BLS

Question 1

ALS Indicators - Respiratory

Answer 1

RR 30+
Asthma attack + Hx of previous intubation
Tripoding
Abnormal breathing patterns
Failure to respond to treatment

Question 2

ALS Indicators - Burns

Answer 2

Possible airway involvement
Burns with associated injuries
Deep 2nd/3rd degree
20%+ TBSA
3rd degree circumferential

Question 3

ALS Indicators - Cardiac

Answer 3

Suspected ACS

Question 4

ALS Indicators - CVA

Answer 4

LAMS 4+
Other ALS indicators

Question 5

ALS Indicators - Abdominal pain

Answer 5

40+ with pain/discomfort between jaw and navel with cardiac history

Question 6

ALS Indicators - Diabetic

Answer 6

Unable to swallow
Rapid respirations
Suspected DKA
Failure to respond to oral glucose

Question 7

ALS Indicators - Hypothermia

Answer 7

Temp below 95
Other comorbidities

Question 8

ALS Indicators - LOC/Neuro

Answer 8

=< 12 GCS
Hypoglycemia with DLOC
Unstable vitals + abnormal behavior
Abnormal behavior + possible overdose or trauma

Question 9

ALS Indicators - Pulse/BP/RR

Answer 9

Hypotension <90
Sustained tachycardia >120
Positive posturals >20 BP or HR
Systolic >200 with symptoms
Diastolic >110 with symptoms
Pregnancy with systolic <90 or >140
Severe bradycardia <40
RR >30 or <8

Question 10

ALS Indicators - OB/GYN

Answer 10

F with severe unremitting pelvic pain
Excessive vaginal bleeding
Dispatch to birthing center/midwife
Pregnancy complications:
- placenta previa/abruptio, diabetes, multiple birth, breech/limb presentation, prolapsed cord, shoulder dystocia, PP hemorrhage
Imminent birth
3rd trimester with abdominal trauma
Pregnancy +trauma with significant MOI

Question 11

ALS Indicators - Other

Answer 11

Use of EPI by EMT/healthcare
Suspected meningitis

Question 12

ALS Indicators - Sepsis

Answer 12

DLOC
RR >30 or distress
Signs/Symptoms of shock

Question 13

ALS Indicators - Seizure

Answer 13

Multiple seizures
Seizure > 5min
Postictal >15 min
Pregnant female
Severe headache
1st time infant seizure
Seizure + concurrent trauma, OD, hypoglycemia

Question 14

ALS Indicators - Shock

Answer 14

Systolic <90
Tachy >120
HR greater than Systolic BP
Unexplained altered LOC/mental status
Poor skin signs

Question 15

ALS Indicators - Trauma

Answer 15

Falls > 2x height of PT
Thrown > 15-20ft
Penetrating injury of head, neck, eyes, chest, abdomen
Pelvic fx
Bilateral femur fx or femur fx with excessive swelling
Multisystem fx
Open fx except hands/feet
Severe pain + significant MOI
Any underwater rescue
Significant intrusion, ejection or death in same vehicle

Question 16

Epi use + indications