2019 PBCFR Medical Protocols Exam Complete
Questions with 100% Correct Answers|Latest
Update
Who has the authority to deviate from the ALS protocols?
EMS Captains and Trauma Hawk
EZ-IO sites: Adult and Children
Adult: 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 ________.
Lateral 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.
21-23 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
Versed, 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.
Puberty, IO
Female puberty is defined as _____ _____.
Male puberty is defined as _____, _____ or _____ _____.
Breast 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
_______________________.
Child's age
"Handtevy" system length based tape.
Pediatric age classifications:
Neonate: _____ to ______
,Infants: ______ to _______
Children: ______ to ______
Neonates: Birth to 1 month
Infants: 1 Month to 1 Year
Children: 1 Year to Puberty
AAOx4 means:
Alert: to person, place, time, and event
AEIOU-TIPS for AMS means:
Alcohol
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.
2 sets
5 minutes
A ______ ______ ______ shall be taken to confirm any abnormal or significant changes of an
automatic Blood Pressure cuff reading.
Manual Blood Pressure
Hypotension for adults is defined as a Systolic BP < _____ mm Hg.
90
ETCO2 monitoring shall be utilized for the following patients:
- 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:
- 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.
Lead II
10 minutes
ROSC
"Why did the person call 911?" is the ______ ______.
Chief Complaint
SAMPLE history stands for:
Signs 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?
Onset: 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: ________________
Onset: 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:
________________________.
Earhold
Sternal Notch
Modified jaw thrust
Maintain SPO2 of _____% for all patients with the exception of ______ and ______.
Maintin SPO2 of _____ % for ______ and ______.
95%
COPD and Asthma
90%
COPD and Asthma
____ LPM NC for ALL Stroke patients - increase as necessary.
____ LPM via nRB regardless of SPO2 for:
- ____________________
- ____________________
- ____________________
- ____________________
- ____________________
2 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.
Venous return
Cardiac Output
Cerebral Perfusion
35-45
Ventilatory Rates: ADULTS
Patients with a pulse: _____ breath every _______ _______.
Patients without a pulse: ______ breath every _______ _______. (Avoid simultaneous delivery).
Paitents with ICP and/or Herniation: Maintain ETCO2 between _____ and _____ mm Hg and SPO2 >
_______%.
1 breath every 6 seconds
1 breath every 10 seconds
30-35mm Hg and SPO2 > 90%
Ventilatory Rates: PEDIATRIC
Patients with a pulse: _______ breath every ______ ______.
Patients without a pulse: ______ breath every _____ ______. (Avoid simultaneous delivery).
Patients with ICP and/or Herniation: Maintain ETCO2 between _____ and _____ mm Hg and SPO2 >
90%.
1 breath every 3 seconds
Questions with 100% Correct Answers|Latest
Update
Who has the authority to deviate from the ALS protocols?
EMS Captains and Trauma Hawk
EZ-IO sites: Adult and Children
Adult: 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 ________.
Lateral 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.
21-23 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
Versed, 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.
Puberty, IO
Female puberty is defined as _____ _____.
Male puberty is defined as _____, _____ or _____ _____.
Breast 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
_______________________.
Child's age
"Handtevy" system length based tape.
Pediatric age classifications:
Neonate: _____ to ______
,Infants: ______ to _______
Children: ______ to ______
Neonates: Birth to 1 month
Infants: 1 Month to 1 Year
Children: 1 Year to Puberty
AAOx4 means:
Alert: to person, place, time, and event
AEIOU-TIPS for AMS means:
Alcohol
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.
2 sets
5 minutes
A ______ ______ ______ shall be taken to confirm any abnormal or significant changes of an
automatic Blood Pressure cuff reading.
Manual Blood Pressure
Hypotension for adults is defined as a Systolic BP < _____ mm Hg.
90
ETCO2 monitoring shall be utilized for the following patients:
- 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:
- 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.
Lead II
10 minutes
ROSC
"Why did the person call 911?" is the ______ ______.
Chief Complaint
SAMPLE history stands for:
Signs 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?
Onset: 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: ________________
Onset: 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:
________________________.
Earhold
Sternal Notch
Modified jaw thrust
Maintain SPO2 of _____% for all patients with the exception of ______ and ______.
Maintin SPO2 of _____ % for ______ and ______.
95%
COPD and Asthma
90%
COPD and Asthma
____ LPM NC for ALL Stroke patients - increase as necessary.
____ LPM via nRB regardless of SPO2 for:
- ____________________
- ____________________
- ____________________
- ____________________
- ____________________
2 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.
Venous return
Cardiac Output
Cerebral Perfusion
35-45
Ventilatory Rates: ADULTS
Patients with a pulse: _____ breath every _______ _______.
Patients without a pulse: ______ breath every _______ _______. (Avoid simultaneous delivery).
Paitents with ICP and/or Herniation: Maintain ETCO2 between _____ and _____ mm Hg and SPO2 >
_______%.
1 breath every 6 seconds
1 breath every 10 seconds
30-35mm Hg and SPO2 > 90%
Ventilatory Rates: PEDIATRIC
Patients with a pulse: _______ breath every ______ ______.
Patients without a pulse: ______ breath every _____ ______. (Avoid simultaneous delivery).
Patients with ICP and/or Herniation: Maintain ETCO2 between _____ and _____ mm Hg and SPO2 >
90%.
1 breath every 3 seconds
