EMS Guidelines Flashcards
If aspirin was given since the onset of symptoms you may give up to _____ mg of aspirin
Up to 324mg of aspirin
Patients should only recieve ____ aspirin and not ______ aspirin
Chewable, enteric coated aspirin
If a patient took enteric coated aspirin you may give how much chewable aspirin?
324 mg
What are the two contraindications for aspirin?
NSAID allergy
Viral infections in children and teens
List five situations where aspirin may create an adverse reaction
Fever
Hypothermia
GI Bleed
Dysrhythmias
Hypotension
When obtaining HPI for a burn injury what four informational items should be obtained?
Type of exposure causing the burn (heat, gas, chemical)
Time of burn
Mechanism of injury
Location (indoor/outdoor, confined area)
If a burn surface area (BSA) is <10% what is the correct treatment for the burn
Apply a cool, moist dressing and prevent hypothermia
If burn surface area is >10% what is the correct treatment for the burn?
Use a dry burn sheet or dry sterile dressing
Provide the body surface area percentages for adults per burn guidelines
Head: 9%
Arms: 9% each
Chest & Back: 18% each
Groin: 1%
Legs: 18% each
Provide the body surface area percentages for pediatrics per burn guidelines
Head: 18%
Arms: 9% each
Chest & Back: 18% each
Groin: 1%
Legs: 13.5% each
Per the burn guideline, list the criteria identifying major burns
Partial thickness burns >25% BSA
Full thickness burns >10% BSA
Any full thickness burn to hands, face, eyes, ears, feet and perineum
Burns compromising circulation
Burns with evidence of respiratory involvement
Any burns involving high voltage electricity
Burns involving hydrofluoric acid
Burns associated with multi-system trauma
Per the burn guideline, list the criteria identifying moderate burns
Partial thickness burns 15-25% in adults
Partial thickness burns 10-20% in pediatrics
Full thickness burns <10% BSA
T/F with penetrating eye injuries or protruding foreign object eye injuries is examination of the eyes indicated
False this is contraindicated
With penetrating eye injuries what is the correct treatment?
Protect injured eye with a moist dressing and bulky padding without putting pressure on the injured eye
For protruding foreign body eye injuries what is the correct treatment?
Stabilize foreign body, cover with bulky padding and cover unaffected eye to prevent eye movement
For chemical eye injuries what is the correct treatment
Brush off any dry powders
Initiate copious irrigation and continue treatment while enroute to the hospital
When should mace/pepper spray patients be transported to the hospital?
Shortness of breath
Prolonged visual impairment
T/F for a patient to be eligible for ECMO they must meet ALL inclusion criteria and NONE of the exclusion criteria
True
What is the inclusion criteria for ECMO
18-75 years old
Bystander CPR
Capno >10
Initial rhythm anything but asystole
Current rhythm VT / VF or PEA with cardiac activity on ultrasound
What is the exclusion criteria for ECMO
Suspected significant co-morbidities
Likely respiratory arrest leading to cardiac arrest (hanging, strangulation, OD, trauma)
When considering to transport an ECMO patient the time from collapse to arrival at hospital should be _____ minutes or less
30
ECMO may be activated by AFR if the total patient downtime to the time of ECMO dispatch is less than _____ mins
15
Where can ECMO patients be transported to?
UNMH or PRES DT
Who is contacted to issue an “ECMO Alert”
AAS Base
The incidence of re-arrest after ROSC is estimated at _____ %
40%
T/F if your RCMO patient has ROSC it is appropriate to cancel ECMO-1 response
False, keep ECMO-1 coming because the incidence of re-arrest after ROSC is 40%
Generally the goal for determining an ECMO candidate is within _____ mins of arriving on-scene
5 minutes
T/F Hypothermic cardiac arrest has excellent outcomes with ECMO
True
For provider ECMO activation the time from patient collapse to time of ECMO dispatch must be less than ____ minutes
15 minutes
When on-scene of a cardiac arrest, patient eligibility for ECMO must be determined less than _____ minutes from patient contact
5 minutes
When a patient is an ECMO candidate an ECMO Alert is issued when the patient is less than _____ minutes from the time of collapse to hospital arrival at which two hospitals?
Max 30min time from collapse to hospital arrival
UNMH or PDT
