WITH CORRECT ANSWERS GRADED A+
• Abdominal/Flank Pain, Nausea & Vomiting.
Answer: 1. General adult assessment 2. Signs of hypovolemia Yes: Vascular
access, 500 mL NS or LR bolus; may repeat up to 2000 mL No 3. Nausea or
vomiting Yes: Paramedic No 4. Consider Chest Pain (Non Traumatic) and
Suspected Acute Coronary Syndrome protocol 5. Continue General Adult
Assessment
• Fluid bolus for hypo-perfusing pregnant patient.
Answer: 500ml NS repeat as needed not to exceed 2,000ml
• never withhold.
Answer: oxygen from a pt in resp distress
• Allergic reaction Signs and symptoms.
Answer: Itching or hives; coughing/wheezing or respiratory distress; throat
or chest constriction; difficulty swallowing; hypotension/shock; edema;
nausea/vomiting.
• Prior to the transfer, the transferring physician is responsible for notifying
the receiving physician of the following:.
Answer: 1. reason for transfer 2. patient condition 3. ETA
• Signs and symptoms of stroke.
Answer: AMS, weakness, paralysis, blindness or other sensory loss, aphasia,
dysarthria, syncope, vertigo, dizziness, vomiting, headache, seizures,
respiratory pattern change, hypertension, hypotension
• What is red trauma criteria?.
Answer: Crush injuries, penetrating injuries to head neck torso or
extremities proximal to elbows and knees, suspected pelvic fracture , chest
wall instability, skull deformity, suspected spinal injury with new motor or
sensory loss, fractures of 2 or more long bones, crushed degloved mangled
, or pulseness extremity , amputation proximal to wrist or ankle, active
bleeding requiring a tourniquet or wound packing.
• NIR centers (8).
Answer: 1-cent hills 2-henderson 3-southern hills 4-spring valley 5-siena
6-sunrise 7-umc 8-valley
• Drowning caveats.
Answer: 1. Adequate ventilation is key 2. for patients breathing on their
own, start oxygen 15 L NRB; for patients not adequately breathing > BVM
3. Do not suction foam in airway, just bag through it initially 4. For
drowning victims in cardiac arrest, emphasis should be on good
oxygenation/ventilation > use traditional 30:2 CPR
• Glucose D10 (10% dextrose in 250 ml NS) dose.
Answer: Both Adult and Pediatrics: 1ml/kg max dose 250ml
• Junctional Hemorrhage - Wound packing absolute contraindication:.
Answer: Hemostatic gauze on hemorrhaging abdominal wounds
• Vascular access indications.
Answer: This procedure may be performed on any patient whenever there is
a potential need for: A: intravenous drug administration. B: need to
administer IV fluids for volume expansion.
• Heat cramps.
Answer: Consist of benign muscle cramping caused by dehydration and is
not associated with an elevated temperature
• Pediatric burns thermal exposure.
Answer: 1. general pediatric assessment 2. stop the burning process with
water or saline, remove smoldering clothing and jewelry, do not remove
stuck clothing 3. ventilation management 4. cover burned area with dry
sterile dressing, do not use any ice, lotion, ointment or antiseptic 5. vascular
access: IVF age 13 and older 500 ml NS or LR fluid bolus; age 6-12 250 ml
NS or LR; age 5 or less 125 ml fluid bolus if signs of hypoperfusion or
>20% BSA burn present 6. consider smoke inhalation 7. transport to closest
, appropriate burn care center
• Glucose Adverse reactions.
Answer: None
• Epistaxis differential.
Answer: trauma; infection; allergic rhinitis; lesions; hypertension
• Adult dose for Epinephrine 1:1000.
Answer: 0.5mg
• Hypothermia categories.
Answer: mild 90-95 F (33-35 C) Moderate 82-90 F (28-32 C) Severe <82 F
(<28 C)
• PCI means.
Answer: percutaneous coronary intervention
• For patients w/ abdominal/flank pain/nausea/vomiting, if the pt shows signs
of hypovolemia you should...
Answer: obtain vascular access and give a 500 ml NS bolus (repeat up to
2000 ml)
• Adult behavioral emergency history.
Answer: situational crisis; psychiatric illness/medications; injury to self or
threats to others; medic alert tag; substance abuse/overdose; diabetes
• Disposition for pediatric patients (<18 y/o).
Answer: Transported in accordance with the Pediatric Destination protocol
• Neonatal resuscitation caveats.
Answer: Deep airway suctioning is no longer recommended traditional CPR
3:1 ratio is standard for newborns Most newborns requiring resuscitation
with respond to BVM, compressions and EPI; for those that don't, consider
hypovolemia, pneumothorax or hypoglycemia (BG< 40)
• Law-enforcement assistance should be requested on all calls involving
what?.
Answer: Involving potentially violent patients