EMS Manual Flashcards Preview

Lt. Test-2015 > EMS Manual > Flashcards

Flashcards in EMS Manual Deck (40):
0

Oxygen should be administered as needed to achieve the following saturation level.

Normal:>94% COPD 88-92%

1

The goal to improve the care delivered by comprehensively focus attention on analyzing and advancing the 5 P's of the EMS domain which are of the below?

Patients, providers, provisions, place and protocols

2

If a patient is deemed a treat to self, others or public safety, police office may take the patient into custody on their own authority for what time period?

4 hours

3

Minors with intact decision-making capacity, who are _____ years of age or older and whose parent or guardian are unable to be contacted! may refuse assessment, treatment and/or transportation.

14

4

As an EMS provider in Virginia, you are legally required to report your suspicions of abuse, neglect and/or exploitation of members of which of the following populations?

The elderly (all patients 60 years of age or greater, including those physically or mentally disable/incapacitated)

5

What is the time limit for a Virginia Durable DNR Order?

It is valid until revoked

6

What is the appropriate action if CPR is indicated and the family insists on resuscitation in the presence of a valid DNR order?

Contact physician OLMD

7

When following the START/Jump ST|ART algorithm of triage you should maintain the rule of ______ or less patient contact time.

30-45 seconds

8

An adult patient who is unable to walk and has a respiratory rate > 30 should be triaged under which of the below categories?

Red (immediate)

9

Which of the below INOVA hospitals has a dedicated bariatric in-patient care unit?

INOVA Fair Oaks Hospital

10

Each drug administered by an ALS provider, no matter how routine should be verified by which of the following?

A second ALS or BLS provider for proper name, dose, route, indication and expiration date

11

In the Adult Protocol for Acute Coronary Syndrome the STEMI identification to enroute to facility time goal should be which of the following?

<10 minutes

12

In the Adult Protocol for Allergic Reactions which of the below is the appropriate treatment for a patient with a moderate to severe allergic reaction as a BLS provider?

If the patient has no prescribed auto injector, contact Physician OLMD for authorization to administer an FRD Epinephrine 0.3 mg auto injector

13

In the Adult Protocol for Cardiac Arrest when performing chest compressions which of the below is appropriate?

Rate of at least 100 per minute in a ratio of 30:2 and a depth of at least 2 inches

14

In the Adult Protocol for Hypothermic Arrest providers shall check for a pulse for ______ to differentiate absence of pulse from profound bradycardia.

30-45 seconds

15

In the Adult Protocol for Obstetric Emergencies a patient suspected or supine hypotensive syndrome shall be placed in which of the below positions?

Left lateral recumbent position

16

In the Adult Protocol for Selective a Spinal Motion Restriction which of the below situations would not require following spinal motion restriction?

MVC>45 mph

17

In the Adult Protocol for Traumatic Brain Injury when monitoring End-Tidal CO2 in the setting of TBI with signs of herniation maintain End-Tidal CO2 between which of the below?

30-35 mmHg

18

In the Pediatric Protocol for Allergic Reactions which of the below is the appropriate treatment for a patient with a moderate to severe allergic reaction as a BLS provider?

If the patient has no prescribed auto injector, contact Physician OLMD for authorization to administer an FRD Epinephrine 0.15 mg auto injector

19

In the Pediatric Protocol for Distressed Newborn if after 30 seconds of ventilating the distressed infant the infant has a heart rate of less than 60 bpm which of the below is the appropriate treatment?

3:1 compressions to breath ratio at a rate of 90 compressions to 30 breaths per minute

20

An advanced airway refers to the use of _____.

King Airway

21

______ represents direct contact with a physician for consultation or authorization to treat.

On-line

22

This type of consent that is not required due to the presence of life-threatening illness or injury or if the patient is unconscious or unable to communicate due to illness, injury or intoxication and may reasonably be presumed to have a life-threatening condition is _____.

Implied consent

23

Consent for treatment and transport may be implied for minors below ____ years of ago.

14

24

Whenever a question or concern arises regarding the decision-making capacity of a patient, the ______ should conduct a capacity evaluation and fully document the evaluation on the appropriate form.

EMS Supervisor

25

When does a Durable Power of Attorney (DPA) come in to play with a patient?

When the patient is impaired

26

When operating on an EMS call, it is recognized that ____ and patient cares are the primary concerns.

Scene management

27

All information gathered during the course of evaluating, treating and transporting a patient is considered _______.

Confidential

28

Minors who are _______ years of age or older and whose parent or guardian are unable to be contacted, may refuse assessment, treatment and/or transportation.

14

29

If you suspect abuse, neglect and/or exploitation of children under 18 or any patient over 60 years of ago, who are you required to notify?

Child/Adult protective services

30

How long is a DNR good for?

Valid until revoked

31

If CPR is indicated and the family insists on resuscitation in the presence of a valid DNR order, what are your actions?

Contact physician on-line medical director while further assessing and for resuscitative efforts

32

A direct order by a licensed physician who is physically present with a patient in cardiac or respiratory arrest that can also by EMS personnel is a...

Direct physician order

33

In routine cases where written protocols do not address unique patient care or disposition needs, who must you contact for medical direction?

Physician on-line medical control

34

When following the START/JumpStart triage algorithm, how much time should be spent assessing each individual patient?

30-45 seconds

35

What is considered to be a Bariatric Patient?

A patient whose size poses a significant challenge to on scene personnel and may require specialized equipment

36

When operating on an EMS call, which FD units have a duty to act?

Everyone

37

Everyone on the scene has the _______ and professional responsibility to ensure that we deliver the best patient care possible.

Duty to act

38

_______ is the willful infliction of physical pain, injury, metal anguish or unreasonable confinement.

Abuse

39

Nonexistent or insufficient care and support necessary to maintain a person's physical and/or mental health to the extent that his or her well-being is impaired or threatened is considered.

Neglect