Ems Random

Question 1

Pregnancy:

• elevate back board on trauma
• pre-eclampsia
• vaginal bleed and pregnant
• pre-eclampsia blood pressure
• eclampsia blood pressure
• postpartum up to

Answer 1

• trauma pregnant/ greater than 20 weeks elevate right side 6 in.
• pre-eclampsia/ greater than 20 weeks place PT on left side
• VB pregnant/ greater than 26 weeks recovery position
• pre-BP/ greater than 140/90
• eclampsia BP/ greater than 160/110
• postpartum/ up to six weeks

Question 2

Pediatric:

•Use Pedi-Immobilizer on

Answer 2

•infants and children less than 60lbs

Question 3

Abdominal/Flank pain:

Nausea/vomiting:
~ primary treatment for patient with gastro-intestinal related signs and symptoms is to:

Answer 3

•Abdominal/Flank Pain= Administer 12 lead in PT greater than 30 years old

•Nausea/Vomiting= record and evaluate 12 lead ECG strip for patients 50 years and older
~ rehydrate them with IV fluids
~ phenergen 12.5mg (6.25mg if greater than 64 years old) IV diluted in 100ml of NS, infused over several minutes w/ 60 drip set

Question 4

Hyperventilation:

Answer 4

Administer O2 via NRB until hyperventilation has resolved

Asses temperature

Question 5

Nose bleed contraindications for Neo-Synephrine 2ggts?

Answer 5

Nose bleed secondary to hypertension (=>160/110

Nose nose bleed secondary to head injury and CSF drainage

Hypersensitivity

•Note hypertension is not normal hypertension limits!!!!

Question 6

Headaches with elevated temperature, nausea/ vomiting and/or alter mental status may indicate what?

Answer 6

Meningitis or neurological event

Question 7

•Shock Medical: capillary refill time? and systolic BP?
~hypotension after fluid administration, administer ONE of the following?
~ if PT confirmed to have Acute Adrenal Insufficiency?

• MCI in SOG 413: capillary refill time?
• Pediatric assessment capillary refill time?
• Pediatric Bradycardia capillary refill time?

Answer 7

•Shock Medical: Greater than 3 seconds; less than 90
~supine position with legs elevated
~Dopamine 5-10mcg/kg/min titrate to SBP90
Or •Epinephrine drip at 2-10mcg/min
(1mg (1:1000) mixed 100cc NS
~AAI= assist in administration or PT’s Solu-Cortel if present if not Solu-Medrol 125mg

• MCI: 3 seconds or more, tag red
• Peds assessment: abnormal greater than 2sec
• pedal brady: 3 or greater

Note: all, 3 is the magic number, except adult it says 3 but abnormal is above 3

Question 8

Recovery position:

Position of comfort:

Semi Fowlers:

Full fowlers:

Supine:

Answer 8

RP=
Alcohol Related Illness 
Altered Mental Status 
Seizures/ Peds also
Syncope/ Near Syncope 
Decompression Sickness 
Pediatric Altered Mental Status 
Vaginal bleeding  >26 weeks

P of C=
Abdominal/ Flank Pain
Vaginal Bleeding/ less than 26 weeks

SF=
•Acute Stroke
•Hyper Tension

FF= Acute Heart Failure Pulmonary Edema

Supine=
Pediatric Shock
Shock Medical w/ feet elevated 
Hypothermia 
Restrained Patient

Question 9

Hyperthermia:
~ apply cooling measures(ice packs, wet towel to neck, axillae, groin, etc)

~if temperature_____ and ice-water immersion cooling has been initiated by health care professional, consider allowing treatment for up to_____.

Answer 9

• 104 or greater

* 10 minutes

Question 10

The hypothermic heart causes?

Answer 10

Ventricular arrhythmia

Question 11

Bites and Stings:
• insects and spiders remove stinger how?

• marine stings remove clinging tentacles how?
~irrigate affected eye how?

•snake bite mark initial?

Answer 11

• peroxide
• salt water if unavailable by NS or remove w/ gloved hand
• edematous area with pen and note time

Note: apply sterile dressing to all

Question 12

Poison control number:

Answer 12

1800-222-1222

Question 13

Carbon monoxide/ Cyanide Exposure:
•abnormal values:
~Sp02 for nonsmoker
~Sp02 for smoker

Answer 13

• non greater than 5%

* smoker greater than 10%

Question 14

For imminent birth or complications, transport where?

Answer 14

Nearest Emergency Room