PBCFR Medical Protocols Exam Questions with 100% Correct Answers

PBCFR Medical Protocols Exam Questions with 100% Correct Answers Who has the authority to deviate from the ALS protocols? - answerEMS Captains and Trauma Hawk EZ-IO sites: Adult and Children - answerAdult: Proximal Humerus, Proximal Tibia, Distal Tibia Pediatric: Distal Femur, Promixal Tibia, Distal Tibia, Proximal Humerus (only if surgical neck can be palpated). ALL 'IM' injections shall be administered in the ________. - answerLateral Thigh IM Injections: Adults: ____ - ____ gauge, _____ inch needle. _____ mL maximum per site. Pediatric: _____ gauge, ____ inch needle. _____ mL maximum per site. If more than _____ mL, split dose between both thighs. - answer21-23 gauge, 1.5 inch needle 4ml maximum per site. 23 gauge, 1 inch needle 1ml maximum per site, 1ml What medications can be administered via the MAD (Mucosal Atomization Device)? Desired dose: ____mL - ____mL per nostril Max ____mL per nostril - answerVersed, Narcan, Fentanyl, Ketamine 0.3mL - 0.5mL per nostril Max: 1mL per nostril Patients who have reached _____ shall be treated as an adult. ____ is the preferred method of vascular access during pediatric cardiac arrest. - answerPuberty, IO Female puberty is defined as _____ _____. Male puberty is defined as _____, _____ or _____ _____. - answerBreast development Underarm, Chest, or Facial Hair Handtevy: What should be used as the primary reference point for determining the appropriate patient care? If the child appears shorter or taller than stated age or if age unknown - use the _______________________. - answerChild's age "Handtevy" system length based tape. Pediatric age classifications: Neonate: _____ to ______ Infants: ______ to _______ Children: ______ to ______ - answerNeonates: Birth to 1 month Infants: 1 Month to 1 Year Children: 1 Year to Puberty AAOx4 means: - answerAlert: to person, place, time, and event AEIOU-TIPS for AMS means: - answerAlcohol Epilepsy (Seizures) Insulin (Hyper-/Hypoglycemia) Overdose/ Oxygenation Uremia (Kidney Failure) Trauma infection (Sepsis) Psychiatric Stroke/ Shock Priority 3 patients shall receive at least ____ sets of vitals. Priority 2 patients shall receive vitals every _____ minutes. - answer2 sets 5 minutes A ______ ______ ______ shall be taken to confirm any abnormal or significant changes of an automatic Blood Pressure cuff reading. - answerManual Blood Pressure Hypotension for adults is defined as a Systolic BP _____ mm Hg. - answer90 ETCO2 monitoring shall be utilized for the following patients: - answer- Patients requiring ventilatory support (e.g., BVM, ET tube, SGA, CPAP) - Patients in respiratory distress - Patients with AMS - Patients who have been sedated - Patients who have received pain medication - Seizure Patients BGL shall be documented for patients with any of the following: - answer- Diabetic - AMS - General Weakness - Seizure - Syncope/ Lightheadedness - Dizziness - Poisoning - Stroke - Cardiac Arrest All ALS patients shall be continuously monitored in Lead _____. 12 and 15 lead ECG's shall be repeated every ____ minutes and upon _____. Leave cables connected until patient is turned over to the ED staff. - answerLead II 10 minutes ROSC "Why did the person call 911?" is the ______ ______. - answerChief Complaint SAMPLE history stands for: - answerSigns and Symptoms Allergies Medications Past Medical History (Patient's and immediate family's) Last Oral Intake Events preceding History of the present illness: OPQRSTA stands for? - answerOnset: Gradually or suddenly? Palliative: What makes symptoms better? Provoke: What makes symptoms worse? Previous: Previous similar episodes? Quality: (What kind of pain?) pressure, aching Radiation: Severity of Pain: (1-10), "Faces" scale for peds. Time: What time did symptoms begin? Associated: Associated signs and symptoms Onset: ________________________ Palliative: ____________________ Provoke: _____________________ Previous: _____________________ Quality: ______________________ Radiation: ___________________ Severity of Pain: __________ Time: _________________________ Associated: ________________ - answerOnset: Gradually or suddenly? Palliative: What makes symptoms better? Provoke: What makes symptoms worse? Previous: Previous similar episodes? Quality: (What kind of pain?) pressure, aching Radiation: Severity of Pain: (1-10), "Faces" scale for peds. Time: What time did symptoms begin? Associated: Associated signs and symptoms Airway positioning: Medical Patient: Position patient with external auditory meatus (aka "The ________) on the same external plane as the _______ _______. Trauma patient with suspected spinal cord injury: ________________________. - answerEarhold Sternal Notch Modified jaw thrust Maintain SPO2 of _____% for all patients with the exception of ______ and ______. Maintin SPO2 of _____ % for ______ and ______. - answer95% COPD and Asthma 90% COPD and Asthma ____ LPM NC for ALL Stroke patients - increase as necessary. ____ LPM via nRB regardless of SPO2 for: - ____________________ - ____________________ - ____________________ - ____________________ - ____________________ - answer2 LPM 15 LPM - All 3rd trimester pregnancy trauma patients - All head injury patients - Decompression sickness - Carbon Monoxide exposure - Cyanide Exposure Overzealous positive pressure ventilation can impair: _______________, ________________, and _______________. Ideally the ETCO2 should be ______ to ______ mm Hg. - answerVenous return Cardiac Output Cerebral Perfusion