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MIEMSS Protocol > TMU School 2023 > Flashcards

TMU School 2023 Flashcards

1
Q

When may troopers use force?

A

When under the totality of the circumstances, the force is reasonable, necessary, and proportional to prevent an imminent threat of physical injury to a person OR accomplish a legitimate law enforcement objective.

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2
Q

Deadly Force

A

Force which is intended to cause death or serious physical injury or which creates some specified degree of risk that a reasonable and prudent person would consider likely to cause death or serious physical injury.

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3
Q

Acceptable circumstances to shoot at or from a moving vehicle

A

a. An immediate threat of death or serious physical injury to the trooper or another person, by a person in the vehicle using means other than the vehicle

b. A situation where the trooper or other person is on foot in the path of the vehicle and cannot move to safety.

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4
Q

Troopers may discharge a firearm:

A
  1. When deadly force is permitted in accordance with OPS 10.03
  2. To kill a dangerous animal that is jeopardizing the safety of the public or a trooper
  3. To kill an injured wild animal to relieve its suffering
  4. To give an alarm or call for assistance when no other means is available
  5. When used in practice on a firing range
  6. To kill an injured domesticated animal to relieve its suffering, if the trooper has:
    a. The consent of the owner
    b. Been requested to do so by a veterinarian
    c. Made a reasonable attempt to locate the owner and has failed
    and a veterinarian is not readily available
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5
Q

Firearms use prohibited

A
  1. As a warning
  2. From a moving vehicle (exceptions on other card)
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6
Q

Show of force

A

Pointing a firearm, ECW, or less lethal launcher at a person. A form 72 must be completed in BlueTeam

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7
Q

Impaled ECW dart removal

A

-Dart to head, neck, hands, feet, or genitals must be stabilized and evaluated by physician.
-Barb extrication may be attempted once, as long as barb is not buried to the hub or in the above locations
-all patients receiving electrical intervention must be evaluated in ER

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8
Q

Staples

A

OPERATIONAL
Individual use staple dispensers
Facilitates closure of wounds
Contraindications: contaminated wounds, wounds with foreign material
Greater than 6 hours post injury, less tahn 2 hours to definitive care.
Precautions: standard universal precautions for wound care
Dosage: single or multiple dressings applied for wound closure PER MD

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9
Q

Diphenhydramine (Benadryl)

A

NON-OPERATIONAL
25-50 mg tablets
Sedating antihistamine
For allergic symptoms
Contraindications: hypersensitivity
Precautions: HTN, liver/kidney disease
Side effects: dry mouth, urinary retention, somnolence
Dosage: 25-50 mg every 4-6 hours PER MD

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10
Q

Dexamethasone (Decadron)

A

OPERATIONAL
PO or IV/IM, tablets
Corticosteroid, anti-inflammatory
For allergic reaction, auto-immune condition, PER MD
Contraindications: hypersensitivity
Precautions: PUD/GERD/GI bleed Hx.
Side effects: GI upset, nausea
Dosage: 10 mg once daily, PER MD

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11
Q

Albuterol MDI

A

NON-OPERATIONAL (without MD consult)
0.83 mcg MDI
Bronchodilator
For respiratory distress/bronchospasm
Contraindications: hypersensitivity
Precautions: standard universal precautions for respiratory patient
Dosage: (2) puffs, may be repeated 2 additional times. Additional doses PER MD

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12
Q

Naproxen (Aleve/Naprosyn) PO

A

OPERATIONAL
Tablet: 220/375/500 mg
NSAID
For mild to moderate pain
Contraindications: hypersensitivity, renal insufficiency, PUD/GERD/GI bleed Hx
Precautions: do not use with other NSAIDs, caution steroid use
Side effects: GI upset, nausea, GI bleed risk
Dosage: 220-500 mg every 12 hours

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13
Q

Triple antibiotic ointment (Bacitracin/Polymyxin/Neomycin)

A

OPERATIONAL
Topical ointment
Polypeptide antibiotic
Indicated PER MD for infectious exposures
Contraindications: hypersensitivity
Topical use only
Side effects: Local irritation, GI upset
Dosage: Apply to scrapes, burns, wounds prior to sterile dressing

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14
Q

Oxymetazoline nasal spray (Afrin)

A

OPERATIONAL
Nasal spray 0.05%
Nasal vasoconstriction, decongestant
For rhinorrhea, sinus congestion, pain
Contraindications: hypersensitivity
Precautions: HTN
Side effects: minor nosebleed, often used to treat nosebleed
Dosage: 2x sprays per nare, 2-3 times a day

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15
Q

Cyanoacrylate adhesive (Dermabond)

A

OPERATIONAL
Single use ampule
Tissue adhesive
For minor trauma
Contraindication: hypersensitivity
Precautions: avoid near eyes
Side effect: transient local discomfort
Dosage: as required for wound closure, 2-4 layered applications

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16
Q

Acetaminophen (PO)

A

OPERATIONAL
Tablet: 325 and 500 mg
Pain medication
For mild-moderate pain
Contraindications: hypersensitivity, liver disease, PUD/GERD/GI bleed Hx.
Side effects: GI upset
Dosage: 650-1000 mg/ 6 hours

17
Q

Caffeine (No-Doz)

A

OPERATIONAL
200 mg tablet
Enhances alertness
For caffeine withdrawal headache, to facilitate functioning with limited rest periods
Contraindications: hypersensitivity
Side effects: insomnia
Dosage: 200 mg every 3-4 hours as needed

18
Q

Cepacol

A

OPERATIONAL
Sore throat losenge
Dose: 1 tablet

19
Q

Cetrizine (Zyrtec)

A

OPERATIONAL
10 mg tablet
Non-sedating antihistamine
For allergic symptoms
Contraindications: hypersensitivity
Precautions: HTN, liver/kidney disease
Side effects: dry mouth, urine retention
Dosage: 10 mg daily

20
Q

Cyclobenzaprine (Flexeril)

A

Unsure of operational status- contact med control
“Flexeril”- Centrally acting muscle relaxer
10 mg tablets
Side effects: headache, drowsiness, dizziness, dry mouth. Poss. arrhythmia.
Interactions: Do not use ICW MAO inhibitors. Use caustion with CNS depressants.
Medical control (15-30 mg PO)

21
Q

Excedrin

A

OPERATIONAL
Aspirin/paracetamol/caffeine
Tension headache, migraine relief
2 caplets every 6 hours

22
Q

Ibuprofen (Motrin/Advil)

A

OPERATIONAL
200 mg tablet (OTC), 100 mg/5 mL suspension, 600 and 800 mg tablets
NSAID
For mild to moderate pain
Contraindications: hypersensitivity, renal insufficiency, PUD/GERD/GI bleed Hx
Precautions: do not use with other NSAIDs, caution steroid use
Side effects: GI upset, nausea, GI bleed risk
Dosage: 400-600 mg/4-6 hours
600-800 mg/6-8 hours

23
Q

Loperamide (Imodium)

A

OPERATIONAL
2 mg tablet or 1 mg/5 mL suspension
Anti-diarrheal
For diarrhea
Contraindication: Known hypersensitivity, HTN, bloody diarrhea
Side effects: ENT Dryness
Dosage: 4 mg first dose, 2 mg each subsequent dose until stool formed, 16 mg max per day

24
Q

5-HT3 Antagonist (Zofran)

A

OPERATIONAL
IV/IM injectable, tablets
Anti-emetic, anti-motion sickness
For nausea/vomiting
Contraindications: Hypersensitivity
Precautions: Long QT
Dosage: PER MD

25
Q

Pepcid

A

OPERATIONAL
H2 antagonist
20 mg 1-2x per day

26
Q

Prednisone (PO)

A

OPERATIONAL
PO, (1/5/10/20/50 mg) tablets
Corticosteroid, anti-inflammatory
For allergic reaction, auto immune condition, PER MD
Contraindications: hypersensitivity
Precautions: PUD/GERD/GI bleed Hx.
Side effects: GI upset, nausea
Dosage: 40 mg to 60 mg once daily PER MD

27
Q

Modafinil (Provigil)

A

OPERATIONAL
200 mg tablet
Enhances alertness/concentration
For facilitating functioning with limited rest periods
Contraindications: hypersensitivity
Side effects: Insomnia, mild BP elevation
Dosage: 200 mg once daily

28
Q

Pseudoephidrine (Sudafed)

A

OPERATIONAL
30 or 60 mg tablet
Decongestant
For nasal congestion/rhinorrhea
Contraindications: hypersensitivity, HTN
Side effect: insomnia
Dosage: 30-60 mg every 4-6 hours

29
Q

Tramadol (Ultram) PO

A

OPERATIONAL (with no side effects)
50 and 100 mg tablets
Pain medication
For moderate to moderately severe pain
Contraindications: hypersensitivity, seizure disorder, SSRI/TCA/MAOI use, renal/hepatic insufficiency (adjust dose)
Precautions: use care with opiate use
Side effects: dizziness/nausea
Interactions: antidepressants, antipsychotics, warfarin, digoxin, tegretol, quinidine
Dosage: 50-100 mg every 4-6 hours, 400 mg/day max

30
Q

TUMS

A

OPERATIONAL
Calcium carbonate and table sugar
GERD, indigestion
1-2 tablets

31
Q

No-knock warrant times

A

0800-1900 hours

32
Q

No knock search warrant

A

a search warrant that authorizes the executing law enforcement officer to
enter a building, apartment, premises, place or thing to be searched without giving notice of the officer’s
authority or purpose.

33
Q

Swat Team

A

a special unit composed of two or more police officers with a law enforcement agency
trained to deal with unusually dangerous or violent situations and having special equipment and
weapons, including rifles more powerful than those carried by regular police officers

34
Q

No-knock requirements

A

-must have approval from D-sergeant or above
-need to have SA approval
-Must show reasonable suspicion that the life or safety of executing officer or other person is endangered
-No knock warrants may only be served by STATE, unless specifically trained and authorized by SOD commander

35
Q

Search warrant execution paperwork

A

-Operations plan
-Form 36 (threat risk for search warrant service)
Score indicates if STATE is optional, consult with STATE commander, or if STATE is manditory.

AFTER:
Form 98, search warrant inventory report/return

36
Q

Minimum wait time for response to door

A

Must wait 20 seconds unless a no-knock warrant has been issued (absent exigent circumstances)

37
Q

End of TEMS Protocol

A

Once patient is removed from the law enforcement perimeter of operations.
(Exception: when TEMS specialized training is required for specific illness or injury)

38
Q

SYSCOM Phone number

A

410-783-7525

MIEMSS Protocol (6 decks)

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