Companion Doc

Question 1

When should the first analysis be done in a medical cardiac arrest?

Answer 1

Asap

Question 2

Do previous shocks from citizens count towards a PCP’s limit of 4 shocks, for a medical cardiac arrest?

Answer 2

No

Question 3

When should a medic analyze a rhythm en route?

Answer 3

When the vehicle is stopped - to avoid artifact

Question 4

When do you patch during a medical cardiac arrest?

Answer 4

After 3rd analysis

Question 5

Why does a pcp patch during a medical cardiac arrest?

Answer 5

To determine severity of PT
To determine if patient should receive a TOR

Question 6

How many rhythm interpretations can a PCP do after a re-arrest?

Answer 6

1

Question 7

Can a PCP give epi to an asthmatic cardiac arrest patient?

Answer 7

yes, even though epi is contraindicated in asthmatic patients

Question 8

What cardiac arrest directive is used for hangings?

Answer 8

Medical Cardiac Arrest

Question 9

How long should a medic check a pulse on a Hypothermic Cardiac Arrest patient?

Answer 9

10 seconds

Question 10

Medics should focus on what during a Hypothermic Cardiac Arrest?

Answer 10

Passive rewarming and gentle handling

Question 11

What 3 characteristics are used when determining need for resuscitation in neonates?

Answer 11

Term Gestation
Muscle Tone
Breathing / Crying

Question 12

What 3 things should be done to a newborn?

Answer 12

Drying
Positioning
Stimulationg

Question 13

What are the age ranges of newborns and neonates?

Answer 13

Newborns - <24 hours
Neonates - >24 hours to <30 days

Question 14

Medics should do what to ensure accurate HR during neonatal care

Answer 14

Cardiac monitoring

Question 15

What is the target SPO2 for a ROSC patient?

Answer 15

94% - 98%

Question 16

What is the target ETCO2 for a ROSC patient?

Answer 16

30-40mmHg

Question 17

What is the target SBP for a ROSC patient?

Answer 17

> =90

Question 18

What is the target rate of ventilation for a ROSC patient?

Answer 18

10 BPM

Question 19

How soon should a paramedic do a 12 lead, if indicated to do so?

Answer 19

First 10 minutes of patient contact

Question 20

Why is Nitroglycerin Contraindicated for a right ventricular stemi

Answer 20

It will reduce preload and cause hypotension

Question 21

What should be considered ASAP in suspected MI patients?

Answer 21

ASA

Question 22

If a patient is stemi positive, how many doses of nitro do they get?

Answer 22

3 doses

Question 23

How many does of nitro are given to a patient with suspected ACPE

Answer 23

6 doses

Question 24

Can you administer more than 6 doses of nitro if the patient meets two directives?

Answer 24

No

Question 25

What needs to be done prior to Nitro use?

Answer 25

A 12 lead ECG

Question 26

Despite the presents of rales, what should still be administered in patients with suspected ACPE who are hypotension

Answer 26

Fluid bolus

Question 27

When do you discontinue a fluid bolus in patients with suspected ACPE

Answer 27

When the patient becomes normotensive

Question 28

Can a paramedic use the patients glucometor?

Answer 28

No, paramedics should use the tool provided by the service

Question 29

What are common blood sample sites?

Answer 29

Finger tips

Heal (if pt has not yet began walking)

Question 30

What is the preferred treatment for a hypoglycaemic patient?

Answer 30

Dextrose (for pcp iv)

Question 31

When can you administer dextrose immediately?

Answer 31

If glucagon doesn’t resolve symptoms, check BGL again and the administer dextrose asap.

Question 32

What does the medic need to do if the PT refuses service?

Answer 32

Take vitals and BGL
Explain risks involved with their current condition
Instruct them to eat complex carbs
Ensure a responsible adult is there