Probation 121.12 Flashcards
BLS providers can only assist patient with taking their own prescribed Nitroglycerin provided the patient’s systolic blood pressure is at least?
110
Name (2) “Caution” withhold Nitroglycerin and consult medical control if:
Systolic BP <60, Pediatric, or taken ED meds within 24 hours
In pediatric patients that present with a loud cough that mimics the “bark of a seal”, respiratory distress, grunting, wheezing or stridor on inspiration, you would suspect that patient to have?
CROUP
In general patient care for a patient with chest pains, you should administer_________ PO (chewed or swallowed) if not taken during the previous 24 hours or has a known allergy?
Aspirin 324mg
What would a provider do if a patient presentation is atypical and the protocol treatment may not be in the best interest for the patient or in any situation where the EMS provider is not sure about the best treatment for the patient?
Contact Medical Control
What is the dose of Albuterol given via nebulizer?
2.5mg
A patient with Asthma/COPD that presents with respiratory distress with suspected bronchospasm/wheezing, administer a combination of __________ and __________ via nebulizer, one time only for pre-hospital care.
Albuterol (2.5mg) and Atrovent (500mcg)
How many additional Albuterol 2.5 mg via Nebulizer can a BLS provider administer if the symptoms are still present?
None without contacting Medical Control
If a patient with a medical history of asthma, without significant cardiac history and still presents with respiratory distress and is in extremis you should administer?
EPI 0.3mg IM
If the patient is ≥ 8 years of age with a blood glucose level of ______ and displays signs/symptoms of hypoglycemia, administer oral glucose 24gm PO if the patient is conscious enough to swallow.
If a narcotic (opiate) overdose is suspected administer?
Narcan 2mg IN
If a patient presents with a severe Anaphylactic reaction with associated hypoperfusion and/or respiratory distress, proceed to the following treatment regiment?
Anaphylaxis / EPI
The current hospitals in the District of Columbia identified as designated stroke centers are?
H05 Howard, H07 Georgetown, H08 George Washington, H10 Providence
On what channel on the radio can you contact Poison Control?
Ch. H-11
In general indications for a referral to a burn center apply to patients with basically _____ or _____ degree burns.
2nd Degree >10%
3rd Degree >1%
Consider activation of the _________ for a patient involved in an unusual extrication, prolonged crush injury, or possible field amputation.
Go Team (H-08)
__________ is a limb and life-threatening condition seen when perfusion pressure falls below tissue pressure in a closed anatomical space.
Compartment Syndrome
What is the cut-off age to take a child trauma/medical patient to Children’s National Medical Center (CNMC)?
15 years of age
When does the PDOA protocol not apply to the trauma patient that is pregnant?
20 weeks or greater in gestation
When you need to contact medical control which hospitals are medical control hospitals for patients being transported to them?
Each hospital will serve as its own Medical Control
When you have a pediatric patient and need to contact medical control what hospital would you utilize?
H02 / the hospital you are transporting to
What does AVPU stand for?
Alert, Verbal, Painful, Unconscious
What are the normal vital signs for an adult?
RR 12-20, HR 60-100, Systolic BP 90-140
To inquire about pertinent past medical history you may use the acronym?
SAMPLE: Signs/Symptoms, Allergies, Medication, Past History, Last oral intake, Events
To effectively maintain awareness of changes in the patient’s condition, repeated assessments are essential and should be performed?
Unstable: 5min
Stable: 15min
For trauma alert or burn patients _________, transport to a trauma or burn facility capable of handling adult patients. Patients________ years of age should be transported to Children’s National Medical Center
15 years of age or greater. // less than 15 years of age
Sexual assault patients <18 years of age should be transported to?
Children’s National Medical Center (H-02)
How many levels of priority transports are there?
3
What determines their priority level?
Unstable (P1)
Potentially Unstable (P2)
Stable (P3)
What hospitals inside the District of Columbia are adult major trauma capable?
H-04
H-05
H-08
What hospital has a hyperbaric chamber?
H-08 George Washington University Hospital
What are the hospital codes within the District of Columbia?
H-01 United Medical Center H-02 Children’s National Medical Center H-04 Medstar H-05 Howard University Hospital H-07 Georgetown University Hospital H-08 George Washington University Hospital H-09 United Medical Center Pediatrics H-10 Providence Hospital H-12 Sibley Hospital H-13 Washington Hospital Center H-15 VA Hospital
In order for an ALS provider to transfer care to a BLS provider the patient must be?
Stable with complaints that would be cared for at the BLS level
A minor patient may refuse care if he/she is?
A parent
The contraindications for requesting aero medical evacuation of a patient include?
Pt is in cardiac arrest
Pt is contaminated by HAZMAT
Pt displays violent or erratic behavior
What are the contraindications when using the AED?
Traumatic cardiac arrest
Fully obstructed airway
Hazardous environments
What are the clinical indications for using the AED?
PTs in cardiac arrest
Age 1-8 years use Pediatric Pads
When the pulse oximetry is on a patient, what is the normal SPO2 on room air?
96-100%
You should include SPO2 as a vital sign? True or False
True
The King Lt-D Airway Device should be used on __________ patients without a gag reflex.
Cardiac Arrest PTs
There are 3 contraindications when using the combi-tube – list them.
PT who are conscious or have a gag reflex
PTs under 3 feet in height
PTs with known esophageal disease or ingestion of caustic substances
What is the clinical indication for the use of the carbon monoxide (co) oximeter?
PTs with smoke inhalation or other hydrocarbon exhaust
A reading of _____ indicates mild carbon monoxide inhalation.
> 12%
A reading of _____ indicates severe carbon monoxide inhalation.
> 25%
When reading the medical formulary of Tetracaine HCL, what is the class (type of use)?
Topically Applied
What is the dose of Tetracaine HCL?
1-2 drops
What are the clinical indications for intranasal medication administration?
Pt w/o IV access requiring urgent medication administration
What are the dose and the route in which BLS provider can administer Naloxone (Narcan) and can a BLS provider establish IV access?
2mg IN, only qualified BLS providers my establish IV access
When can a BLS provider establish IV access?
If they completed the IV training module
What is the clinical indication when using the blood glucose analysis?
Obtain Blood Glucose reading unless declined by PT / displays signs of hypoglycemia
If the patient’s blood glucose level is ______, administer oral glucose, 24 grams if conscious per protocol
<70mg/dl
What is informed consent?
When a competent patient or guardian is informed of the potential benefits and risks of a process or procedure, alternatives to that procedure, and the possible consequences related to each
What is expressed consent?
Written or verbal request to be evaluated and treated
What is implied consent?
When a patient is unable to express consent because of AMS or severe distress
In order to allow a patient to refuse care and/or transport you must conduct three assessments first – what are they?
Legal Competence
Mental Competence
Medical / Situational Competence
When using oxygen (02) on an adult patient, the dosage should be ______ for BVM, ______ via NRB mask, or ______ via nasal cannula.
> 15 lpm via BVM
12-15 lpm via NRB
2-6 lpm via NC
What are the indications for the use of oxygen (02)?
Cardiac/Respiratory Arrest, Trauma, Dyspnea, Suspected hypoxemia, Cardiac related Chest Pain
When administering oxygen what is an adverse reaction?
May induce respiratory drive in some COPD patients
What are if any contraindications are listed for the use of Oxygen?
None
Members shall administer supplemental oxygen in order to maintain SpO2 level of at least_______
94%
