121. 12 Ems Flashcards
Medical communications is a vital component of pre-hospital care, Medical communications with Medical Control or a receiving facility should be conducted for
every __________ patient.
Priority 1 patient
When transmitting patient information, ________ include personal or sensitive information.
T or F
False (DO NOT)
Hospitals will designate personnel to assess patients brought by EMS transport units with the goal of transferring care and releasing the unit within __________ of the patient’s arrival to the
Emergency Department (ED).
10 minutes
Upon arriving at a receiving facility,
EMS providers will not initiate new medical care once they cross the threshold of the facility.
T or F
True
In general patient care for a patient with chest pains, you should administer_________ PO
(chewed or swallowed) if not taken during the previous 24 hours or has a known allergy?
Aspirin 324 mg
(4 pills that are 81mg)
What would a provider do if a patient presentation is atypical and the protocol treatment may not be in the best interest for the patient or in any situation where the EMS provider is not sure about the best treatment for the patient?
Contact Medical Control
What is the dose of Albuterol given via nebulizer?
2.5mg
What is the dose of Atrovent given via nebulizer?
500 mcg
A patient with Asthma/COPD that presents respiratory distress with suspected bronchospasm/wheezing. How many times may all providers administer Albuterol with Atrovent via a nebulizer?
Once
For Asthma and COPD patients the CPAP device is started at 10 cmH2O with an in line
nebulizer.
True or False
False, it is started at 5 cmH2O
If a patient with a medical history of asthma, and is in extremis you should administer?
Epinephrine 1:1000 0.3mg IM via auto injector to the lateral aspect of the thigh
If the patient is > 8 years of age with a blood glucose level of ______ and displays signs/symptoms of hypoglycemia, administer oral glucose 24-50 gm SL if the patient is conscious enough to swallow.
<70mg/dl
If a narcotic (opiate) overdose is suspected with a GCS of less than 13; the BLS provider shall
administer?
Naloxone (Narcan) 2mg IN
If a patient presents with a severe anaphylactic reaction with associated hypo-perfusion and/or
respiratory distress, proceed to the following treatment regimen?
Epinephrine Auto-injector Adult 0.3 mg IM
The current hospitals in the District of Columbia identified as designated stroke centers are?
-George Washington Hospital (H08),
-Georgetown Hospital (H07),
-Washington Hospital Center (H13),
-Howard University Hospital (H05),
-Providence Hospital (H10)
-Sibley Hospital (H-12).
On what channel on the radio can you contact Poison Control?
Channel H-11 or you can call 1-800-222-1222
In general indications for a referral to a burn center apply to patients with basically _____ or
_____ degree burns.
2nd or 3rd
Consider activation of the _________ for a patient involved in an unusual extrication, prolonged
crush injury, or possible field amputation.
GO TEAM
__________ is a limb and life-threatening condition seen when perfusion pressure falls below
tissue pressure in a closed anatomical space in instances of Long Bone fractures, high energy
trauma, crush injuries.
Compartment Syndrome (CS)
What is the cut-off age to take a child with a major burn or major trauma to Children’s National
Medical Center (CNMC)?
<15 years of age
When does the PDOA protocol not apply to the trauma patient that is pregnant?
When the patient is 20 weeks or greater in gestation, except where there is apparent dependent
lividity and rigor mortis.
When the BLS provider contacts medical control which hospitals are medical control hospitals
for patients being transported to them?
Each hospital shall serve as medical control
When you have a pediatric patient and need to contact medical control what hospital would you
utilize?
Hospital 02 (Children’s National Medical Center)
What does AVPU stand for?
A–Alert,
V-Responsive to Verbal Stimulus,
P-Responsive to Painful Stimulus,
U-Unresponsive