2021 TRAA STANDING ORDERS (Basic EMT)

Question 1

You are providing care to a 54 yom patient having difficulty in breathing and is presenting with COPD exacerbation. CPAP is being applied to your patient. What is the max cm/H2O this patient can receive per standing order?

Answer 1

Answer: 5 cm/H2O

See page # 92 in the TRAA 2021.1.1 Standing Orders Book

Question 2

Your 76 yof patient presents with expiratory wheezing in all fields with an O2 saturation of 88%. You prepare to administer an Albuterol treatment via nebulizer. What is your dose of Albuterol?

Answer 2

Answer: 5 mg

See page # 15-16 in the TRAA 2021.1.1 Standing Orders Book

Question 3

You and your partner respond to a call for an unknown problem for a 32 yom patient. Upon your arrival, you note the patient to be cool, pale, and diaphoretic. Bystanders state that the patient was stung by a bee in the neck. The stinger has been removed and your patient is experiencing anaphylaxis. Your dose of Epinephrine for this patient to treat anaphylaxis is?

Answer 3

Answer: 0.3 mg IM

See page # 12 in the TRAA 2021.1.1 Standing Orders Book

Question 4

A 66 yof patient is complaining of difficulty in breathing. Upon assessment, the patient presents with expiratory wheezing bilaterally in the bases of the lungs. Pt is allergic to Albuterol and therefore Atrovent is the only medication we carry that can be administered at this time. What is the dose for Atrovent to be administered to this patient via nebulizer?

Answer 4

Answer: 0.5 mg

See page #15 in the TRAA 2021.1.1 Standing Orders Book

Question 5

You and your partner are caring for a 72 yom patient experiencing chest pain. The patient has already taken 324 mg of ASA prior to your arrival. Nitro is considered to be given to the patient. What dose of Nitro may be administered to the patient by the EMT Basic using our own Nitro Spray?

Answer 5

Answer: The Nitro must be prescribed to the patient in order for the EMT Basic to assist with administration

See page # 23-24 in the TRAA 2021.1.1 Standing Orders Book

Question 6

The patient’s systolic B/P must be at least _________ to administer Nitro.

Answer 6

Answer: 100 mmHg

See page # 23-24 in the TRAA 2021.1.1 Standing Orders Book

Question 7

Your 82 yom patient presents with ROSC. Your tidal volume for ventilations should be:

Answer 7

Answer: 5-8 ml/kg of ideal body weight

See page # 9-10 in the TRAA 2021.1.1 Standing Orders Book

Question 8

A patient who is submerged for __________ or less and is pulseless and apneic shall be resuscitated.

Answer 8

Answer: 1 hour

See page # 34 in the TRAA 2021.1.1 Standing Orders Book

Question 9

You respond to a 23 yof who has just given birth. You have done all the necessary assessment procedures (dry, stimulate, APGAR, etc.). You note that the newborn’s heart rate is holding at 80 bpm. What is your next step?

Answer 9

Answer: Support ventilations with BVM

See page # 42-43 in the TRAA 2021.1.1 Standing Orders Book

Question 10

You are caring for a patient who is C-STAT & FAST positive. These patients may be eligible for intervention for up to __________ hours.

Answer 10

Answer: 24

See page # 52 in the TRAA 2021.1.1 Standing Orders Book

Question 11

True or False: A multi system blunt trauma patient, such as from a high velocity crash or significant fall, who is unable to follow commands due to combativeness, intoxication, or decreased mental status, should remain on the backboard until handoff at the ED.

Answer 11

Answer: True

See page # 28 in the TRAA 2021.1.1 Standing Orders Book

Question 12

You are caring for a 1-month-old male patient who is experiencing an anaphylactic reaction. You prepare to administer Epinephrine to the patient in which the patient weighs 8 kg. What is your dose of Epinephrine?

Answer 12

Answer: 0.08 mg IM

See page # 64 in the TRAA 2021.1.1 Standing Orders Book

Question 13

You are caring for a 1-month-old male patient at 8 kg who is experiencing an anaphylactic reaction. You have administered appropriate Epi, however, it is decided that the patient also needs an Albuterol treatment via nebulizer. Your dose of Albuterol via nebulizer is?

Answer 13

Answer: 2.5 mg

See page # 64 in the TRAA 2021.1.1 Standing Orders Book

Question 14

The normal respiratory rate for an infant (1-12 months), as per the normal pediatric vitals chart in the standing orders is?

Answer 14

Answer: 30 – 60 rr/min

See page # 68, 70, or 81 in the TRAA 2021.1.1 Standing Orders Book

Question 15

Contraindications to utilizing CPAP are:

Answer 15

Answer: Pneumothorax, Respiratory Arrest, and Uncontrolled Vomiting

See page # 92 in the TRAA 2021.1.1 Standing Orders Book

Question 16

When utilizing the M.A.D. to administer Narcan, you should draw up and extra __________ ml(s) of the medication to account for the dead space in the device.

Answer 16

Answer: 0.1 ml

See page # 108 in the TRAA 2021.1.1 Standing Orders Book

Question 17

True or False: The EMT Basic may transport a patient who is receiving D5W, Lactated Ringers, Sodium Chloride (0.9% or less), or Potassium Chloride (40 meq/L or less) during a transfer if being administered through a peripheral IV via gravity or infusing system.

Answer 17

Answer: False

See page # 126-127 in the TRAA 2021.1.1 Standing Orders Book

Question 18

A multiple-casualty incident that severely taxes local EMS personnel and resources, requires the activation of the Disaster Response Team, and may require mutual aid from outside organizations, is considered to be:

Answer 18

Answer: High-impact incident

See page # 133-134 in the TRAA 2021.1.1 Standing Orders Book

Question 19

For a Priority 2 call, the minimum equipment that must be taken to the patient to ensure effective patient management is:

Answer 19

Answer: Cardiac Monitor, Oxygen Bag, First-In Bag, and Cot

See page # 136 in the TRAA 2021.1.1 Standing Orders Book

Question 20

The load limit for the Pedi-Mate device is:

Answer 20

Answer: 10-40 lbs

See page # 139-141 in the TRAA 2021.1.1 Standing Orders Book

Question 21

CCR is performed for which types of cardiac arrest?

Answer 21

Answer: Cardiac arrests due to cardiac etiology or unknown etiology

See page # 20-21 in the TRAA 2021.1.1 Standing Orders Book

Question 22

To avoid hypoxemia in the closed head injury patient, keep patient O2 saturations above:

Answer 22

Answer: 90%

See page # 29 in the TRAA 2021.1.1 Standing Orders Book

Question 23

For I-Gels, the appropriate size should be chosen by utilizing the patient’s:

Answer 23

Answer: Ideal Body Weight

See page # 99-102 in the TRAA 2021.1.1 Standing Orders Book

Question 24

The C-STAT exam is a tool utilized to assess a patient for:

Answer 24

Answer: Large Vessel Occlusion

See page # 52 in the TRAA 2021.1.1 Standing Orders Book

Question 25

Your patient is noted to have a glucose reading of 54 mg/DL. Your patient is able to follow commands, however, is slightly confused. You deem it safe to administer Oral Glucose to your patient presenting with hypoglycemia. Your dose for Oral Glucose is?

Answer 25

Answer: 30 grams See page # 31 in the TRAA 2021.1.1 Standing Orders Book

Question 26

Your patient was involved in a rollover type of MVC following a short police pursuit. When you arrive, 5 officers are holding him down. This patient should be placed in restraints and transported in which position:

Answer 26

Answer: Supine or side lying See page # 13-14 in the TRAA 2021.1.1 Standing Orders Book

Question 27

Your adult patient is complaining of chest pain located in the center of his chest. You should administer how much Aspirin?

Answer 27

Answer: 324 mg See page # 23-24 in the TRAA 2021.1.1 Standing Orders book

Question 28

You respond on a patient with burns. When is it appropriate to use moist dressings for comfort?

Answer 28

Answer: < 10% See page # 17-18 in the TRAA 2021.1.1 Standing Orders Book

Question 29

Assisting a patient with their prescribed nitroglycerin should be withheld if:

Answer 29

Answer: Systolic blood pressure is less than 100 and the patient has taken erectile dysfunction meds 24-48 hours ago See page # 23-24 in the TRAA 2021.1.1 Standing Orders Book

Question 30

Your adult patient with chest pain is diaphoretic and short of breath. Pulse is 102. Blood pressure is 110/90. What is the dose and frequency you can assist the patient in taking his own nitroglycerin

Answer 30

Answer: 1 tablet every 5 minutes, up to 3 tablets See page # 23-24 in the TRAA 2021.1.1 Standing Orders Book

Question 31

After delivering a defibrillation with an AED, you get pulses back on your patient. Your patient is not breathing. You should ventilate at:

Answer 31

Answer: 8-12 breaths/minute See page # 25 in the TRAA 2021.1.1 Standing Orders Book

Question 32

Indications of excited delirium include:

Answer 32

Answer: Confusion, Agitation with bizarre behavior, and Tactile hyperthermia See page # 35 in the TRAA 2021.1.1 Standing Orders Book

Question 33

You respond to a 24 year old male patient that has been doing roof work and is now weak and dizzy. The temperature is 92 degrees. The patient has been removed from the work by coworkers. You should:

Answer 33

Answer: Move the patient to an air conditioned area such as the ambulance and apply cool packs to the neck/groin/axilla See page # 36 in the TRAA 2021.1.1 Standing Orders Book

Question 34

Your patient was working on some shelving at the local ice cream factory in the freezer area. After the patient had not been seen for 2 hours, he is found in cardiac arrest. How many times should your AED defibrillate assuming this patient is hypothermic?

Answer 34

Answer: 1 See page # 37 in the TRAA 2021.1.1 Standing Orders Book

Question 35

Your hypothermic patient is unresponsive. While packaging this patient, you should:

Answer 35

Answer: Handle patient gently See page # 37 in the TRAA 2021.1.1 Standing Orders Book

Question 36

You respond to a 27 year old female patient that is 40 weeks pregnant and is now complaining of contractions. You should prepare for delivery if which of the following are present:

Answer 36

Answer: Crowning, Contractions <2 minutes apart, and/or Bulging perineum See page # 42-43 in the TRAA 2021.1.1 Standing Orders Book

Question 37

You have just delivered a screaming baby girl. You should clamp the umbilical cord how far from the baby?

Answer 37

Answer: 6-8 inches See page # 42-43 in the TRAA 2021.1.1 Standing Orders Book

Question 38

At what intervals should you document APGAR scores?

Answer 38

Answer: 1 and 5 minutes after birth See page # 42-43 in the TRAA 2021.1.1 Standing Orders Book

Question 39

You have delivered a baby. The baby is blue and not breathing well. If the HR is less than ___, you should begin CPR.

Answer 39

Answer: 60 See page # 42-43 in the TRAA 2021.1.1 Standing Orders Book

Question 40

You are about to administer Narcan to your OD patient using the mucosal atomizer device. It is important to remember that only ____ may be administered per nostril.

Answer 40

Answer: 1 ml See page # 108 in the TRAA 2021.1.1 Standing Orders Book

Question 41

Steps of a FAST-G exam include:

Answer 41

Answer: Face, Arms, Speech, Time, and Glucose See page # 52 in the TRAA 2021.1 Standing Orders Book

Question 42

You have found that your patient has a positive Cincinnati prehospital stroke scale. What criteria would make the patient C-STAT positive by itself?

Answer 42

Answer: Conjugate Gaze Deviation See page # 52 in the TRAA 2021.1.1 Standing Orders Book

Question 43

Of the following, which are indicated to control severe bleeding?

Answer 43

Answer: Direct pressure, Tourniquet, and/or Wound packing See page # 107 in the TRAA 2021.1.1 Standing Orders Book

Question 44

You are on a trauma where the patient has an altered LOC and you are having problems managing the airway. Scene time should be ____ or less.

Answer 44

Answer: 10 minutes See page # 54-57 in the TRAA 2021.1.1 Standing Orders Book

Question 45

When using the mucosal atomizing device, the syringe plunger should be depressed _____.

Answer 45

Answer: Briskly See page # 108 in the TRAA 2021.1.1 Standing Orders Book

Question 46

As a minimum, what equipment must be brought to the patient for a priority 6?

Answer 46

Answer: First In Bag See page # 136 in the TRAA 2021.1.1 Standing Orders Book

Question 47

What does APGAR stand for?

Answer 47

Answer: Appearance, Pulse, Grimace, Activity, and Respirations See page # 42-43 in the TRAA 2021.1.1 Standing Orders Book

Question 48

What is the maximum score for the APGAR?

Answer 48

Answer: 10 See page # 42-43 in the TRAA 2021.1.1 Standing Orders Book

Question 49

What is the minimum score for the APGAR?

Answer 49

Answer: 0 See page # 42-43 in the TRAA 2021.1.1 Standing Orders Book

Question 50

When administering IN Narcan, you can consider repeating the dose every __________ minutes.

Answer 50

Answer: 5-10 minutes See page # 44 in the TRAA 2021.1.1 Standing Orders Book