Ems 430

Question 1

Foreign body airway obstruction

Answer 1

If foreign body cannot be removed attempt to bypass by pushing the obstruction into one bronchus with the ET tube and then intubating the other bronchus. Supraglotic airway is contra-indicated in this situation

Question 2

Glucagon may not be effective in patients with

Answer 2

Liver disease

Question 3

Diabetic

Hyperglycemia

Answer 3

BGL greater than 300,

If no IV access and GCS less than or equal to 8 establish I/O

Question 4

Nose bleed

Answer 4

Placed patient in sitting position with their head leaning forward

Instruct patient to hold pressure for at least 20 minutes

Question 5

Nose bleed

Neo-Synephrine contra indications

Answer 5

Nose bleed secondary to hypertension bp greater than or equal to 180/110

and nose bleeds secondary to head injury
and CSF drainage

Question 6

Nausea/ Vomitting

Adult Zolfran dose

Answer 6

4 mg IV

may repeat once after 15 minutes if vomiting persist

Question 7

Nausea/ Vomitting

Pediatric Zofran dose

Answer 7

0.15 mg/kg IV,

max total dose 4 mg,

no repeat dose

Question 8

Active seizure treatment

Answer 8

Midazolam 2-5 mg Iv/io/im

If seizing persists may repeat up to 10 mg

Question 9

Decompression sickness O2 Delivery

Answer 9

Provide 100% oxygen via NRB

Question 10

Hyperthermia Pt Placement

Answer 10

Place patient in supine position

Question 11

Insects and spiders

Answer 11

Remove stinger if present and clean it with peroxide

Question 12

Carbon monoxide and cyanide exposure O2 Delivery

Answer 12

Administer 100% oxygen via NRB

Question 13

Eclampsia and severe preeclampsia

Answer 13

Possible seizure, altered LOC, and blood pressure greater than 160/110

Question 14

Breech delivery

Answer 14

Place the mother in the knee chest position.

If head does not deliver within three minutes use a glove hand to make an airway for the Neonate

Question 15

Limb or brow presentation

Answer 15

Place the mother and the knee chest position

Question 16

Prolapsed cord

Answer 16

Place the mother in the knee chest position or supine with hips elevated

Question 17

Reassess newborn every blank seconds

Answer 17

30 seconds

Question 18

The humerus is contra indicated in

Answer 18

Newborns and infants

Question 19

The autopulse is contraindicated in patients less than….

Answer 19

18 years of age

Question 20

neonate less than one month hypoglycemia with vascular access

Answer 20

D10w at 5ml/kg iv for BGL less than 45 mg/dL

Question 21

Infant/child (1month to 12 years) hypoglycemia with vascular access

Answer 21

D25w at 2ml/kg iv for BGL less than 60mg/dL

Question 22

Adolescent 13 to 18 years hypoglycemia with vascular access

Answer 22

D50w at 1ML/KG IV for BGL less than 60mg/dL

Max does 25 grams

Question 23

Hypoglycemia without vascular access for pediatric

Answer 23

Less than 20kg, give glucagon 0.5 mg IM

20kg or greater, give glucagon 1mg IM

Question 24

Hyperglycemia

Answer 24

BGL >300, administer 20ml/kg IV fluids, max 2L

Question 25

Pediatric Seizures

If pt is febrile ( ) apply cooling measures

Answer 25

Greater than or equal to 104 degrees

Question 26

Pediatric seizure Midazolam dosage.

Answer 26

0.1 mg/kg iv/io/im

Max single dose 5mg

May repeat initial dose in 5 minutes

Question 27

If the pediatric patient has a temperature of greater than 102° and the parent has ibuprofen or acetaminophen

Answer 27

Administer ibuprofen 10 mg/kg PO (Not for children under six months).

Or acetaminophen 15 mg/kg PO

Question 28

Extremity Trauma

Amputation

Answer 28

Place the amputated part in sterile gauze, moisten with intravenous fluids

Keep amputated part cool

Dress and splint partial amputation’s in alignment with the extremity, being careful to avoid torsion

Do not clamp

Question 29

Burns

Toddlers and infant head percentage….

Leg percentage….

Answer 29

Heads are 18%

Legs are 13.5%

Question 30

Eye Trauma

Direct trauma

Maintain patient in supine position to reduce leakage of fluid from the eye. If blood is noted in anterior chamber, place the patient in…..

Answer 30

Semi-Fowler’s

Question 31

Tachycardia

Sync cardioversion

Narrow regular SVT

Answer 31

Shock @ 50j and repeat up to 100j

Question 32

Tachycardia

Sync cardioversion

Narrow irregular QRS

Answer 32

Shock at 120j repeating up to 200j

Question 33

Tachycardia

Wide regular QRS

Answer 33

Shock at 100j repeating up to 200j