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.
Patients in cardiac arrest with suspected severe hypothermia shall not be considered dead until?
Re-warming has been completed at a medical facility
What protocol applies to patients suffering from an accidental or intentional submersion in any
liquid?
Drowning/near drowning
When transporting a patient that has been restrained you must transport that patient in what
position?
Supine
You should always make sure that Law Enforcement is summoned to all responses involving
potentially combative patients?
T or F
True
For patients over 18 years of age and under 65 with normal signs and there is only an isolated
behavioral problems law enforcement can transport the patient to Comprehensive Psychiatric
Emergency Program (CPEP)?
True / False
True
Criteria for determining a patient presumed dead on arrival (PDOA) shall include those that are pulseless and apneic with one or more of the following?
-Rigor mortis
-Dependent lividity
-Decomposition
-Traumatic injuries incompatible with life such as organ destruction of the
-Brain or thoracic contents, decapitation.
-Incineration
-Submersion ≥24 hours
-Valid out-of-hospital DNR order is present
-A valid licensed physician, on scene, orders that resuscitation not be attempted
When you have a (PDOA) patient whom should you request to investigate the scene and assume responsibility for the deceased person?
Law Enforcement should be requested
Who does the District of Columbia honor reciprocity DNR orders?
Maryland and Virginia
What are the following interventions that may be provided to a patient who is wearing a DNR- CCO that is intact and has not been defaced to provide comfort of or alleviate pain?
a. clear the airway,
b. suction as needed,
c. provide oxygen,
d. administer pain medication,
e. control bleeding,
f. make comfort adjustments
Who can revoke the comfort care order at any time?
The patient or authorized decision maker/surrogate
When ventilating a child with special needs if the child’s condition improves there may have
been a problem with the ventilator?
True or False
True
Medications that a child is presently taking may be the cause for deterioration?
True or False
True
What is the most common emergency with central lines in children?
Blockage or obstruction of the line, complete or partial accidental removal or complete or partial
laceration to the line.
A good source of gaining knowledge on medical devices for children with special health care needs is to?
Ask the caretaker
If an in-dwelling catheter becomes completely removed you should attempt to reinsert the catheter and transport to the nearest hospital
- True or False?
False – Do not attempt
You should always bring the line with you to the hospital
– True or False?
True
Children with gastrostomy tubes will not have complications due to destruction or dislodgement of the tube
– True or False?
False
Are Fire/EMS personnel required to report cases of suspected child/elder abuse or neglect to the police agency responsible for the area which the call occurred?
Yes, you are required to report cases of abuse.
Should you confront or become hostile to the parent or caregiver that you think may be an abuser?
No, you should not confront the parent or caregiver.
If you suspect that a patient is being neglected should you report the situation?
Yes
What is the purpose of having Mass Casualty Incident (MCI) start and jumpstart triage protocol?
To provide structure to the triage and treatment of persons involved in a multiple or mass
casualty incident or a multiple patient scene.
What is the definition of a multiple or mass casualty incident?
An emergency scene that creates a number of patients sufficient to significantly overwhelm
available resources.
What is considered a Multiple Casualty Incident?
Less than 9 patients
How many patients do you have to have to declare a Mass Casualty Incident?
9 or more patients (needs to be declared)
What is the definition of Triage?
The process of sorting and categorizing patients based on the severity of their symptoms.
Patients will be categorized into the four following groups; each group has a color designation to assist in the rapid sorting of triaged patients. What are the colors and the title of them?
Red (immediate),
Yellow (delayed),
Green (minor),
Black (deceased)
During a primary triage, providers should spend no more than ______ with each patient.
30 seconds
After the initial evaluation of incident rehab, members will be reassessed after a ______ rest period.
20 minute
During Incident Rehabilitation member should not use what fluids as part of oral hydration?
Alcohol, caffeine or carbonated beverages
What is the acronym that can be used for determining symptoms of a nerve agent or organophosphate poisoning?
Reference: 2014 Protocols page 168
S L U D G E M C
S=
L=
U=
D=
G=
E=
M=
C=
What are the two chemicals most widely used in pesticides today?
Organophosphate and Carbamate
What is the two-part antidote for emergent treatment for a nerve agent exposure?
Atropine + 2-Pam chloride
What are the serious forms of human anthrax?
Inhalation,
cutaneous,
intestinal
What Biological poisoning symptoms may mimic pneumonia or food poisoning depending on the rate of transmission?
Ricin poisoning
With Acute Radiation Syndrome, can you use available radiation detection equipment to determine the presence of significant amounts of contamination on an individual?
Yes you can
What is considered the preferred method or solution for the decontamination of a patient with Acute Radiation Syndrome?
A lukewarm soapy water solution
