Universal Patient Care Guidelines - Medical

Question 1

EMS should wear all appropriate PPE, including protection for ____ and _____.

Answer 1

Eyes, gloves.

Question 1

Scene Size-up:

Answer 1

A. Scene safety
B. Consult/follow dept-specific IMS as needed.

Question 2

Regarding the use of face masks:

Answer 2

Follow mask policy in place at the location of patient care and healthcare facility they enter.

Question 3

Masks should be worn in the following situations:

Answer 3

If pt has or suspected to have COVID-19 or other airborne transmitted infectious disease.
If you enter a home and the family is wearing masks.
During airway treatments including CPAP, BVM use, advanced airway placement, and nebulizer use.

Question 4

Patients should be approached and assessed in ABC order except for:

Answer 4

Cardiac arrest.

Question 5

Advanced airway of choice:

Answer 5

ET tube or supraglottic airway.

Question 6

Consider advanced airway management for respiratory failure or airway protection. Consider factors such as:

Answer 6

altered mental status (GCS<8)
respiratory rate
spontaneous effort
pulse oximetry
and EtCO2 readings

Question 7

Breathing. Expose the chest as required; note ____, _____, and _______ of respirations.

Answer 7

rate, depth, and pattern

Question 8

Breathing. Obtain pulse oximetry readings on ____ patients.

Answer 8

all

Question 9

Breathing. Administer Oxygen to ease pain and/or respiratory distress. Titrate to a SpO2 reading of at least ___% as appropriate.

Answer 9

94%

Question 10

Breathing. If patient has history of COPD, use lowest concentration of oxygen to achieve SpO2 > ___% while also relieving dyspnea.

Answer 10

90%

Question 11

Breathing. True/False. Never withhold O2 for fear of depressing respiratory drive.

Answer 11

True.

Question 12

Breathing. Ventilate apneic patients using appropriate adjuncts and ____ _____________ ______.

Answer 12

high concentration oxygen.

Question 13

Circulation. Adequacy of circulation is best assessed first by assessing _____ of ___________ and ______ ______. Then check the location, rate and _________ of the pulse.

Answer 13

level of consciousness and mental status.
character

Question 14

Circulation. _________ refill in pediatric patients is a useful tool.

Answer 14

Capillary

Question 15

Circulation. Hypotension is a SBP < ___ in the adult or < ____ in the pediatric patient.

Answer 15

90, 70 + (2 x age in years)

Question 16

Circulation. Perform a ____________ on any patient who may have a cardiac cause for their complaint. Do not delay emergent interventions.

Answer 16

12-lead ECG

Question 17

Circulation. Treat identified circulation deficiencies via the ___-________ Shock protocol as appropriate.

Answer 17

Non-traumatic shock

Question 18

Circulation. If the issue is primarily cardiac related, treat in this order:

Answer 18

Rate, Rhythm, BP

Question 19

Circulation. Refer to the _____ Protocols to address specific rhythm abnormalities.

Answer 19

Cardiac

Question 20

Circulation. Cardiac arrest is an exception. Do not follow the usual ABC order. Follow CAB or _____________, ______, _________.

Answer 20

Compressions, Airway, Breathing.

Question 21

Circulation. Continuous compressions with no interruption is very important. Aggressively search for and treat __ and __ in these patients.

Answer 21

VF and VT

Question 22

Vascular access… Vascular access can be achieved using the following:

Answer 22

i. Saline Lock, for stable patients not needing volume replacement.

ii. Peripheral IV (to include EJ access): for fluids and medications.

iii. IO route: used in cardiac arrest patients or when access is critical and peripheral sites are unavailable.

Question 23

Vascular access… Fluid administration is at the following rates:

Answer 23

i. TKO - slow drip for patients who may need meds of bolus.

ii. Fluid replacement - refer to protocol or OLMCP.

iii. Always follow med administration with 10-20 mL bolus.

Question 24

Vascular access… Medications - Ensure the patient is receiving the correct meds and dose by announcing ____ and _____ of the med being administered. Furthermore, announce the ____ of any med being handed off.

Answer 24

name and dose
name

Question 25

Vascular access… Always follow med administration with ___ to ___ mL bolus

Answer 25

10-20 mL

Question 26

Vascular access… Medications - In the absence of vascular access, certain meds can be administered via the __ route. Refer to specific protocols.

Answer 26

IN.

Question 27

History and Exam. After assessing ABC’s and any life-threatening conditions, complete the assessment of the patient.

Answer 27

i. History (SAMPLE and OPQRST)

ii. Complete set of vital signs with first BP manually.

iii. Physical exam (evaluate BGL and cardiac rhythm for AMS)

Question 28

History and Exam. Vital signs and reassessment should be performed at least every ____ minutes on unstable patients and every ____ minutes on stable patients.

Answer 28

5 minutes unstable

10 minutes stable

Question 29

Pediatric Dosing Guidelines. Pediatric medical patients, as defined by these protocols, are any patient under ___ years old.

Answer 29

under 14 years old

Question 30

Pediatric Dosing Guidelines. Providers may reference the Hantevy application or the provided _________ _____ __________ (PQR) guide for dosing guidelines in pedi patients up to the age of ____.

Answer 30

Pediatric Quick Reference
14

Question 31

Pediatric Dosing Guidelines. Patients ages ___ and over should be treated using the adult dosing guidelines within the protocols.

Answer 31

14