Medical
The State of Utah Protocols state that BVM is the preferred method of ventilation for what age range?
What is: <10 years old
pg. 8
What is the goal on scene time for a major trauma patient?
What is: <10min
Pg. 86
What is the minimum accepted blood pressure for a 2 week old patient?
What is: 60mmHg
Pg. 7
What are the 3 usages of Magnesium Sulfate?
What is: Asthma, Torsades, Eclampsia
What is the pneumonic 'D.O.P.E' and what does it stand for?
What is: Dislodged, Obstruction, Pneumothorax, Equipment Failure
-Difficulty ventilating causes
Pg. 28
In a conscious and normotensive patient with pulmonary edema, the 2 treatments include:
What is: CPAP and Nitroglycerin administration
Pg. 39
What is the preferred location of needle decompression?
What is: The 4th intercostal space, anterior axillary line
Pg. 86
At what age range is surgical cricothyrotomy contraindicated?
What is: <12 years old
Pg. 10
What is the pediatric dose of Calcium Chloride?
What is: 20mg/kg
Pg. 36
What is the key sign to differentiate between heat exhaustion and heat stroke?
What is: Altered mental status
Pg. 69
At what rate in an infant patient is a heart rate considered SVT?
What is: >220 bpm
Pg. 44
In a patient with a suspected head injury, what is the target systolic blood pressure?
What is: 110 mmHg
Pg. 26
You respond to a 7 year old patient who was found with an altered level of consciousness. Upon further assessment his vitals are as follows:
HR 61
BP 83/61
Spo2 96%
Mom stated that he was born with a congenital heart problem. After seeing this patient's presentation and vital signs, you administer a fluid bolus with no change.
You should:
What is: (Either one is accepted)
1) Administer 0.5mg Atropine
2) Administer 25mcg push-dose Epinephrine
Pg. 32
What is the minimum age that Ketamine can be administered per the State of Utah EMS protocols?
What is: 2 years old
Pg. 21
A shock index over what amount is considered concerning?
What is: >1
Pg. 13
A 62-year-old male is conscious but hypotensive (BP 72/40), diaphoretic, and complaining of chest pain. The monitor shows monomorphic ventricular tachycardia at 190 bpm with a pulse. According to the ACLS tachycardia algorithm, what is the appropriate treatment and initial synchronized cardioversion energy?
What is: Sync Cardioversion at 100 J
You respond to a 32-year-old male who opens his eyes only after a trapezius pinch, answers your questions with confused conversation, and pulls his arm away when you apply nail bed pressure—what is his GCS?
What is: GCS 10
E2 V4 M4
A full-term newborn has a heart rate of 90 bpm, cries weakly with stimulation, has some flexion of the extremities, is pink with blue hands and feet, and grimaces during suctioning—what is the 1-minute APGAR score?
What is: APGAR = 7
Appearance: 1
Pulse: 1 (<100 bpm)
Grimace: 1 (Grimaces with stimulation)
Activity: 1 (Some flexion)
Respiration: 2 (Weak cry/slow but effective respirations)
What is the mechanism of action for TXA?
What is:
TXA competitively inhibits the conversion of plasminogen to plasmin, preventing fibrin clot breakdown (fibrinolysis) and stabilizing existing blood clots.
What is the MAJOR change in treatment when caring for a drowning victim suffering from cardiac arrest?
What is: Treat ABC's, not CAB
Pg. 53
What is AEIOUTIPS used for and what does it stand for?
What are: Possible causes of altered mental status
A– Alcohol T – Trauma/Temp
E – Electrolytes I – Infection
I – Insulin P – Psychogenic
O – Opiates P – Poison
U – Uremia S – Shock/Seizure
A 42-year-old patient has partial-thickness burns to the entire head and neck, the anterior torso, the entire right arm, and the anterior left leg. What is the total TBSA burned using the Rule of Nines?
What is: 45%
Head and neck = 9%
Anterior torso = 18%
Entire right arm = 9%
Anterior left leg = 9%
Total TBSA = 45%
You are caring for a 1 day old male who is not conscious, not breathing, and has a heart rate of 10bpm. You determine that you must start CPR. The compression to ventilation rate for this patient is:
What is: 3:1
Pg. 41
A 160-lb patient requires an epinephrine infusion at 0.5 mcg/kg/min. The drip is mixed as 1 mg of epinephrine in a 250 mL bag of normal saline and is being administered through a 10 gtt/mL drip set. What is the dose in mcg/min, and how many drops per second should you administer?
What is:
Dose: 36.4 mcg/min
Concentration: 1 mg/250 mL = 4 mcg/mL
Infusion rate: 9.1 mL/min (≈545 mL/hr)
Drip rate: 91 gtt/min = 1.5 gtt/sec (about 3 drops every 2 seconds)
A 176-lb (80-kg) patient sustains 36% TBSA partial-thickness burns. Using the Parkland Formula, how much Lactated Ringer's should the patient receive in the first 24 hours, and how much should be given in the first 8 hours?
What is: Parkland Formula
4 mL × weight (kg) × %TBSA
4 × 80 × 36 = 11,520 mL in the first 24 hours
Step 2:
First 8 hours: 5,760 mL
Next 16 hours: 5,760 mL