1130 - Resuscitation Protocol

Question 1

Unquestionable death criteria

Patients meeting the following criteria shall be considered DOS: (9)

Answer 1

• Unresponsive
• Apneic
• Pulseless
• In addition to the above, the patient shall meet AT LEAST ONE of the following:
  
  • The patient has lividity (discoloration of dependent parts of the bod by gravitation of blood)
  • The patient has clear signs of body decay or visible decomposition
  • The patient has rigor mortis (rigidity)
  • The patient has an open cranium with exposed brain matter
  • The patient is decapitated or has severed trunk

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Question 2

Trauma death criteria

Blunt chest trauma or multi-system trauma patients meeting the following criteria shall be considered DOS: (3)

Answer 2

• Apneic
• Pulseless
• If cardiac rhythm is asystole or wide complex ventricular rhythm of 30 or less without a pulse, document time and call code.

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Question 3

Medical asystole

Resuscutation efforts may be terminated ONLY when ALL of the following criteria exist: (4)

Answer 3

• Arrest was not witnessed
• No shocks provided prior to JFRD arrival
• Patient is 18 years old or greater
• Rhythm remains asystole after providing 20 minutes of full ACLS

Question 4

Acutely hypothermic patients on cardiac arrest shall be treated and transported

• Includes submersion victims <60 minutes

true or false?

Answer 4

true

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Question 5

Control of death scenes is the responsibility of _______ ___________________.

Answer 5

law enforcement

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Question 6

As a general rule, LEO voluntarily defer to the EMS provider for resuscitaion decisions; however, ultimate responsibilty for control of death scenes rest with law enforcement. true or false?

Answer 6

true

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Question 7

If a LEO denies you access to the scene, they are assuming full responsibilty and acting within the law to preserve evidence.

true or false?

Answer 7

true

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Question 8

If a LEO denies you access to the scene, you must: (2)

Answer 8

• Obtain LEO’s name and badge #
• Explain to LEO that you are required to document in the PCR that they assumed the responsibility for the pronouncement of death and the denied you access to the scene.

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Question 9

The State of Florida’s “Do Not Resuscitate Order” (DNRO) form will be honored per requirements of F.S. 401.45(3)(a) and F.A.C. 64J-2..018.

true or false?

Answer 9

true

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Question 10

If there is any doubt of the authenticity of the DNRO form, resusitation will be performed.

true or false?

Answer 10

True

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Question 11

The DNRO form and patient identification device must be signed by the patient’s physician.

true or false?

Answer 11

true

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Question 12

During each transport, the EMS provider shall ensure that a copy of the DNRO form or the patient identification device accompanies the live patient.
true or false?

Answer 12

true

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Question 13

DNRO may be revoked any time by pt, if signed by pt, or pt’s health care surrogate, or proxy or court appointed gaurdian or person acting pursuant to durable power of attorney. true or false?

Answer 13

true

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Question 14

The EMS provider shall provide comforting, pain-relieving and any other medically indicated care, short of respiratory or cardiac resuscitation.

true or false?

Answer 14

true

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Question 15

Use of the patient identification device is voluntary and is intended to provide a portable _________ which travels with the patient.

Answer 15

DNRO

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