EMS Flashcards
(225 cards)
1
Q
What method is used to access each trauma pt
A
Trauma score methodology
2
Q
What is used to assess each new born
A
APGAR
3
Q
When are reports to be completed by
A
End of shift
4
Q
How does a pt give informed consent
A
Verbal
Written
Does not object
5
Q
What can an unmarried pregnant minor refuse treatment for
A
Her pregnancy
6
Q
Who can an unmarried minor refuse treatment for
A
Child
7
Q
How old must a surrogate be
A
18
8
Q
How many witnesses are required on a POA
A
2
9
Q
What defines mental competency
A
AxO
No mental impairment
No risk for self harm
10
Q
Who is responsible for procurement of controlled substances
A
LSF
11
Q
Who are medical errors immediately reported to
A
Receiving physician
12
Q
Who long does the rescue chief have to report errors to the fire chief
A
24
13
Q
What is denoted on each controlled substance page
A
Year
Unit
Page no
14
Q
When is a new daily checklist started
A
1st of the month
15
Q
Who signs for a stocked able unit
A
Paramedic on engine
16
Q
Where are discrepancies recorded
A
Company log book
17
Q
When does medication expire that has month/year only
A
End of the month
18
Q
When does law enforcement dictate hospital destination
A
When pt is stable
19
Q
What positions can a pt not be restrained in
A
Prone
Hog tie
20
Q
What is documented when using restraints
A
Behavior
Type
Circulation
21
Q
How often are extremities checked when using restraints
A
Every 5 min
22
Q
Who reviews CAD daily to ensure reports are completed in time
A
Chief officers
23
Q
Which field copy is given to the hospital
A
White
24
Q
How often are unstable patients accessed
A
Every 5 min
25
How often are stable patients accessed
Every 15 min
26
Who signs if patients are unable to sign
Hospital staff
27
Where is the report authors name listed
First position
28
Who is the paper form for refusals signatures delivered to
QIO
29
Who does the rescue chief deliver paper transport signature form to
QIO
30
When does the chief deliver the form for transport signatures
Next visit
31
If a patient refuses to sign how are they billed
Directly
32
How many sets of vitals are required for non transport
1
33
What is the order of preference for witness signatures
```
Spouse
Relative
Law
Friend
OTHER- JFRD
```
34
Who can not sign as a witness for refusal
Officer documenting refusal
35
How often are paper refusals submitted
Once a year
36
Who are paper refusals submitted to
QIO
37
What is the intention of QI
To train
38
Who does the authority of QI come from
Director
| Medical Director
39
Who is responsible for the continuous QI
Medical Director
Chief of Rescue
Assistant Chief of Rescue
QIO
40
Who appoints the QIO
Fire Chief
41
How often does the QIO and Medical Director communicate
Weekly
42
What are the 3 aspects of QI program
Proactive
Concurrent
Retrospective
43
Capts review refusals for patients how old
15 or less
44
How many reports do Capts review per week
2
45
Who can cancel a trauma alert
Medical Director
| Physician at hospital
46
When is the trauma arrest guideline followed
Pt does not meet unquestionable death criteria
47
What is the weight for the pedi immobilizer
60 lbs or less
48
What is used to pelvic fractures
SAM Splint
49
What type of dressing should be placed over the nose/ear
Sterile
50
Who may be onscene with tools to remove a helmet
Althetic trainer
51
What is used for spinal immobilization if helmet is on
Towels
| Tape
52
Scene time is less critical for what type of spinal injuries
Isolated
53
What type of priority are patients with multi system trauma
Load and Go
54
What individual removes helmet
2nd
55
What priority is a patient with chest trauma
Load and go
56
What type of occlusive dressings should be used
Vaseline
57
Wht type od 4x4s are used
Sterile
58
How many sides are taped with the occlusive dressing
3
59
What is the most important indicator of ABD trauma
MOI
60
What is the best treatment for ABD trauma
Rapid transport
61
Pregnancy great than how many weeks may cause supine hypotension
20
62
What side of the pregant should be elevated for hypotension in trauma
Right
63
How far should patient be elevated on backboard with pregnancy trauma
6 in
64
What side should uterus be manually displaced to
Left
65
How should dislocations be splinted
In position found
66
What is used to reduce fractures
Axial traction
67
When should axial traction be used
When no distal pulses are found
68
Where is amputated part placed
In sterile gauze
69
What is used to keep amputees part moist
IV fluids
70
How should partial amputations be splinted
In alignment
71
Who only is permitted to remove taser probs
Law enforcement
72
What dictates the extent of a crush injury
Amount of body trapped
Length of trapped
Weight of object
73
What is the burn alert criteria for adults
Partial/full thickness
| 15% or more
74
What is the burn alert criteria for pediatric
Partial/full
| 10% BSA
75
What chemical burns are not flushed
Lime
Carbolic Acid
Sulfuric Acid
Solid potassium
76
What burns are blisters kept in tact
Partial/Full thickness
77
What increases exposures to elctrical injuries
Lightening
78
What triage is used for lightening strike scenes with multiple patients
Reverse
79
What patients are worked first for lightening strikes
Cardiac arrest
80
What is an eye injury considered
Trauma alert
81
What position are patients in if blood is noted in anterior chamber
Semi Fowler's
82
What LAMs score is transported to comprehensive hospital
4 or 5
83
What is the time for transport to comprehensive
24 hrs
84
What is the time for LAMs score of 1,2 or 3 for comprehensive
6 hrs
85
What LAMs score is taken to primary with onset to 2 hrs
1,2,3
86
What headache is a concern
Thunderclap
87
What is the time frame for trauma, invasive procedures or surgery
Within last 3 mnths
88
What position is pulmonary edema transported in
Semi Fowler's
89
What is the systolic/diastolic BP for hypertensive emergencies
Greater than 220/120
90
What position is a hypertensive patient placed in
Semi Fowler's
91
What guides the treatment for respiratory distress
Lung sounds
| Degree of distress
92
What 2 adjuncts are used in respiratory arrest
Oro
| Naso
93
When should chest thrust be used instead of ABD thrusts
Pregnant
| Obese
94
What can be used to push a foreign body into a bronchus
ET tube
95
What airway is contraindicated in an unconscious patient
Supperglottic
96
What adjunct is used to deliver 02 for hyperventilation
NRB
97
How long is O2 delivered for hyperventilation
Until it has resolved
98
When is a 12 lead required for ABD pain
Pt greater than 30
99
What position is used for alcohol illness
Recovery
100
When is assistance with Epi oen allowed
Respiratory compromise
101
What position is used for Alt Level of Conscious
Recovery
102
What is the BGL below for administration of paste
60
103
What is the dose of Glucose Paste
15 grams
104
How many times can glucose paste be repeated
1
105
What is the time for readministering paste
20 min
106
How is a pt placed with a nose bleed
Sitting position
107
How can a hemorrhage be controlled for a nose bleed
Pinching nostrils
108
How long should pressure be held for a nose bleed
At least 20 min
109
What are indications of menegitis
Temp
N/V
A M
110
When should a 12 lead be administered with N/V
Pt over 50
111
What is the primary treatment for GI signs
IV fluids
112
What position are seizure patients placed in
Recovery
113
What are signs of poor perfusion
```
Cool Skin
Decreased Pulses
Altered Mental
Increased Cap refill
Tachy
Systolic below 90
```
114
What medicine can be assistance be given if pt has renal failure
Solu-Cortef
115
What position is syncope placed in
Recovery
116
What drowning patient will be transported
Non fatal
117
What information should be tried to obtain about a dive
Depth
| Length
118
Excited delirium can mimic what medical condition
Hypoxia
Hypoglycemia
Stroke
Intercrainal Bleed
119
Above what body temp should extra time be spent onscene
104
120
How much extra time should be spent onscene for elevated temp
Up to 10 min
121
What can be used to hold ice on the stretcher
Blanket
| Tarp
122
What can excessive movement with hypothermic cause
Ventricular arrhythmia
123
What is used to clean insect/spider bites
Peroxide
124
What is used to remove marine stings
Salt water
125
What is used to remove marine stings if salt water is unavailable
IV fluids
126
What should fluid should be avoided with rinsing marine stings
Fresh water
127
What are eyes rinsed with for marine stings
IV fluids
128
What are signs/symptoms for organophosphate exposer
```
Diahhrea
Urination
Miosis
Bradycardia
Bronchorrhea
Bronchospasm
Emesis
Lacrimation
Salivation
```
129
What is a non smoker carboxyhemoblobin
Greater than 5%
130
What is a smoker carboxyhemoblobin
Greater than 10
131
How is SPO2 read in the presence of CO
Falsely High
132
What pregnancy disorder is after 20 weeks
Preeclampsia
133
What is the blood pressure greater than in preeclampsia
140/90
134
What is the blood pressure greater than for eclampsia
160/110
135
How long can post partum last
Up to 6 weeks
136
How is preeclampsia characterized
Fluid retention
| High BP
137
What side is pt placed on if greater than 20 weeks for preeclampsia
Left
138
Where should body position of new born be maintained
Level of vagina
139
How many clamps are applied
2
140
How far are the clamps placed apart
2-3
141
How far from the ABD of new born are clamps placed
7-10 in
142
When is APGAR checked
1 and 5 min
143
How long is the uterus massaged
Until firm
144
What position is the mother placed in for breech birth
Knee chest
145
Airway should be made within how many minutes if head does not deliver
3
146
What position is mother placed in for limb/brow
Knee chest
147
When is mouth suctioned
Before nostrils
148
When is suction done
After delivery of head before delivery of body
149
What size roll is placed under infants shoulders
1"
150
How often should newborn be reassessed for stabilization
30 sec
151
How long can saturation be less than normal in extremities after birth
Up to 10 min
152
How many breathes should be provided by BVM
40-60
153
If heart rate is less than 60 what is rate of compressions
120
154
Above what temp should cooling measure be applied
104
155
What size is the king tube for 4-5ft
3
156
What size is the king tube for 5-6
4
157
What size is the king tube 6ft and more
5
158
How much air for #3
50
159
How much air #4
70
160
How much air for #5
80
161
What type of lubricant is used on the tip
Water soluble
162
What position is the head in with no spinal injury
Sniffing
163
What hand holds the king tube
Dominate
164
Where does the blue index line face on the king tube
Corner of mouth
165
How far is the tourniquet placed proximal to the wound
2-3 in
166
Where is the date and time marked for a tourniquet
Pt skin next to tourniquet
167
GSC with head injury lower than what requires full spinal immobilization
15
168
What are the ages that are immobilized which could result in a spinal injury
Younger than 5
| Older than 65
169
What is an indication of partial immobilization
Isolated neck pain
170
What are the 3 authorized soft restraints
Soft
Wide towel
Stretcher belts
171
How are burns classified
Chemical
Electrical
Thermal
172
How long is given to notify the division chief of rescue after you notifying the abuse hotline
24 hrs
173
What is the time limit for acute hypothermia patients in cardiac arrest
Less than 60 min
174
What is the blood pressure for transport
Over 180 systolic
Over 110 diastolic
Or
Less than 90 systolic
175
How long should transport begin with patients that are unstable
Within 10 min
176
What are the only 2 questions that can be asked about a service animal
Because of a disability
| What work does it perform
177
What dressing is applied to partial/full thickness burns
Dry, sterile
178
Hypertensive BP
220/120
179
Transport BP
180/110
180
Preeclampsia BP
140/90
181
Eclampsia BP
2 consecutive readings within 5 min of160/110 or greater
182
What is the minimum and maximum for Midazolam for an engine
5-10
183
Minimum and max of Etomidate
60-100
184
Minimum and maximum of Fentenal
200-400 MCG
185
Minimum and maximum of Ketamine
500-1500
186
Minimum and maximum of Midazolam for rescue
15-25
187
What is used in unforeseen scenarios or situations
Most appropriate intervention and contact online med control
188
What is the primary concern of JFRD
Well being of the patient
189
What permission is need to initiate treatments outside the scope of practice
Documented
190
Who authorizes treatments outside the scope of practice
Med director
191
Who appoints individuals to the Quality Improvement Review Committee
Div Chief of Rescue
192
What is the primary purpose of a PCR
Verify clinical care meets established standards
193
Who reviews reports identified by the Medical Director
Batt/District Chief
194
When does the QI Office conduct audits
Daily
195
When is EMS documentation training renewed
Annually
196
Who is abuse reported to 1st
ED Physician
197
How is the Division Chief of Rescue notified
Email
198
What are the 3 requirements for DOS
Unresponsive
Apneic
Pulseless
199
When should transport by ATU be considered over ground transportation
Transport exceeds 20 min
200
What is the height of mini horses
24-34 in
201
What is the weight of a mini horse
60-100 lbs
202
Where is the height of the mini horse measured
Shoulders
203
What are the 3 criteria not to transport to a trauma center
Impractical
Patient
Condition
204
What is the total score of GCS
3-15
205
What is the palm of the patients hand equal to
1%
206
What type of dressing is applied if available for hemorrhage control
Hemostatic
207
What is a LAMs score of 4 or 5 indicative of
Large vessel occlusion
208
Pneumonia symptoms
Fever
Decreased lung sounds
Cough
209
When is a superglottic airway contraindicated
Foreign Airway Obstruction
210
What is used to provide 02 in decompression sickness
NRB
211
When does the QI Office query rescue personnel needing documentation class
At least monthly
212
What is the final step in assuring continuity of pt care
Transport to appropriate facility
213
Who can elect to deviate from guidelines in determining destination of patient
IC or designee
214
What are the special transport circumstances
Stroke
OB
Stemi
215
What requires the removal of shoulder pads
Cardiac arrest
216
Why are symptoms of shock delayed in maternal pts
Maternal blood volume
217
What are the assessments for the mini horse
Housebroke
Control
Accommodate
Safety
218
What are the steps for the tourniquet
```
Cut
Location
2-3"
Tail
Twist
Lock
Time
On
```
219
What is the time frame that a tourniquet will not cause damage
1-2hrs
220
What do the guidelines and treatment intended on ensuring
Uniform treatment
221
Who is the administrator of clinical care and medical ethics for the JFRD
Medical Director
222
What position is a pt with eye trauma and no blood in the chamber
Supine
223
What are the contraindications for the King Tube
Gag reflex
| Caustic ingestion
224
Who applys ACS with proactive QI
QIO
DIV Chief
MD
225
Who accomplishes concurrent Quality Improvement
District chiefs
| MD
