121. 13 & 14 Ems Protocols/ Review Flashcards
List four sign or symptoms of Carbon monoxide Poisoning?
Headaches,
errors in judgment,
Confusion,
loss of coordination,
loss of consciousness,
chest pain,
cyanosis,
seizures,
irritability,
vomiting
The first step treatment of carbon monoxide poisoning is?
Remove patient from the contaminated environment, if safe to do so
Use of pulse oximeter is a reliable tool for measuring O2 saturation with carbon monoxide
poisoning?
T or F
False
Whom should you contact if you need assistance in managing specific overdoses?
Contact Poison Control on Channel H-11 or
call 1-800-222-1222.
Cyanide is a cellular toxin – it halts respiration at the __________.
Cellular level
What are some early signs and symptoms of cyanide exposure?
Anxiety,
vertigo,
weakness,
headache,
tachypnea,
nausea,
dyspnea,
vomiting,
tachycardia
If you have a patient that has been bitten / stung by an insect, reptile, or animal that has caused
injury to your patient, should you bring the living animal to the hospital with you?
No. Do not transport it with you.
Remove restricted clothing from pt
If an anaphylactic reaction occurs as a result of a bite or sting you should?
Reference: 2014 Protocols page 69
Refer to the allergic reaction/anaphylaxis protocol.
?
Once the head emerges, suction the newborns mouth then nose to clear secretions. If the cord is
wrapped around the newborns neck, what shall the provider attempt to unwrap from the neck.
The provider shall attempt to unwrap it from the neck.
If unable to remove the cord, attach the 2 umbilical clamps and cut the cord between the
clamps.
What is the first step in the birthing process once the head presents itself?
You are to suction the newborn’s mouth then nose to clear secretions.
Once delivery is accomplished, clamp the cord at _____ and _____ from the navel and cut
between the clamps.
Reference: 2014 Protocols page 109; (All Providers)
??
6” and 8”
When should you score the APGAR score?
At 1 minute and at 5 minutes
What is a prolapsed cord?
When the umbilical cord presents itself outside of the uterus while the fetus is still inside.
What position should you place the mother in that has a prolapsed cord?
Reference: 2014 Protocols page 112
????
You should place the patient in the knee-chest position.
In the event that the patient has experienced a miscarriage and if there is any question as to the
approximate gestation of the fetus you should?
Provide resuscitative measures
If the newborn has a heart rate of less than 60 bpm or 60-80, and the chest is not rapidly rising, the provider should perform what procedure?
Initiate CPR with a Bag-Valve –Mark with supplemental high flow O2
When does the protocol Trauma in Pregnancy apply to the pregnant patient?
The pregnant patients are 20 weeks or greater in gestation.
According to the protocol Trauma in Pregnancy, what are the 2 instances where you would not resuscitate the patient?
Where there is apparent dependent lividity and rigor mortis.
Hyperthermia reactions generally relate to _______, _______, or in severe cases, _______.
Heat cramps,
heat exhaustion, or
in severe cases heat stroke.
What should you do if heat exhaustion or cramps are suspected?
Move the patient to a cool environment and obtain a temperature.
If heat stroke is suspected where should you place cold packs on the patient?
Cold Packs should be placed at the
groin,
under the axilla,
around the neck.
What is hypothermia defined as?
Hypothermia is defined as a core temperature below 95°F
Patients that are restrained should never be placed in the prone or face down position nor have
external pressure on the Chest that may impede respiration.
Prone or face down position
A patient with moderate to severe hypothermia may often present with signs and symptoms of?
Hypothermic patients may have altered mental status and occasionally a decreased pulse,
respiratory rate, and blood pressure.