pulseless extremity E. Amputation proximal to wrist or ankle F. Pelvic Fractures G. Open or depressed skull fractures H. Paralysis Step 3 of Trauma Field Triage Criteria A. Falls B. High Risk Auto-crash C. Motor Cycle Crash greater than 20 mph C. Auto vs pedestrian Step 4 Trauma Field Triage Criteria A. Older Adults B. Children C. Anticoagulants and bleeding disorders D. Burns E. Pregnancy >20 weeks F. Provider Judgement Fall Trauma Criteria Adults- greater than 20 feet Children- greater than 10 ft of the height of child Auto Crash Trauma Criteria 1. Crash speed over 40mph 2. Intrusion greater than 12 inches 3. Any ejection 4. Roll over 5. Death in the same passenger compartment Older Adult Trauma Special Assessments -Risk of injury -Systolic BP less than 110 mmHg - Low impact mechanisms Children should always be transported to a trauma center Burn Special Trauma Assessments - If no other trauma relevant, transport to Burn Center - Trauma patients w/ burns falling into St Rose Siena catchment area will be transported to Sunrise Hospital If a physician giving on-line medical consultation directs you to provide care not explicitly stated in the protocols, what do you do? Notify office of OEMSTS In a behavior emergency if patient is a risk to yourself of themselves Use a 2 or 4 point restraint as need, and call law enforcement Scene time for stroke patients Less than 10 min Telemetry shall be established for -Time sensitive calls - Medical emergency where physician consultation is necessary - for all trauma en route to trauma -When telemetry is indicated per protocol Telemetry should be established by radio POLST stands for Physician Orders for Life-Sustaining Treatment Valid forms of DNRs form, wallet card, or medallion issued by the SNHD, or any identification issued by another state Does verbal instruction from family or friends validate a DNR or POLST? No Faxed, copied or electronic versions of DNRs and POLSTs are VALID Obvious signs of death body decomposition, decapitation, transection of thorax, incineration, or functional separation from the body of the heart, brain or lungs All 5 preemptive signs of death 1. Unresponsiveness 2. Apnea