Transport Guidelines (ALS), which of the following IV solutions may a paramedic transport/monitor during an ALS interfacility transport?
A. NTG gtt
B. Insulin IV gtt
C. Multivitamins
D. Potassium IV Infusion of < or equal to 40mEQ KCL
D. Potassium IV Infusion of <40 mEq KCL
Burn Criteria and destination, when determining the appropriate facility for a burn pt what should be considered? (14070)
A. Degree of burn (TBSA)
B. Percentage of burn (thickness)
C. Respiratory involvement
D. All of the above
D. All of the above
Which of the following is an INCORRECT statement about organ donations? (6040)
A. Field personnel can search ANYONE for a donor card at any time.
B. Field personnel should notify the receiving hospital if organ donor information is discovered.
C. Imminent death is defined as “death will likely occur before the pt arrives at the receiving facility”.
D. Field personnel should note the result of the search, notification of hospital and witness names on the pt care report.
A. Field personnel can search ANYONE for a donor card at any time.
Which of the following statements is correct about the local medical emergencies policy? (6050)
A. ALS and BLS personnel may function within their scope of practice without base hospital contact.
B. Only ambulances may be utilized to transport patients.
C. All pts should be transported to the closest most appropriate facility all within the affected area.
D. All of the above is correct.
A. ALS and BLS personnel may function within their scope of practice without base hospital contact.
In which of the following situations would restraints be indicated? (6060)
A. A pt that is refusing tx and the paramedics feels it is warranted.
B. A runaway teenager who is trying to leave the scene.
C. A pt that is spitting, kicking, hitting and biting EMS personnel.
D. All of the above.
C. A pt that is spitting, kicking, hitting and biting EMS personnel.
The paramedics arrive on scene to find a 45 y.o. male c/o cough, runny nose & sore throat x2 days. VS are states to be: BP 164/80, RR: 12, shallow with BL rales, SpO2% 88% Temp 104.7 tympanic. The pts skin is noted as flushed and hot to the touch. What tx should be initiated by the paramedic for influenza like illnesses? (6090R1)
A. O2 as clinically indicated
B. IVF as per established protocol
C. Place a surgical mask on the pt.
D. All of the above.
D. All of the above.
Prior to base hospital contact the correct initial dose of atropine for a pt with unstable bradycardia is? (14030)
A. 0.5mg IVP
B. 1.0mg IVP
C. 1.5mg IVP
D. 2.0mg IVP
A. 0.5mg IVP
It is 15:00; paramedics are on scene with a 72 yo male c/o CP. Pt is difficult to arouse, Eye opening is to verbal stimuli, verbal is confused, motor response is slow but obedient. Skin is pale, cool & moist.
His wife states the pt woke up complaining of his chest feeling like an elephant was sitting on it.
BP 74/50, pulse 180, RR 26 & labored, SpO2 88%. Lungs CTA BL. Pts wife states he has been in good health, no sig PMH. Takes no prescribed meds, NKDA. The cardiac monitor shows VT. EMS places pt on 15L O2 NRB.
Which of the following is the most appropriate initial tx for EMS to attempt for tachycardia? (14040)
A. Amiodarone 600mg/min IV.
B. Cardizem 5mg slow IVP over 3-5 min.
C. Adenosine 6mg RIVP, followed immediately by 12mg RIVP if rhythm does not convert.
D. Immediate cardioversion due to unstable presentation of pt, then Mg should be considered.
D. Immediate cardioversion due to unstable presentation of pt, then Mg should be considered.
