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2021 TRAA Standing Orders > 2021 TRAA STANDING ORDERS (Basic EMT) > Flashcards

2021 TRAA STANDING ORDERS (Basic EMT) Flashcards

1
Q

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?

A

Answer: 5 cm/H2O

See page # 92 in the TRAA 2021.1.1 Standing Orders Book

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2
Q

Your 76 yof patient presents with expiratory wheezing in all fields with an O2 saturation of 88%. You prepare to administer an Albuterol treatment via nebulizer. What is your dose of Albuterol?

A

Answer: 5 mg

See page # 15-16 in the TRAA 2021.1.1 Standing Orders Book

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3
Q

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?

A

Answer: 0.3 mg IM

See page # 12 in the TRAA 2021.1.1 Standing Orders Book

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4
Q

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?

A

Answer: 0.5 mg

See page #15 in the TRAA 2021.1.1 Standing Orders Book

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5
Q

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 the EMT Basic using our own Nitro Spray?

A

Answer: The Nitro must be prescribed to the patient in order for the EMT Basic to assist with administration

See page # 23-24 in the TRAA 2021.1.1 Standing Orders Book

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6
Q

The patient’s systolic B/P must be at least _________ to administer Nitro.

A

Answer: 100 mmHg

See page # 23-24 in the TRAA 2021.1.1 Standing Orders Book

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7
Q

Your 82 yom patient presents with ROSC. Your tidal volume for ventilations should be:

A

Answer: 5-8 ml/kg of ideal body weight

See page # 9-10 in the TRAA 2021.1.1 Standing Orders Book

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8
Q

A patient who is submerged for __________ or less and is pulseless and apneic shall be resuscitated.

A

Answer: 1 hour

See page # 34 in the TRAA 2021.1.1 Standing Orders Book

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9
Q

You respond to a 23 yof who has just given birth. You have done all the necessary assessment procedures (dry, stimulate, APGAR, etc.). You note that the newborn’s heart rate is holding at 80 bpm. What is your next step?

A

Answer: Support ventilations with BVM

See page # 42-43 in the TRAA 2021.1.1 Standing Orders Book

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10
Q

You are caring for a patient who is C-STAT & FAST positive. These patients may be eligible for intervention for up to __________ hours.

A

Answer: 24

See page # 52 in the TRAA 2021.1.1 Standing Orders Book

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11
Q

True or False: A multi system blunt trauma patient, such as from a high velocity crash or significant fall, who is unable to follow commands due to combativeness, intoxication, or decreased mental status, should remain on the backboard until handoff at the ED.

A

Answer: True

See page # 28 in the TRAA 2021.1.1 Standing Orders Book

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12
Q

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?

A

Answer: 0.08 mg IM

See page # 64 in the TRAA 2021.1.1 Standing Orders Book

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13
Q

You are caring for a 1-month-old male patient at 8 kg who is experiencing an anaphylactic reaction. You have administered appropriate Epi, however, it is decided that the patient also needs an Albuterol treatment via nebulizer. Your dose of Albuterol via nebulizer is?

A

Answer: 2.5 mg

See page # 64 in the TRAA 2021.1.1 Standing Orders Book

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14
Q

The normal respiratory rate for an infant (1-12 months), as per the normal pediatric vitals chart in the standing orders is?

A

Answer: 30 – 60 rr/min

See page # 68, 70, or 81 in the TRAA 2021.1.1 Standing Orders Book

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15
Q

Contraindications to utilizing CPAP are:

A

Answer: Pneumothorax, Respiratory Arrest, and Uncontrolled Vomiting

See page # 92 in the TRAA 2021.1.1 Standing Orders Book

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16
Q

When utilizing the M.A.D. to administer Narcan, you should draw up and extra __________ ml(s) of the medication to account for the dead space in the device.

A

Answer: 0.1 ml

See page # 108 in the TRAA 2021.1.1 Standing Orders Book

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17
Q

True or False: The EMT Basic 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.

A

Answer: False

See page # 126-127 in the TRAA 2021.1.1 Standing Orders Book

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18
Q

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:

A

Answer: High-impact incident

See page # 133-134 in the TRAA 2021.1.1 Standing Orders Book

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19
Q

For a Priority 2 call, the minimum equipment that must be taken to the patient to ensure effective patient management is:

A

Answer: Cardiac Monitor, Oxygen Bag, First-In Bag, and Cot

See page # 136 in the TRAA 2021.1.1 Standing Orders Book

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20
Q

The load limit for the Pedi-Mate device is:

A

Answer: 10-40 lbs

See page # 139-141 in the TRAA 2021.1.1 Standing Orders Book

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21
Q

CCR is performed for which types of cardiac arrest?

A

Answer: Cardiac arrests due to cardiac etiology or unknown etiology

See page # 20-21 in the TRAA 2021.1.1 Standing Orders Book

22
Q

To avoid hypoxemia in the closed head injury patient, keep patient O2 saturations above:

A

Answer: 90%

See page # 29 in the TRAA 2021.1.1 Standing Orders Book

23
Q

For I-Gels, the appropriate size should be chosen by utilizing the patient’s:

A

Answer: Ideal Body Weight

See page # 99-102 in the TRAA 2021.1.1 Standing Orders Book

24
Q

The C-STAT exam is a tool utilized to assess a patient for:

A

Answer: Large Vessel Occlusion

See page # 52 in the TRAA 2021.1.1 Standing Orders Book

25
Q

Your patient is noted to have a glucose reading of 54 mg/DL. Your patient is able to follow commands, however, is slightly confused. You deem it safe to administer Oral Glucose to your patient presenting with hypoglycemia. Your dose for Oral Glucose is?

A

Answer: 30 grams

See page # 31 in the TRAA 2021.1.1 Standing Orders Book

26
Q

Your patient was involved in a rollover type of MVC following a short police pursuit. When you arrive, 5 officers are holding him down. This patient should be placed in restraints and transported in which position:

A

Answer: Supine or side lying

See page # 13-14 in the TRAA 2021.1.1 Standing Orders Book

27
Q

Your adult patient is complaining of chest pain located in the center of his chest. You should administer how much Aspirin?

A

Answer: 324 mg

See page # 23-24 in the TRAA 2021.1.1 Standing Orders book

28
Q

You respond on a patient with burns. When is it appropriate to use moist dressings for comfort?

A

Answer: < 10%

See page # 17-18 in the TRAA 2021.1.1 Standing Orders Book

29
Q

Assisting a patient with their prescribed nitroglycerin should be withheld if:

A

Answer: Systolic blood pressure is less than 100 and the patient has taken erectile dysfunction meds 24-48 hours ago

See page # 23-24 in the TRAA 2021.1.1 Standing Orders Book

30
Q

Your adult patient with chest pain is diaphoretic and short of breath. Pulse is 102. Blood pressure is 110/90. What is the dose and frequency you can assist the patient in taking his own nitroglycerin

A

Answer: 1 tablet every 5 minutes, up to 3 tablets

See page # 23-24 in the TRAA 2021.1.1 Standing Orders Book

31
Q

After delivering a defibrillation with an AED, you get pulses back on your patient. Your patient is not breathing. You should ventilate at:

A

Answer: 8-12 breaths/minute

See page # 25 in the TRAA 2021.1.1 Standing Orders Book

32
Q

Indications of excited delirium include:

A

Answer: Confusion, Agitation with bizarre behavior, and Tactile hyperthermia

See page # 35 in the TRAA 2021.1.1 Standing Orders Book

33
Q

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:

A

Answer: Move the patient to an air conditioned area such as the ambulance and apply cool packs to the neck/groin/axilla

See page # 36 in the TRAA 2021.1.1 Standing Orders Book

34
Q

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?

A

Answer: 1

See page # 37 in the TRAA 2021.1.1 Standing Orders Book

35
Q

Your hypothermic patient is unresponsive. While packaging this patient, you should:

A

Answer: Handle patient gently

See page # 37 in the TRAA 2021.1.1 Standing Orders Book

36
Q

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:

A

Answer: Crowning, Contractions <2 minutes apart, and/or Bulging perineum

See page # 42-43 in the TRAA 2021.1.1 Standing Orders Book

37
Q

You have just delivered a screaming baby girl. You should clamp the umbilical cord how far from the baby?

A

Answer: 6-8 inches

See page # 42-43 in the TRAA 2021.1.1 Standing Orders Book

38
Q

At what intervals should you document APGAR scores?

A

Answer: 1 and 5 minutes after birth

See page # 42-43 in the TRAA 2021.1.1 Standing Orders Book

39
Q

You have delivered a baby. The baby is blue and not breathing well. If the HR is less than ___, you should begin CPR.

A

Answer: 60

See page # 42-43 in the TRAA 2021.1.1 Standing Orders Book

40
Q

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.

A

Answer: 1 ml

See page # 108 in the TRAA 2021.1.1 Standing Orders Book

41
Q

Steps of a FAST-G exam include:

A

Answer: Face, Arms, Speech, Time, and Glucose

See page # 52 in the TRAA 2021.1 Standing Orders Book

42
Q

You have found that your patient has a positive Cincinnati prehospital stroke scale. What criteria would make the patient C-STAT positive by itself?

A

Answer: Conjugate Gaze Deviation

See page # 52 in the TRAA 2021.1.1 Standing Orders Book

43
Q

Of the following, which are indicated to control severe bleeding?

A

Answer: Direct pressure, Tourniquet, and/or Wound packing

See page # 107 in the TRAA 2021.1.1 Standing Orders Book

44
Q

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.

A

Answer: 10 minutes

See page # 54-57 in the TRAA 2021.1.1 Standing Orders Book

45
Q

When using the mucosal atomizing device, the syringe plunger should be depressed _____.

A

Answer: Briskly

See page # 108 in the TRAA 2021.1.1 Standing Orders Book

46
Q

As a minimum, what equipment must be brought to the patient for a priority 6?

A

Answer: First In Bag

See page # 136 in the TRAA 2021.1.1 Standing Orders Book

47
Q

What does APGAR stand for?

A

Answer: Appearance, Pulse, Grimace, Activity, and Respirations

See page # 42-43 in the TRAA 2021.1.1 Standing Orders Book

48
Q

What is the maximum score for the APGAR?

A

Answer: 10

See page # 42-43 in the TRAA 2021.1.1 Standing Orders Book

49
Q

What is the minimum score for the APGAR?

A

Answer: 0

See page # 42-43 in the TRAA 2021.1.1 Standing Orders Book

50
Q

When administering IN Narcan, you can consider repeating the dose every __________ minutes.

A

Answer: 5-10 minutes

See page # 44 in the TRAA 2021.1.1 Standing Orders Book

2021 TRAA Standing Orders (3 decks)

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