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Fire Captain > Pre Hospital Care > Flashcards

Pre Hospital Care Flashcards

1
Q

Adult or Child with bp <

A

<90

Section I Base Contact Required

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2
Q

Infant with bp <

A

<70

Section I Base Contact Required

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3
Q

Adult or Child Pulse > ___ (Sustained)

A

> 110

Section I Base Contact Required

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4
Q

Adult or Child RR ≥

A

≥29

Section I Base Contact Required

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5
Q

Infant RR < __ (Sustained)

A

<20

Section I Base Contact Required

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6
Q

Signs or Symptoms of Shock

A

Section I Base Contact Required

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7
Q

Abnormal Skin Signs

A

Section I Base Contact Required

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8
Q

Pulse Ox < __

A

<94

Section I Base Contact Required

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9
Q

ALOC

A

Section I Base Contact Required

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10
Q

Cardiopulmonary Arrest (Excluding those meeting References 814 & 815)

A

Section I Base Contact Required

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11
Q

Chest Pain or Discomfort

A

Section I Base Contact Required

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12
Q

Shortness of breath and/or Tachypnea

A

Section I Base Contact Required

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13
Q

PMC / PTC Criteria / Guidelines (Ref. 510)

A

Section I Base Contact Required

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14
Q

___ or more patients requiring ______ (contacting MAC constitutes base contact)

A

5 ; Transport

Section I Base Contact Required

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15
Q

Suspected ingestion of a poisoners substance

A

Section I Base Contact Required

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16
Q

Exposure to hazardous material with medical complaint

A

Section I Base Contact Required

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17
Q

Abdominal pain in pregnancy or suspected pregnancy

A

Section I Base Contact Required

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18
Q

New or a change from baseline status, weakness in patients ≥ ___ years of age

A

≥35 y/o

Section I Base Contact Required

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19
Q

Childbirth or signs of labor

A

Section I Base Contact Required

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20
Q

Suspected fracture of pelvis or femur

A

Section I Base Contact Required

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21
Q

Facial, neck, electrical or extensive burns ____% or > in Adults

A

20%

Section I Base Contact Required

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22
Q

Facial, neck, electrical or extensive burns ____% or > in Children

A

15%

Section I Base Contact Required

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23
Q

Facial, neck, electrical or extensive burns ____% or > in Infants

A

10%

Section I Base Contact Required

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24
Q

Trauma Criteria / Guidelines (Ref. 506)

A

Section I Base Contact Required

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25
Q

Traumatic Crush Syndrome

A

Section I Base Contact Required

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26
Q

Syncope or near syncope or any loss of consciousness prior to or upon EMS arrival

A

Section I Base Contact Required

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27
Q

New or a change from baseline status, neurological symptoms, prior to or upon EMS arrival, such as

A
  • dizziness
  • numbness
  • paralysis
  • speech disturbances
  • facial asymmetry
  • unequal grips

Section I Base Contact Required

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28
Q

Altered LOC or new confusion

A

Section I Base Contact Required

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29
Q

Refusal of transport (AMA) by ALS / BLS, if meeting any criteria in Section I, II, III or IV

A

Section I Base Contact Required

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30
Q

TARP or Tased

A

Section IV

LACoFD Base Contact or ALS transport Required

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31
Q

Restraints applied by EMS

A

Section IV

LACoFD Base Contact or ALS transport Required

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32
Q

Near drowning

A

Section IV

LACoFD Base Contact or ALS transport Required

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33
Q

Abdominal pain of unknown origin in patients ≥ __ years of age with abnormal vital signs or history of cardiac disease, Diabetes or HTN

A

≥35 y/o
Section IV
LACoFD Base Contact or ALS transport Required

34
Q

Diabetic with blood glucose >____

A

> 300
Section IV
LACoFD Base Contact or ALS transport Required

35
Q

Patients in moderate - severe pain or

obvious extremity deformity / fracture

A

Section IV

LACoFD Base Contact or ALS transport Required

36
Q

Suspected isolated hip fracture

A

Section IV

LACoFD Base Contact or ALS transport Required

37
Q

Abnormal vaginal bleeding (with 1 or more abnormal vital signs)

A

Section IV

LACoFD Base Contact or ALS transport Required

38
Q

Suspected allergic reaction

A

Section IV

LACoFD Base Contact or ALS transport Required

39
Q

GI bleed

A

Section IV

LACoFD Base Contact or ALS transport Required

40
Q

Extreme ASYMPTOMATIC hypertension
(Systolic BP > ___ and/or Diastolic BP > ___)
plus any of the following:

            Age greater than \_\_\_ years
            History of diabetes
            Currently taking antihypertensive or 
            cardiac medication
A

> 200; 100; >55
Section IV
LACoFD Base Contact or ALS transport Required

41
Q

Suspected isolated fracture of the spine and/or skull

A

Section II

BLS / ALS transport Required

42
Q

Abdominal pain (except patients who meet Section IV)

A

Section II

BLS / ALS transport Required

43
Q

Asymptomatic exposure to hazardous material

If known to have delayed symptoms

A

Section II

BLS / ALS transport Required

44
Q

Abnormal Vaginal Bleeding

Except patients who meet Section IV

A

Section II

BLS / ALS transport Required

45
Q

Patients who are gravely dialed or a danger to themselves or others

A

Section II

BLS / ALS transport Required

46
Q

All children ≤ _____ shall be transported, regardless of chief complaint and/or mechanism of injury unless the child meets Ref. 814

A

≤ 12 mos.

Section III
PEDIATRIC PATIENTS

47
Q

All children > 12 month to ≤ 6 years of age
(Excluding isolated minor extremity injuries)
Require _______

A

require base hospital contact and/or transport

Section III
PEDIATRIC PATIENTS

48
Q

If a parent or legal guardian refuses treatment / transport (AMA). base contact is required prior to leaving the scene

A

Section III

PEDIATRIC PATIENTS

49
Q

Do not delay transport of hypotensive patients with

______________ in order to apply spinal immobilization.

A

Penetrating torso trauma

Ref. 506
Section I Base Contact Required

50
Q

EMT personnel may immediately transport hypotensive patients with life-threating ________
injuries to the _______ to the closest trauma center, nit the most Accessible Receiving (MAR), when the transport time is ______ the est. time of paramedic arrival.

A

Penetrating; torso; Less than;

Ref. 506
Section I Base Contact Required

51
Q

Traumatic Adult or child Systolic BP <____

A

<90
Trauma Criteria - Requires immediate transportation to a designated trauma center. Not to exceed 30 minutes
Ref. 506
Section I Base Contact Required

52
Q

Traumatic infant. age less than ____ year old Systolic BP of <____

A

<70; 1 y/o
Trauma Criteria - Requires immediate transportation to a designated trauma center. Not to exceed 30 minutes
Ref. 506
Section I Base Contact Required

53
Q

Traumatic Adult or child Respiratory rate of >____breaths/minute (sustained) or < _____ breaths/minute

A

29; 10
Trauma Criteria - Requires immediate transportation to a designated trauma center. Not to exceed 30 minutes
Ref. 506
Section I Base Contact Required

54
Q

Traumatic infant (age less than ____ year old) Respiratory rate of >____breaths/minute. or requiring ventilatory support

A

20
Trauma Criteria - Requires immediate transportation to a designated trauma center. Not to exceed 30 minutes
Ref. 506
Section I Base Contact Required

55
Q

Traumatic Cardiopulmonary arrest with _______ torso trauma

A

penetrating
Trauma Criteria - Requires immediate transportation to a designated trauma center. Not to exceed 30 minutes
Ref. 506
Section I Base Contact Required

56
Q

All Penetrating injuries to the:

A
  • Head
  • neck
  • torso
  • extremities proximal to the elbow ro knee

Trauma Criteria - Requires immediate transportation to a designated trauma center. Not to exceed 30 minutes
Ref. 506
Section I Base Contact Required

57
Q

Blunt head injury associated with;

  • suspected _____ fracture,
  • Altered level of consciousness (GCS less than or equal to ___ )
  • seizures
  • ______ pupils
  • ______ _______ deficit
A

skull
≤14
unequal
focal neurological

Trauma Criteria - Requires immediate transportation to a designated trauma center. Not to exceed 30 minutes
Ref. 506
Section I Base Contact Required

58
Q

Injury to the ______ _______ associated acute sensory or motor deficit

A

spinal column
Trauma Criteria - Requires immediate transportation to a designated trauma center. Not to exceed 30 minutes
Ref. 506
Section I Base Contact Required

59
Q

Blunt injury to the chest with;

-unstable chest wall ( ______ )

A

fail chest
Trauma Criteria - Requires immediate transportation to a designated trauma center. Not to exceed 30 minutes
Ref. 506
Section I Base Contact Required

60
Q

Traumatic Diffuse ________ tenderness

A

abdominal
Trauma Criteria - Requires immediate transportation to a designated trauma center. Not to exceed 30 minutes
Ref. 506
Section I Base Contact Required

61
Q

Suspected pelvic fracture

excluding isolated hip fracture from a ______ fall

A

ground level
Trauma Criteria - Requires immediate transportation to a designated trauma center. Not to exceed 30 minutes
Ref. 506
Section I Base Contact Required

62
Q

Traumatic Extremity injuries with;
-Neurological / ________ compromise and/or Crushed, De-gloved or Mangled extremity,
-Amputation proximal to the wrist or ankle
-Fractures of ___or more proximal (humerus/femur)
long bones

A

Vascular; 2 or more
Trauma Criteria - Requires immediate transportation to a designated trauma center. Not to exceed 30 minutes
Ref. 506
Section I Base Contact Required

63
Q

Fall

Adults Patients from heights > ____ feet

A

15 feet
Trauma Criteria - immediate transportation to a trauma center. Not to exceed 30 minutes
Ref. 506
Section I Base Contact Required

64
Q

Fall

Pediatric patients from heights greater than __ feet or greater than ____ times the height of the child.

A

10 feet; 3x the height of the child.
Trauma Criteria - immediate transportation to a trauma center. Not to exceed 30 minutes
Ref. 506
Section I Base Contact Required

65
Q

Passenger space intrusion of
greater than ____ occupant site
or
greater than ____into any other passenger space

A

12”; 18”
Trauma Criteria - immediate transportation to a trauma center. Not to exceed 30 minutes
Ref. 506
Section I Base Contact Required

66
Q

Ejected from vehicle ( _____ or complete)

A

Partial
Trauma Criteria - immediate transportation to a trauma center. Not to exceed 30 minutes
Ref. 506
Section I Base Contact Required

67
Q

-run over
-significant ______ ( > 20 mph)

A

thrown; impact
Trauma Criteria - immediate transportation to a trauma center. Not to exceed 30 minutes
Ref. 506
Section I Base Contact Required

68
Q

Unenclosed transport crash with significant impact

>_____ mph

A

20 mph
Trauma Criteria - immediate transportation to a trauma center. Not to exceed 30 minutes
Ref. 506
Section I Base Contact Required

69
Q

Trauma guidelines

A

Mechanism of injury and patient history are the most effective methods of selecting critically inured patients before unstable vital signs develop.

Trauma Guidelines

70
Q

Automobile vs pedestrian or
bicyclist or
motorcyclist
(Impact ≤ ___ mph)

A

≤ 20 mph

Trauma Guidelines

71
Q

Injured victims of vehicular crashes in which a fatality occurred in the same vehicle.

A

Trauma Guidelines

72
Q

Vehicle telemetry data consistent with high risk of injury

A

Trauma Guidelines

73
Q

Patient requiring extrication

A

Trauma Guidelines

74
Q

Injured patients (excluding isolated minor extremity injuries)

  • On anticoagulation therapy other than aspirin-only
  • With bleeding disorders
A

Trauma Guidelines

75
Q

Adults age greater than 55 years

A

Special considerations- Consider transporting to a trauma center.
Trauma Guidelines

76
Q

Systolic BP < ___ may represent shock after age 65 years

A

110; 65 y/o
Special considerations- Consider transporting to a trauma center.
Trauma Guidelines

77
Q

Pregnancy > ____ weeks gestation

A

> 20 weeks
Special considerations- Consider transporting to a trauma center.
Trauma Guidelines

78
Q

Prehospital judgment

A

Special considerations- Consider transporting to a trauma center.
Trauma Guidelines

79
Q

Patients with an obstructed airway

A

Extremis Patients - Requires immediate transportation to the MAR
Trauma Guidelines

80
Q

Patients, as determined by the base hospital personnel, whose lives would be jeopardized by transportation to any destination but the MAR

A

Extremis Patients - Requires immediate transportation to the MAR
Trauma Guidelines

Fire Captain (4 decks)

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