PBCFR Protocols
Who can deviate from ALS Protocols? – answer EMS Captains and Trauma Hawk
personnel
What are the 6 Rights? - answer Person, Drug, Dose, Time, Route, Documentation
What is defined as a TRUE allergy? - answer rash, SOB, swelling of the tongue, face
and/or throat
What type of communication is used when administering a drug? – answer Closed loop
communication
Adult IO sites - answer Proximal Humerus Proximal Tibia Distal Tibia
Pediatric IO sites – answer Distal Femur Proximal Tibia Distal Tibia
Proximal Humerus (only if the surgical neck can be palpated)
IM injection site - answerLateral Thigh
Adult IM equipment and amount - answer21-23 gauge 1.5 inch needle 4mL maximum
per site
Pediatric IM equipment and amount - answer23 gauge 1 inch needle 1mL maximum per
site If > 1mL needs to be administered, split the dose between both thighs
MAD Medications - answerVersed, Narcan, Fentanyl, Ketamine
MAD desired dose - answer0.3mL - 0.5mL per nostril Max 1mL per nostril
What medications need to be diluted - answerPush dose pressor epi, Benedryl,
Ketamine
Pediatrics are considered - answerPatients who have not reached puberty are
considered pediatric patients
Neonates - answerBirth to 1 month
Infants - answer1 month to 1 year
Children - answer1 year to puberty
Puberty defined as - answerBreast development and underarm, chest, or facial hair
Who can deviate from ALS Protocols? – answer EMS Captains and Trauma Hawk
personnel
What are the 6 Rights? - answer Person, Drug, Dose, Time, Route, Documentation
What is defined as a TRUE allergy? - answer rash, SOB, swelling of the tongue, face
and/or throat
What type of communication is used when administering a drug? – answer Closed loop
communication
Adult IO sites - answer Proximal Humerus Proximal Tibia Distal Tibia
Pediatric IO sites – answer Distal Femur Proximal Tibia Distal Tibia
Proximal Humerus (only if the surgical neck can be palpated)
IM injection site - answerLateral Thigh
Adult IM equipment and amount - answer21-23 gauge 1.5 inch needle 4mL maximum
per site
Pediatric IM equipment and amount - answer23 gauge 1 inch needle 1mL maximum per
site If > 1mL needs to be administered, split the dose between both thighs
MAD Medications - answerVersed, Narcan, Fentanyl, Ketamine
MAD desired dose - answer0.3mL - 0.5mL per nostril Max 1mL per nostril
What medications need to be diluted - answerPush dose pressor epi, Benedryl,
Ketamine
Pediatrics are considered - answerPatients who have not reached puberty are
considered pediatric patients
Neonates - answerBirth to 1 month
Infants - answer1 month to 1 year
Children - answer1 year to puberty
Puberty defined as - answerBreast development and underarm, chest, or facial hair
