Ems Flashcards
(42 cards)
If it is impossible or innapropriate to obtain medical consultation you must
Document in narrative
Check exceptional call box
Notify ems jurisdiction who must notify state ems medical director within 5 days
Age groups
Newly born
Neonate
Infant
Toddler
Preschooler
School age
Adolescent
Newly born up to 1 hour
Neonate 1 hour to 28 days
Infant > 28 days to 1 year
Toddler 1 year-<2 years
Preschooler 2-4 years
School age 5-12 years
Adolescent 13-18 years
If an error or variance in procedure occurs you must
Notify consulting physician via radio ____
Notify local ems jurisdiction or program medical director within ____ of incident
QA officer must provide written notification within ___ days to ems jurisdiction, program medical director, miemss compliance officer, state medical director
Within ___ days of written notification, QA officer must initiate medical review comittee
Within ____ days QA officer must foward written results of medical review comittee to miemss compliance office and state medical director
If an error or variance in procedure occurs you must
Notify consulting physician via radio IMMIDIATELY AND AT HOSPITAL
Notify local ems jurisdiction or program medical director within 24 HOURS of incident
QA officer must provide written notification within 5 DAYS to ems jurisdiction, program medical director, miemss compliance officer, state medical director
Within 14 DAYS days of written notification, QA officer must initiate medical review comittee
Within 30 DAYS QA officer must foward written results of medical review comittee to miemss compliance office and state medical director
Inability to carry out physicians order must
Immediately notify dr and EMS jurisdiction
Ems program notify medical directors in 5 days
Initiate QA investigation within 14 days
Foward results of investigation to miemss compliance and state medical director within 30 days
Orders for extraordinary care must notify ems program medical director
As soon as practical after call
BVM for neonate
Bvm all ages greater than neonate
Neonate 1 every 3 seconds
Greater than neonate 1 every 5 seconds
Hyperventilate head injury Pt if
Signs and symptoms of hernia toon are present (posturing loss of pupillary response, dilation of one or both pupils, vomiting, hypotension, bradycardia, irregular respirations)
Rate of hyperventilation
Adult 13 or greator
Child 1-12 years
Infant less than 1 year
Adult 20 bpm
Child 30 bpm
Infant 35 bpm
Newly born protocol should be followed for patients that are ____
Within first hour of birth
When there is an MCI, the ____ call box must be checked
Exceptional call
Online medical direction should be obtained from local trauma center and specialty center when transport to specialty center would be ____ mins additional transport time
10-15
Pediatric START triage
Pediatric START TRIAGE
Respiratory rate <15 or >45 -> IMMEDIATE
Pediatric START TRIAGE
Nuero assessment- innapropriate p or u -> immediate
A,V, P -> delayed
Self prescribed Nitro can be given ___ times. It can be repeated so long as bp is greater than ___ mmhg and pulse is between ____-____
3 times
Greater than 90 mmhg
Pulse between 60-150 bpm
mild agitation
SAFER
Stabilize
Assess
Facilitate
Encourage
Recovery
Mild allergic reaction
Moderate allergic reaction
Mild localized swelling and itching at the site
Moderate hives and or mild wheezing
Anaphylaxis
Acute onset of severe illness after exposure to a known allergen with two or more of the following
Hives or acute swelling of mucosa
Respiratory symptoms
Hypotension
GI symptoms
ALTE Infant or child less than ___ years of age
2 years
Sepsis indications
Must meet at least two
Temp greater than 100.4
Hr greater than 100
RR greater than 25
Hypotension (systolic below 90)
Posterior cerebella assessment
Balance-sudden onset of loss of balence
Eyes- sudden vision loss
Take pt to stroke center within ____ hours from when it was last known well
22 hours
LAMS of 4 or greater
Transport to comprehensive or thrombectomy-capable primary stroke center
Pediatric with stroke (under 18)
Pediatric trauma center
