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Masters Test > Ems > Flashcards

Ems Flashcards

1
Q

If it is impossible or innapropriate to obtain medical consultation you must

A

Document in narrative

Check exceptional call box

Notify ems jurisdiction who must notify state ems medical director within 5 days

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2
Q

Age groups
Newly born
Neonate
Infant
Toddler
Preschooler
School age
Adolescent

A

Newly born up to 1 hour
Neonate 1 hour to 28 days
Infant > 28 days to 1 year
Toddler 1 year-<2 years
Preschooler 2-4 years
School age 5-12 years
Adolescent 13-18 years

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3
Q

If an error or variance in procedure occurs you must
Notify consulting physician via radio ____

Notify local ems jurisdiction or program medical director within ____ of incident

QA officer must provide written notification within ___ days to ems jurisdiction, program medical director, miemss compliance officer, state medical director

Within ___ days of written notification, QA officer must initiate medical review comittee

Within ____ days QA officer must foward written results of medical review comittee to miemss compliance office and state medical director

A

If an error or variance in procedure occurs you must
Notify consulting physician via radio IMMIDIATELY AND AT HOSPITAL

Notify local ems jurisdiction or program medical director within 24 HOURS of incident

QA officer must provide written notification within 5 DAYS to ems jurisdiction, program medical director, miemss compliance officer, state medical director

Within 14 DAYS days of written notification, QA officer must initiate medical review comittee

Within 30 DAYS QA officer must foward written results of medical review comittee to miemss compliance office and state medical director

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4
Q

Inability to carry out physicians order must

A

Immediately notify dr and EMS jurisdiction

Ems program notify medical directors in 5 days

Initiate QA investigation within 14 days

Foward results of investigation to miemss compliance and state medical director within 30 days

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5
Q

Orders for extraordinary care must notify ems program medical director

A

As soon as practical after call

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6
Q

BVM for neonate
Bvm all ages greater than neonate

A

Neonate 1 every 3 seconds
Greater than neonate 1 every 5 seconds

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7
Q

Hyperventilate head injury Pt if

A

Signs and symptoms of hernia toon are present (posturing loss of pupillary response, dilation of one or both pupils, vomiting, hypotension, bradycardia, irregular respirations)

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8
Q

Rate of hyperventilation
Adult 13 or greator
Child 1-12 years
Infant less than 1 year

A

Adult 20 bpm
Child 30 bpm
Infant 35 bpm

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9
Q

Newly born protocol should be followed for patients that are ____

A

Within first hour of birth

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10
Q

When there is an MCI, the ____ call box must be checked

A

Exceptional call

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11
Q

Online medical direction should be obtained from local trauma center and specialty center when transport to specialty center would be ____ mins additional transport time

A

10-15

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12
Q

Pediatric START triage

A
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13
Q

Pediatric START TRIAGE

A

Respiratory rate <15 or >45 -> IMMEDIATE

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14
Q

Pediatric START TRIAGE

A

Nuero assessment- innapropriate p or u -> immediate
A,V, P -> delayed

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15
Q

Self prescribed Nitro can be given ___ times. It can be repeated so long as bp is greater than ___ mmhg and pulse is between ____-____

A

3 times
Greater than 90 mmhg
Pulse between 60-150 bpm

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16
Q

mild agitation
SAFER

A

Stabilize
Assess
Facilitate
Encourage
Recovery

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17
Q

Mild allergic reaction
Moderate allergic reaction

A

Mild localized swelling and itching at the site

Moderate hives and or mild wheezing

18
Q

Anaphylaxis

A

Acute onset of severe illness after exposure to a known allergen with two or more of the following
Hives or acute swelling of mucosa
Respiratory symptoms
Hypotension
GI symptoms

19
Q

ALTE Infant or child less than ___ years of age

A

2 years

20
Q

Sepsis indications

A

Must meet at least two
Temp greater than 100.4
Hr greater than 100
RR greater than 25
Hypotension (systolic below 90)

21
Q

Posterior cerebella assessment

A

Balance-sudden onset of loss of balence
Eyes- sudden vision loss

22
Q

Take pt to stroke center within ____ hours from when it was last known well

A

22 hours

23
Q

LAMS of 4 or greater

A

Transport to comprehensive or thrombectomy-capable primary stroke center

24
Q

Pediatric with stroke (under 18)

A

Pediatric trauma center

25
Q

Hand/foot presented place mom

A

Left lateral position

26
Q

Feet or butt presents

A

Deliver body, support weight and insert V to open airway

27
Q

Cord presents

A

Face down, butt up, wrap cord to keep moist

28
Q

Universal algorithm for newly borns

A

Dry warm stimulate

Suction if non vigorous or airway obstruction

If apnea/gasping or hr less than 100 or central cyanosis -> ventilate for 1 min 40-60 bpm room air then connect to o2

If HR less than 60 after 30 seconds of BVM ->120 compressions per min with 3:1 compression ventilation

29
Q

Consider transport to hyperbaric facility

A

Carboxyhemoglobin value greater than %25

Many more criteria

30
Q

For burns greater than ____% body surface area, follow cold emergencies protocol

A

10%

31
Q

All 3rd degree. and any 2nd degree burn greater than ___% must go to the burn center

A

10 %

32
Q

Chemical burns should be transported to ____

A

Closest available hospital for decon

33
Q

GCS

A

Eye opening
Spontaneously
To voice
To pain
No response

Motor response
To verbal
To painful
Flexion withdraw
Flexion abnormal
Extension
No response

Verbal
Oriented
Disoriented
Innapropriate words
Incomprehensible sounds
No response

34
Q

Spinal motion restriction

A

Backboard with c collar

35
Q

Acetaminophen contraindications

A

Hypotension
Head injury
Had it last 4 hours
Can’t swallow
Respiratory distress
Vomiting
Liver disease
Allergy
Less than 2 years

36
Q

Acetaminophen dosages

A

Less than 2 not indicated
2-4 160
5-12 320
13 and above 640

37
Q

Must contact base station for Pts who wish to refuse after administration of ____

A

Naloxone

38
Q

If systolic drops more than ___mmhg or hr is less than ___ or greater than ___ bpm, obtain medical consult prior to administration of second dose

A

20
Less than 60
Greater than 150

39
Q

Dosage of oral glucose

A

10-15 grams

40
Q

Bls clinician may cancel als if they have obtained

A

Chief complaint
History
Vitals

No high risk chief complaint or other need for als monitoring or treatment exists

41
Q

When do pts need to go to shock trauma for hyperbaric chamber.

A

Carboxyhemoglobin greater than 25%
Or

1 of these
Carboxyhemoglobin greater than 15%
Co monitor on aide bag activates
Ppm greater than 99 ppm

WITH one of these
History of LOC
Gcs 13 or less
Decline in Nuero functions
Pregnancy
Chest pain
Extremes in age
Discretion

42
Q

Lams of 4 or 5 must go to

A

Comprehensive or thrombectomy capable stroke center
Shady grove, suburban
Washington hospital center, georgetown, GW

Masters Test (10 decks)

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