Preceptor book

Question 1

What are the cardiovascular criteria for CTAS 1

Answer 1

• Cardiac arrest
• Pre-arrest: severe end-organ hypoperfusion (tachycardia, hypotension)
• Chest pain with cardiac features: severe end-organ hypoperfusion
• Severe dehydration

Question 2

What are the environmental criteria for CTAS 1

Answer 2

Chemical burn greater than or equal to 25% of body surface area

Question 3

What are the mental health criteria for CTAS 1

Answer 3

• Violent/homicidal behaviour: imminent harm to self or others or specific plans
• Bizarre behavior: uncontrolled

Question 4

What are the Neurological criteria for CTAS 1

Answer 4

• Unconscious: GCS 3-9
• Seizures: actively seizing

Question 5

What are the Obstetrics/Gynecology criteria for CTAS 1

Answer 5

• Pregnancy ≥ 20 weeks: presenting fetal parts, prolapsed cord, vaginal bleeding in 3rd trimester

Question 6

What are the respiratory criteria for CTAS 1

Answer 6

• Respiratory arrest
• Shortness of breath: severe respiratory distress

Question 7

What are the trauma criteria for CTAS 1

Answer 7

• Major trauma: severe hemodynamic compromise (shock)
• Traumatic amputation of an extremity

Question 8

Code 5

Answer 8

obvious death

Question 9

Code 6

Answer 9

legal death

Question 10

code 7

Answer 10

down staffed

Question 11

code 8

Answer 11

standby/hold location

Question 12

code 9

Answer 12

maintenance

Question 13

code 71

Answer 13

no patient found

Question 14

code 72

Answer 14

patient refused

Question 15

code 74

Answer 15

patient in police custody

Question 16

code 75

Answer 16

transported by other ambulance

Question 17

code 76

Answer 17

cancelled before scene or patient contact

Question 18

10-3

Answer 18

all vehicles stop transmitting

Question 19

10-4

Answer 19

acknowledgement

Question 20

10-5

Answer 20

relay message

Question 21

10-6

Answer 21

stand by

Question 22

10-7

Answer 22

arrived

Question 23

10-8

Answer 23

departed

Question 24

10-9

Answer 24

repeat

Question 25

10-13

Answer 25

further information not available

Question 26

10-19

Answer 26

return to base

Question 27

10-20

Answer 27

what's your location

Question 28

10-21

Answer 28

call on cell/landline

Question 29

10-25

Answer 29

non violent psychiatric patient

Question 30

10-27

Answer 30

hostage/tactical situation

Question 31

10-50

Answer 31

violent psychiatric patient

Question 32

10-100

Answer 32

bomb threat

Question 33

100-200

Answer 33

request police presence

Question 34

10-2000

Answer 34

request police immediately

Question 35

What is considered hypothermic, normal, and fever

Answer 35

Hypothermia: <36 C Normal: 36.1-37.2C Fever: ≥ 38C

Question 36

What could cause fixed/dilated pupils

Answer 36

Anoxia, head injury, cocaine, amphetamines, LSD, ecstasy

Question 37

What could cause sluggish pupils

Answer 37

decreased oxygen in brain/hypoxia

Question 38

What could cause unequal pupils

Answer 38

CVA

Question 39

What are the 6 P's and an A

Answer 39

Paralysis Paresthesia Paresis Pallor Pulse Pain Anesthesia

Question 40

What is the parkland formula

Answer 40

4 mL x body weight (kg) x % TBSA burned = Total fluid replacement volume Half given in first 8 hours Half given over the next 16 hours

Question 41

What is Beck's triad

Answer 41

Seen in CARDIAC TAMPONADE and PERICARDITIS 1. Muffled heart sounds 2. JVD 3. Hypotension

Question 42

What is Cushing's triad

Answer 42

Caused by INCREASED ICP 1. Irregular or decreased respirations 2. Bradycardia 3. Widening pulse pressure (systolic hypertension

Question 43

What is the Opioid overdose triad

Answer 43

1. Respiratory depression 2. Pinpoint pupils 3. CNS depression

Question 44

What is Virchow's triad

Answer 44

Caused by PE 1. Stasis 2. Hypercoagulability 3. Vessel injury

Question 45

What is Charcot's triad

Answer 45

Caused by CHOLANGITIS 1. Fever 2. RUQ pain 3. Jaundice

Question 46

What is Charcot's neurologic triad

Answer 46

Caused by MULTIPLE SCLEROSIS 1. Dysarthria (difficulty or unclear speech) 2. Nystagmus 3. Intention tremor

Question 47

cuddlerrrrrr

Question 48

What are the different types of shock? (4)

Answer 48

Disruptive, obsrtuctive, cardiogenic, and hypovolemic