2021 TRAA STANDING ORDERS (Advanced EMT) Flashcards
You are providing care to a 54 yom patient having difficulty in breathing and is presenting with COPD exacerbation. CPAP is being applied to your patient. What is the max cm/H2O this patient can receive per standing order?
Answer: 5 cm/H2O
See page # 92 in the TRAA 2021.1.1 Standing Orders Book
You and your partner respond to a call for an unknown problem for a 32 yom patient. Upon your arrival, you note the patient to be cool, pale, and diaphoretic. Bystanders state that the patient was stung by a bee in the neck. The stinger has been removed and your patient is experiencing anaphylaxis. Your dose of Epinephrine for this patient to treat anaphylaxis is?
Answer: 0.3 mg IM
See page # 12 in the TRAA 2021.1.1 Standing Orders Book
When applying CPAP to a patient, they must be at least ___________ years of age and able to fit the CPAP mask.
Answer: 12
See page # 92 in the TRAA 2021.1.1 Standing Orders Book
Contraindications to CPAP are:
Answer: Pneumothorax, Respiratory Arrest, and Uncontrolled Vomiting
See page # 92 in the TRAA 2021.1.1 Standing Orders Book
A 66 yof patient is complaining of difficulty in breathing. Upon assessment, the patient presents with expiratory wheezing bilaterally in the bases of the lungs. Pt is allergic to Albuterol and therefore Atrovent is the only medication we carry that can be administered at this time. What is the dose for Atrovent to be administered to this patient via nebulizer?
Answer: 0.5 mg
See page # 15 in the TRAA 2021.1.1 Standing Orders Book
You are caring for a burn patient whose B/P remains 80/40 mmHg post the initial fluid bolus. You may administer additional boluses of __________ mls, repeating the bolus __________ times, as per standing order.
Answer: 500 , 3
See page # 17-18 in the TRAA 2021.1.1 Standing Orders Book
CCR is performed for which types of cardiac arrest?
Answer: Cardiac arrests due to cardiac etiology or unknown etiology
See page # 21 in the TRAA 2021.1.1 Standing Orders Book
You are caring for a 62 yom patient who is in cardiac arrest. Your dose of Epinephrine is __________ mg(s) to a max total of __________ mg(s).
Answer: 1 , 4
See page # 21 in the TRAA 2021.1.1 Standing Orders Book
You and your partner are caring for a 72 yom patient experiencing chest pain. The patient has already taken 324 mg of ASA prior to your arrival. Nitro is considered to be given to the patient. What dose of Nitro may be administered to the patient by Advanced EMT using our own Nitro Spray?
Answer: 0.4 mg SL x 3
See page # 23-24 in the TRAA 2021.1.1 Standing Orders Book
The normal reading for End-Tidal via Capnography is __________ mmHg in which it measures upon the __________ phase of the patient.
Answer: 35-45, exhalation
You are caring for a hypoglycemic patient in which their blood glucose level was 23 mg/DL. You should administer 250.0 ml of D10W until:
Answer: The patient’s mental status is normal
and the blood glucose is above 80 mg/DL
Glucagon may be repeated after __________ minutes if no result is obtained.
Answer: 15
See page # 31 in the TRAA 2021.1.1 Standing Orders Book
You respond to a 23 yof who has just given birth to a 4 kg baby boy. You have done all the necessary assessment procedures (dry, stimulate, APGAR, etc.). You note that the newborn’s heart rate is at 40 bpm. The newborn is presenting with bradycardia. Your partner begins ventilation and CPR. The dose of Epinephrine to be given at the Advanced EMT level is?
Answer: The Advanced EMT cannot administer Epinephrine in this patient
See page # 42-43 in the TRAA 2021.1.1 Standing Orders Book
The highest score possible on the APGAR scoring system is?
Answer: 10
See page # 42-43 in the TRAA 2021.1.1 Standing Orders Book
You are caring for a 42 yof patient in cardiac arrest. You suspect possible opiate involvement and decide to administer Narcan early in the cardiac arrest treatment algorithm. You should begin at _________ mg for cardiac arrest when administering Narcan.
Answer: 2 mg
See page # 44 in the TRAA 2021.1.1 Standing Orders Book
When caring for a sepsis patient, the goal MAP is:
Answer: Greater than 65
See page # 50 in the TRAA 2021.1.1 Standing Orders Book
You are caring for a 1-month-old male patient who is experiencing an anaphylactic reaction. You prepare to administer Epinephrine to the patient in which the patient weighs 8 kg. What is your dose of Epinephrine?
Answer: 0.08 mg IM
See page # 12 in the TRAA 2021.1.1 Standing Orders Book
You decide to give a 4-year-old a fluid bolus due to the patient presenting with hypotension post trauma. What is your bolus amount for your patient who weighs 20 kg?
Answer: 400 mls
See page # 80 in the TRAA 2021.1.1 Standing Orders Book
To avoid hypoxemia in the closed head injury patient, keep patient O2 saturations above:
Answer: 90%
See page # 29 in the TRAA 2021.1.1 Standing Orders Book
For I-Gels, the appropriate size should be chosen by utilizing the patient’s:
Answer: Ideal Body Weight
See page # 99-102 in the TRAA 2021.1.1 Standing Orders Book
For a Priority 2 call, the minimum equipment that must be taken to the patient to ensure effective patient management is:
Answer: Cardiac Monitor, Oxygen Bag, First-In Bag, and Cot
See page # 136 in the TRAA 2021.1.1 Standing Orders Book
The load limit for the Pedi-Mate device is:
Answer: 10-40 lbs
See page # 139 in the TRAA 2021.1.1 Standing Orders Book
True or False: The Advanced EMT may transport a patient who is receiving D5W, Lactated Ringers, Sodium Chloride (0.9% or less), or Potassium Chloride (40 meq/L or less) during a transfer if being administered through a peripheral IV via gravity or infusing system.
Answer: True
See page # 126 in the TRAA 2021.1.1 Standing Orders Book
A multiple-casualty incident that severely taxes local EMS personnel and resources, requires the activation of the Disaster Response Team, and may require mutual aid from outside organizations, is considered to be:
Answer: High-impact incident
See page # 133-134 in the TRAA 2021.1.1 Standing Orders Book
You are caring for a patient who is C-STAT & FAST positive. These patients may be eligible for intervention for up to __________ hours.
Answer: 24
See page # 52 in the TRAA 2021.1.1 Standing Orders Book
Your 78 year old patient was stung by bees and is now having an anaphylactic reaction. What dose and concentration of epinephrine should be administered?
Answer: 0.3mg 1:1,000
See page # 12 of the TRAA 2021.1.1 Standing Orders Book
Your 24 year old female patient is having severe dyspnea. She has a known history of asthma. What dose of albuterol may be given?
Answer: 5 mg repeat as necessary
See page # 15-16 of the TRAA 2021.1.1 Standing Orders Book
You are on scene with a 76 year old male patient that is complaining of chest pain. How much nitroglycerin may be given?
Answer: 0.4mg every 5 min x3 as needed
See page # 23-24 of the TRAA 2021.1.1 Standing Orders Book
Your patient has a closed head injury. You should attempt to sustain systolic blood pressure above ___.
Answer: 100 mmHg
See page # 29 of the TRAA 2021.1.1 Standing Orders Book
You are called to an unresponsive diabetic. Your bedside blood glucose is 26mg/dL. You should give D10W up to 250 ml and titrate to mental status and a glucose of _____.
Answer: 80
See page # 31 of the TRAA 2021.1.1 Standing Orders Book
You respond on a patient with burns. When is it appropriate to use moist dressings for comfort?
Answer: 10%
See page # 17-18 of the TRAA 2021.1.1 Standing Orders Book
Your adult patient is complaining of chest pain located in the center of his chest. You should administer how much Aspirin?
Answer: 324 mg
See page # 17-18 of the TRAA 2021.1.1 Standing Orders Book
Nitroglycerin should be withheld if:
Answer: Systolic blood pressure is less than 100
and the patient has taken erectile dysfunction meds 24-48 hours ago
See page # 23-24 of the TRAA 2021.1.1 Standing Orders Book
After delivering a defibrillation with an AED, you get pulses back on your patient. Your patient is not breathing. You should ventilate at:
Answer: 8-12 breaths/minute
See page # 25 of the TRAA 2021.1.1 Standing Orders Book
Your patient has sustained a closed head injury. You should avoid letting their oxygen saturations drop below (Hypoxemia):
Answer: 90%
See page # 29 of the TRAA 2021.1.1 Standing Orders Book
Indications of excited delirium include which of the following?
Answer: Confusion, Agitation with bizarre behavior, and Tactile hyperthermia
See page # 35 of the TRAA 2021.1.1 Standing Orders Book
You respond to a 24 year old male patient that has been doing roof work and is now weak and dizzy. The temperature is 92 degrees. The patient has been removed from the work by coworkers. You should:
Answer: Move the patient to an air conditioned space such as the ambulance and apply cool packs to the neck/groin/axilla
See page # 36 of the TRAA 2021.1.1 Standing Orders Book
Your patient was working on some shelving at the local ice cream factory in the freezer area. After the patient had not been seen for 2 hours, he is found in cardiac arrest. How many times should your AED defibrillate assuming this patient is hypothermic?
Answer: 1
See page # 37 of the TRAA 2021.1.1 Standing Orders Book
You respond to a 27 year old female patient that is 40 weeks pregnant and is now complaining of contractions. You should prepare for delivery if which of the following are present:
Answer: Crowning, Contractions <2 minutes apart, and/or Bulging perineum
See page # 42-43 of the TRAA 2021.1.1 Standing Orders Book
You have just delivered a screaming baby girl. You should clamp the umbilical cord how far from the baby?
Answer: 6-8 inches
See page # 42-43 of the TRAA 2021.1.1 Standing Orders Book
At what intervals should you document APGAR scores?
Answer: 1 and 5 minutes after birth
See page # 42-43 of the TRAA 2021.1.1 Standing Orders Book
You have delivered a baby. The baby is blue and not breathing well. If the HR is less than ___, you should begin CPR.
Answer: 60
See page # 42-43 of the TRAA 2021.1.1 Standing Orders Book
You are about to administer Narcan to your OD patient using the mucosal atomizer device. It is important to remember that only ____ may be administered per nostril.
Answer: 1 ml
See page # 108 of the TRAA 2021.1.1 Standing Orders Book
Steps of a FAST-G exam include:
Answer: Face, Arms, Speech, Time, and Glucose
See page # 52 of the TRAA 2021.1.1 Standing Orders Book
You have found that your patient has a positive Cincinnati prehospital stroke scale. What criteria would make the patient C-STAT positive by itself?
Answer: Conjugate Gaze Deviation
See page # 52 of the TRAA 2021.1.1 Standing Orders Book
What maneuvers are indicated to control severe bleeding?
Answer: Direct pressure, Tourniquet, and/or Wound packing
See page # 107 of the TRAA 2021.1.1 Standing Orders Book
You are on a trauma where the patient has an altered LOC and you are having problems managing the airway. Scene time should be ____ or less.
Answer: 10 minutes
See page # 55-57 of the TRAA 2021.1.1 Standing Orders Book
When using a mucosal atomizing device, you should remember to draw up an extra ____ to account for the dead space in the device.
Answer: 0.1 ml
See page # 108 of the TRAA 2021.1.1 Standing Orders Book
When using the mucosal atomizing device, the syringe plunger should be depressed _____.
Answer: Briskly
See page # 108 of the TRAA 2021.1.1 Standing Orders Book
As a minimum, what equipment must be brought to the patient for a priority 6?
Answer: First in bag
See page # 136 of the TRAA 2021.1.1 Standing Orders Book
