SNHD Protocol Review

Question 1

What is the goal of the manual?

Answer 1

To standardize prehospital patient care in Clark County.

Question 2

What does the teddy bear symbol mean?

Answer 2

Pediatric treatment consideration (for patients less than 12 years)

Question 3

What does the radio symbol mean?

Answer 3

Telemetry contact required/

Question 4

What is the definition of a patient?

Answer 4

1. A person who has a complaint or mechanism suggestive of illness or injury,
2. A person who has obvious evidence of illness or injury,
3. A person identified by an informed 2nd or 3rd party caller as requiring evaluation for potential illness or injury.

Question 5

Pediatric patients are anyone under the age of __.

Answer 5

18

Question 6

Pediatric treatment protocols are to be used on children who have not yet experienced _______.

Answer 6

Puberty

Question 7

Sexual assault victims under 13 should be transported to _______.

Answer 7

Sunrise Hospital

Question 8

Sexual assault victims aged 13-18 years old should be transported to _______.

Answer 8

Sunrise Hospital or UMC.

Question 9

Sexual assault victims aged 18 and older should be transported to ______.

Answer 9

UMC

Question 10

Stable patients should be transported to ______.

Answer 10

The hospital of their preference. If no preference, transport to the nearest appropriate facility.

Question 11

For patients outside a 50 mile radius, transport to ______.

Answer 11

The closest appropriate facility.

Question 12

To leave a patient in the waiting room, their HR and RR must be?

Answer 12

Heart Rate 60-100, Respiratory Rate 10-20

Question 13

To leave a patient in the waiting room, their Systolic and Diastolic BP must be?

Answer 13

Systolic 100-180, Diastolic 60-110

Question 14

To leave a patient in the waiting room, their spO2 must be? They also must be?

Answer 14

spO2 >94%, they also must be Alert and Oriented x 4.

Question 15

You may transport a patient to a hospital that is on internal disaster if ________?

Answer 15

They are in cardiac arrest, or an airway cannot be maintained.

Question 16

You can assist a patient with their own Epipen and MDI, True or False?

Answer 16

True

Question 17

What are the requirements to give Oral Glucose in a AMS/Syncope emergency?

Answer 17

They must be able to protect their own airway and have a Blood Glucose (BG) less than 60.

Question 18

What is the SAFER Model?

Answer 18

S. Stabilize the situation by containing and lowering the stimuli.
A. Assess and acknowledge the crisis.
F. Facilitate the identification and activation of resources (Chaplain, family, friends, or police)
E. Encourage patient to use resources and take action in his/her best interest.
R. Recovery or Referral - leave patient in care of responsible person or professional, or transport to appropriate facility.

Question 19

Know how to calculate Body Surface Are using the Rule of Nine’s

Answer 19

Head - 9%
Chest - 9%
Front of each arm - 4.5% Back of each arm - 4.5%
Stomach - 9%
Genitals - 1%
Front of each leg - 9% Back of each leg - 9%
Upper Back - 9% Lower Back - 9%

Question 20

What are the two burn centers in Las Vegas?

Answer 20

UMC and Sunrise Hospital

Question 21

For adults, what is the depth of chest compressions?

Answer 21

2 inches

Question 22

For adults, what is the rate of chest compressions? What is the ratio?

Answer 22

110-120 bpm, 30:2

Question 23

For an unwitnessed cardiac arrest, how long do you do CPR for before applying the AED? How long for witnessed?

Answer 23

2 minutes for unwitnessed.
Immediately apply AED for a witnessed cardiac arrest.

Question 24

What medications can the EMT give for chest pain? What is the dose?

Answer 24

Chewable Aspirin, 324 mg PO.
May assists with patient’s Nitro as prescribed, up to the 3 doses. No ED meds within the past 48 hours. Systolic BP must be at least 100.

Question 25

What is the transport position for Limb presentation?

Answer 25

Left Lateral Recumbent

Question 26

What is the transport position for a Breech delivery?

Answer 26

Support the body of the baby during delivery of the head

Question 27

What is the transport position for Cord presentation?

Answer 27

Lift the baby off the cord.

Question 28

What is the APGAR score?

Answer 28

APGAR is used to help grade the health of a newborn. Activity (muscle tone) Pulse Grimace (reflex irritability) Appearance (skin color) Respiration

Question 29

What is the difference between passive and active warming?

Answer 29

Passive warming allows the body to warm itself. (remove wet clothing, cover with blanket) Active warming is applying external heat sources to help warm the body. (applying heat packs, forced air warming)

Question 30

What body temperature does hypothermia begin?

Answer 30

When the body temperature falls below 95 degrees.

Question 31

What is the key in a drowning emergency?

Answer 31

Ventilation, keep ventilating even through foam.

Question 32

What is Epistaxis? What is the dose of the nasal spray and what do we instruct the patient to do?

Answer 32

Nosebleed. 2 sprays of Oxymetazoline or Phenylephrine to each nostril. Pinch nostrils and have PT lean forward.

Question 33

What’s the difference between passive and active cooling?

Answer 33

Passive is placing the patient in a cool area and letting him cool down naturally. (Placing PT in room with air conditioning) Active is aggressively cooling down the patient. (Ice packs, pouring cool water)

Question 34

What are the three levels of hyperthermia?

Answer 34

Heat Cramps, Heat Exhaustion, Heat Stroke

Question 35

What is the dose of Narcan for an EMT? How is it given?

Answer 35

2-4 mg IN, 1-2 mg in each nostril

Question 36

You can assist with a patient’s Albuterol MDI. True or False?

Answer 36

True

Question 37

What should the EMT do during a seizure?

Answer 37

Maintain the airway, check Blood Glucose

Question 38

What should the EMT do for a PT with smoke inhalation?

Answer 38

Deliver Oxygen 100% via NRB, transport to UMC or Sunrise Hospital

Question 39

What is the RACE score?

Answer 39

Rapid, Arterial, oCclusion, Evaluation Facial Palsy: Absent (0), Mild (1), Moderate/Severe (2) Arm Motor: Normal/Mild (0), Moderate (1), Severe (2) Leg Motor: Normal/Mild (0), Moderate (1), Severe (2) Head/Gaze Deviation: Absent (0), Present (1) Aphasia: Performs both tasks (0), performs one task (1), performs neither (2) Agnosia: PT recognizes arm and impairment (0), Unable to recognize arm or impairment (1), Unable to recognize BOTH arm and impairment (2)

Question 40

A patient with a 5 or above on the RACE scale needs to be transported where?

Answer 40

To an NIR capable hospital.

Question 41

How do you test Aphasia?

Answer 41

Aphasia is test in PT with right hemiparesis. Ask PT to 1. “Close your eyes your eyes” and 2. “Make a fist.”

Question 42

How do you test Agnosia?

Answer 42

Agnosia is tested in patients with left hemiparesis. Ask PT and evaluate recognition of deficit. 1. While showing paretic arm: “Whose arm is this?” 2. Ask PT: “Can you lift both arms and clap?”

Question 43

What are the NIR capable hospitals?

Answer 43

Centennial Hills Henderson Hospital Mountain View Southern Hills Hospital Spring Valley St. Rose Sienna Sunrise UMC Valley