Prep 1 Skills

Question 1

How do you calculate MAP?

Answer 1

Systolic+2XDiastolic/3=MAP

Question 2

What is the Minimum MAP required to perfuse the brain?

Answer 2

60mmHg Normal Range is 60-150mmHg

Question 3

What are the sizes of King Airway and Pt. Heights associated with them?

Answer 3

Size 3 (Yellow) 4ft-5ft
Size 4 (Red) 5ft-6ft
Size 5 (Purple) 6ft and Above

Question 4

What are the criteria to rule out Capacity?

Answer 4

1. Inability to express/communicate choice.
2. Inability to understand one’s situation.
3. Inability to understand relevant information.
4. Inability to give a rational reason for refusal.
5. inability to give a risk/benefit related to the reason for refusal.
6. Inability to reach a reasonable decision.

Question 5

Describe the Impartiality Test

Answer 5

Would YOU be willing to undergo the procedure or action if you were in the patients position?

Question 6

Describe the Universal Test

Answer 6

Would you want this action performed in all relevant similar circumstances?

Question 7

Describe the Interpersonal Justifiability Test

Answer 7

Can you defend your actions to others?

Question 8

Give the Parkland Formula

Answer 8

4cc/kg X % 2nd & 3rd Degree Burned, Half Administered in the 1st 8hrs and 2nd Hald administered over the next 16hrs.

Question 9

Give the Brooks Formula

Answer 9

2cc/kg X % 2nd & 3rd Degree Burned, Half Administered in the 1st 8hrs and 2nd Hald administered over the next 16hrs.

Question 10

Give the Glasgow Coma Scale

Answer 10

EVM
Eye Opening: Spontaneously 4, To Speech 3, To Pain 2, No Response 1
Best Verbal: Oriented to Person/Place/Time 5, Confused 4, Inappropriate Words 3, Incomprehensible Sounds 2, No Response 1.
Best Motor: Obeys Commands 6, Moves to Localized Pain 5, Flexion Withdrawal from Pain 4, Decorticate Posturing 3, Decerebrate 2, No Response 1

Question 11

What is Cushing’s Triad?

Answer 11

A response to increasing intracranial pressure resulting in Increased Blood Pressure, Irregular Respirations and a Decreasing Heart Rate

Question 12

Give the Rate Formula for Volume Infused

Answer 12

Rate = Volume in Ml’s X Drop Set/Time

Question 13

What is the “Pre” in PreSOAPeD?

Answer 13

Pre-Arrival Information:

Reason for the Call
Response emergent or non-emergency
Any delays during your response to the scene?

Question 14

What is the “S” in PreSOAPeD?

Answer 14

Subjective: Covered with the Patient/Bystanders. What they tell you.

o	Chief Complaint
o	History of Present Illness
      	SAMPLE
      	OPQRST
o	Review of systems (with the patient) 
      	General
      	Head, Ears, Eyes, Nose, Throat (HEENT)
      	Neck
      	Cardiovascular
      	Respiratory
      	Abdomen
      	GU
      	Skin
      	Neurological
      	Psychological
      	Musculoskeletal

Question 15

What is the “O” in PreSOAPeD?

Answer 15

Objective: What you find from your examination of the patient.

o	Vital Signs
o	General
o	HEENT
o	Neck
o	Cardiovascular
o	Respiratory
o	Abdomen
o	GU
o	Skin
o	Neurological
o	Musculoskeletal
o	Lab Values (SpO2, EKG, BGL, etc)

Question 16

What is the “A” in PreSOAPeD?

Answer 16

Assessment: The “assessment” in terms of a PreSOAPed is your assessment of what’s going on. It’s your working diagnosis (what you’re treating), as well as your differential diagnosis if any other possibilities exist.

Question 17

What is the “PeD” in PreSOAPeD?

Answer 17

Plan & Delta (Changes): The plan is placed in chronological order. It is the treatment you provided based on your assessment/differential diagnosis. Any changes in patient condition, pre- and post-treatment, are also placed in this area.

Question 18

What is a VOMIT Report?

Answer 18

V: Vitals, Highest Heart Rate, Lowest BP & Significant Changes
O: Origin, Scene vs. Hospital Transfer, Approx. Time of Injury.
M: Mechanism, MVA; Important Details including belted/unbelted, Ejection, airbag deployment, extrication, other death at scene, etc. Fall; Height of Fall/Surface landed.
M: Medical History; AMPLE. Allergies, Meds, Past Med History, Last Meal, Events Prior
I: Injuries Found
T: Treatment; IV, Airway, Medications, etc…