Operations

Question 1

What airway skills can Oregon emts do?

Answer 1

EVERYTHING except intubate, cric, needle decompress

Question 2

Can emts give IM Epi?

Answer 2

Yes

Question 3

Can emts give nitro?

Answer 3

Only assist

Question 4

Can emts give duonebs?

Answer 4

Only duonebs, but not ipratropium

Question 5

Can emts do IVs

Answer 5

Nope

Question 6

When to withhold cpr in GENERAL

Answer 6

DNR
Decap
Decomp
Dependent lividity
Rigor (warm environment)
Resources (MCI)

DEADERR than dead

Question 7

Trauma pt is found pulseless & apneic. Do you work them?

Answer 7

victim of trauma = no. Especially if opening airway no improves.

Medical cause/event involved = follow medical arrest protocol

Question 8

Trauma pt codes during transport. What now?

Answer 8

CPR & hospital radio update

Question 9

Initial rhythm on medical arrest = asystole/agonal. Can you call it?

Answer 9

Only the PIC can if…

Pt is on 6 lead
Pic justifies CPR not beneficial

Question 10

When you can you terminate CPR on a medical arrest?

Answer 10

Persistent asystole after airway and all asystole protocol finished

Etco2 <10, PEA, 20+ min CPR

Question 11

Pt is in PEA with ETCO2 > 10 after 20min CPR. Can you call it?

Answer 11

Only with OLMC

Question 12

All pts in VF must be…

Answer 12

Treated & transported

Question 13

When to call cops for a death in the field?

Answer 13

Everytime except hospice or SNF

Question 14

What to do for DOA?

Answer 14

One person confirms death
Preserve scene & document what you altered

Question 15

When can you leave the scene of a death in the field?

Answer 15

LE handover or med examiner release

Question 16

You terminate CPR and call a death. What to do with body?

Answer 16

Cover with emergency blanket or non-cloth sheet (only if necessary)

Circle all IVs or marks/trauma you made

Preserve the scene and document!

Question 17

What to document on a death in the field?

Answer 17

Anything you altered on scene

Location/body position found

Name/title of ME(if limited investigation) and LE

Strange/sus things (ex bystander comments or bruises/marks)

Question 18

What info to have ready for OLMC when calling for CPR termination?

Answer 18

Pt hx, vitals, initial/current rhythm, last seen normal, CPR duration, all interventions

Question 19

What to do if staff/family inform you or has a POLST but not on their person?

Answer 19

Call the MRH for polst registry

Question 20

How to confirm POLST validity

Answer 20

Pt name, date signed, health care professional signature.

Pt signature is optional

Question 21

What to do if pt is commuting suicide under death with dignity act?

Answer 21

Confirm DNR or documentation verifying death dignity actions

Call OLMC

Question 22

Can you take orders from a hospice nurse?

Answer 22

No but can follow with approval from OLMC

Question 23

Hospice pt is dying. What to do?

Answer 23

Contact hospice, find POLST & DNR

Question 24

You want to give a drug that requires OLMC but can’t get a hold of them. What now

Answer 24

Give the drug per protocol. Try contact again enroute and after. Send med director or MD supervisor written report

Question 25

For a trauma arrest, what rhythm indicates hypovolemia vs cardiac?

Answer 25

Organized = hypovolemia

VF = cardiac