EMR Treatment Protocol

Question 1

HEMPBC - Scene Survey

Answer 1

Hazards
Environment
Mechanism of Injury
Patient Count
Backup/Body Substance Isolation
Condition of Patient

Question 2

SOAPI - Primary Survey

Answer 2

Skin
Oxygen
Airway
Positioning
Intervention Check

Question 3

SAMPLE - Secondary Survey

Answer 3

Signs & Symptoms
Allergies
Medication
Past Medical History
Last Oral Intake
Events Prior

Question 4

10 Relevant Vital Signs

Answer 4

Blood Glucose Level
SPO2
Pulse Rate & Quality
Blood Pressure
Glasgow Coma Scale
Respiratory Rate & Quality
Skin Characteristics
Body Temperature
Pupil Assessment
Pain Scale (1-10)

Question 5

ISBAR - Notification

Answer 5

Identification
Situation
Background
Assessments
Recommendations

Question 6

OPQRST - History Taking

Answer 6

Onset
Provoke
Quality
Radiate / Relief
Severity
Time

Question 7

AVPU - LOR Scale

Answer 7

Alert
Verbal
Painful
Unresponsive

Question 8

Nasal Cannula - Typical O2 Flow Rate

Answer 8

2-4 LPM (24 - 44%)

Question 9

Standard Mask - Typical O2 Flow Rate

Answer 9

6-15 LPM (40% - 60%)

Question 10

Non-rebreather Mask - Typical O2 Flow Rate

Answer 10

8-15 LPM (80% - 95%)

Question 11

Position If Respiratory Distress

Answer 11

Semi-Fowlers/Fowlers

Question 12

TRAMPD - Medication Administration

Answer 12

Time
Route
Amount
Medication
Patient
Documentation

Question 13

BEAP - Nitroglycerine Contraindications

Answer 13

Blood Pressure < 90 - (100 w/o Prescription)
Erectile Dysfunction
Allergies to Nitrates
Prescription

Question 14

GAPSAP - ASA Contraindications

Answer 14

Gastrointestinal Bleeds
Asthma
Pregnancy
Surgery
Already Taken
Pediatric

Question 15

PAINDIE - Entonox Contraindications

Answer 15

Pneumothorax (auscultate to confirm)
Air Embolism (+ strokes)
Inhalation Injury
Nitroglycerin (within 5m).
Decompression Illness
Inability to Comply
Enclosed Space

Question 16

SADFC - Extonox Cautions

Answer 16

Shock
Abdominal Distension
Depressant Drugs
Facial Trauma
COPD

Question 17

DOTS CMS - Head to Toe Assesment

Answer 17

Deformities
Open Wounds
Tenderness
Swelling

Circulation
Motor
Sensory

Question 18

Vital Sign Intervals

• for Stable Pt
• for Unstable Pt
• for Minor Injuries

Answer 18

Stable: 15m
Unstable: 5m
Minor Injury: 30m

Question 19

ASA Dosage

Answer 19

160mg PO (chew before swallowing)

Question 20

Expected SPO2 Readings

Answer 20

> 95% : Adequate
92-95%: Adequate w/COPD
< 92%: Low

Question 21

Blood Glucose Levels

Answer 21

< 4mmol: Low
4-8 Everything is great
> 11mmol: High

Question 22

S/S of Hypoglycemia

Answer 22

Sweating
Anxious
Dizziness
Impaired vision
Rapid heart rate
Weakness and/or fatigue
Decreased LOC as the glucose levels drop

Question 23

Normal Adult Pulse

Answer 23

60-100

Question 24

Normal Child Pulse

Answer 24

80-150

Question 25

Normal Infant Pulse

Answer 25

120-150

Question 26

Normal Respiratory Rate - Adult

Answer 26

12-20

Question 27

Normal Respiratory Rate - Neonate

Answer 27

30-60

Question 28

GCS 4/0/0

Answer 28

E: Spontaneously

Question 29

GCS 3/0/0

Answer 29

E: To Voice

Question 30

GCS 2/0/0

Answer 30

E: To Pain

Question 31

GCS 0/5/0

Answer 31

V: Alert/Oriented

Question 32

GCS 0/4/0

Answer 32

V: Confused

Question 33

GCS 0/3/0

Answer 33

V: Inappopriate Words

Question 34

GCS 0/2/0

Answer 34

V: Incomprehensible Sounds

Question 35

GCS 0/0/6

Answer 35

M: Obeys Commands

Question 36

GCS 0/0/5

Answer 36

M: Localizes

Question 37

GCS 0/0/4

Answer 37

M: Withdraws

Question 38

GCS 0/0/3

Answer 38

M: Flexion (Decorticate)

Question 39

GCS 0/0/2

Answer 39

M: Extension (Decerebrate)