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SCCO EMS EXAM > SCCO EMS EXAM > Flashcards

SCCO EMS EXAM Flashcards

(105 cards)

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1
Q

Chest compressions shall be performed at a rate of ____ beats per minute

A

110

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2
Q

The primary for conducting a hospital report (ringdown) for trauma alerts, STEMI Alerts and Stroke Alerts is via

A

EMS Command 92

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3
Q

Life support can be withheld or discontinued by emergency medical service personnel for a pulseless and/or apneic patient with a valid DNR directive

A

TRUE

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4
Q

If a person at a traffic accident scene state that they are a physician and wish to maintain care or the patient, the prehospital personnel shall request proper identification to confirm they are a DO/MD

A

TRUE

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5
Q

If a competent patient wishes to leave the ambulance during transport, they may only do so after arrival to the closest ED

A

False

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6
Q

A pediatric trauma alert may be transported to following centers:

A

Valley medical center
Stanford university medical center
EXCEPT/NOT AT: Regional medical center

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7
Q

All the following hospital may receive patients that meet “Stroke Alert” Criteria

A

El Camino Hospital of Los Gatos
Kaiser Santa Clara
O’Connor Hospital
EXCEPT/NOT AT: Palo Alto Veterans Association Hospital

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8
Q

A 26 year old male with an arrow that has fully penetrated his left forearm, distal to the elbow meets trauma alert criteria

A

FALSE

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9
Q

Major auto deformity greater than 12 inches on occupant site or greater than 18 inches any other site is considered trauma alert criteria

A

TRUE

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10
Q

ALS level patients may be transferred to BLS personnel during declared mass casualty incidents and disaster situations

A

TRUE

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11
Q

The EMS Duty Chief may serve in the following capacities

A

Supervision, regulation, and management of contracted system providers
Allocation of county-wide medical resources to include non-contracted ambulance providers, state medical mutual aid requests and management, non-traditional use of alternate care facilities
Authorizing emergency policy changes necessary to assist in the mitigation of the incident
EXCEPT: The EMS Duty Chief has authority over local jurisdiction on incidents

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12
Q

Dispatches by county communications shall be only valid authorization for air resource operation at the scene of an emergency in santa clara county

A

TRUE

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13
Q

A system ID badge expires on the same date as one’s professional medical credential

A

TRUE

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14
Q

Physician scene request and response, which statement is true?

A

A physician may be requested to the scene when a surgical extrication is required due to the inability to extricate a patient from their environment

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15
Q

If a hypoglycemic patient that can self administer is allowed to take a second tube of oral glucose after ___ minutes if there is no change in the patient’s condition

A

15 minutes

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16
Q

What are indications for the use of a mechanical tourniquet in Santa Clara County?

A

An uncontrolled extremity hemorrhage in an adult/pediatric patient

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17
Q

The use of clear text/ plain english has replaced the use of radio codes

A

TRUE

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18
Q

If an emergency button is accidentally activated, the unit must acknowledge the dispatcher with:

A

“No further assistance is needed”

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19
Q

Providers are required to notify the EMS duty chief of a level A variance:

A

Immediately

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20
Q

When responders transport a patient from the scene of a hazardous materials incident, which of the following information is to be provided to the routine patient notification report?

A

Chemical name, decontamination methods used on-scene, DOT reference number, and any appropriate treatment information

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21
Q

Which of the following is authorized to refuse medical care?

A

Minors legally authorized to consent

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22
Q

Life support can be withheld or discontinued by EMS of a pulseless and apneic patient who has exercised his/her right to die under End-of-Life Option Act

A

TRUE

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23
Q

A physician on the scene of a 911 call can do all the following

A

Relinquish patient care to prehospital personnel
Assist in patient care and the prehospital patient care would remain under the direction of the EMS Medical Director
Manage patient care and accompany the patient in the ambulance
EXCEPT: provide medical direction to prehospital personnel

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24
Q

All the following are criteria for “In-Extremis” patients

A

Breech presentation or protruding limbs during a delivery
Uncontrollable hemorrhage despite intervention from providers
Uncontrollable airway where the provider is unable to ventilate the patient adequately despite intervention
EXCEPT: altered level of consciousness following a traumatic injury

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25
Patients that are in cardiac arrest that have a BLS airway meet “In-Extremis” criteria
FALSE
26
If a patient that has a valid DNR, dies in their home during medical treatment, who has the responsibility for disposition of the deceased?
The fire department or police department (if present)
27
What is the impact speed of a motor vehicle crash necessary for mechanism of injury criteria for a trauma alert
Impact speed of 40 mph or greater
28
Patients with partial thickness burns greater than 5% of the total body surface area are considered to have met major burn criteria
FALSE
29
What is required of a BLS crew to transport a patient with red lights and sirens?
Arrival on scene to arrival at hospital is less than 10 minutes, emergent patient, immediately advise county communications and request county EMS event number
30
To isolate and deny entry the proper distance to keep everyone back is at least
100 feet away for small incidents 500 feet away for large incidents
31
Two ventilations shall be provided after 30 compressions
FALSE
32
Badges are property of the county of santa clara and shall be surrendered to the EMS agency upon separation from service with an authorized santa clara county ems system provider
TRUE
33
Only the 911 contracted ambulance provider is required to understand the life safety procedures
FALSE
34
Pediatric, a pediatric trauma patient is defined as unless otherwise specified in protocol as
Under 15 years old
35
A mass casualty with 15 patients requiring ambulance transport will be considered a
Level 2
36
When emergency radio traffic requires an immediate action such as an evacuation, shelter in place order, or eminent safety issue, this alert is issue
Warbler Zone
37
A personnel accountability report (PAR) is a safety check that includes confirmation that all members of a unit are accounted for and are safe at the time of PAR. Trainees and/or observers do not need to be included in PAR
FALSE
38
If a patient refusing care or transport by your unit, any assessment or treatment performed, and/or medical history obtained from the patient does not need to be documented
FALSE
39
Life support may be withheld or discontinued for individuals with fixed and dilated pupils
FALSE
40
Providers are allowed to take patients that meet major trauma victim criteria to out-of-county facilities per the patient’s request
FALSE
41
If a patient, who has a valid DNR, dies while being transported to the hospital, the following options exist:
Transport to the arranged destination equipped and prepared to maintain the deceased including notification of local law enforcement Return to the point of departure as appropriate Transport to the closest emergency of an acute care hospital
42
At what speed does a motorcycle crash meet mechanism of injury criteria for a major trauma victim
Greater than 20 mph
43
A patient that is determined to be “In-Extremis” shall be transported to
The closest hospital
44
If ALS level interventions are performed, care may not be transferred to a BLS unit
TRUE
45
All the following hospitals may receive patients that meet “STEMI Alert” criteria
El Camino Hospital of Mountain View Stanford University Hospital Kaiser San Jose EXCEPT: Saint Louise Hospital
46
A first responder paramedic is on scene waiting for the arrival of an ambulance to transport a patient needing advanced life support. Due to low 911 system level, a BLS unit has been dispatched to the call, the first responder paramedic should:
Maintain patient care and accompany the patient to the hospital
47
If a patient has 4 points on the F.A.S.T stroke screening they are required to be transported to a comprehensive stroke center if the last seen well is less than 6 hours
FALSE
48
Loss or stolen identification badges shall be reported to the agency and a system variance report shall be submitted
TRUE
49
Patients may be identified as a major trauma victim or a minor trauma victim based upon the severity of the trauma
FALSE
50
“Emergency Traffic” shall be limited to the presence of eminently life threatening conditions and should not be used for the reporting traffic collisions, still alarms, and other events that do not immediately threaten safety
TRUE
51
⅘ on GFAST scale and not shown any normal signs for how many hours in order to transport to comprehensive stroke center
⅘ on GFAST & 6 hours no improvement = comprehensive stroke center
52
North trauma patient
Stanford
53
Eastern trauma patient
Regional
54
A physician on scene give more information than if they are giving online direction
FALSE
55
Pediatric trauma hospitals
Stanford/Valley Medical
56
Updated EMS policy notifications would be distributed as follows except for which medium
Paper copy sent to every EMS provider
57
A patient who is a major trauma patient can ask to go to a hospital that is out of county and the EMT will comply
FALSE
58
Adult Trauma Hospitals
Stanford, Valley Medical, Regional
59
Fire can transport when
Patient needs RLS transport and county EMS is not on scene for at least 18 minutes Patient is in cardiac/respiratory arrest STEMI/Stroke alert Major Trauma Criteria Needs rapid transport Uncontrollable airway
60
EMS directors in an MCI can do all of the following except
Take jurisdiction of the local law enforcement
61
“In-Extremis” means
protruding limb, uncontrollable airway, unable to stop bleeding after use of tourniquet
62
Medical health operational area coordinator
For santa clara county is the public health officer and EMS director Initial point of contact for all mutual aid requests Delegate available resources for mutual aid
63
The operations director can during MCI
Change emergency procedures to mitigate the potential threat of the MCI
64
Requests for medical health mutual aid into santa clara county
Incident command officer makes request Gives information to EMS duty chief If no resources are available then MHOAC coordinates region II resources for help
65
Immediate danger is defined as
Any threat or hazard that could reasonably be expected to cause immediate death or serious physical harm to a responder
66
If patient is determined as deceased
Discontinue resuscitative efforts Cancel prehospital personnel en route Provide appropriate care to bystanders Complete PCR document reason for determination of death
67
Routine patient transport
Transported to routine emergency department unless EMS system surge, hospital diversion, or patient needs specialty care
68
Stroke comprehensive
El Camino, Good Sam, Regional, Stanford
69
Stroke primary
all except VA
70
STEMI
all except VA, El Camino, St, Louise
71
Patient transport special circumstances
EMS surge, MCI, diversion
72
DNR include
POLST for no CPR, DNR, DNR medallions, Durable Power of Attorney
73
Prehospital transfer of care information will include
full list of information, patient history, medical assessments, critical changes, treatments provided
74
BLS interfacility transport
Can transport: hospital to SNF/residence, doctors appointments, or dialysis
75
Emergent definition
Transported to nearest ED with red lights/sirens IF time from scene to ED is less than 10 minutes, contact county for event number
76
Emergent patient transportation less than 10 min
Contact 911 ALS assistance, if no one is available first arriving paramedic will ride to hospital with BLS crew
77
EMS duty chief
Liaison between agencies that are requested by IC commander Delegate roles to ALS contractor supervisors Fill in IC system Delegate county health officer
78
Hazardous material procedure
Safety + isolate area/deny entry Establish command, identify hazardous materials Trained hazmat personnel were allowed to treat the area. EMS coordinate effort to provide hospital with pertinent information
79
Prehospital task force/ strike team type 1
5 ALS ambulances, EMT/paramedic, 1 strike team lead with separate vehicle
80
Strike team type 2
5 BLS ambulances with 2 EMTs, 1 strike team leader with separate vehicle
81
CAN report
Conditions What is observed Actions What IC plans to do Needs What additional resources are needed
82
Risk refusal - turn down
Ems crew has determined that because of safety concerns they cannot take care of patient, EMS field supervisor completes system variance report
83
Turn down occurs because of
Violation of safe work practices Environmental conditions Individuals lacking qualifications or experience Defective equipment being used Assignment violates law of regulation, policies, or procedures
84
Personnel accountability report
Welfare check to verify safety/security of responders Includes all EMS unit including ride alongs
85
Routine Medical Care Adult
Vitals Glasgow coma scale BP RR Pulse Pulse ox Temp Glucose ECG Capnography
86
Neonate
0-4 months
87
Infant
1 month - 1 year
88
Child
more than 1 year old
89
Pediatric
less than 15 years old
90
Contact transmission of infectious disease control
Occurs through pathogens through skin, vomit, draining wounds, secretions (saliva, sweat, etc). Wear impermeable gown
91
Droplet transmission of infectious disease control
Occurs through inhalation or absorption of bodily/substance droplets (influenza, rhinovirus). Wear surgical mask/ face shields, impermeable gowns
92
Airborne transmission of infectious disease control
Occurs through inhalation or absorption of air that contains TB, measles, chickenpox. Wear N95/N100 respirator/impermeable gowns
93
Ventricular assist device VAD
VAD supplements cardiac ventricle in pumping blood to body
94
VAD assessment difficulties
Unable to palpate pulse, read BP, obtain pulse ox EMS rely on consciousness, skin sign, cap refill
95
True or false: chest compressions are contraindicated in patients with VAD
True
96
Determination of death
Decapitation Decomposition Incineration Obvious destruction of brain, lungs, heart Rigor mortis No pulse + PCR Elected to end life via end of life agreement
97
Channel to speak through to medical
medic 92
98
Patient destinations: patient choice
Patient may be transported to requested facility as long as facility meets medical requirements, barring any EMS surge and hospital diversion
99
SCCO specialities psychiatric
El camino MV, Santa Clara valley MC EPS, PA VA hospital, Stanford
100
SCCO specialities burn
Santa Clara Valley Medical Center
101
Diversion
Only one hospital may be on ambulance diversion (red) at any given time in a diversion zone May divert for 60 minutes per occurrence, but must allow for another 60 minutes before next diversion
102
Transfer of patient care may be
Paramedic to paramedic Paramedic to ALS flight crew Paramedic to BLS Only in MCI activations Prehospital personnel to hospital staff
103
Baseline vitals assessed every __ for stable
10 minutes
104
Baseline vitals assessed every ___ for unstable
5 minutes
105
VAD done at
only done at Stanford and Kaiser

SCCO EMS EXAM (1 decks)

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