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NYS EMT-B Protocols Questions and Answers 2024,2025
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NYS EMT-B Protocols Questions and Answers 2024,2025
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New York State EMT-B ProtocolsQuestions and Answers 2024,2025
-Pts. who have decision-making capacity may wish to refuse care/transport after the
provider has: - - determined pt has ability to understand nature and consequence of
refusing
-offered transport w/o care to the hospital
-explained the risks
-advised pt. to seek medical attention and given follow-up care instructions
-confirmed pt. understands the directions
-advised to call again if they wish
-left pt. in responsible care
*Use med control if any unclear situation arises
Adult GCS - Best Eye Response:
- Spontaneous: 4
-To verbal command: 3
-To pain: 2
-No eye opening: 1
Best Verbal Response:
-Oriented: 5
-Confused: 4
-Inappropriate words: 3
-Incomprehensible sounds: 2
-No verbal response: 1
Best Motor Response:
-Obeys commands: 6
-Localized pain: 5
-Withdrawal from pain: 4
-Flexion to pain: 3
-Extension to pain: 2
-No response: 1
Lowest: 3
Highest: 15
Advanced Directive:
- MOLST/ eMOLST (Medical Orders for Life Sustaining Treatment)
-DNR - -For patients who are unable to consent or unconscious
-Attach copy to PCR
, -If present-- follow orders as written
-if NOT present--> begin standard treatment per protocol
*For any other advanced directive, contact med control for direction
ALTE/BRUE (Apparent Life Threatening Event/Brief Resolved Unexplained Events) - -
Episode in infant < 2 yrs. old
-Apnea
-Skin color change
-Marked change muscle tone
-Choking or gagging
-Seizure
ALTE/BRUE Treatment - -Airway management
-O2
-Blood glucose
-Ongoing assessment
Amputation - -Elevate and wrap stump with moist sterile dressings and cover with dry
bandage
-Moisten sterile dressing with saline and wrap
-Place severed part in water-tight container (sealed plastic bag) and place on ice or cold
packs
AMS-- Adult and PEDS - -can be caused by hypoglycemia
--> check Blood glucose < 60
--> 1 unit dos of Oral glucose or carb source
-Consider head injury
-Non-accidental trauma (especially in PEDS)
-Drug investigation
-O2 therapy
Anaphylaxis - -rapidly progressing, life threatening allergic reaction
Anaphylaxis Treatment--Adults and PEDS - -Position of comfort
-Airway and 02
-EpiPen intramuscular (syringe may also be used as replacement
**PEDS consideration: don't agitate child
Angina/Chest Pain (Cardiac Related)--Adult - -Airway + O2
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