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Protocols Flashcards

1
Q

Bradycardia is less than?

A

50 bpm

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2
Q

Atropine dose for Brady patients?

A

0.5 mg IV adult
Max of 3mg

.02 mg/kg for pediatric
Max of .5mg

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3
Q

Omit atropine in?

A

2nd or 3rd degree blocks.

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4
Q

Digitalis toxicity joule setting?

A

5-20 joules

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5
Q

Dosage for synchronized cardiovert for afib and irregular SVT?

A

120-200j

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6
Q

A flutter and regular SVT synchronized cardio version dosage?

A

50-100j

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7
Q

Drops per minute formula

A

Volume/minutes * by drop factor ex. 60gtts/min

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8
Q

Defibrillation for pediatric pulseless patient?

A

2j/kg

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9
Q

What should be monitored when using restraints?

A

Spo2 and EKG

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10
Q

What is required on DNR form?

A

Original or copy on yellow paper with black “DNR” written, patient identification and signed by patients doctor.

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11
Q

Can a DNR expire?

A

Never

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12
Q

How can a DNR be revoked?

A

In writing, destruction of or failure to present form or verbally.

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13
Q

What are the 4 presumptive signs of death?

A

Pulseless, apneic, unresponsive, fixed dilated pupils (F.U.P.A)

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14
Q

What are the 4 signs of death?

A

Rigor mortis, liver mortis, tissue decomposition and injuries incompatible with life

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15
Q

Can resuscitation be stopped once started?

A

Yes, if presented with DNR or doctors orders

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16
Q

What are required to cease resuscitation in the field?

A

Medical direction along with advanced airway, drugs and shock given

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17
Q

Minimum rehab time?

A

15 min

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18
Q

What is required if presentation in rehab is abnormal for 15min?

A

ALS treatment

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19
Q

What is an abnormal rehab HR?

A

+120

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20
Q

What CO levels require immediate transport

A

25%+

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21
Q

Who has the final say on landing zone suitability?

A

Pilot in charge PIC

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22
Q

How far away do obstacles need to be?

A

Anything 40+ feet need to be 100+ feet away

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23
Q

What must be worn when approaching a helicopter?

A

Full PPE

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24
Q

Can you use road flairs for helicopter?

A

No

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25
What are MCI levels
1= 5-10 2= 11-20 3= 21-100 4= 101-1000 5= 1000+
26
What is assessed during MCI?
RPM= Respirations, Pulse and mentation
27
What Jump start triage Black?
No resp and no pulse, no resp with pulse after 5 breaths
28
What equipment is needed for ped cric?
14g, 15mm adapter from small tube. 10cc
29
What solution is placed on patient prior to performing cric?
Provodine- Iodine swab
30
What is age cutoff for safe haven for newborns?
7 days
31
What questions should be asked of parent during safe haven event?
Only medically pertinent questions
32
What needs to be done immediately after safe haven event?
Create a run, complete a report, transport to hospital and notify Safe Haven for Newborns
33
When do you notify DLE during safe haven event?
In cases of obvious abuse
34
What is fall height for level 2 trauma?
Adult = 12ft Ped= 6ft
35
GCS eye response score?
4 spontaneous, 3 Verbal, 2 Pain, 1 none
36
GCS Verbal score
5 oriented, 4 confused, 3 inappropriate, 2 Garbled, 1 none
37
GCS motor score
6 obeys, 5 Localizes, 4 withdraws, 3 Flexion, 2 extension, 1 none
38
What race is a stroke alert?
greater than 0
39
What does adding __ symbol to race score mean? ** couldnt read the symbol on the actual paper **
High possibility of Large vessel occlusion
40
How do you measure a rigid suction catheter?
From earlobe to corner of mouth
41
In what direction do you perform a incision for cric
First vertical and then Secondly horizontal
42
Where do you perform a needle decompression
2 or 3rd intercostal space
43
How do you check effectiveness of pacing
Check pulse on right side
44
Why do you check pulse on right side during pacing
Because of muscle twitching
45
For how long should you flush chemicals or foreign bodies from eyes?
20 min
46
What is the max volume you can admin in a nare?
1ml per nostril
47
What is recorded when applying a tourniquet
time of application
48
What does the blue seal on the narcotics container mean?
That the drug has not been replaced
49
What should be written on all equipment issued to you for identification
Employee number
50
Who should employees refer all media reps to during normal business hours?
Fire Admin
51
Who should employees refer media to after hours?
On duty battalion chief
52
Who do you notify in case if runaway seeking shelter under safeplace?
Dispatch and BSO
53
Who are the results of sexual abuse case shared with?
Complainant, accused employee, and Other that are absolutely necessary
54
When an apparatus is involved in a accident should you move the vehicle?
No, vehicle should remain till BSO investigation
55
When are you required to move vehicle after an accident?
When obstructing traffic
56
What are you never to admit under any circumstance when involved in an accident
Guilt
57
What is the minimum response to a fire alarm even if it has been reported false
1 unit for completion of ppw
58
What do you do if FLC doesnt call back?
Call every 8 hours
59
What is required to be given with all requests for treatment?
Urine and drug testing
60
When do you not use NPA?
patients with frontal head or facial fractures (possible basilar skull fracture)
61
Red trauma alert criteria?
Burns 15% or more, direct lightning burns
62
What classifies patient as red?
Respirations greater than 30, unable to follow commands and no radial pulse
63
Age cutoff for trauma?
16 yo
64
Age cutoff for medical?
18yo
65
What spo2 do you give support to?
less 94%
66
What is BP cutoff for morphine?
90 mmhg
67
First line drug for asthma patients?
Albuterol
68
When can you use atrovent?
With any albuterol dose
69
How many Epi doses are in ALS1 Asthma?
2 Epi dosages
70
What is the asthma epi dose?
1:1000, 0.3 mg IM
71
Asthma mag dose?
2gm in 50 ml over 5-10 min
72
BP cutoff for nitro?
100 mmhg
73
Nitro dose for CHF with high BP?
0.8mg
74
What setting for CPAP on CHF patient?
10 PEEP
75
What is ALS1 for pneumonia
Albuterol, Atrovent and IV bolus 250-500
76
Treatment for v4R
Fluid bolus (500ml) x2 and transport
77
What CANT be given on v4r patients?
Nitro or morphine
78
What is sinus tach range?
100-160
79
Junctional tach range
100-180
80
Atrial tach range?
150-250
81
Atrial flutter range
250-350
82
Afib range
350+
83
Cardizem dosage for SVT stable?
0.25mg/kg (5mg every 2 min)
84
Cardizem dosage for second treatment?
0.35 mg/kg (5mg every 2min)
85
Contraindication for Cardizem
WPW
86
Mag dosage for torsades?
2gm in 50ml over 5-10min
87
How long post partum seizures can occur?
up to 6 weeks
88
What determines imminent delivery of baby?
Crowning
89
Where is the cord cut after deliver?
8 inches from baby and 2 inches apart
90
When is cord cut after delivery?
30sec- 3min or when stops pulsating
91
What is APGAR
Appearance, Pulse, Grimace, Activity, Respirations
92
HOw do you create Epi 1:100,000?
Remove 9ml of 1:10,000 and draw 9ml of saline
93
What is treatable BGL level?
<60 with symptoms
94
What size burns should be covered with sterile dressing?
5% 3rd degree or 20% 2nd degree
95
Can calcium and bicarb be given through same line?
No, but if needed use 20 ml flush in between
96
Dopamine dosage after rosc?
5-10 mcg/kg/min
97
Max dose nitro for MI?
3 dosages= total of .12mg
98
Age albuterol dosage is cut in half?
Less than 1 year
99
Age atrovent is cut in half
less than 8yr old
100
Fluid bolus for pediatrics
20ml/kg
101
Epi dose pediatric
.01 mg/kg
102
Infant and newborn arrest is a result of what?
Poor oxygenation
103
Where do you check glucose on an newborn?
Heel
104
When giving benadryl IV to pediatric what should you do?
dilute in 9ml of saline
105
Epi dose for pediatric?
.01 mg/kg

OPFD Drugs (4 decks)

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