QUESTIONS WITH ANSWERS GRADED A+
• What meets sepsis criteria ?.
Answer: Tachypnea Tachycardia Hypotension Febrile Known or suspected
source of infection Persistent n tidal less than 25 on waveform capno
• All IV attempts are to be....
Answer: documented on the PCR
• For burns with signs of hypo perfusion or >10% BSA burn present you
should....
Answer: obtain vascular access and give NS 500 ml fluid bolus, if no
improvement give fluid challenge up to 2000ml
• cold related illness protocol.
Answer: 1)remove from cold environment 2)determine if it's systemic cold
injury or localized 3) local=wound care, systemic = active rewarming iv
access 500ml ns iv/io repeat until SBP 90+ (MTD 2L)
• Normal systolic bp.
Answer: 100-180
• Conclusive signs of death.
Answer: RIgor mortis Dependent lividity
• Indications for extraglottic airway device.
Answer: A. Hypoxia B. Respiratory arrest/failure C. Obtundation D. Failed
endotracheal intubation
• A valid DNR identification is a....
Answer: form, wallet card, or medallion
• For sexual assault victims outside a _______ mile radius from the above
facilities, the licensee providing emergency medical care shall transport the
patient to the nearest appropriate facility.
, Answer: 50
• Agnosia.
Answer: inability to recognize familiar objects
• Benadryl class.
Answer: Antihistamine
• What position would you never transport a patient in?.
Answer: A prone position
• For strokes you must document:.
Answer: 1. last known normal (onset) 2. witness w/ phone number
• For pediatric abdominal pain/nausea/vomiting, with hypovolemia you
should....
Answer: obtain vascular access an give NS 20 ml/kg IV, may repeat up to 60
ml/kg
• Adult altered mental status/syncope Differential.
Answer: head trauma; CNS (stroke, tumor, seizure, infection), Cardiac (MI,
CHF); hypothermia; infection; thyroid; shock (septic, metabolic, traumatic);
diabetes; toxicological or ingestion; acidosis/alkalosis; environmental
exposure; hypoxia; electrolyte abnormality; psychiatric disorder
• Pediatric abdominal pain, nausea and vomiting.
Answer: 1. general pediatric assessment 2. hypovolemia or witnessed
vomiting? yes: vascular access NS or LR 20 mL/kg IV; may repeat up to 60
mL/kg
• Sexual assault victims <13 y/o should be transported to....
Answer: sunrise
• protocol for cardiogenic shock.
Answer: 500ml ns (Qx1 if no rales on lung exam)
• scene time for code white pt should be.
Answer: less than 10 min
, • Patients who are suffering from pain should initially be treated with the
following treatment?.
Answer: Comfort measures, I.E. patient positioning, splinting, ice, etc.
• 5 obvious death signs.
Answer: Body decompensation Decapitation Transection of the thorax
incineration Injuries suspected to be incompatable with life
• Pain management involves....
Answer: E: comfort measures like positioning, splinting and ice A: vascular
access
• Waiting room placement.
Answer: May not be on legal psychiatric hold. Heart rate 60-100.
Respiratory rate 10-20. Systolic BP 100-180. Diastolic BP 60-100. Room air
Pulse ox greater than 94%. Alert and oriented times four. Did not receive
any parental medication during EMS transport- except a single dose of
morphine sulfate and/or ondansetron. Does not require continuous ECG
monitoring. Does not require IV fluids. Can maintain a sitting position
without adverse effects on their medical condition. A complete PCR is
left/transmitted and verbal notification given to hospital personnel.
• 4 signs of heat exhaustion.
Answer: elevated body temp cool moist skin weakness anxious tachypnea
• Nitroglycerin Contraindications.
Answer: Hypotension, systolic pressure below 100 MMHG unless ordered
by physician; Bradycardia; Tachycardia, heart rate greater than 100 BPM;
use of Viagra (sildenafil) or similar medication within the past 24 hours; or
48 hours for Cialis (tadalafil); patients with demonstrated hypersensitivity to
nitrates or nitrites
• altered mental status protocol.
Answer: 1) bgl test below 60= d10 iv io 250ml 10% sol Qx1 in 5 min NO
IV ACCESS GETS GLUCAGON 1MG IM above 60= consider NS 500ml
QMTD 2L