NYS EMT-B Protocols Questions
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Signs of Ineffective Breathing - ✔✔-Cyanosis
-Visible retractions
-Use of Accessory Muscles
-AMS
- RR < 10 bpm
-Signs of Poor Perfusion
Respiratory Arrest/Failure--Adult - ✔✔-Open airway and remove any visible airway obstruction by
hand; insert adjunct if necessary
-Suction if necessary
-PPV with BVM
-Ventilate every 5-6 seconds; each breath given over 1 second
-SPO2 goal: 94% >
Respiratory Arrest/Failure--Pediatric - ✔✔Open airway and remove any visible airway obstruction
by hand; insert adjunct if necessary
-Suction if necessary
-PPV with BVM
-Ventilate every 3-5 seconds; each breath given over 1 second
,-SPO2 goal: 94% >
Signs of Obvious Death - ✔✔-Body
decompensation -Rigor Mortis
-Dependent lividity
-Injury not compatible with life (decapitation, burned beyond, recognition)
*Resuscitation efforts may be held
*Notify law enforcement
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
Oral Glucose Dos and Indication - ✔✔-15-24 grams; one tube
-Conscious and can swallow on command
, 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
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
EpiPen Autoinjector Dos & Indication - ✔✔Adults: 0.3 mg
PEDS: 0.15 mg
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