NEW ICEMA FINAL EXAM WITH Q&A NEWLY
MODIFIED 2025/2026 LATEST UPDATE
NG and OG tubes -- ANSWER---Use a water-soluble
lubricating jelly - Required for all full arrest patients, burn,
trauma, newborns
Protocol 13010 - Poisonings
Care for specific poisonings including drug treatments -- ANSWER--FOR ALL
POISONINGS:
the substance ingested, the amount, the time substance was ingested and the
route, if appropriate and can be safely transported, bring ingested substance
to the hospital with patient
phenothiazine "poisoning" -- ANSWER--s/s
of ataxia and/or muscle spasms,
administer
Diphenhydramine,
25mg IV/IO or 50mg IM
Page 1 of 65
,organophosphate poisoning, -- ANSWER--administer Atropine 2mg IV/IO
repeat every 5 minutes
seizures associated with nerve agent or organophosphate poisoning, --
ANSWER--administer
Midazolam
2.5mg IV/IO/IN repeat every 5 minutes or 5mg IM repeat every 10 minutes
seizures associated with nerve agent or organophosphate poisoning, with
deployment of the
ChemPack, -- ANSWER--administer Diazepam 10 mg (5mg/ml) IM or 2.5 mg
IV
For tricyclic poisonings, -- ANSWER--administer Sodium Bicarbonate 1
mEq/kg IV/IO
BHO ONLY
For calcium channel blocker poisonings -- ANSWER--s/s of
hypotension/ brady arrhythmias
administer
Page 2 of 65
,Calcium Chloride 1 gm (10ml of a 10% solution) IV/IO BHO ONLY
beta blocker poisonings, -- ANSWER--administer Glucagon 1 mg IV/IO BHO
ONLY
PRIORITIES for poisonings -- ANSWER--- Obtain oxygen saturation on room
air
- Contact poison control
- the substance ingested, the amount, the time substance was ingested and the
route, if appropriate and can be safely transported, bring ingested substance to
the hospital with patient
- Obtain vascular access at a TKO rate or if signs of inadequate tissue perfusion,
administer
500ml fluid challenge and repeat until
perfusion improves
- For pediatric patients with signs of inadequate tissue perfusion, administer 20
ml/kg IV and repeat until perfusion improves
Page 3 of 65
, - Monitor cardiac status
Protocol 13020- Heat Related Emergencies
Treatment in heat emergencies -- ANSWER--Remove patient from heat source,
position with legs elevated and begin cooling measures
- Oxygen as clinically indicated
- Rehydrate with small amounts of appropriate liquids as tolerated. Do not give
liquids if altered level of consciousness
- If patient has signs of Heat Stroke (hypotension, tachycardia, absence of
sweating), begin rapid
Page 4 of 65
MODIFIED 2025/2026 LATEST UPDATE
NG and OG tubes -- ANSWER---Use a water-soluble
lubricating jelly - Required for all full arrest patients, burn,
trauma, newborns
Protocol 13010 - Poisonings
Care for specific poisonings including drug treatments -- ANSWER--FOR ALL
POISONINGS:
the substance ingested, the amount, the time substance was ingested and the
route, if appropriate and can be safely transported, bring ingested substance
to the hospital with patient
phenothiazine "poisoning" -- ANSWER--s/s
of ataxia and/or muscle spasms,
administer
Diphenhydramine,
25mg IV/IO or 50mg IM
Page 1 of 65
,organophosphate poisoning, -- ANSWER--administer Atropine 2mg IV/IO
repeat every 5 minutes
seizures associated with nerve agent or organophosphate poisoning, --
ANSWER--administer
Midazolam
2.5mg IV/IO/IN repeat every 5 minutes or 5mg IM repeat every 10 minutes
seizures associated with nerve agent or organophosphate poisoning, with
deployment of the
ChemPack, -- ANSWER--administer Diazepam 10 mg (5mg/ml) IM or 2.5 mg
IV
For tricyclic poisonings, -- ANSWER--administer Sodium Bicarbonate 1
mEq/kg IV/IO
BHO ONLY
For calcium channel blocker poisonings -- ANSWER--s/s of
hypotension/ brady arrhythmias
administer
Page 2 of 65
,Calcium Chloride 1 gm (10ml of a 10% solution) IV/IO BHO ONLY
beta blocker poisonings, -- ANSWER--administer Glucagon 1 mg IV/IO BHO
ONLY
PRIORITIES for poisonings -- ANSWER--- Obtain oxygen saturation on room
air
- Contact poison control
- the substance ingested, the amount, the time substance was ingested and the
route, if appropriate and can be safely transported, bring ingested substance to
the hospital with patient
- Obtain vascular access at a TKO rate or if signs of inadequate tissue perfusion,
administer
500ml fluid challenge and repeat until
perfusion improves
- For pediatric patients with signs of inadequate tissue perfusion, administer 20
ml/kg IV and repeat until perfusion improves
Page 3 of 65
, - Monitor cardiac status
Protocol 13020- Heat Related Emergencies
Treatment in heat emergencies -- ANSWER--Remove patient from heat source,
position with legs elevated and begin cooling measures
- Oxygen as clinically indicated
- Rehydrate with small amounts of appropriate liquids as tolerated. Do not give
liquids if altered level of consciousness
- If patient has signs of Heat Stroke (hypotension, tachycardia, absence of
sweating), begin rapid
Page 4 of 65
