QUESTIONS WITH ANSWERS GRADED A+
• Epinephrine auto-injector class.
Answer: sympathomimetic
• Hs and Ts.
Answer: Hypovolemia Hypoxia Hydrogen Ion Hypokalemia Hyperkalemia
Hypothermia Tension Pneumothorax Tamponade,Cardiac Toxins
Thrombosis correct answer : hypovolemia
• Treatment for non-trauma and non cardiogenic shock involves....
Answer: NS bolus 1000 ml; may repeat x1 with no rales on lung exam
• For a pediatric pt with systemic hypothermia you should....
Answer: E: perform active warming A: vascular access and NS bolus 20
ml/kg IV/IO repeat to age appropriate effect max of 60 ml/kg
• Fluid bolus for 6-12 years old.
Answer: 250 ml
• stable pts get transported where.
Answer: to hospital of choice, if no preference, nearest
• Hypothermia mechanisms.
Answer: radiation; convection; conduction; evaporation
• Glucagon Route.
Answer: IV IM
• GCS verbal response.
Answer: Oriented=5; confused conversation=4; inappropriate words=3;
incomprehensible words=2; no response=1
• A person who is suspected to be intoxicated an has no other emergent need
should be transported to an approved alcohol and drug facility if the patient
meets all of the criteria:.
, Answer: Patient is able to stand with minimal assistance of on or two people
SBP: 90-180 DBP: 60-100 RR: 12-22 BG: 60-250 GCS > 14 SPO2> 94 or
90 if smoker No acute medical complaint no signs of trauma no suspected
head injury approval of the physician or medical staff upon assessment prior
to transport to an alternative facility. Contact with the facility needs to be
routed via recorded phone patch through FAO
• Dystonic reaction.
Answer: Condition causing involuntary muscle movements or spasms
typically of the face, neck, and upper extremities Typically an adverse
reaction to drugs such as Haloperidol (may occur with administration) When
recognized, administer Diphenhydramine 50 mg IM/IV/IO
• RACE scale.
Answer: Facial palsy: 0 absent; 1 mild; 2 moderate/severe Arm motor: 0
normal/mild; 1 moderate; 2 severe Leg motor: 0 normal/mild; 1 moderate; 2
severe Head/gaze deviation: 0 absent; 1 present; 2 NA Aphasia: 0 perform
both tasks; 1 performs one task; 2 performs neither tasks Agnosia: 0 patient
recognizes arm and impairment; 1 unable to recognize arm or impairment; 2
unable to recognize both arm and impairment
• Epinephrine Contraindications.
Answer: Underlining cardiovascular disease/angina; hypertension;
pregnancy; patient over 40 years of age; hyperthyroidism
• Vascular access key procedural considerations:.
Answer: A. Saline locks may be used when appropriate and flushed with a 3
cc bolus of NS as needed. B. Extension tubing should be used on all IV
lines.
• What treatment does the AEMT perform for bradycardia?.
Answer: Vascular access
• For pediatric smoke inhalation you should....
Answer: E: keep spo2 >94 A: vascular access and NS bolus, 20 ml/kg up to
60 ml/kg for hypoperfusion
, • siena trauma catchment area.
Answer: south of sunset and maryland parkway
• General Adult Assessment.
Answer: 1. Scene safety / scene size up; NOI/MOI; PPE/BSI; Bring all
equipment to patients side 2. Level of consciousness -> unresponsive ->
check pulse-> none -> Cardiac arrest Airway -> sigs of compromised or non
protecting -> Ventilation management Breathing -> inadequate or resp.
distress -> Resp. Distress Circulation -> bleeding -> General trauma
Disability -> Altered or confused -> altered mental status/syncope 3. History
- HPI & AMPLE Vital signs and physical exam blood glucose testing if
indicated Special treatment protocol as indicated Cervical Stabilization as
indicated Comfort measures (splint, position of comfort) Vascular access as
indicated Oxygen therapy to keep SPO2 > 94% 4. Radio contact for all
trauma center patients, Code 3 returns, need for telemetry physician & as
per protocol Transport per Disposition Criteria if applicable *Transport to
closest facility for Airway emergencies (inability to adequately ventilate)
• Pediatric burns chemical/electrical exposure.
Answer: 1. general pediatric assessment 2. P: cardiac monitor 3. eye
involvement? continuous saline flush in affected eye, flush with water or NS
for 10-15 min; remove jewelry, constricting items, and expose burned areas;
identify entry and exit sites, apply sterile dressings 4. Vascular access: IVF
age 13 and older 500 ml NS or LR fluid bolus, age 6-12 250 ml NS or LR
fluid bolus age 5 or less 125 ml fluid bolus if signs of hypoperfusion or
>20% BSA burn present 5. P: pain management 6. transport to closest
appropriate burn care center
• Motor vehicles traveling greater than _______ should be transported to a
trauma center.
Answer: 40mph
• Signs of puberty include.
Answer: chest or underarm hair on males, and any breast development in
females.