Medical Directives

Question 1

Procedure for all cases of death

Answer 1

1.confirm patient is dead
2. Ensure patient is treated with respect and dignity
3. Consider needs of family and provide compassion informed decision making
4.if applicable follow all directions issued by coroner
5.if termination of resuscitation(TOR) occurred in ambulance en route to hospital, PM advise CACC/ACS to contact coroner and continue to destination unless otherwise directed by CACC/ACS and
5.for most cases of obvious death, note and document time at which FF confirms the patient was deceased

Question 2

Only acceptable form of DNR will have a serial number in the upper right corner and these following four items completed correctly

Answer 2

-correct name of patient
-a check mark in one of the boxes indicating CPR is not part of the plan of treatment
-name and profession of the health care provider
-signature and date of when the form was completed

Question 3

Amount of epinephrine to administer

Answer 3

0.15mg if patient is less than 35kg
.30 mg if patient is more than 35kg

Question 4

Administering proper Ventolin puffs/breaths per age

Answer 4

1-2 years 1 puff follow by 4 breaths x3
2-5 years 1 puff follow by 4 breaths x4
5-8 years 1 puff follow by 4 breaths x6
Adults 1 puff follow by 4 breaths x8

Question 5

Response to “check Defib pads” AED prompt

Answer 5

1. do not interrupt in process CPR
2. examine electrode cables and pad connections, assess cable/pad disconnections or damage, ensure pads adhered firmly to patients skin
3. If prompt continues remove pad, dry patients chest and apply new set of pads
4. Is prompt persists still after pad change, continue CPR until PMs arrive

Question 6

What to do if pulse returns during CPR

Answer 6

1.turn off AED but keep pads attached, assess airway and breathing and provide appropriate care, administer 100% oxygen by high concentration mask or assist ventilations by BVM as needed. Obtain vital signs
2. Reassess patient pulse every 45-60 seconds by performing 10 second carotid pulse check
3. If no palpable pulse is present, turn on AED and follow prompts

Question 7

CPR protocol for blunt trauma, penetrating chest/torso wound

Answer 7

1.initiate therapy according to the appropriate protocol, allow AED to complete one analysis/(shock if needed) only
2.after first step turn off AED after “Start CPR” voice prompt
3.continue CPR until transfer of care to PMs

Considerations:
Always maintain C-spine protection
Avoid movement of patient whenever possible

Question 8

Indications of suspected drug overdose

Answer 8

-Suspected opioid toxicity
-patient older than 12
-altered state of responsiveness
-respiratory depression with a respiratory rate of less than 10 breaths a minute
-spO2 less than 92%
-have an inability unable to be adequately ventilated

Question 9

Amount of naloxone to administer

Answer 9

4mg/.1ml into one nostril

Question 10

3 times you dont need to fill a Mar

Answer 10

-FFs don’t make contact
-FFs take vitals and nothing more
-FFs don’t make first contact and only take directives from paramedics

Question 11

How many doses of Barca’s in kit and what are they for

Answer 11

4 total
2 for patient and 2 in reserve to protect first responder if they’re exposed to opioid