Joint EMS

Question 1

When does the pt get taken to the OB facility

Answer 1

Over 20 weeks gestation

Question 2

Where are the 4 heli landing zones on the Barrier Island

Answer 2

Zone 54: 3200 NE 3rd Ave: ST 54
Zone 13: Birch State Park
Zone 13A: Birch Road and Bayshore Drive
Zone 49: 551 South Ocean, Alexander Park

Question 3

What distance should the tourniquet be from the wound

Answer 3

2 inches

Question 4

Bradycardia is considered

Answer 4

HR under 60 bpm

Question 5

When should burns be wet

Answer 5

Less than 20 percent 2nd degree or less than 5 percent of 3rd degree

Question 6

Not dead until

Answer 6

Warm and dead

Question 7

What is the most reliable indicator of serious injury

Answer 7

Mechanism

Question 8

HP-CPR is

Answer 8

High Performance CPR

Question 9

Treatment for jelly fish, man-o-war and anemone

Answer 9

Clean saltwater ONLY and vinegar

Question 10

Non COPD pts should have a SpO2 of what

Answer 10

Greater than 94 percent

Question 11

Lightning is what type of current

Answer 11

DC

Question 12

Position for Child Birth

Answer 12

Left lateral recumbent

Question 13

What position is the only allowed under restraint protocol

Answer 13

Supine

Question 14

5 seconds off the chest is how long without cerebral perfusion

Answer 14

30 seconds

Question 15

When do chemicals require soap for decon

Answer 15

Solubility greater than 1%

Question 16

How many priorities are there for Medcom

Answer 16

4

Question 17

What is a significant cause of hypotension and recurrence of arrest in post ROSC

Answer 17

Hyperventilation

Question 18

How far should you remain from the helicopter LZ until the air rescue crew member accompanies you

Answer 18

100 feet

Question 19

What is considered an unstable pt vitals

Answer 19

BP less than 90, GCS less than 13

Question 20

RPM is

Answer 20

Rapid triage for MCIs:
Respiration
Perfusion
Mental Status

Question 21

When is food needed at rehab

Answer 21

Incident is longer than 3 hours

Question 22

How long is it safe to have a TQ on the limb

Answer 22

Up to 2 1/2 hours

Question 23

What is considered unstable A-Fib

Answer 23

BP less than 90 with signs and symptoms

Question 24

What are the basic required vital signs of any patient

Answer 24

BP
Pulse
RR
Pain/Severity

Question 25

Hypothermic body temp is

Answer 25

Less than 95 degrees

Question 26

Florida Marchman Act is

Answer 26

Baker Act but for alcohol and substance abuse

Question 27

Status epilepticus is

Answer 27

2 or more successive seizures without conciousness

Question 28

In Adult Airway protocol what SpO2 level should supplemental O2 used to maintain

Answer 28

Greater than 94%

Question 29

Dose for an epi autoinjector

Answer 29

0.3mg of 1:1000

Question 30

What is required of all patients with inadequate respiratory function

Answer 30

Continuous pulse oximetry

Question 31

What is the goal of CISM

Answer 31

Assess, Educate, and intervene

Question 32

What is the initial O2 treatment for HP-CPR

Answer 32

2 large BVM breaths then NC at 15 LPM

Question 33

Level 3 MCI is

Answer 33

21 or more victims

Question 34

CISM Team has a max response time of

Answer 34

2 hours from the request

Question 35

What are the keys to success with cardiac arrest

Answer 35

Adequate compressions with early defibrillation

Question 36

Minimum of how many rescue personnel for rehab

Answer 36

2

Question 37

When should stinger/barbs of lion fish, urchin, starfish not be removed

Answer 37

If they’re in the thorax or abdomen

Question 38

When IC deems rehab necessary who is responsible for management and coordination

Answer 38

1st available EMS unit

Question 39

What is the CPR rate with HP-CPR

Answer 39

At least 110 compressions per minute with full chest recoil

Question 40

What type of med is ASA

Answer 40

Platelet Aggregator Inhibitor

Question 41

Where should measuring the browselow bag begin

Answer 41

Red to Head

Question 42

Spinal Cord Protection protocol is

Answer 42

``` N eurological Exam S ignificant Mechanism A lertness I ntoxication D istracting injury S pinal Exam ```

Question 43

What exception is there to turning over a body to DLE

Answer 43

Hospice Care and/or Nursing facility

Question 44

Level 4 MCI is

Answer 44

100 plus victims

Question 45

A pediatric is defined as

Answer 45

Less than 12 OR less than 100 lbs/44kg

Question 46

Incapacitated persons law is

Answer 46

Implied consent vs informed consent

Question 47

Small group diffusing from a call should be within

Answer 47

12 hours

Question 48

What color is a DNRO

Answer 48

Yellow Paper

Question 49

What is the max time allowed to load a patient onto the Lucas device

Answer 49

5 seconds

Question 50

What constitutes an MCI

Answer 50

When the number of patients/victims exceeds the capabilities of the 1st arriving units

Question 51

How long do you flush your eyes during a chemical exposure

Answer 51

10-15 minutes

Question 52

what are considered positive Orthostatic changes

Answer 52

Drop of BP greater than 20 mht or heart rate increase of 20 bpm at any time

Question 53

What is the desired HR of a new born

Answer 53

Greater than 100 with respirations

Question 54

What color triage strip means contaminated

Answer 54

Magenta

Question 55

How many breaths per minute to maintain 30-35 pCO2

Answer 55

8-12

Question 56

A significant exposure must be reported within _____ and to where

Answer 56

2 hours and to the same hospital as the source

Question 57

What Age requires a long spinal board

Answer 57

Greater than 65 years old or less than 5 years old with significant mechanism

Question 58

what constitutes a HTN emergency

Answer 58

Systolic equal or greater than 220, Diastolic equal or greater than 120

Question 59

what temp in altered mental status should be actively cooled

Answer 59

Greater than 102 degrees

Question 60

An adult is defined in the Joint EMS protocols as

Answer 60

12 years or older

Question 61

What is the minimum rest time at rehab

Answer 61

15 minutes

Question 62

when should Medical control be contacted before using an epi autoinjector

Answer 62

Patient is over 50 years old Hx of heart disease HR greater than 150

Question 63

When should burns be kept dry

Answer 63

Greater than 20 percent 2nd degree or greater than 5 percent 3rd degree

Question 64

In an infant, a seizure may be the only sign of what

Answer 64

Closed head injury

Question 65

Is epiglottitis bacterial or viral

Answer 65

Bacterial with fever

Question 66

Level 5 MCI is

Answer 66

1,000 plus victims

Question 67

BLS treatment of BGL less than 60

Answer 67

1-2 tubes of oral glucose

Question 68

blood glucose ranges on monitor

Answer 68

Less than 60 | Over 350

Question 69

What 3 forms are needed for an exposure

Answer 69

Infectious Disease exposure report Form Exposure information Form Employer information form

Question 70

What is an infectious exposure reference sheet

Answer 70

Disease Matrix, provides information for exposures

Question 71

What contraction rate means birth is imminent

Answer 71

Less than 2 minutes apart lasting 90 seconds or longer

Question 72

How often to swap CPR if no Lucan Device is available

Answer 72

Every 2 minutes

Question 73

Lacerations must be evaluated within what time frame

Answer 73

6 hours

Question 74

Weight requirement for epi pen JR

Answer 74

Less than 60 pounds

Question 75

What level must air transport for diving accident victims be kept under

Answer 75

1000 feet

Question 76

Level 1 MCI is

Answer 76

5-10 victims

Question 77

What are the two types of restraints

Answer 77

Chemical and physical

Question 78

What distance should the umbilical be clamped

Answer 78

2 inches from abdomen

Question 79

What is the age of needle crich

Answer 79

Under 12 and unable to vent

Question 80

What is level 4 for Medcom

Answer 80

Administration Traffic

Question 81

Damage from lighting is often ______

Answer 81

Hidden

Question 82

How far and how tall should obstacles be from a helicopter LZ

Answer 82

40 feet tall and within 100 feet

Question 83

Initial Defib for V-Fib is what

Answer 83

200 Joules then reassess and repeat every 2 minutes

Question 84

What angle should the head be elevated to for a suspected stroke

Answer 84

30 degrees

Question 85

What is the dose of aspirin

Answer 85

162-184 mg PO

Question 86

Vitals for preeclampsia

Answer 86

Systolic over 140 Diastolic over 90 OR Relative increase of 30 systolic and 20 diastolic

Question 87

When are influenza and TDAP shots available

Answer 87

Within 10 days of employment and October through February annually

Question 88

If prolapsed umbilical cord or pulse is absent

Answer 88

Minimize pressure on the cord by pushing on head

Question 89

Pediatric head traumas should be reassessed how often

Answer 89

Every 5 minutes

Question 90

Level 2 MCI is

Answer 90

11-20 Victims

Question 91

BLS treatment for Bites and Envenomations

Answer 91

Position pt supine, immobilize limb

Question 92

How long should a pulse be checked for

Answer 92

5-10 seconds

Question 93

What are the 5 colors and sizes of King tube

Answer 93

``` Green: 2 Orange: 2.5 Yellow: 3 (4-5ft) Red: 4 (5-6ft) Purple: 5 (6ft or taller) ```

Question 94

What is the treatment for stingray, lion fish, urchin and starfish stings

Answer 94

Hot water over 110-114 degrees

Question 95

Limit scene time for a suspected stroke to

Answer 95

10 minutes

Question 96

What should BLS skill to be used if unable to intubate

Answer 96

BIAD= Blind Insertion Airway Device

Question 97

What is the age limit on the Lucas device

Answer 97

12 years old

Question 98

How often is APGAR performed

Answer 98

1 minute and 5 minute

Question 99

Administer O2 to maintain the SP02 of COPD at what

Answer 99

92 percent