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EMT SNHD Protocols > SNHD Protocol Review > Flashcards

SNHD Protocol Review Flashcards

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1
Q

What is the goal of the manual?

A

To standardize prehospital patient care in Clark County.

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2
Q

What does the teddy bear symbol mean?

A

Pediatric treatment consideration (for patients less than 12 years)

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3
Q

What does the radio symbol mean?

A

Telemetry contact required/

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4
Q

What is the definition of a patient?

A
  1. A person who has a complaint or mechanism suggestive of illness or injury,
  2. A person who has obvious evidence of illness or injury,
  3. A person identified by an informed 2nd or 3rd party caller as requiring evaluation for potential illness or injury.
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5
Q

Pediatric patients are anyone under the age of __.

A

18

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6
Q

Pediatric treatment protocols are to be used on children who have not yet experienced _______.

A

Puberty

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7
Q

Sexual assault victims under 13 should be transported to _______.

A

Sunrise Hospital

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8
Q

Sexual assault victims aged 13-18 years old should be transported to _______.

A

Sunrise Hospital or UMC.

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9
Q

Sexual assault victims aged 18 and older should be transported to ______.

A

UMC

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10
Q

Stable patients should be transported to ______.

A

The hospital of their preference. If no preference, transport to the nearest appropriate facility.

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11
Q

For patients outside a 50 mile radius, transport to ______.

A

The closest appropriate facility.

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12
Q

To leave a patient in the waiting room, their HR and RR must be?

A

Heart Rate 60-100, Respiratory Rate 10-20

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13
Q

To leave a patient in the waiting room, their Systolic and Diastolic BP must be?

A

Systolic 100-180, Diastolic 60-110

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14
Q

To leave a patient in the waiting room, their spO2 must be? They also must be?

A

spO2 >94%, they also must be Alert and Oriented x 4.

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15
Q

You may transport a patient to a hospital that is on internal disaster if ________?

A

They are in cardiac arrest, or an airway cannot be maintained.

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16
Q

You can assist a patient with their own Epipen and MDI, True or False?

A

True

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17
Q

What are the requirements to give Oral Glucose in a AMS/Syncope emergency?

A

They must be able to protect their own airway and have a Blood Glucose (BG) less than 60.

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18
Q

What is the SAFER Model?

A

S. Stabilize the situation by containing and lowering the stimuli.
A. Assess and acknowledge the crisis.
F. Facilitate the identification and activation of resources (Chaplain, family, friends, or police)
E. Encourage patient to use resources and take action in his/her best interest.
R. Recovery or Referral - leave patient in care of responsible person or professional, or transport to appropriate facility.

19
Q

Know how to calculate Body Surface Are using the Rule of Nine’s

A

Head - 9%
Chest - 9%
Front of each arm - 4.5% Back of each arm - 4.5%
Stomach - 9%
Genitals - 1%
Front of each leg - 9% Back of each leg - 9%
Upper Back - 9% Lower Back - 9%

20
Q

What are the two burn centers in Las Vegas?

A

UMC and Sunrise Hospital

21
Q

For adults, what is the depth of chest compressions?

A

2 inches

22
Q

For adults, what is the rate of chest compressions? What is the ratio?

A

110-120 bpm, 30:2

23
Q

For an unwitnessed cardiac arrest, how long do you do CPR for before applying the AED? How long for witnessed?

A

2 minutes for unwitnessed.
Immediately apply AED for a witnessed cardiac arrest.

24
Q

What medications can the EMT give for chest pain? What is the dose?

A

Chewable Aspirin, 324 mg PO.
May assists with patient’s Nitro as prescribed, up to the 3 doses. No ED meds within the past 48 hours. Systolic BP must be at least 100.

25
Q

What is the transport position for Limb presentation?

A

Left Lateral Recumbent

26
Q

What is the transport position for a Breech delivery?

A

Support the body of the baby during delivery of the head

27
Q

What is the transport position for Cord presentation?

A

Lift the baby off the cord.

28
Q

What is the APGAR score?

A

APGAR is used to help grade the health of a newborn.

Activity (muscle tone)
Pulse
Grimace (reflex irritability)
Appearance (skin color)
Respiration

29
Q

What is the difference between passive and active warming?

A

Passive warming allows the body to warm itself. (remove wet clothing, cover with blanket)
Active warming is applying external heat sources to help warm the body. (applying heat packs, forced air warming)

30
Q

What body temperature does hypothermia begin?

A

When the body temperature falls below 95 degrees.

31
Q

What is the key in a drowning emergency?

A

Ventilation, keep ventilating even through foam.

32
Q

What is Epistaxis? What is the dose of the nasal spray and what do we instruct the patient to do?

A

Nosebleed. 2 sprays of Oxymetazoline or Phenylephrine to each nostril. Pinch nostrils and have PT lean forward.

33
Q

What’s the difference between passive and active cooling?

A

Passive is placing the patient in a cool area and letting him cool down naturally. (Placing PT in room with air conditioning)
Active is aggressively cooling down the patient. (Ice packs, pouring cool water)

34
Q

What are the three levels of hyperthermia?

A

Heat Cramps, Heat Exhaustion, Heat Stroke

35
Q

What is the dose of Narcan for an EMT? How is it given?

A

2-4 mg IN, 1-2 mg in each nostril

36
Q

You can assist with a patient’s Albuterol MDI. True or False?

A

True

37
Q

What should the EMT do during a seizure?

A

Maintain the airway, check Blood Glucose

38
Q

What should the EMT do for a PT with smoke inhalation?

A

Deliver Oxygen 100% via NRB, transport to UMC or Sunrise Hospital

39
Q

What is the RACE score?

A

Rapid, Arterial, oCclusion, Evaluation

Facial Palsy: Absent (0), Mild (1), Moderate/Severe (2)
Arm Motor: Normal/Mild (0), Moderate (1), Severe (2)
Leg Motor: Normal/Mild (0), Moderate (1), Severe (2)
Head/Gaze Deviation: Absent (0), Present (1)
Aphasia: Performs both tasks (0), performs one task (1), performs neither (2)
Agnosia: PT recognizes arm and impairment (0), Unable to recognize arm or impairment (1), Unable to recognize BOTH arm and impairment (2)

40
Q

A patient with a 5 or above on the RACE scale needs to be transported where?

A

To an NIR capable hospital.

41
Q

How do you test Aphasia?

A

Aphasia is test in PT with right hemiparesis.
Ask PT to 1. “Close your eyes your eyes” and 2. “Make a fist.”

42
Q

How do you test Agnosia?

A

Agnosia is tested in patients with left hemiparesis.
Ask PT and evaluate recognition of deficit.
1. While showing paretic arm: “Whose arm is this?”
2. Ask PT: “Can you lift both arms and clap?”

43
Q

What are the NIR capable hospitals?

A

Centennial Hills
Henderson Hospital
Mountain View
Southern Hills Hospital
Spring Valley
St. Rose Sienna
Sunrise
UMC
Valley

EMT SNHD Protocols (5 decks)

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