Acadian Ambulance Protocol Test Exam Questions and Answers
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Course
California Ambulance Driver
Institution
California Ambulance Driver
List the 13 significant MOI's (mechanisms of injury) to classify as status 3 or higher - Answer--Ejection from vehicle
-Fall >10 feet
-Death in the same vehicle
-Rollover MVC
-Extrication >20 minutes
-High speed MVC >40mph
-Vehicle deformity >18"
-intrution into vehicle >12"
...
Acadian Ambulance Protocol Test Exam
Questions and Answers
List the 13 significant MOI's (mechanisms of injury) to classify as status 3 or higher -
Answer--Ejection from vehicle
-Fall >10 feet
-Death in the same vehicle
-Rollover MVC
-Extrication >20 minutes
-High speed MVC >40mph
-Vehicle deformity >18"
-intrution into vehicle >12"
-Auto vs pedestrian/bicycle >5mph
-pedestrian thrown/run over
-Motorcycle crash >20mph
-Blast or explosion exposure
-Major burns
List mandatory bedside equipment for all emergencies - Answer-Oxygen, cardiac
monitor, ALS equipment, suction device
List the five criteria for status 1 adult patient - Answer-New onset GCS <14
RR <10 or >30
Acute SPO2 <90
Systolic BP <90
HR <45 or >145
List the 3 criteria for status i pediatric patients - Answer-Poor muscle tone
Increased work of breathing
Reduced circulation to the skin
The maximum possible GCS score is - Answer-15
The minimum possible GCS score is - Answer-3
List the 8 criteria for status 2 - trauma - Answer-Penetrating trauma to head, neck, torso,
or proximal extremity
Paralysis
Flail chest
Amputation proximal to wrist/ankle
Crushed, degloved, mangled extremity
Two or more proximal long bone fractures
Pelvic fractures
Combination trauma and burns
, List the 2 criteria for status 2 - medical - Answer-ST elevation <1mm in two contiguous
leads
(Anginal equivalents with ST elevation <1mm)
New onset stroke >4.5hours
Scene time for status 1 - Answer-10
Scene time for status 2 - trauma - Answer-10
Scene time for status 2 - medical - Answer-10
Airmed wait time for ground unit - Answer-<15
Head injury patients transferred to neurosurgical capabilities only if transport time is -
Answer-<15
3 reasons patients can be downgraded from status 1 - Answer-Hypoglycemia (improved
GCS to =>14)
Narcotic overdose (improved GCS to =>14)
hyperventilating (calmed by medic)
trauma definitive care hospital is - Answer-24/7 surgical capabilities
ROSC definitive care hospital is - Answer-Therapeutic Hypothermia
STEMI definitive care hospital is - Answer-24/7 percutaneous coronary intervention
(PCI)
only if transport time is =<60min.
transport STEMI patients to definitive care only if transport time is - Answer-=<60min
acute stroke definitive care hospital is - Answer-Primary stroke center (only if transport
>2 hours)
24/7 CT capabilities
only transport acute stroke patients to primary stroke center only if transport time is -
Answer->2 hours
non-trauma pediatric definitive care hospital is - Answer-24/7 pediatric ICU/NICU
capabilites
if patients choice of hospital is NOT the definitive care hospital - Answer-get an AMA
List 3 conditions where the closest hospital is the definitive care - Answer-Cardiac arrest
Uncontrolled airway
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