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Protocol EMT Exam SNHD Questions And Accurate Answers Graded A+
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Protocol EMT Exam SNHD Questions And AccurateAnswers Graded A+
3 definitons of a patient
1. a person who has a complaint or mechanism of injury suggestive of potential illness or
injury
2. a person who has obvious evidence of illness or injury
3. a person identified by an informed 2nd or 3rd party caller as requiring evalution for
potential illness or injury
Sexual Assult Destinations based on age
1. Under 13 = sunrise
2. 13-18 = umc or sunrise
3. 18+ umc
contact with medical control should be done
1. via radio
2. telephone contact can be used if the call is routed via a recorded phone patch
through FAO at 702-382-9007
Waiting room critera
1. Heart rate 60-100
2. resp rate 10-20
3. systolic bp 100-180
4. diastolic bp 60-110
5. room air pulse ox >94
5. A+O 4
6. did not get any parenteral meds except one dose of analgesia
doesn't need continued cardiac monitoring
7. can be left in a sitting position
,8. left w a verbal report to hospital personnel
internal disaster
1. if its a cardiac arrest they cant refuse + airway can't be maintained
2. otherwise bypass
pedatric patient rule
peds is under 18, but our protocols are for kids under the age of 12
Allergic reaction protocol
1. assit with own epi +MDI
2. Severity
-mild- skin rashes. itchy, hives, no resp involvement
-moderate - skin disorders and some resp like wheezing but still good tidal volume air
exchange
-severe skin disorders, resp diff, hypotension
-epi side effect= jittery/tachy
Oral glucose
1. can give if bgl less than 60 and protecting own airway
SAFER model
1. stabilize, acknowledge, facilitate, encourage, refer/recovery
2. lower stimuli, acknowledge crisis, help identify and activate resources, encourage
patient to use resrouces, recovery- leave with proffesional
Behavioral emergency PEARL
1. law enforcement all violent patients
2. never prone
3. Sedation only if patient active threat to safetey of self and crew
4. Mental status, skin, heart, lungs, neuro
5. Don't remove darts from tazers unless have to, police do that
Burn protocol
Thermal
, 1. stop the burning process with water + saline
2. remove smoldering clothing + jewlewry, not stuck clothing
3. cover burned area with dry sterile dressing, no ice, lotion, ointment whatever
Chemical
Burns 1. eye involvement, continuous saline flish with water or ns for 10-15 mins 2.
remove jewel, constricting items, + expose burned areas 3. identify entry and exit signs,
apply sterile dressings Burn differentials 1. First - superficial, red and painful 2. partial
thickness, 2nd, blistering 3. full thickness 3rd degree, painless/ charred or leathery
Pearls for Burn patients 1. evalute for multisystem trauma 2. stop the burning process
3. exam= mental health status, HEENT, neck, heart, lungs, abdomen, extremeites, back
neuro
4. consider early intubation
5. CO exposure with 100 percent oxygen, take to hopsital with hyperbaric chamber
6. elevate extemeity due to circumferential burns that cause vascular compromise bc
soft tissue swelling
7. hypothermia, no ice
8. ETCO2 monitor
Patients with this criteria take to burn center
1. second degree burn >10 percent BSA
2. 3rd degree burns
Burns of hands, feet, genitalia, perineum or major joints
Chemical burns
Circumfurential burns
Inhalation burns
Burn injury w/o concmitant trauma
Rule of 9s
Adults:
Head = 9
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