EMS Guidelines

Question 1

If aspirin was given since the onset of symptoms you may give up to _____ mg of aspirin

Answer 1

Up to 324mg of aspirin

Question 2

Patients should only recieve ____ aspirin and not ______ aspirin

Answer 2

Chewable, enteric coated aspirin

Question 3

If a patient took enteric coated aspirin you may give how much chewable aspirin?

Answer 3

324 mg

Question 4

What are the two contraindications for aspirin?

Answer 4

NSAID allergy
Viral infections in children and teens

Question 5

List five situations where aspirin may create an adverse reaction

Answer 5

Fever
Hypothermia
GI Bleed
Dysrhythmias
Hypotension

Question 6

When obtaining HPI for a burn injury what four informational items should be obtained?

Answer 6

Type of exposure causing the burn (heat, gas, chemical)

Time of burn

Mechanism of injury

Location (indoor/outdoor, confined area)

Question 7

If a burn surface area (BSA) is <10% what is the correct treatment for the burn

Answer 7

Apply a cool, moist dressing and prevent hypothermia

Question 8

If burn surface area is >10% what is the correct treatment for the burn?

Answer 8

Use a dry burn sheet or dry sterile dressing

Question 9

Provide the body surface area percentages for adults per burn guidelines

Answer 9

Head: 9%
Arms: 9% each
Chest & Back: 18% each
Groin: 1%
Legs: 18% each

Question 10

Provide the body surface area percentages for pediatrics per burn guidelines

Answer 10

Head: 18%
Arms: 9% each
Chest & Back: 18% each
Groin: 1%
Legs: 13.5% each

Question 11

Per the burn guideline, list the criteria identifying major burns

Answer 11

Partial thickness burns >25% BSA

Full thickness burns >10% BSA

Any full thickness burn to hands, face, eyes, ears, feet and perineum

Burns compromising circulation

Burns with evidence of respiratory involvement

Any burns involving high voltage electricity

Burns involving hydrofluoric acid

Burns associated with multi-system trauma

Question 12

Per the burn guideline, list the criteria identifying moderate burns

Answer 12

Partial thickness burns 15-25% in adults

Partial thickness burns 10-20% in pediatrics

Full thickness burns <10% BSA

Question 13

T/F with penetrating eye injuries or protruding foreign object eye injuries is examination of the eyes indicated

Answer 13

False this is contraindicated

Question 14

With penetrating eye injuries what is the correct treatment?

Answer 14

Protect injured eye with a moist dressing and bulky padding without putting pressure on the injured eye

Question 15

For protruding foreign body eye injuries what is the correct treatment?

Answer 15

Stabilize foreign body, cover with bulky padding and cover unaffected eye to prevent eye movement

Question 16

For chemical eye injuries what is the correct treatment

Answer 16

Brush off any dry powders

Initiate copious irrigation and continue treatment while enroute to the hospital

Question 17

When should mace/pepper spray patients be transported to the hospital?

Answer 17

Shortness of breath

Prolonged visual impairment

Question 18

T/F for a patient to be eligible for ECMO they must meet ALL inclusion criteria and NONE of the exclusion criteria

Answer 18

True

Question 19

What is the inclusion criteria for ECMO

Answer 19

18-75 years old

Bystander CPR

Capno >10

Initial rhythm anything but asystole

Current rhythm VT / VF or PEA with cardiac activity on ultrasound

Question 20

What is the exclusion criteria for ECMO

Answer 20

Suspected significant co-morbidities

Likely respiratory arrest leading to cardiac arrest (hanging, strangulation, OD, trauma)

Question 21

When considering to transport an ECMO patient the time from collapse to arrival at hospital should be _____ minutes or less

Answer 21

30

Question 22

ECMO may be activated by AFR if the total patient downtime to the time of ECMO dispatch is less than _____ mins

Answer 22

15

Question 23

Where can ECMO patients be transported to?

Answer 23

UNMH or PRES DT

Question 24

Who is contacted to issue an “ECMO Alert”

Answer 24

AAS Base

Question 25

The incidence of re-arrest after ROSC is estimated at _____ %

Answer 25

40%

Question 26

T/F if your RCMO patient has ROSC it is appropriate to cancel ECMO-1 response

Answer 26

False, keep ECMO-1 coming because the incidence of re-arrest after ROSC is 40%

Question 27

Generally the goal for determining an ECMO candidate is within _____ mins of arriving on-scene

Answer 27

5 minutes

Question 28

T/F Hypothermic cardiac arrest has excellent outcomes with ECMO

Answer 28

True

Question 29

For provider ECMO activation the time from patient collapse to time of ECMO dispatch must be less than ____ minutes

Answer 29

15 minutes

Question 30

When on-scene of a cardiac arrest, patient eligibility for ECMO must be determined less than _____ minutes from patient contact

Answer 30

5 minutes

Question 31

When a patient is an ECMO candidate an ECMO Alert is issued when the patient is less than _____ minutes from the time of collapse to hospital arrival at which two hospitals?

Answer 31

Max 30min time from collapse to hospital arrival UNMH or PDT

Question 32

How should an eviseration be dressed?

Answer 32

Cover with clear sterile dressing

Question 33

T/F an impailed object in the abdomen should be removed

Answer 33

False, impailed objects should be stabilized with bulky dressings

Question 34

A crush injury is defined as a limb or body being pinned for >____ mins

Answer 34

30 minutes

Question 35

For a crush injury what metabolic derangement should be considered?

Answer 35

Hyperkalemia

Question 36

For crush injuries besides usual trauma stuff what else should be considered?

Answer 36

12-lead

Question 37

What medication is needed to treat hyperkalemia in the context of crush injuries

Answer 37

Sodium bicarbonate