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Question 1

PED Shock definition

Answer 1

<15 years old: Exhibiting any of the following signs of inadequate perfusion:

• AMS (Decreased LOC, confusion, agitation)
• Tachycardia (<5y/o: ≥180 or ≥5y/o: ≥160)
• Cyanosis/Mottling/Pallor
• Diaphoresis
• Difference in Central vs Peripheral pulses
• Delayed capillary refill
• Systolic BP <70+(2xAge)

Question 2

Adult Shock Definition

Answer 2

“Shock” is defined by the following: (Age ≥15 years):

• Systolic BP <80 mmHg OR
• Systolic BP <90 mmHg AND exhibiting any of the following signs of inadequate perfusion:
  
  • Altered Mental Status (Decreased LOC, Confusion, Agitation)
  • Tachycardia
  • Pallor
  • Diaphoresis

Question 3

Burn Center Criteria (Adult)

Answer 3

• ≥5% Full Thickness
• ≥20% Partial Thickness
• Suspected Respiratory involvement or significant smoke inhalation in a confined space
• Burns to sensitive areas such as Hands, Face, Feet, Genitalia or Circumferential
• Electrical burn w/ ≥120 volts

Question 4

Burn Center Criteria (PED)

Answer 4

• ≥5% Full Thickness
• ≥10% Partial Thickness
• Suspected Respiratory involvement or significant smoke inhalation in a confined space
• Burns to sensitive areas such as Hands, Face, Feet, Genitalia or Circumferential
• Electrical burn w/ ≥120 volts

Question 5

ALTE/BRUE Definition

Answer 5

An ALTE/BRUE is defined as an episode involving an Infant that is frightening to the observer and is characterized by one or more of the following

• Apnea (Central or Obstructive)
• Color Change ( Cyanosis, Pallor, Erythema)
• Marked changed in muscle tone
• Unexplained chocking or gagging

Question 6

Transport for ALTE/BRUE

Answer 6

• ALS if patient is symptomatic
• BLS if patient is asymptomatic
• Private transport is acceptable for asymptomatic patient IF:
  
  • Transportation is available now
  • The parents/caretaker are reliable
  • The parents/caretaker understand the importance of evaluation

Question 7

Report the following AMA criteria

Answer 7

• Who activated 911 & reason why
• All circumstances pertaining to consent issues during a patient encounter
• The presence or absence of any impairment of the patient/DDM, such as by drug/alcohol
• The ability of the patient to comprehend & demonstrate an understanding of their illness/injury
• The patient/DDM has had the potential risks & potential outcome of non-treatment or non-transport explained by EMS such that the patient/DDM can understand
• The reasons for the AMA, the alternative plan if any & the presence of any on scene support system such as family, friend, neighbor.
• The patient has been told the can re-activate 911
• Consider having the patient or family recite the information listed in

Question 8

Unstable Dysrhythmia:

Answer 8

Poor perfusion (cyanosis, delayed cap refill, mottling)

OR

ALOC/Dyspnea

OR

Diminished/Absent peripheral pulses

OR

BP