Questions

Question 0

Chemical burns flush for at least

Answer 0

20 minutes

Question 1

How long do you flush an eye with water

Answer 1

20 minutes max

Question 2

Head injury will be signified by a

Answer 2

High blood pressure and a low pulse rate

Question 3

C spine injury

Answer 3

Loss of movement or sensation below the injury

Question 4

Critical incident stress debriefing (CISD) is held

Answer 4

24-72 hours of a major incident

All info is confidential

Question 5

Defusings are

Answer 5

Less formal than CISD
Allows for initial venting of emotions
May engage or eliminate need for a formal debriefing

Question 6

The scope of practice of a CFR operating in the FDNY is defined by

Answer 6

Nys public laws
Article 30
Part 800
REMSCO
FDNY rules and regs
FDNY medical director

Question 7

First responders do not

Answer 7

Accept refusals

Must ensure EMS resources will evaluate the patient

Question 8

What is assault

Answer 8

Unlawfully placing a patient in fear of bodily harm

Question 9

What is battery

Answer 9

Touching a patient or providing care without consent

Question 10

Advance directives

Answer 10

Indicate patients wishes while he is still alive

They are NOT honored by CFR’s

Question 11

DNR’s and DNAR’s may be honored if

Answer 11

Approved NYS DOH form or Medic alert tag AND
Physically present AND
Valid

Question 12

Once CPR has been initiated if a valid DNR is presented Direct Medical control (telemetry)

Answer 12

Must be contacted for approval to discontinue resuscitative efforts

Question 13

DNR’s may be

Answer 13

Verbally revoked at any time

Question 14

Negligence

Answer 14

Deviation from accepted standard of care that results in harm or injury to the patient

Question 15

The average 150 lb adult has

Answer 15

6 liters of blood

Question 16

Pale mucous membranes indicate

Answer 16

Poor perfusion

Question 17

Flushed skin (reddened )

Answer 17

Exposure to heat
Fever
CO

Question 18

Temperature should be assesses on the

Answer 18

Core of the body
Face
Neck
Torso

Question 19

Jaundice (yellow discoloration)

Answer 19

Liver disorder

Question 20

Cyanosis

Answer 20

Blue/gray discoloration

Hypoxia (low levels of oxygen)

Question 21

Cool or cold skin indicates

Answer 21

Possible shock or exposure to the cold

Question 22

Hot skin indicates

Answer 22

Fever
Infection
Burns
Or a heat emergency

Question 23

Biological death occurs

Answer 23

4-6 minutes after onset of hypoxia

6-8 min irreversible brain damage occurs

Question 24

Inhaled air

Answer 24

21% oxygen

Question 25

Exhaled air

Answer 25

16% oxygen

Question 26

Shock is also referred to as

Answer 26

Hypoperfusion

Question 27

Normal adult breathing rate

Answer 27

12-20 breaths per min

Question 28

Max suction Adults Children Infants

Answer 28

15 seconds 10 5

Question 29

Fuel oxygen cylinder has

Answer 29

2,000 psi | Change at 200 psi

Question 30

Mask to stoma ventilation

Answer 30

Use infant or child mask Head and neck DO NOT need to be positioned If air escapes thru nose or mouth, pinch nostrils and close mouth. Otherwise it is not necessary to close mouth or pinch nose

Question 31

What are the SAMPLE questions

Answer 31

``` Signs or symptoms Allergies Medications Past medical history Last oral intake Events leading up to injury/illness ```

Question 32

NYC protocols allow the administration of glucose or a sugar sweetened solution to a patient with an

Answer 32

Altered mental status provided that the patient has an intact gag reflex and is able to swallow and drink without assistance

Question 33

Following a seizure patients are usually

Answer 33

Vey sleepy and confused. They may also become combative

Question 34

Hemodialysis

Answer 34

Eliminates water and waste when the kidneys fail Dialysis machine is connected to an access port or shunt Blood pressure should not be obtained on the arm containing the shu

Question 35

If severed body part is recovered

Answer 35

Wrap in sterile, saline moistened dressing then Seal in plastic bag then Place bag in ice and water Do not use ice alone Do not use dry ice

Question 36

Eviscerations

Answer 36

Do not replace organs Cover with sterile, saline moistened dressing followed by a dry dressing, followed by a occlusive dressing taped on ALL sides

Question 37

When treating a patient for exposure to the cold assess the pulse

Answer 37

30-45 seconds prior to initiating CPR No drinking, eating or smoking Do not massage extremities

Question 38

If blisters due to frostbite

Answer 38

Cover with dry dressing | Do not pop blisters

Question 39

Heat stroke

Answer 39

Hot flushed dry skin | No longer sweating

Question 40

What is the 1st step in managing burns

Answer 40

1st stop the burning process with water or saline Cover with dry sterile dressing then wrap in dry sterile sheets Do not use any type of ointment, lotion or antiseptic Do not break any blisters

Question 41

Chemical burns flush with copious amounts of water for

Answer 41

A minimum of 20 minutes

Question 42

Rules of nines

Answer 42

``` Head front and back 9% Arms 9% Legs 18% Chest 18% Back 18% Perineum 1% ```

Question 43

Supine Hypotensive Syndrome

Answer 43

Dangerous drop in blood pressure caused by the weight of the fetus compressing the vena cava when a pregnant woman lies supine Occurs in 2nd or 3rd trimester Place in left lateral recumbent position In necessary to immobilize prop up on long board

Question 44

In NYC if you are unable to slip the umbilical chord over the baby's head

Answer 44

Immediately clamp and cut the chord between the clamps | Suction mouth 1st then nose

Question 45

In NYC after the pulsating stops in the umbilical chord, clamp and cut the chord

Answer 45

1st clamp 8-10 inches away from newborn | 2nd clamp approximately 4 inches from newborn

Question 46

Keep the newborns head

Answer 46

Slightly lower than the torso

Question 47

If a newborns heart rate drops below 60 per min

Answer 47

Begin CPR

Question 48

If a newborns heart rate drops below 100 beats per minute begin

Answer 48

Assisted ventilations

Question 49

In pediatrics how is the OPA inserted

Answer 49

Anatomically | NPA's are not used in children by CFR's

Question 50

SIDS

Answer 50

Sudden death of an infant within the first 5 months of life