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Plumbers Study Guide > Lee County Common Treatment Guidelines - Universal Care > Flashcards

Lee County Common Treatment Guidelines - Universal Care Flashcards

1
Q

Age Classification: Infant

A

1month - a year

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2
Q

Age Classification: Adult

A

> 13 years

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3
Q

Age Classification: Neonate

A

birth - 1 month

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4
Q

Age Classification: Pediatric

A

1 - 13 years

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5
Q

For purposes of admission, Lee Health considers any patient less than 18 to be

A

Pediatric

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6
Q

For purposes of Trauma Alert, an
adult is ______ years and above
pediatric is _______ years and below

A

16
15

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7
Q

The General Action Response includes:

A

Review dispatch information
Consider the need for additional resources

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8
Q

Evaluate and ensure scene safety is part of which General Action?

A

Scene Arrival and size-up

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9
Q

Using appropriate body substance isolation (BSI) is part of which General Action?

A

Scene Arrival and size-up

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10
Q

Use appropriate personal protection equipment (PPE) is part of which General Action?

A

Scene Arrival and size-up

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11
Q

Determine number and location of persons involved versus patients is part of which action?

A

Scene arrival and size-up

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12
Q

Consider the need for additional resources is part of which TWO actions?

A

Response and scene arrival and size-up

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13
Q

Patient Approach includes which TWO actions?

A

Determine mechanism of injury (MOI) and/or nature of illness (NOI)
If appropriate, begin triage and initiate mass incident (MCI) procedures - RAMP triage

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14
Q

General Impression - sick vs not sick includes:

A

Appearance
Work-of-Breathing
Circulation to skin

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15
Q

Assessing Mental Status includes:

A

Awake/Alert
Response to verbal stimuli (RVS)
Response to painful stimuli (RPS)
Unconscious/Unresponsive

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16
Q

C-A-B, D-E Assessment stands for:

A

Circulation Status
Airway Status
Breathing Status
Disability Status
Exposure

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17
Q

Circulation Status checks for:

A

Central and Peripheral pulses
Major Hemorrhage
Skin - color, temperature, condition

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18
Q

Airway status check: if airway is compromised or obstructed…

A

proceed to airway, ventilation, oxygenation management guideline

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19
Q

Breathing status includes:

A

work-of-breathing
respirations -present or absent, irregular or regular, rate & quality
Auscultate lung sounds

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20
Q

Gross motor/sensory function checks for:

A

moves all extremities?
focal loss/defect?
eyes?
facial symmetry?

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21
Q

Disability status includes:

A

Defibrillation
Gross Motor/sensory function
blood glucose
cervical motion restriction

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22
Q

Evaluate illness or injury, remove clothing as necessary
Medic alert bracelets or identification
These are part of which assessment?

A

Exposure

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23
Q

What does SAMPLE stand for?

A

Signs/symptoms
Allergies
Medications
Pertinent Medical History
Last Oral Intake
Events Leading to Present Illness or Injury

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24
Q

What does OPQRST stand for?

A

Onsent
Provocation and Palliation
Quality
Region, Radiation, or Referred
Severity
Timing

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25
Q

When conducting a physical exam on an adult, it goes from _____ to _____?

A

Head - to - Toes

26
Q

When conducting a physical exam on a pediatric go from _____ to ____?

A

Toes - to - Head

27
Q

Sample History and Physical exam steps

A

-SAMPLE / OPQRST History
-Conduct physical exam
-Conduct a focused, detailed or ongoing systems exam
-Assess Vital Signs
-Non-invasive monitor assessment
-Collect and transport documentation related to patient’s history

28
Q

Assessing Vital Signs includes:

A

Pulse
Blood Pressure
Respirations
Skin color, temp and condition
Capillary Refill

29
Q

Non-Invasive Monitor Assessment includes

A

Cardiac - limb lead monitoring & 12 lead
Blood Pressure
Capnography
Pulse Oximetry
Blood Glucose
Temperature

30
Q

Impression - develop a triple differentiated impression of the case. Examples include:

A

-altered mental status: Hypoglycemia vs stroke vs organic brain syndrome

-acute coronary syndrome: STEMI vs unstable Angina vs Pulmonary Emboli

-Shoulder injury: fracture vs dislocation vs contussion

31
Q

Treatment: Adequate ventilation target

A

etCO2 35mmHg - 45mmHg; normal capnograph

32
Q

Treatment: Oxygenation target

A

SpO2 94% - 99%; normal plethysmograph

33
Q

Correct tension pneumothorax with pleural needle decompression Primary approach:

A

Anterior - 2nd or 3rd intercostal space, midclavicular line

34
Q

Correct tension pneumothorax with pleural needle decompression Secondary approach:

A

Lateral - 4th or 5th intercostal space, midaxillary line

35
Q

IO primary site for adults:

A

Proximal Humerus

36
Q

IO primary site for pediatrics:

A

Distal femur or Proximal Humerus

37
Q

Correct open pneumothorax with what?

A

appropriate vented occlusive dressing

38
Q

EMT’s may start IVs in what two conditions?

A

Under the supervision of a credentialed Paramedic
Upper extremity only

39
Q

IO approved insertion sites are:

A

Proximal Humerus, Proximal Tibia, Distal Femur and Distal Tibia

40
Q

First-line therapy for closed-system hypotension is:

A

crystalloid fluid resuscitation

41
Q

What is the preferred balanced-based isotonic crystalloid?

A

Lactated Ringer’s

42
Q

Arrest compressible hemorrhages by:

A

Direct Pressure
Pressure Dressing
Tourniquet Use
Rapid Transport
Crystalloid fluid resuscitation to temporize physiology

43
Q

Any patient that receives IV or IO medications must have what?

A

A running crystalloid infusion

**No medications will be given directly via medication port or saline lock

44
Q

Hypoglycemia Blood Glucose Target:

A

bG > 60mg/dL and < 300mg/dL

45
Q

How do you splint/immobilize suspected pelvic fractures?

A

With a commercial pelvic binder

46
Q

How do you splint/immobilize fractured/dislocated limbs?

A

natural or functional position, above and below the fracture site

47
Q

What do you do with angulated, isolated limb fractures/dislocations with neurovascular compromise?

A

manipulate/realign to restore distal circulation then splint/immobilize

48
Q

Body temp target:

A

98.6 F / 37 C

49
Q

What blood does not clot?

A

Cold blood

50
Q

What is Hibler’s Method?

A

A combination of vapour tight layer and an additional dry insulating layer. Preserves body heat and mitigates Lethal Triad

51
Q

Provide what to unconscious patients?

A

corneal protection

52
Q

Clinical Priority 1

A

unstable ALS patient; requiring immediate emergent medical attention for a life and/or limb threatening illness/injury

53
Q

Clinical Priority 2

A

stable ALS patient; requiring medical attention but not immediately endangering patient’s life

54
Q

Clinical Priority 3

A

BLS patient; requiring non-emergent medical attention

55
Q

Determining disposition refers to?

A

Mode of transportation (air, land, water..)
Status - lights and sirens vs non-emergent

56
Q

How often do you Re-vital sign unstable patients?

A

Every 5 minutes

57
Q

Minimum time to re-vital sign stable patients?

A

Every 15 minutes

58
Q

A minimum of how many assessments are required for every patient transport?

A

2

59
Q

What is essential for good patient outcome?

A

Transfer of Care between non-transport and transport in accordance with the 01 October 2012 Medical Director’s Transfer of Care MOU

60
Q

What is the goal of Universal Care?

A

To facilitate appropriate initial assessment and management of any EMS patient and link to appropriate specific guidelines and directed by the findings within the universal care guideline.

Plumbers Study Guide (22 decks)

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