EMS Manual & Treatment Protocol Flashcards
(36 cards)
Which of the following is one of the inclusion criteria for the Department’s cardiac arrest protocol?
The patient has abnormal breathing.
What about ventricular assist devices (VADs) is CORRECT?
The two most common causes of VAD pump failure are disconnection of the power source and failure of the driveline.
Adult patients exhibiting signs and symptoms of a cerebral vascular accident (CVA) should be screened using the VAN tool. What does the N in VAN stand for?
Neglect
According to the D.C. Fire and EMS Department Emergency Medical Services Manual and Pre-Hospital Treatment Protocols, an adult whose blood glucose level is below _____ mg/dL is considered hypoglycemic and should be treated.
70
A prolapsed cord occurs when the umbilical cord presents itself outside of the uterus while the fetus is still inside. When this occurs during an OB-GYN emergency, the provider should place the mother in which of the following positions?
Supine with knees widely separated.
According to the D.C. Fire and EMS Department Emergency Medical Services Manual and Pre-Hospital Treatment Protocols, what is one of the characteristics of abused children/elders?
The individual may cry without any expectation of receiving help.
A provider is treating a patient on whom the police have used an electronic control device (ECD). A dart from the ECD is embedded in the patient’s hand. Should the provider remove the dart?
No, because providers should not remove darts if they are embedded in sensitive areas, including patients’ hands.
What patients is MOST appropriate for air medical transport?
A patient involved in a high-speed motor vehicle crash with a complicated extrication.
If a patient’s airway is obstructed, providers may suction it as needed. The suctioning time limit for a child is _____ seconds.
10
When treating a cardiac arrest patient, if return of spontaneous circulation (ROSC) has not been achieved after _____ minutes of resuscitation, personnel should consider termination of resuscitative efforts.
30
Resuscitating a newborn involves determining the one-minute and five-minute APGAR score. What does the “G” in APGAR stand for?
Grimace
Adult patients exhibiting signs and symptoms of a cerebral vascular accident (CVA) should be screened using the VAN tool. What does the “A” in VAN stand for?
Aphasia
If a patient experiencing seizures is greater than _____ years of age and has a blood glucose level of less than _____ mg/dL, displays signs and symptoms of hypoglycemia, is conscious enough to swallow and can maintain his/her own airway, providers may administer oral glucose 24-50 gm SL or one single-dose tube.
8; 70
Which of the following members is complying with DCFEMS protocols regarding patients exhibiting excited delirium?
A member initiates rapid cooling by applying ice packs to a hyperthermic patient.
If a patient’s burns cover less than 10% of his/her body surface area, the provider should cover the burns with Waterjel emergency burn dressing or, if not available _____.
sterile dressings soaked in a saline solution
What statements about spinal motion restriction (SMR) is CORRECT?
SMR, when indicated, should be applied to the entire spine.
In order to be pronounced “person dead on arrival” (PDOA), a patient shall fulfill all of the primary criteria and at least one of the secondary criteria. Which of the following is one of the primary criteria for PDOA?
Being apneic.
For what patients would a nasopharyngeal airway (NPA) adjunct be MOST appropriate?
A patient with an intact gag reflex.
When performing CPR on a cardiac arrest patient, interruptions in chest compressions shall be as short as possible and no greater than _____ seconds.
10
According to the D.C. Fire and EMS Department Emergency Medical Services Manual and Pre-Hospital Treatment Protocols, what is a MAIN cause of pulseless electrical activity (PEA) in patients?
Hypoxia.
A provider responds to a patient who reports non-traumatic chest pain that is suspected to be cardiac in etiology. May the provider assist the patient in taking nitroglycerin SL 0.4 mg?
Yes, but the provider may assist with only one dose.
If a patient presents with respiratory distress with suspected bronchospasm/wheezing, which of the following substances should be administered FIRST?
Albuterol
What patients suffering a behavioral crisis would be MOST suitable for the Comprehensive Psychiatric Emergency Program (CPEP)?
A patient whose transport should be completed by law enforcement.
When treating a patient with hyperthermia, providers should place the patient in a position of comfort. If signs of hypoperfusion exist, providers should take what actions NEXT?
Place the patient in the shock position.
