ICEMA Protocol Test Questions With Correct
Answers
What size gauge/needle do you use for needle cricothyrotomy? - CORRECT
| | | | | | | | | | |
ANSWER✔✔-10-16
Needle cricothyrotomy procedure ? - CORRECT ANSWER✔✔-- Absolute
| | | | | | | |
contraindication: Transection of the distal trachea. | | | | | |
- Monitor EtCO2 and wave form capnography.
| | | | | | |
- Monitor pulse oximetry.
| | | |
- Contact base hospital if unable to ventilate adequately and transport
| | | | | | | | | | |
immediately to the closest hospital for airway management. | | | | | | |
If patient transfer of care and patient offloading from the ambulance gurney
| | | | | | | | | | | |
exceeds 25 mins what happens to the hospital? - CORRECT ANSWER✔✔-It is
| | | | | | | | | | | |
documented and tracked as APOD (ambulance patient offload delay)
| | | | | | | |
APOD unusual event procedures for immediate offloading criteria: - CORRECT
| | | | | | | | | |
ANSWER✔✔-- Stable V/S | |
- Alert and Oriented
| | | |
- No ALS interventions in place
| | | | |
- Is not on a Welfare and Institutions Code (WIC) 5150 hold
| | | | | | | | | | |
,When is vascular access clinically indicated (8100) ? - CORRECT ANSWER✔✔--
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Administration of IV medication(s), or | | | | |
- Administration of IV fluid bolus or fluid resuscitation.
| | | | | | | | |
- In the judgement of the attending paramedic the patient's condition could
| | | | | | | | | | | |
worsen and either (a) or (b) noted above may become necessary prior to arrival
| | | | | | | | | | | | | |
at the receiving hospital ED.
| | | | |
- Discontinue ECG monitoring before removing the patient from the ambulance if
| | | | | | | | | | | |
there are no clinical indications for cardiac monitoring.
| | | | | | |
8010 IFT Guidelines "What not to do" - CORRECT ANSWER✔✔-- Paramedics may
| | | | | | | | | | | |
not transport a patient with IV drips that are not in the EMT-P scope of practice.
| | | | | | | | | | | | | | | |
- EMT-Ps may not transport patients with blood or blood products.
| | | | | | | | | |
8010 IFT Guidelines "What to do" - CORRECT ANSWER✔✔-- Monitor peripheral
| | | | | | | | | | |
lines delivering fluids in any combination/concentration of NS, LRs or dextrose
| | | | | | | | | | |
and water. | |
- Transport intravenous solution with added medication(s) as follows:
| | | | | | | | |
- Lidocaine
| |
-Dopamine
-Magnesium sulfate | |
- Monitor and administer medications through a pre-existing vascular access.
| | | | | | | | | |
- Monitor heparin lock or saline lock.
| | | | | | |
- Monitor IV solutions containing potassium < or = 40 mEq/L
| | | | | | | | | |
- Monitor thoracostomy tubes to water or dry sealed drainage.
| | | | | | | | | |
, - Monitor nasogastric tubes.
| | | |
-
Who receives (0.1 mg/ml), 0.005 mg/kg IV/IO every 10 minutes for persistent
| | | | | | | | | | | |
hypotension as a base hospital order or in radio communication failure? -
| | | | | | | | | | | |
CORRECT ANSWER✔✔-Newborns |
Who receives epinephrine (0.1 mg/ml), 0.01 mg/kg IV/IO if heart rate is less than
| | | | | | | | | | | | | |
60 after one (1) minute after evaluating airway for hypoxia and assessing body
| | | | | | | | | | | | |
temperature for hypothermia? - CORRECT ANSWER✔✔-Newborns
| | | | |
6010 Physician on Scene requirements in order to take over the call: - CORRECT
| | | | | | | | | | | | | |
ANSWER✔✔-- The physician must be informed that base hospital contact must
| | | | | | | | | | |
be made, and the final decision regarding the assumption of medical
| | | | | | | | | | |
responsibility for patient care will be made by the base hospital physician.
| | | | | | | | | | | |
- The physician must show proper identification and a current California
| | | | | | | | | | |
physician's license. | |
- The physician must agree to sign the patient care report agreeing to take full
| | | | | | | | | | | | | | |
responsibility for the care and treatment of the patient(s) involved in the incident
| | | | | | | | | | | | |
and accompanies the patient(s) in the ambulance to the most appropriate
| | | | | | | | | | |
receiving facility. | |
- Care of the patient must be transferred to a physician at receiving facility.
| | | | | | | | | | | | |
6010 EMT-P Responsibilities - CORRECT ANSWER✔✔-- Notify BH that a physician
| | | | | | | | | | |
has requested to take over patient.
| | | | | |
- Maintain control of drugs and equipment from the LALS or ALS unit. Inform the
| | | | | | | | | | | | | | |
physician of drugs and equipment available.
| | | | | |
Answers
What size gauge/needle do you use for needle cricothyrotomy? - CORRECT
| | | | | | | | | | |
ANSWER✔✔-10-16
Needle cricothyrotomy procedure ? - CORRECT ANSWER✔✔-- Absolute
| | | | | | | |
contraindication: Transection of the distal trachea. | | | | | |
- Monitor EtCO2 and wave form capnography.
| | | | | | |
- Monitor pulse oximetry.
| | | |
- Contact base hospital if unable to ventilate adequately and transport
| | | | | | | | | | |
immediately to the closest hospital for airway management. | | | | | | |
If patient transfer of care and patient offloading from the ambulance gurney
| | | | | | | | | | | |
exceeds 25 mins what happens to the hospital? - CORRECT ANSWER✔✔-It is
| | | | | | | | | | | |
documented and tracked as APOD (ambulance patient offload delay)
| | | | | | | |
APOD unusual event procedures for immediate offloading criteria: - CORRECT
| | | | | | | | | |
ANSWER✔✔-- Stable V/S | |
- Alert and Oriented
| | | |
- No ALS interventions in place
| | | | |
- Is not on a Welfare and Institutions Code (WIC) 5150 hold
| | | | | | | | | | |
,When is vascular access clinically indicated (8100) ? - CORRECT ANSWER✔✔--
| | | | | | | | | | |
Administration of IV medication(s), or | | | | |
- Administration of IV fluid bolus or fluid resuscitation.
| | | | | | | | |
- In the judgement of the attending paramedic the patient's condition could
| | | | | | | | | | | |
worsen and either (a) or (b) noted above may become necessary prior to arrival
| | | | | | | | | | | | | |
at the receiving hospital ED.
| | | | |
- Discontinue ECG monitoring before removing the patient from the ambulance if
| | | | | | | | | | | |
there are no clinical indications for cardiac monitoring.
| | | | | | |
8010 IFT Guidelines "What not to do" - CORRECT ANSWER✔✔-- Paramedics may
| | | | | | | | | | | |
not transport a patient with IV drips that are not in the EMT-P scope of practice.
| | | | | | | | | | | | | | | |
- EMT-Ps may not transport patients with blood or blood products.
| | | | | | | | | |
8010 IFT Guidelines "What to do" - CORRECT ANSWER✔✔-- Monitor peripheral
| | | | | | | | | | |
lines delivering fluids in any combination/concentration of NS, LRs or dextrose
| | | | | | | | | | |
and water. | |
- Transport intravenous solution with added medication(s) as follows:
| | | | | | | | |
- Lidocaine
| |
-Dopamine
-Magnesium sulfate | |
- Monitor and administer medications through a pre-existing vascular access.
| | | | | | | | | |
- Monitor heparin lock or saline lock.
| | | | | | |
- Monitor IV solutions containing potassium < or = 40 mEq/L
| | | | | | | | | |
- Monitor thoracostomy tubes to water or dry sealed drainage.
| | | | | | | | | |
, - Monitor nasogastric tubes.
| | | |
-
Who receives (0.1 mg/ml), 0.005 mg/kg IV/IO every 10 minutes for persistent
| | | | | | | | | | | |
hypotension as a base hospital order or in radio communication failure? -
| | | | | | | | | | | |
CORRECT ANSWER✔✔-Newborns |
Who receives epinephrine (0.1 mg/ml), 0.01 mg/kg IV/IO if heart rate is less than
| | | | | | | | | | | | | |
60 after one (1) minute after evaluating airway for hypoxia and assessing body
| | | | | | | | | | | | |
temperature for hypothermia? - CORRECT ANSWER✔✔-Newborns
| | | | |
6010 Physician on Scene requirements in order to take over the call: - CORRECT
| | | | | | | | | | | | | |
ANSWER✔✔-- The physician must be informed that base hospital contact must
| | | | | | | | | | |
be made, and the final decision regarding the assumption of medical
| | | | | | | | | | |
responsibility for patient care will be made by the base hospital physician.
| | | | | | | | | | | |
- The physician must show proper identification and a current California
| | | | | | | | | | |
physician's license. | |
- The physician must agree to sign the patient care report agreeing to take full
| | | | | | | | | | | | | | |
responsibility for the care and treatment of the patient(s) involved in the incident
| | | | | | | | | | | | |
and accompanies the patient(s) in the ambulance to the most appropriate
| | | | | | | | | | |
receiving facility. | |
- Care of the patient must be transferred to a physician at receiving facility.
| | | | | | | | | | | | |
6010 EMT-P Responsibilities - CORRECT ANSWER✔✔-- Notify BH that a physician
| | | | | | | | | | |
has requested to take over patient.
| | | | | |
- Maintain control of drugs and equipment from the LALS or ALS unit. Inform the
| | | | | | | | | | | | | | |
physician of drugs and equipment available.
| | | | | |