SNHD Paramedic Protocol Exam Study Guide Questions and Answers 2024

Identify the Parkland Burn Formula for Fluid Replacement. - 4ml x (body weight in kg) x (% BSA burned) = total fluids for 24 hours, Give 1/2 in the first 8 hours; give remainder over next 16 hours Pg. 28 For children, a fall greater than ______ requires transport to a Level 1 or 2 trauma center. - 10 feet or two times the height of the child Pg. 127 What is the dose of Naloxone (Narcan) in the setting of a suspected overdose? - 2.0 mg IN/IM/IV; may be repeated to a max dose of 10mg Pg. 45 For a traumatic cardiac arrest, what interventions must be performed prior to considering terminating resuscitation efforts? - Provide effective ventilation with 100% oxygenation for two (2) minutes Open airway with basic life support measures Perform bilateral needle thoracentesis if tension pneumothorax suspected Pg. 125 For a patient in Pulmonary Edema/CHF, who is hypertensive with a diastolic blood pressure greater than 100 mmHg, what is the dose of Nitroglycerin? - 1.6 mg SL Pg. 49 Which patient(s) can be taken to a hospital that has been placed on internal disaster? - A patient in which an airway cannot be established A patient in cardiac arrest Pg. 12 A patient who was ejected from a motor vehicle requires transport to a Level 1 and 2 trauma center only. - False (Level 1, 2 or 3) Pg. 127 When should radio contact be established to a receiving facility? - All trauma patients Emergency (code 3) returns Need for telemetry physician Per protocol Pg. 11 How often can additional Diazepam (Valium) doses be administered to a pregnant patient who is refractory to Magnesium Sulfate? - Every 5 minutes Pg. 43 For non-trauma patients, telemetry reports should include at a minimum which of the following? - Attendant/vehicle identification, Nature of call: INFORMATION ONLY or REQUEST FOR PHYSICIAN ORDERS, Patient information (i.e. number, age, sex), Patient condition (i.e. stable, full arrest), History, Objective findings, Treatment, Estimated time of arrival including any special circumstances that may cause a delay in transport Pg. 115 A patient is defined as any individual that meets which of the following? - All of the above (A person who has obvious evidence of illness or injury, A person who has a complaint or mechanism suggestive of potential illness or injury, A person identified by an informed 2nd or 3rd party caller as requiring evaluation for potential illness or injury) Pg. 6 Additional doses of Hydropmorphone (Dilaudid) are by physician order only. - True. Pg. 47 What is the dose of Benadryl for a pediatric patient experiencing a dystonic reaction? - 1.0 mg/kg Pg. 96 What is the western border for Sunrise Hospital and Trauma Center's trauma catchment area? - Paradise Pg. 128 Pulse oximetry in a pediatric patient should be maintained at: - 94% Pg. 70 For patients on home oxygen or with chronic conditions, supplemental oxygen should be used to maintain an oxygen saturation of: - 90% Pg. 67 When termination of resuscitation occurs in the field, what should happen to all medical interventions? - All medical interventions should be left in place Pg. 125 For adults, a fall greater than ______ requires transport to a Level 1,2, or 3 trauma center. - 20 feet