Loyola EMS System Entry Questions and Answers 100% Correct

Loyola EMS System Entry Questions and Answers 100% Correct Patient needing restraint must be restrained in what position Semi Fowlers Any patient under what age is considered a minor? What can they not do? 18, they cannot consent for themselves unless child abuse is suspected What is an emancipated minor? Patient between the ages of 16-18 that have demonstrated ability and capacity to manage own affairs and live independently of parents or guardians. When can a minor consent for themself or their child? When they are pregnant married or have a living child. When can a parent not refuse treatment of child? Parents may not withhold consent for life saving treatment When suspicion of abuse or neglect exist Life or limb threatening limb or injury Incompetent adult guardian Uninjured children in school bus MVC can be released in the field to.... Parent or qualified school official Who may not be released in the field in the event of school bus MVC? Special needs children Any physician or nurse on scene must provide what? Medical license and state issues ID Where should any possible stroke patient be transported to? Nearest stroke center What must be left at hospital before leaving? PCR What does the Illinois abandoned newborn infant act say? Personnel must accept and provide all necessary care to an infant 30 says old or younger When should nearly expired drugs be exchanged? At least 60 days prior to expiration Loyola EMS requires how much system approved CE? 120 hours How many hours will be awarded for make up quizzes? 1.5 hours In the event of an exposure what do you do? Complete Loyola EMS communicable disease exposure form which is part of the exposure carepak Personnel may be suspended for many reasons including... Unauthorized use or removal of narcotics drugs or supplies What should be communicated at beginning of radio report? Closest and desired hospitals along with ETAs What should be obtained and relayed for any patient with altered mental status? Blood glucose Patients with nausea receive what? 4 mg zofran slow IVP or ODT 1 dose only When is it acceptable to discontinue ALS care? Never When can pediatric drug dosing exceed adult dosing? Weight based IV fluid bolus versed or narcan Who can call a patient death through med control? Only ER physician Are living wills honored by EMS providers? No What should you ask about when you have a patient with chest pain? Use of viagra cialis or revatio in the past 36 hours before considering administration of nitro Adult initial dose of fentanyl under 65 y/o 1mcg/kg not to exceed 100 mcg 2nd dose of fentanyl under 65 y/o .5mcg/kg not to exceed 50mcg First dose of fentanyl over 65 y/o .5mcg/kg not to exceed 50mcg Second dose of fentanyl over 65 y/o .25 mcg/kg not to exceed 25mcg Treatment of unstable bradycardia .5 mg of atropine IV or 1mg ET tube May repeat every 3-5 minutes Max dose of 3 mg Treatment of unstable bradycardia if atropine does not work Transcutaneous pacing at rate of 70 Consider sedation with versed 2 mg max dose of 10 Symptomatic bradycardia treatment if atropine and pacing do not work Dopamine 5-10 mcg/kg/min IVPB Stable adult SVT treatment 6mg adenosine followed by rapid 10cc flush If no response 12mg If no response 12mg Unstable adult SVT treatment Sedate with 2mg versed every 2 minutes up to 10 mg Cardiovert at 100J If no change repeat at recommended energy If no change refer to cardiogenic shock SMO When should induction of hypothermia be used? When ROSC patient remains unconscious and unresponsive Is able to maintain systolic above 90mmhg Pt is untubated Presumed cardiac etiology for arrest What is he age etomidate should not be used? 15 Adult intubation procedure Benzocainex2 30 seconds apart Etomidate 0.6mg/kg not to exceed 40mg For post sedation versed 2mg every 2 minutes Max of 10mg Adult acute asthma protocol Albuterol 2.5mg or xponenex 1.25mg Repeat as necessary If no response and in severe distress administer epinephrine 1:1,000 0.3mg IM If older than 50 or cardiac disease call med control Adult anaphylaxis with signs of hypoperfusion IV/IO fluid bolus 200ml increments Administer epi 1:10,000 0.5mg slow IVP Or 1:1,000 1mg ET Or 1:1,000 0.5 mg IM y repeat every 5 minutes Administer Benadryl 50mg slow IV/IO Consider albuterol/xopenex and dopamine Adult anaphylaxis without signs of hypoperfusion Administer Benadryl 50mg IM or slow IVP Administer epi 1:1,000 0.3mg IM may repeat once after 15 minutes Contact medical control if older than 50 or cardiac disease Consider bronchodilator for wheezing Unexplained syncope treatment 200mL IV bolus Narcan 1mg IV/IN Repeat 0.5 mg every 2 minutes What to obtain for suspected stroke Last known normal If patient has abnormal Cincinnati where do they go? Closest stroke center Cyclic anti depressant overdose treatment 1L NS bolus with 8.4% sodium bicarbonate 1meq/kg Beta blocker or calcium channel blocker overdose 1mg glucagon Slow IVP Repeat x1 If no success consider pacing Organophosphate poisoning or SLUDGEBAM Administer atropine 2mg rapid IVP every 3 minutes no max dose What is the distance a level 1 trauma center has to be for you to be able to transfer to level 2 25 minutes When in a trauma do you always transport to closest? If no airway Child involved MVC age considerations Birth to 2 years or 20 pounds rear facing seat 2-4 or 65 pounds front facing toddler seat Booster seat 4-8 years or 4 foot 9 Seat belt from 8-15 or taller that 4 foot 9 Prolonged extrication without serious injury is not sufficient reason for SCT/CCT Avoid what to eye injury? Pressure Thermal burns <10% treatment if occurred with in 15 minutes Cool burned area with water or NS for no longer than 5 minutes Burn <10% dressing type Wet may be applied for pain relief Burn >10% dressing type Dry sterile dressing Taser injuries to face Stabilize prongs and transport Long bone fix with displacement and spasm Consider versed 2mg every 2 minutes up to 10mg Care of amputated part Wrap in saline moistened gauze and put in plastic bag What not to do with amputated part Immerse in NS or water Dose for epi in peds 1:10,000 0.1 ml/kg IV/IO Or 1:10,000 0.5 ml/kg ET Every 3-5 minutes Zofran dose in person less than 40kg .1 mg/kg slow IV What form of zofran do you not give pediatrics ODT Pediatric atropine dose 0.02 mg/kg may repeat x1 Not to exceed 0.5mg Cardioversion jewels for pediatric 1 J/kg May repeat at 2 J/kg Dose for adenosine in pediatric 0.1 mg/kg not to exceed 6 0.2 mg/kg not to exceed 12 Pediatric SVT ranges Over 220 1 year or less Over 180 1-15 years old Pediatric drug assisted intubation 0.05 mg/kg versed Not to exceed 0.2 mg/kg total Max of 10mg Pediatric shock fluid bolus 20ml/kg If no response may repeat 2 for max of 60ml/kg Pediatric seizures Versed 0.1 mg/kg IV Versed 0.2 mg/kg IN Max dose of 10mg Dose for narcan in pediatrics Less than 20 kg or less than age 5 0.1 mg/kg Greater than 20kg and age of 5 then 2mg Anaphylaxis in peds Benadryl 1mg/kg More than local reaction then administer epi 1:1,000 Less than 10kg 0.1 mg/kg Between 20kg and 10kg 0.2 mg/kg Over 20kg 0.3 mg/kg For signs of hypoperfusion administer fluid bolus Administer epi 1:10,000 0.1 mg/kg every 3 min.