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EMS Manual Flashcards

(55 cards)

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1
Q

in the pediatric rule of nines what percentage is given to the arms?

A

9

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2
Q

in the pediatric rule of nines what percentage is given to the legs?

A

14

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3
Q

in the pediatric rule of nines what percentage is given to the front and back of the torso?

A

18 each

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4
Q

In the pediatric rule of nines what percentage is given to the head?

A

18

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5
Q

entrapment approaching and exceeding how many hours is considered crush syndrome?

A

Four hours

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6
Q

What is the term for blood layering in the anterior chamber of the eye?

A

Hyphema

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7
Q

Injuries occurring within how many inches of a joint should be considered joint injuries?

A

3 inches, due to blood vessel and nerve involvement

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8
Q

what is the exclusion criteria for a Kaiser CDU as a transport destination?

A

prior to treatment or persistent
adult: SBP < 90, HR >130, RR >28, O2 <90%
ped: abnormal/unstable for age (consult with Kaiser doc)

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9
Q

When should chess compressions not be initiated on a total artificial heart patient?

A

If the patient has a functioning, TAH, chest compressions are not indicated

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10
Q

what is the appropriate compression to ventilation ratio for neonatal CPR?

A

3:1

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11
Q

What is the recommended action for an entrapped patient who deteriorates to no signs of life before extrication?

A

Resuscitation may be withheld if extrication time exceeds 15 minutes

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12
Q

What is the appropriate action for a VAD patient in cardiac arrest?

A

do not perform chest compressions unless MAP < 50 or EtCO2 < 20

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13
Q

what is the minimum number of personnel required to restrain a patient safely?

A

5

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14
Q

A person becomes a patient the moment the EMS provider has determined __________.

A

An assessment is necessary

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15
Q

if a minor patient makes a claim to emancipated status that cannot be verified, a _______ shall be dispatched to assist in disposition resolution.

A

EMS officer

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16
Q

minors with intact decision-making capacity, who are ____ years of age or older, and who’s parent or legal guardian are unable to be contacted, may refuse assessment, treatment, and/or transportation.

A

14

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17
Q

provide any patient who request information about their call (such as billing, medical records, or refusal information) a _________, along with a notice of privacy practices, pamphlet if requested.

A

EMS treatment information sheet (FRD-215)

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18
Q

if police request documentation of service, a ______ form shall be completed and given to the requesting officer.

A

Record of refusal or transport for patient in police custody (FRD-432)

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19
Q

A medical ECO is good ______ hours.

A

4 hours

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20
Q

what are the five key parts of a DNR form?

A

The patient’s full legal name
a DNR determination
signature of position or nurse practitioner
date of issue
the patient’s signature or that of the person authorized to consent on the patients behalf

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21
Q

A POST is a distinctive _____ colored form. The POST lets serious or terminally ill patients choose what treatments they wish to receive for their medical condition and is considered a companion document to the DNR.

A

Bright lime colored

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22
Q

if CPR is indicated and the family insist on resuscitation in the presence of a valid DNR order, ____ while further assessing the patient and preparing for resuscitative efforts.

A

Immediately contact medical control

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23
Q

what are the five signs of life that may prevent you from withholding CPR?

Study These Flashcards
A

Spontaneous movement
Respirations
Pulse
Pupil reflex
Organized rhythm on cardiac monitor

24
Q

how many shocks should be delivered if the patient’s core temperature is below 86°F?

25
what two time intervals, most directly impact the likelihood of neurologically intact survival from cardiac arrest?
The “no flow time” (time from rest until CPR is started) and the “low flow time” (duration of CPR until ROSC)
26
termination of resuscitative efforts is not allowed if the patient has had a ________ rhythm at any point during resuscitation, including before EMS arrival
Shockable, VF or VT
27
what is the goal temperature to be under before transporting an exertional heat stroke patient?
under 102 degrees Fahrenheit
28
what is HELLP syndrome, and why is it considered an emergent condition in pregnancy?
HELLP stands for homolysis, elevated liver enzymes, and low platelets. It is a severe form of preeclampsia that can lead to liver failure, bleeding, complications, and maternal/fetal distress.
29
all children under the age of __ should be properly restrained during transport in a child safety seat that meets NHTSA standards.
8
30
The built-in child safety seats in most transport units are designed for children between _____ pounds.
20-50
31
Narcan onset if given the IN route is _____ and the patient’s ventilations should be assisted via BVM in the meantime.
7-8 minutes
32
Zofran should only be used when truly necessary for pregnant patients and do not administer in children less than ________.
1 month
33
do not deploy the LUCAS until after the ___ cycle of CPR unless transport is required prior.
5th
34
A full battery can operate the LUCAS for ____.
45 minutes or longer
35
pediatric defibrillator pads should be used on patients under ____ pounds.
10 kg
36
if the glucometer reading is ____ mg/dL or higher the meter may show “KETONES?”
300
37
Studies suggest the ________ has the most rapid absorption for IM injection sites.
Lateral thigh
38
when administering IN medication you should add ___ of air to assist with atomizing the medication.
0.1 mL
39
The corrugated tube on the CPAP extends up to ____ inches, and should be extended from the mask and first to minimize whistling sound.
72
40
what does CURVES stand for regarding assessing decision-making capacity?
Communicate Understand Reason Values Emergent Surrogate
41
Incident of hoarding may or may not be related to abuse, neglect, and or exploitation. Who do you contact?
Fairfax County Department of code, compliance, and appropriate social services
42
The _____ focuses on individuals or patients that call 911 greater than six times within 60 days.
Community Response Team (CRT)
43
patients less than ____ or greater than ____ place them at a higher risk for spinal column injury.
6 and 65
44
in regards to pediatric assessment, what is TICLS?
Tone Interactivity Consolability Looks /gaze Speech /cry
45
in respiratory failure, hypoxia will indicate a SP02 less than ______.
90% room air
46
The acronym SLUDGE is used to detect symptoms associated with organophosphate poisoning. What does SLUDGE stand for?
Salivation Lacrimation Urination Defecation Gastric hypermotility Emesis
47
Who should personnel consult with to obtain a temporary detention order for psychiatric behavioral emergencies?
EMS officer Law enforcement officer (with certified crisis intervention training) Merrifield crisis response center or mobile crisis unit POLMD
48
what are the three most common inciting infections leading to sepsis?
Pneumonia Intra-abdominal infections Urinary tract infections
49
When physical restraint is needed, who should initiate the restraint?
law enforcement
50
what does VSAP stand for?
Violent severely agitated patient
51
What is considered a simple burn?
Superficial burns less than 50% body surface area Partial thickness burns involving less than 10% body surface area
52
What are the two factors that are considered for activating the FACTR protocol that delivers blood to an incident?
Patient status and entrapment status
53
what is considered a child?
1 to 8 years old
54
what is considered an adolescent?
9 to 16 years old
55
what is considered an adult?
17 and older

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