ICEMA Protocol Test questions with answers

ICEMA Protocol Test questions |\ |\ |\ |\




with answers |\




What size gauge/needle do you use for needle cricothyrotomy? -
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CORRECT ANSWERS ✔✔10-16 |\ |\




Needle cricothyrotomy procedure ? - CORRECT ANSWERS ✔✔-
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Absolute contraindication: Transection of the distal trachea.
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- Monitor EtCO2 and wave form capnography.
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- Monitor pulse oximetry.
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- Contact base hospital if unable to ventilate adequately and
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transport immediately to the closest hospital for airway
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management.


If patient transfer of care and patient offloading from the
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ambulance gurney exceeds 25 mins what happens to the |\ |\ |\ |\ |\ |\ |\ |\ |\


hospital? - CORRECT ANSWERS ✔✔It is documented and tracked
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as APOD (ambulance patient offload delay)
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APOD unusual event procedures for immediate offloading criteria:
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- CORRECT ANSWERS ✔✔- Stable V/S
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- Alert and Oriented
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- No ALS interventions in place
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- Is not on a Welfare and Institutions Code (WIC) 5150 hold
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,When is vascular access clinically indicated (8100) ? - CORRECT
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ANSWERS ✔✔- Administration of IV medication(s), or |\ |\ |\ |\ |\ |\ |\




- Administration of IV fluid bolus or fluid resuscitation.
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- In the judgement of the attending paramedic the patient's
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condition could worsen and either (a) or (b) noted above may
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become necessary prior to arrival at the receiving hospital ED.
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- Discontinue ECG monitoring before removing the patient from
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the ambulance if there are no clinical indications for cardiac
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monitoring.


8010 IFT Guidelines "What not to do" - CORRECT ANSWERS ✔✔-
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Paramedics may not transport a patient with IV drips that are not|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


in the EMT-P scope of practice.
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- EMT-Ps may not transport patients with blood or blood products.
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8010 IFT Guidelines "What to do" - CORRECT ANSWERS ✔✔-
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Monitor peripheral lines delivering fluids in any
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combination/concentration of NS, LRs or dextrose and water.
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- Transport intravenous solution with added medication(s) as
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follows: |\




- Lidocaine
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-Dopamine
-Magnesium sulfate |\ |\




- Monitor and administer medications through a pre-existing
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vascular access. |\ |\




- Monitor heparin lock or saline lock.
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, - Monitor IV solutions containing potassium < or = 40 mEq/L
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- Monitor thoracostomy tubes to water or dry sealed drainage.
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- Monitor nasogastric tubes.
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Who receives (0.1 mg/ml), 0.005 mg/kg IV/IO every 10 minutes
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for persistent hypotension as a base hospital order or in radio
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communication failure? - CORRECT ANSWERS ✔✔Newborns |\ |\ |\ |\ |\




Who receives epinephrine (0.1 mg/ml), 0.01 mg/kg IV/IO if heart
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rate is less than 60 after one (1) minute after evaluating airway
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for hypoxia and assessing body temperature for hypothermia? -
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CORRECT ANSWERS ✔✔Newborns |\ |\




6010 Physician on Scene requirements in order to take over the
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call: - CORRECT ANSWERS ✔✔- The physician must be informed
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that base hospital contact must be made, and the final decision
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regarding the assumption of medical responsibility for patient
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care will be made by the base hospital physician.
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- The physician must show proper identification and a current
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California physician's license. |\ |\ |\




- The physician must agree to sign the patient care report
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agreeing to take full responsibility for the care and treatment of
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the patient(s) involved in the incident and accompanies the
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patient(s) in the ambulance to the most appropriate receiving
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facility. |\




- Care of the patient must be transferred to a physician at
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receiving facility. |\