Back to days Flashcards
Air medical programs reporting very high ETI success rates virtually always have ________ that are unavailable to most U.S. ground EMS providers.
access to medications (e.g. succinylcholine)
Only in very unusual circumstances ex _______________, should patients in cardiopulmonary traumatic arrest be considered candidates for air medical transport.
pediatric cold-water drowning in a remote location
Thrombolytic therapy in the field has not been shown to?
decrease mortality and remains controversial.
Data regarding aggressive fluid resuscitation is controversial and may indicate increased morbidity if __________- is not first achieved. In the past, aggressive fluid resuscitation was traditionally thought of as an absolute standard of care.
surgical hemostasis
summary: surgical hemostasis before aggressive fluid
If the parents are present and refuse treatment for their child in a life-threatening emergency, prehospital care providers should
Provide treatment for the child
In case of a life-threatening emergency (or possible child abuse), prehospital care providers must maintain treatment as their number one priority, regardless of parental desires. Treatment should also be rendered if the parents are incapable of understanding the risks of refusing care.
The pharmacologic interventions most likely to improve outcome when given in the field, as compared to those given upon arrival in the emergency department, include all of the following EXCEPT:
- epinephrine
- adenosine
- albuterol
- diazepam
- dextrose
adenosine
least likely of those listed to impact outcome when given in the field vs ED
While use of helicopter EMS remains controversial (due primarily to cost issues) for all diagnoses, and limited data supports helicopter transport for most medical diagnoses, published studies suggest ?
mortality improvement from both scene and interfacility air medical transport.
While no longer required for use nationwide, the __________ curriculum is the de facto standard for EMT training in the United States.
Department of Transportation (National Highway Traffic Safety Administration)
With regard to U.S. Emergency Medical Services (EMS), all the following are true EXCEPT:
- “First responders” are not always Emergency Medical Technicians (EMTs).
- A community is said to have “E-911” when the telephone number of a 911 caller is displayed at the operator’s console.
- The Department of Transportation is the federal government agency tasked with promulgation of EMT training requirements.
- The levels of EMT training and EMT-level nomenclature are the same throughout the United States.
- Most EMTs in the field operate under off-line medical control.
-The levels of EMT training and EMT-level nomenclature are the same throughout the United States.
What is the most common cause of fatal anaphylaxis?
- insect stings
- penicillin
- radiographic contrast dye
- foods, including shellfish, nuts, and eggs
penicillin
Pre-eclampsia diagnosed as severe has one of the following is present:
headache unresponsive to analgesics visual disturbances diastolic blood pressure over 110 mm Hg pulmonary edema elevated liver enzymes 2+ or greater proteinuria oliguria elevated creatinine hemolysis intrauterine growth restriction
*those with severe pre-eclampsia must be admitted for IV access and fetal monitoring
Which of the following women are considered at increased risk for pre-eclampsia?
- multiparous
- over 20 years old
- woman with a single intrauterine pregnancy
- obese
obese. The risk of PIH is greatest in females who are: 1) less than 20 years old 2) primigravidas 3) have twin or molar pregnancies 4) hypercholesterolemic 5) smokers 6) positive for family history of PIH
Women who develop pre-eclempsia in their first pregnancy have a long-term risk for which of the following?
diabetes mellitus
Overdose of MgSO4 can lead to
muscle weakness
respiratory depression
cardiac failure.
Other toxic effects include loss of deep tendon reflexes, SA and AV node block, respiratory paralysis, cardiovascular collapse and cardiac arrest.
Renal failure in eclamsia
rx- Mg
If renal failure occurs (as a result of severe pre-eclampsia/eclampsia itself), plasma concentration of Mg should be followed closely since the kidney excretes Mg.
