LCCTG Medical Guidelines

Question 1

What is the guideline age for an adult?

Answer 1

13yo+ or puberty

Question 2

What is the guideline age for a pediatric?

Answer 2

1-13yo

Question 3

What is the guideline age for an infant?

Answer 3

1month-1 year

Question 4

What is the guideline age for a neonate?

Answer 4

birth-1 month

Question 5

Lee Health considers any patients less than _____ to be pediatrics?

Answer 5

18yrs

Question 6

Trauma alert criteria adult age is what?

Answer 6

16yo+

Question 7

What are the six medication “rights”?

Answer 7

Patient
Drug
Dose
Route
Time
Documentation

Question 8

How many intubation attempts are allowed?

Answer 8

two

Question 9

Which method of laryngoscopy is preferred?

Answer 9

Video

Question 10

The passing of a tube past what landmark constitutes an intubation attempt?

Answer 10

beyond the teeth

Question 11

What should be inserted with all advanced airways?

Answer 11

gastric tube

Question 12

Proper ventilation consists of adequate what?

Answer 12

Tidal volume

Rate

Question 13

PEEP increases what?

Answer 13

Functional residual capacity

Question 14

What is the range for PEEP?

Answer 14

5-15cm H2O (5, 7.5, 10, 12.5, 15)

Question 15

Tight lung pt PEEP setting is typically?

Answer 15

5cmH2O

Question 16

Wet lung pt PEEP setting is typically?

Answer 16

7.5-15cmH2O

Question 17

PEEP greater than 15 can result in what?

Answer 17

increased intrathoracic pressure causing decrease in venous return and cardiac output

Question 18

Two contraindications for PEEP?

Answer 18

Cardiac arrest

Gross hypotension

Question 19

Apneic nasal oxygenation at what setting has been shown to improve O2 saturation in apneic pt’s during advanced airway placement?

Answer 19

NC @ 15 lpm

Question 20

What two monitoring devices are required for all advanced airway pt’s?

Answer 20

capnography

pulse oximetry

Question 21

FBAO on a conscious obese/pregnant pt requires what initial intervention?

Answer 21

Chest thrusts

Question 22

FBAO on a conscious child requires what intervention

Answer 22

Abdominal thrusts

Question 23

FBAO on a conscious infant requires what intervention?

Answer 23

5 backslaps + 5 chest thrusts

Question 24

When is the use of pt restraints authorized?

Answer 24

When the pt’s behavior may jeopardize the safety of pt or crew.

Question 25

What shall be assessed and how often, on restrained pt's?

Answer 25

PMS x 10 minutes

Question 26

How does one assess distal perfusion in the restrained pt?

Answer 26

Distal pulses | cap refill<2 sec

Question 27

How many sets of restrained pt PMS assessment are required regardless of short transport time?

Answer 27

2

Question 28

To what facility are sepsis alert pt's transported?

Answer 28

Any facility

Question 29

What is a simple extremity fracture? (SEFx)

Answer 29

isolated, closed, fracture below the knee or elbow without neuromuscular compromise or surgical need

Question 30

In a child what joint dislocation is not considered a simple fracture?

Answer 30

elbow dislocation

Question 31

Adults with a high probability for general medical surgical intervention shall be transported to what facility?

Answer 31

any

Question 32

Oncology pt's with a fever of _____ or greater shall be transported to what facility?

Answer 32

``` Lee Memorial NCH Fawcett Bayfront Sarasota Memorial North Port ER ```

Question 33

Pt's with a hazmat exposure shall be taken to what facility?

Answer 33

any, post decon

Question 34

Pt's with high likelihood of hyperbaric oxygen need shall be taken to what facility?

Answer 34

any

Question 35

Venomous snakes/spider bites shall be taken to what facility?

Answer 35

Lee Memorial | Any Collier facility

Question 36

Mammal and marine bites shall be taken to what facility?

Answer 36

any

Question 37

Lee county comprehensive stroke center?

Answer 37

Gulf Coast

Question 38

Lee county Primary stroke center?

Answer 38

Lee Memorial | Healthpark

Question 39

Lee County STEMI facility?

Answer 39

Gulf Coast | Healthpark

Question 40

What is the ground transport time cutoff for Priority 1 pt's?

Answer 40

30 minutes

Question 41

Who may request air transport?

Answer 41

Any on scene first responder

Question 42

What three pt categories are forbidden from air medical transport?

Answer 42

CPR in progress Haz mat (regardless of decon) P3 pt's

Question 43

What is the minimum size for LZ's?

Answer 43

100' x 100' (day or night)

Question 44

How shall LZ's be illuminated?

Answer 44

4 corners with strobes or steady burn light source

Question 45

What should the LZ report include?

Answer 45

surface type wind direction/speed hazards

Question 46

What shall the LZ controller say over the radio if the LZ becomes unsafe during takeoff/landing?

Answer 46

Abort, abort, abort

Question 47

AO x 4=?

Answer 47

person place time situation

Question 48

Emancipated minor?

Answer 48

16-18yo married enlisted court declaration of emancipation

Question 49

Can a DNR be a photocopy?

Answer 49

Yes

Question 50

Who's signatures must appear on a DNR

Answer 50

Pt | Physician

Question 51

How does one verify that pt identity corresponds with pt DNR?

Answer 51

photo ID | witness

Question 52

How may a DNR be revoked?

Answer 52

in writing destruction of document failure to present orally expressing contrary intent

Question 53

What are the five presumptive signs of death?

Answer 53

``` unresponsive apneic pulseless absence of heart sounds fixed pupils ```

Question 54

What are the five conclusive signs of death?

Answer 54

``` injuries incompatible with life tissue decomposition rigor mortis livor mortis algor mortis (cold) ```

Question 55

What three conditions require resuscitation efforts in the absence of injuries incompatible with life?

Answer 55

hypothermia OD electrocution

Question 56

Maternal resuscitations of ____ weeks or more will not be terminated in the field.

Answer 56

24

Question 57

A paramedic may terminate resuscitation efforts provided the following criteria are met:

Answer 57

appropriate ALS/BLS interventions with no change Absent heart tones x 60 seconds Persistent V fib, PEA, asystole

Question 58

What two pulseless cardiac rhythms require medical direction for discontinuation of resuscitation efforts?

Answer 58

PEA | V fib

Question 59

Level 1 MCI pt #?

Answer 59

6-10 transports

Question 60

Level 2 MCI pt #?

Answer 60

11-20 transports

Question 61

Level 3 MCI pt #?

Answer 61

21-100 victims

Question 62

Level 4 MCI pt #

Answer 62

101-1000 victims

Question 63

Level 5 MCI pt #?

Answer 63

1000+ victims

Question 64

Who does the rehab supervisor report to?

Answer 64

IC | ISO

Question 65

How many sets of abnormal vital signs does an emergency worker need before being moved to the medical treatment area?

Answer 65

2

Question 66

What symptoms present in the emergency worker require transport to the ER?

Answer 66

``` CP SOB Dizziness AMS Nausea ```

Question 67

What is the required temp to be released from rehab?

Answer 67

=100.6

Question 68

What is the required HR to be released from rehab?

Answer 68

<100bpm

Question 69

What is the required respiratory rate to be released from rehab?

Answer 69

12-20/min

Question 70

What is the required BP to be released from rehab?

Answer 70

<160/100

Question 71

What is the pulse oximetry required to be released from rehab?

Answer 71

>91% RA

Question 72

What is the CO level required to be released from rehab?

Answer 72

<10% of baseline

Question 73

Adult Rescue breathing rate/seconds?

Answer 73

every 5-6 seconds

Question 74

Adult Rescue breathing rate/min?

Answer 74

10-12

Question 75

Adult CPR ratio?

Answer 75

30:2

Question 76

Pediatric Rescue breathing rate/seconds?

Answer 76

every 3-5 seconds

Question 77

Pedi Rescue breathing rate/min

Answer 77

12-20/min

Question 78

Pedi pulse rate requiring compressions?

Answer 78

<60, with signs of poor perfusion

Question 79

Pedi CPR ration 1 rescuer

Answer 79

30:2

Question 80

Pedi CPR with two rescuers

Answer 80

15:2