Medical Emergencies

Question 1

AEIOU TIPS acronym for AMS?

Answer 1

Alcohol
Epilepsy
Insulin
Overdose
Uremia

Trauma
Infection
Psych
Stroke/Shock

Question 2

BGL less than 60 mg/dl treatment?

Answer 2

Oral glucose if pt has intact gag reflex and following commands.
- D10: 250 ml IV then retest BGL. May repeat 1x if it remains below 60 mg/dl

Question 3

If unable to obtain IV access on a hypoglycemic pt?

Answer 3

• Insert IO
• 40 mg of Lidocaine over 1 min. Flush with NS flush after 1 min.
• D10: 250 ml IV then retest BGL. May repeat 1x if it remains below 60 mg/dl

Question 4

If BGL is over 300 mg/dl?

Answer 4

NS 1 Liter IV/IO may repeat 1 x.
Zofran 4mg IM or slow IV/IO over 30 seconds.

Question 5

Can IV Zofran be given sublingual?

Answer 5

Yes, if unable to get IV you can administer sublingual via needleless syringe.

Question 6

Dystonic reaction?

Answer 6

Pt taking antipsychotics, antiemetics, or antidepressants who present with spasms of face, neck or limbs

Question 7

Treatment for dystonic reactions?

Answer 7

Benadryl 50 mg IV/IM
- Rule out stroke

Question 8

Hyperkalemia treatment if presenting with arryhthmias?

Answer 8

• Calcium chloride 1 gm slowly over 2 min
• Albuterol 2.5 mg via neb
• Sodium Bicarb 50 meq over 2 min
  **DO NOT mix Bicarb and Calcium

Question 9

Hyperkalemia treatment if hypotensive?

Answer 9

NS 500 ml bolus may repeat 1x. Check lung sounds
- If needed Epi push dose pressor

Question 9

Priority 2 ALS, how often do you vitals?

Answer 9

Every 5 min

Question 10

Priority 3 BLS, how often do you vitals?

Answer 10

At least 2 sets of vitals

Question 10

Civil Assists refusals, how many vitals?

Answer 10

At least 1 set

Question 10

For medical transports what is the age criteria for a pediatric?

Answer 10

17 yrs old or younger

Question 10

For trauma transports what is the age criteria for pediatrics?

Answer 10

15 yr or younger

Question 10

On scene time for trauma alerts should be less than?

Answer 10

10 min

Question 11

Helicopter criteria?

Answer 11

Ground transport time greater than 20 min & On scene extrication time greater than 15 min.

Question 12

Adult allergic reaction?

Answer 12

Benadryl 50 mg IV or IM
Moderate- Epi 1:1000 IM 0.3 mg may repeat x2 in 5 min.
Albuterol and Atrovent
Solumedrol 125 mg IV/IO/IM
If Severe and unstable include Epi push dose pressor

Question 13

Pediatric Allergic reaction dosages

Answer 13

Benadryl 1mg/kg dilute with 9ml of NS for IV/IO. Max dosage 50 mg

Epi 0.01 mg/kg Max 0.3mg
Albuterol and Atrovent same dosage cut in half if under 1 yr old
Solumedrol 2mg/kg over 2 min Max 125mg
Push dose Epi is the same

Question 14

How much Lidocaine do you give for IO?

Answer 14

40 mg over one minute and flush with 10 ml of NS you can give an additional 20 mg over 1 min.

Question 15

Dextrose D10 dosage for peds?

Answer 15

5 ml/kg IV/IO 10 gtt/set max 100 ml may repeat x1 if BGL remains less than 60

Question 16

Pediatric fluid resus dosage?

Answer 16

20 ml/kg may repat x2
neonate: 10ml/kg

Question 17

Zofran dosage for Peds?

Answer 17

0.1 mg/kg IM/SL or Slow IV
Max 4 mg

Question 18

Benadryl dosage for peds?

Answer 18

1 mg/kg dilute with 9ml of NS for IV/IO

Question 19

Adult seizure Tx?

Answer 19

- Versed 5mg IV/IO up to 10 mg. Caution hypotension - Ketamine 1mg/kg. Mix 50 mg in 50 ML bag administer desired amount over 10 min with 10gtt set Max single does 100 mg may repeat 1x If no response 3mg/kg of Ketamine max 800 mg

Question 20

Pediatric seizure management

Answer 20

Versed 0.1 mg/kg IV/IO Versed 0.2 IM/IN

Question 21

Ceftriaxone?

Answer 21

Reconstitute 2g using 20 ml of NS. Dilute the 2g of Rocephin in 50 ml bag over 10 min, 10 gtt/set NO PED's

Question 22

Gentamicin?

Answer 22

80 mg IM NO PED's

Question 23

CHF, Anaphylaxis or Allergic reaction

Answer 23

CPAP 10 cm H2O moderate to severe resp distress. Albuterol Atrovent combo Solumedrol Epi 0.3 mg IM Mag Sulfate 2g in 50 ml bag over 10 min

Question 24

Mag sulfate for pediatric?

Answer 24

50 mg/kg in 50 ml bag 10 gtt set. Over 5-10 min. Max 2g

Question 25

Croup/Epiglottitis/Stridor

Answer 25

Racemic Epi: 1:1000 Epi. 3mg/3Ml in nebulizer