Quiz #24 Flashcards
According to DB 18-14 Fentanyl - Exposure Hazards and Incident Management, the United States Drug Enforcement Agency (DEA) has estimated that as little as _____ milligrams of illicit fentanyl may be enough to cause respiratory depression, respiratory arrest, and/or possible death.
2-3 milligrams
DB 18-14 Fentanyl - Exposure Hazards and Incident Management states that at a minimum, _________________________ should be worn when attending to a patient with signs or symptoms of opioid overdose.
nitrile gloves, eye protection, and P-100 mask
According to DB 18-14 Fentanyl - Exposure Hazards and Incident Management, due to the extreme potency of illicit fentanyl, repeated dosages of _____________ may be required to restore normal body function
naloxone
TB #184 Lund University Cardia Arrest System (LUCAS) states that the LUCAS is indicated for acute cardiac arrest involving patients > ______ years old
14 years old
According to TB #184 Lund University Cardia Arrest System (LUCAS) the LUCAS is a(n) _____________ device that provides continuous chest compressions with consistent rate and depth to maximize cardiac output during resuscitation.
mechanical
According to TB #184 Lund University Cardia Arrest System (LUCAS) the lower edge of the suction cup should touch immediately _______________
above the Xyphoid Process
According to TB #184 Lund University Cardia Arrest System (LUCAS) the ___________________ shall retrieve the LUCAS device from the receiving hospital, clean and ready the equipment for the next patient.
EMS Battalion Captain
TB #141 Continuous Positive Airway Pressure states that all the following are indications for use:
-patients in moderate respiratory distress
-patients in severe respiratory distress
-victims of near drowning
-some patients with severe asthma attacks
According to TB #141 Continuous Positive Airway Pressure, set oxygen flow to ____ liters per minute (LPM), which delivers CPAP of 5 cm of water pressure.
15 liters
According to TB #53 Air Ambulance, two basic methods of aerial evacuation include:
direct loading and hoist operation
According to TB #53 Air Ambulance, the suggested minimum landing area dimension is ____ feet by _____ feet.
100’ x 100’
According to TB #53 Air Ambulance all members at the landing zone shall don the appropriate PPE consisting of:
eye/ear protection, helmet, and turnouts
According to TB #53 Air Ambulance the aircraft can receive patients on either side; however, the _____________ is preferred at a ___-degree approach
right side, 90 degree
According to Book #35 EMS Field Manual, the initial scene assessment include all the following:
safety (BSI precautions/PPE)
mechanism of injury
number of patients
environment
According to Book #35 EMS Field Manual the GCS is required to assess neurological status on all patients greater than ____________ of age.
3 years of age
Book #35 EMS Field Manual states that an adult will get a 3 on the GCS scale for motor response if they demonstrate the following:
flexion
According to Book #35 EMS Field Manual, when following the EMS SOG’s, the “C” person is responsible for
circulation
According to Book #35 EMS Field Manual, during a cardiac arrest the rated member (AO or Engineer) is responsible for
assist with IV line preparation
According to TB #98 Emergency Medical Service Report Writing, all members must remember to “_______________________” before beginning to complete the EPCR.
assess and intervene
According to TB #98 Emergency Medical Service Report Writing, as our EMS system evolves toward standing orders, it will become increasingly vital for members to frequently review the “Three Ps”. The Three P’s are:
Policies
Procedures
Protocols
TB #134 Communications with the Medical Alert Center for Multi-Casualty Incidents states that communications with the MAC is normally initiated by the
attendant from the first paramedic rescue ambulance.
According to TB #134 Communications with the Medical Alert Center, contact should be established with MAC for any incident…
with five or more patients that are going to be transported from an incident or ten or more total patients at an incident
According to DB 17-02 Non-Transports of High Risk Cardiac Patients, the key words that identify a potentially life-threatening cardiac event are the so-called “i words”: _________, _________, or _______. A 12 lead ECG reading that includes any of these words place the patient at a much higher degree of risk of death or disability if they are not transported for further evaluation in an emergency department.
injury, ischemia, infarct
DB 18-13 Gurney Safety Procedures states that when removing the gurney from the rescue ambulance, members shall ensure the gurney’s legs are fully down and in the locked position. This verification shall be ____________ prior to removal of the front loading wheels.
verbalized
DB 19-21 ALS and BLS Resource Downgrades and Upgrades states to maximize Paramedic rescue ambulance (ALS RA) availability and the efficiency of our EMS delivery system, ALS RAs should be replaced by an EMT rescue ambulance (BLS RA) for transport whenever the estimated time of arrival (ETA) of the BLS RA does not exceed ____ minutes, non-emergency.
30 min
According to DB 19-21 ALS and BLS Resource Downgrades and Upgrades, “wall time” tends to peak…
on weekdays during the late afternoon and early evening hours
According to DB 05-14 Procedures for Accepting a Newborn-Safe Surrendered Baby Law, the California Safely Surrendered Baby Law, as amended, allows a person to surrender a minor child (____ hours or younger) to any firefighter on duty at any one of our fire stations.
72 hours
According to DB 05-14 Procedures for Accepting a Newborn-Safe Surrendered Baby Law, each fire station should maintain _______Newborn Safe Surrender Kits.
2 kits
DB 05-14 Procedures for Accepting a Newborn-Safe Surrendered Baby Law states that once the baby is surrendered the next step is:
Paramedics shall transport to EDAP
According to DB 21-05 Revised Patient Disposition Policy, Section ___ lists conditions that require a minimum of BLS transport
Section C
DB 21-05 Revised Patient Disposition Policy states that a BLS ambulance may transport a patient with a life threatening condition if…
the ETA for the ALS resource exceeds the the estimated transport time to the hospital
According to DB 21-05 Revised Patient Disposition Policy, passenger space intrusion greater than _____ inches into an occupied space requires immediate transport to a designated trauma center.
12”
DB 22-04 Mental Health Therapeutic Vans Pilot Program states that TVs respond non-emergency and will be dispatched by MFC when they are within ______ miles of an incident
seven
DB 09-10 Emergency Medical Services Eye Protection Policy states that infectious disease exposures to the eyes are considered a Level ___ exposure.
Level III
According to DB 09-10 Emergency Medical Services Eye Protection Policy, the intent of this policy is to prevent inadvertent or unanticipated exposures of foreign substances to members’ eyes - therefore all members of the healthcare team shall wear eye protection. As a rule, when members ____________________, they should also put on eye protection.
place latex gloves on
According to DB 09-10 Emergency Medical Services Eye Protection Policy, the Department relies heavily upon ____________ to evaluate potential risk and ensure steps are taken to minimize the risk of injuries to our members.
Company Officers
According to TB 115 - Paramedic Disaster Cache, TB 115 - Paramedic Disaster Cache - The Cache Box consists of _____ Mark-I Auto- Injectors for treating nerve agent exposures (refer to Training Bulletin 107) and _____ Amyl Nitrite Ampules (three boxes of 12 ampules each) for treating cyanide exposures. Each cache is secured in a _____ plastic box and is sealed with a small green padlock seal.
30, 36, gray
According to TB 115 - Paramedic Disaster Cache, REPLACEMENT PROCEDURES- A damaged, unserviceable, or opened Paramedic Disaster Cache must be stocked or exchanged on a one-for-one basis. Replacement of lost or stolen kits, or contents, shall be requested on an F-225 with an F-80 Stores Requisition. The F-225 shall be forwarded to the ___________. Restock of any part of the Paramedic Disaster Cache will be done through the District Captain. A laminated tag, with the drug expiration dates, will be attached to the exterior of the cache. As the medication nears its expiration date, a one-for-one exchange shall be done to ensure security of the medication.
Bureau of Emergency Services
According to TB 121 - The Tranzport Hood, TB 121 - The device shall not be used on anyone who is _____________, or in any way presents with a compromised airway
vomiting, dyspneic, hemorrhaging profusely from the mouth or nose
According to TB 170 - Narcan Nasal Spray - TB 170- INDICATIONS FOR USE, Narcan Nasal Spray administers a pre-metered dosage of 4mg. It should be used in all instances where there is a suspected narcotic overdose with respiratory arrest or hypoventilation (less than _____ breaths per minute). Signs and symptoms of opioid overdose that warrant administration of Narcan Nasal Spray include the following patient signs and symptoms:
-Unresponsive or minimally responsive, with a pulse
Depressed respiratory rate (less than ____ breaths per minute)
8, 8
According to TB 170 - Narcan Nasal Spray,
CONTRA-INDICATIONS are the following:
Cardiac Arrest
Seizure Activity
Pediatric Patients less than1 year of age
Nasal Trauma or Obstruction
According to TB 170 - Narcan Nasal Spray, TB 170 - If respiratory rate remains less than ____ breaths per minute, a ___________ 4mg Nasal Narcan Spray may be administered
8 breaths, second
According to TB 178 - Curaplex Fingertip SpO2 Monitor, A pulse oximetry reading is now considered a __________ vital sign on every patient.
mandatory
According to DB No. 17-07 - EMT ADMINISTRATION OF NARCAN NASAL SPRAY, Each box of Narcan Nasal Spray contains two 4 mg doses. Every emergency resource shall carry a minimum inventory of ____ boxes ( ___ doses). This includes all basic life support (BLS) and advanced life support (ALS) resources. Re-supply shall be through the normal medication restocking process via the Supply Requisition System (SRS).
2, 2
According to TB 157 - Trauma Treatment and Evacuation Aid Bag, how many total tourniquets should a bag consist of?
4
According to TB 157 - Trauma Treatment and Evacuation Aid Bag, how many triage tags should each bag consist of?
10
According to TB 157 - Trauma Treatment and Evacuation Aid Bag, MAINTENANCE, daily checks consist of: Check inventory, inspect bag for integrity and cleanliness and report any missing inventory item (what inventory item?) per Department policy
Littmann Stethoscope
According to Book #1 Basic Inspection Guide, basic commercial occupancies must provide and maintain an address with appropriate numbers on a contrasting background and visible from the street to indicate the correct address of the building . Minimum size is ___ inches high by ______ inches wide . *FORMULA: the height in inches shall be 1/10 of the distance in feet from the property line to the structure as seen from the street which the structure faces . The width of the numbers shall be 1/2 of the height .
4; 2
According to Book 57 Section 505, address numbers shall be __________ numbers or alphabetical letters.
Arabic
