Test 30/31

Question 1

Most common cause of firefighter death on fireground

Answer 1

Cardiovascular

Question 2

What causes a decrease of stroke volume during firefighting

Answer 2

Peripheral dilation and sweat loss

Question 3

Therapy for chlorine gas exposure

Answer 3

Bronchodilators and respiratory support
Only steroids if exacerbation of underlying condition

Question 4

What to get before Hazmat teams enter hotline from medical support standpoint

Answer 4

Vital signs
Body weight
Current medical conditions
Presence of symptoms

Question 5

What is trauma screening questionnaire useful for

Answer 5

Tool to identify who may need clinical assessment for PTSD

Question 6

Group and Step and Varicella precautions

Answer 6

Hand washing

Question 7

Current recs for psychologically stressful events

Answer 7

1. Immediate assistance: hot wash
2. Early reliable non intrusive assessment (TSQ)
3. Stepped care: matching to level of need
4. Evidence based treatment of clinical conditions

Question 8

Emergency Medical Responder capabilities

Answer 8

Airway adjusts into oropharynx
BVM
O2 and suction
AEDs

Question 9

A-EMT can do what

Answer 9

Meds: Nitro, SQ Epi, glucagon, D50, albuterol, narcan, NO
Supraglottic airway
IV/IO access
Suction previously intubated patient

Question 10

First maneuver in unconscious patient who is not breathing but has a pulse

Answer 10

Open airway with head-tilt or chin lift maneuver

Question 11

O2 needed for needle cric jet ventillation

Answer 11

Flow rate greater than 50L min
50 PSI tank
Rate of 20 breaths per minute

Question 12

Sandifer syndrome

Answer 12

GE reflux in infants associated with intermittent, opisthonic posturing
Lasting 1-3 minutes, 18-36 months
Often mistaken for seizures

Question 13

Next med in organophosphate poisoning after atropine and pralidoxime

Answer 13

Benzos to prevent seizures

Question 14

3 tissues at highest risk of damage from blistering agents

Answer 14

Eyes
Skin
Lungs

Question 15

Altitude where half the number of O2 molecules as sea level

Answer 15

5000m

Question 16

Signs and symptoms of 100-200 rad exposure

Answer 16

Nausea and vomiting (5-50%) and minimally decreased lymphocyte count

Question 17

CNS impairment begins at what rad exposure?
May include?

Answer 17

200-600 rad
Difficulty with routine task performance and symptoms of cognitive impairment

Question 18

Rapid incapacitation with what rad dose

Answer 18

> 3000

Question 19

3 Factors in Haddon matrix

Answer 19

Host - Human factor
Agent - Equipment factors (like vehicle in MVC)
Environmental - physical and social (i.e fog)

Question 20

TSQ threshold to count as positive screen

Answer 20

6 items

Question 21

Law associated with decompression sickness

Answer 21

Henry’s law

Question 22

Adverse effect of etomidate

Answer 22

Myoclonus

Question 23

Most common reported stroke symptoms to dispatch?
Dispatch stroke sensitivity ?

Answer 23

Abnormal speech and extremity weakness
Dispatch can pick up 52% of the time, more likely to be a stroke if caller says stroke
Only 41% of calls as high priority

Question 24

Deep partial thickness burns hav what feeling

Answer 24

Perceptive of pressure only

Question 25

Only interventions that should be done on scene for sick trauma

Answer 25

Control of life threatening hemorrhage
Support of airway and ventilations

Question 26

Trauma scene time goal

Answer 26

Less than 10 minutes