Pre Hospital Care Flashcards
1
Q
Adult or Child with bp <
A
<90
Section I Base Contact Required
2
Q
Infant with bp <
A
<70
Section I Base Contact Required
3
Q
Adult or Child Pulse > ___ (Sustained)
A
> 110
Section I Base Contact Required
4
Q
Adult or Child RR ≥
A
≥29
Section I Base Contact Required
5
Q
Infant RR < __ (Sustained)
A
<20
Section I Base Contact Required
6
Q
Signs or Symptoms of Shock
A
Section I Base Contact Required
7
Q
Abnormal Skin Signs
A
Section I Base Contact Required
8
Q
Pulse Ox < __
A
<94
Section I Base Contact Required
9
Q
ALOC
A
Section I Base Contact Required
10
Q
Cardiopulmonary Arrest (Excluding those meeting References 814 & 815)
A
Section I Base Contact Required
11
Q
Chest Pain or Discomfort
A
Section I Base Contact Required
12
Q
Shortness of breath and/or Tachypnea
A
Section I Base Contact Required
13
Q
PMC / PTC Criteria / Guidelines (Ref. 510)
A
Section I Base Contact Required
14
Q
___ or more patients requiring ______ (contacting MAC constitutes base contact)
A
5 ; Transport
Section I Base Contact Required
15
Q
Suspected ingestion of a poisoners substance
A
Section I Base Contact Required
16
Q
Exposure to hazardous material with medical complaint
A
Section I Base Contact Required
17
Q
Abdominal pain in pregnancy or suspected pregnancy
A
Section I Base Contact Required
18
Q
New or a change from baseline status, weakness in patients ≥ ___ years of age
A
≥35 y/o
Section I Base Contact Required
19
Q
Childbirth or signs of labor
A
Section I Base Contact Required
20
Q
Suspected fracture of pelvis or femur
A
Section I Base Contact Required
21
Q
Facial, neck, electrical or extensive burns ____% or > in Adults
A
20%
Section I Base Contact Required
22
Q
Facial, neck, electrical or extensive burns ____% or > in Children
A
15%
Section I Base Contact Required
23
Q
Facial, neck, electrical or extensive burns ____% or > in Infants
A
10%
Section I Base Contact Required
24
Q
Trauma Criteria / Guidelines (Ref. 506)
A
Section I Base Contact Required
25
Traumatic Crush Syndrome
Section I Base Contact Required
26
Syncope or near syncope or any loss of consciousness prior to or upon EMS arrival
Section I Base Contact Required
27
New or a change from baseline status, neurological symptoms, prior to or upon EMS arrival, such as
- dizziness
- numbness
- paralysis
- speech disturbances
- facial asymmetry
- unequal grips
Section I Base Contact Required
28
Altered LOC or new confusion
Section I Base Contact Required
29
Refusal of transport (AMA) by ALS / BLS, if meeting any criteria in Section I, II, III or IV
Section I Base Contact Required
30
TARP or Tased
Section IV
| LACoFD Base Contact or ALS transport Required
31
Restraints applied by EMS
Section IV
| LACoFD Base Contact or ALS transport Required
32
Near drowning
Section IV
| LACoFD Base Contact or ALS transport Required
33
Abdominal pain of unknown origin in patients ≥ __ years of age with abnormal vital signs or history of cardiac disease, Diabetes or HTN
≥35 y/o
Section IV
LACoFD Base Contact or ALS transport Required
34
Diabetic with blood glucose >____
>300
Section IV
LACoFD Base Contact or ALS transport Required
35
Patients in moderate - severe pain or
| obvious extremity deformity / fracture
Section IV
| LACoFD Base Contact or ALS transport Required
36
Suspected isolated hip fracture
Section IV
| LACoFD Base Contact or ALS transport Required
37
Abnormal vaginal bleeding (with 1 or more abnormal vital signs)
Section IV
| LACoFD Base Contact or ALS transport Required
38
Suspected allergic reaction
Section IV
| LACoFD Base Contact or ALS transport Required
39
GI bleed
Section IV
| LACoFD Base Contact or ALS transport Required
40
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
>200; 100; >55
Section IV
LACoFD Base Contact or ALS transport Required
41
Suspected isolated fracture of the spine and/or skull
Section II
| BLS / ALS transport Required
42
Abdominal pain (except patients who meet Section IV)
Section II
| BLS / ALS transport Required
43
Asymptomatic exposure to hazardous material
| If known to have delayed symptoms
Section II
| BLS / ALS transport Required
44
Abnormal Vaginal Bleeding
| Except patients who meet Section IV
Section II
| BLS / ALS transport Required
45
Patients who are gravely dialed or a danger to themselves or others
Section II
| BLS / ALS transport Required
46
All children ≤ _____ shall be transported, regardless of chief complaint and/or mechanism of injury unless the child meets Ref. 814
≤ 12 mos.
Section III
PEDIATRIC PATIENTS
47
All children > 12 month to ≤ 6 years of age
(Excluding isolated minor extremity injuries)
Require _______
require base hospital contact and/or transport
Section III
PEDIATRIC PATIENTS
48
If a parent or legal guardian refuses treatment / transport (AMA). base contact is required prior to leaving the scene
Section III
| PEDIATRIC PATIENTS
49
Do not delay transport of hypotensive patients with
| ______________ in order to apply spinal immobilization.
Penetrating torso trauma
Ref. 506
Section I Base Contact Required
50
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.
Penetrating; torso; Less than;
Ref. 506
Section I Base Contact Required
51
Traumatic Adult or child Systolic BP <____
<90
Trauma Criteria - Requires immediate transportation to a designated trauma center. Not to exceed 30 minutes
Ref. 506
Section I Base Contact Required
52
Traumatic infant. age less than ____ year old Systolic BP of <____
<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
Traumatic Adult or child Respiratory rate of >____breaths/minute (sustained) or < _____ breaths/minute
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
Traumatic infant (age less than ____ year old) Respiratory rate of >____breaths/minute. or requiring ventilatory support
20
Trauma Criteria - Requires immediate transportation to a designated trauma center. Not to exceed 30 minutes
Ref. 506
Section I Base Contact Required
55
Traumatic Cardiopulmonary arrest with _______ torso trauma
penetrating
Trauma Criteria - Requires immediate transportation to a designated trauma center. Not to exceed 30 minutes
Ref. 506
Section I Base Contact Required
56
All Penetrating injuries to the:
- 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
Blunt head injury associated with;
- suspected _____ fracture,
- Altered level of consciousness (GCS less than or equal to ___ )
- seizures
- ______ pupils
- ______ _______ deficit
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
Injury to the ______ _______ associated acute sensory or motor deficit
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
Blunt injury to the chest with;
| -unstable chest wall ( ______ )
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
Traumatic Diffuse ________ tenderness
abdominal
Trauma Criteria - Requires immediate transportation to a designated trauma center. Not to exceed 30 minutes
Ref. 506
Section I Base Contact Required
61
Suspected pelvic fracture
| excluding isolated hip fracture from a ______ fall
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
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
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
Fall
| Adults Patients from heights > ____ feet
15 feet
Trauma Criteria - immediate transportation to a trauma center. Not to exceed 30 minutes
Ref. 506
Section I Base Contact Required
64
Fall
| Pediatric patients from heights greater than __ feet or greater than ____ times the height of the child.
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
Passenger space intrusion of
greater than ____ occupant site
or
greater than ____into any other passenger space
12"; 18"
Trauma Criteria - immediate transportation to a trauma center. Not to exceed 30 minutes
Ref. 506
Section I Base Contact Required
66
Ejected from vehicle ( _____ or complete)
Partial
Trauma Criteria - immediate transportation to a trauma center. Not to exceed 30 minutes
Ref. 506
Section I Base Contact Required
67
Auto vs pedestrian, bicyclist, motorcyclist
-
-run over
-significant ______ ( > 20 mph)
thrown; impact
Trauma Criteria - immediate transportation to a trauma center. Not to exceed 30 minutes
Ref. 506
Section I Base Contact Required
68
Unenclosed transport crash with significant impact
| >_____ mph
20 mph
Trauma Criteria - immediate transportation to a trauma center. Not to exceed 30 minutes
Ref. 506
Section I Base Contact Required
69
Trauma guidelines
Mechanism of injury and patient history are the most effective methods of selecting critically inured patients before unstable vital signs develop.
Trauma Guidelines
70
Automobile vs pedestrian or
bicyclist or
motorcyclist
(Impact ≤ ___ mph)
≤ 20 mph
Trauma Guidelines
71
Injured victims of vehicular crashes in which a fatality occurred in the same vehicle.
Trauma Guidelines
72
Vehicle telemetry data consistent with high risk of injury
Trauma Guidelines
73
Patient requiring extrication
Trauma Guidelines
74
Injured patients (excluding isolated minor extremity injuries)
- On anticoagulation therapy other than aspirin-only
- With bleeding disorders
Trauma Guidelines
75
Adults age greater than 55 years
Special considerations- Consider transporting to a trauma center.
Trauma Guidelines
76
Systolic BP < ___ may represent shock after age 65 years
110; 65 y/o
Special considerations- Consider transporting to a trauma center.
Trauma Guidelines
77
Pregnancy > ____ weeks gestation
>20 weeks
Special considerations- Consider transporting to a trauma center.
Trauma Guidelines
78
Prehospital judgment
Special considerations- Consider transporting to a trauma center.
Trauma Guidelines
79
Patients with an obstructed airway
Extremis Patients - Requires immediate transportation to the MAR
Trauma Guidelines
80
Patients, as determined by the base hospital personnel, whose lives would be jeopardized by transportation to any destination but the MAR
Extremis Patients - Requires immediate transportation to the MAR
Trauma Guidelines
