EMS

Question 1

List the order of lowest to highest levels of prehospital providers

Answer 1

EMR
EMT
Advanced EMT AEMT
Paramedic is highest

Question 2

That START technique is based of what 3 things?

Answer 2

RPM
Respirations
Perfusion
Mental Status

Question 3

What respirations determine Red triage vs continue down algorithm?

What next?

Then what?

Answer 3

> 30 immediate (red), less than 30 continue

Perfusion: radial pulse present and cap refill < 2 seconds

Mental Status - can follow commands then Yellow

Question 4

Name the 4 Nerve agents

MOA of these agents?

Answer 4

Sarin, Tabun, Soman, VX

Organophosphates that are AChE-i’s —> inc ACh which overstimulates receptors

Question 5

What are the 2 MC gases used by terrorists?

Answer 5

Sarin and VX gas

Question 6

What 2 clinical features are concerning for gas exposure?

Dx how?

Answer 6

Miosis and fasciculations

rbc cholinesterase levels

Question 7

What comes in an autoinjector kit (Mark I)?

Answer 7

Atropine 2mg
2-PAM (pralidoxime) 600mg

Both via IM

Question 8

Treatment of CN toxicity?

Answer 8

Hydroxycobalamine (B12) 5g

Question 9

Treatment of Moderate Sarin gas when IV is present?

Answer 9

Atropine 2-4 mg IV

2-PAM 1 g IV