Medical Emergencies

Question 1

What 3 things are required for BLS to administer Oral glucose?

Answer 1

1. Patient greater than 8 years old with a blood glucose level less than 70 mg/dl
2. displays signs and symptoms of hypoglycemia
3. Is conscious enough to swallow and can maintain their own airway

Question 2

What is the dose all providers can give for oral glucose?

Answer 2

24-50 gm SL or 1 single dose tube

Question 3

What are the signs and symptoms of a narcotic (opiate) overdose?

Answer 3

1. respiratory arrest or insufficient ventilation
2. Pinpoint pupils
3. GCS less than 13

Question 4

What is the does of Narcan that BLS providers can administer?

Answer 4

2 mg IN only, may repeat twice at same dose

Question 5

After successful treatment of hypoglycemia, when may the patient refuse further treatment or transport?

Answer 5

1. Pt. must be on injectable therapy and not oral therapy for refusal
2. Pt. is at least 18 years old with a GCS of 15
3. After repeat assessment, blood sugar level is with in an acceptable range
4. no signs and symptoms of illness
5. patient must be observed to eat without vomiting and can be supervised by a responsible adult
6. pt. must not be driving a vehicle or operating machinery.

Question 6

What are the adult and pediatric doses of Epi Auto-Injector?

Answer 6

Epi 1:1,000
Adult: 0.3 mg IM via Auvi-Q
Ped (less than 3 years old): 0.15 mg IM via Auvi-Q

Question 7

What is the Pre-Hospital Stroke Screen?

Answer 7

F - Facial weakness or droop on left or right side
A - Arm or leg weakness (drifts or falls)
S - Speech slurred or impaired
T - Time at baseline or symptom-free and awake

Question 8

What is the blood pressure for patients experiencing an isolated hypertensive emergency?

Answer 8

Systolic - greater than or equal to 220

Diastolic - greater than or equal to 120

Question 9

What is the name of the “Pain Rating Scale”

Answer 9

Wong/Baker FACES pain rating scale