Geography
Name the two main north/south thoroughfares of the sunset district.
19th ave, Sunset Blvd
Which specialty cannot actually break diversion for transport?
Psych
What is the target SPO2 in this county when managing the airway?
94-95%
Name 2 body systems that can commonly be affected by anaphylactic reactions
Skin, Respiratory, GI, circulatory
If that patient has a DNR but all family members on scene want you to work them, what should you do?
Work them
It is rush hour. Market Street is closed and cannot be crossed due to a violent political protest. You have a GSW at Pier 39. Provide a route to the appropriate hospital.
Embarcadero
Name all the STAR centers
Kaiser, STM, UCSF, General, Van Ness, Seton
CPAP should be set to have a pressure between ___ and ____ cm h20.
7.5 - 10
When assessing a fall patient, what are 4 yes/no questions that MUST be asked?
(Blood thinners, head strike, LOC, neck pain, syncopal/mechanical, neuro deficits)
Your patient is dead. Your medic asks you to “go get a strip for the ME.” The strip(s) that you bring him must show what?
Asystole in 2 or more leads
If driving on Crossover Drive in Golden Gate Park, you will eventually leave GGP and come to one of three intersections. Name all three.
Fulton/Park Presidio, Fulton/25th, 19th Ave/Lincoln
Your patient is 21 weeks pregnant. Name all of the OB hospitals available to receive this patient.
General, Van Ness, Kaiser, Mission Bay
T/F: extremity fractures should be immobilized in position found and not realigned unless the extremity is pulseless.
True
Your patient needs spinal motion restriction. What are the 3 indications for a long spineboard?
(Neuro deficits, decreasing LOC, inability to be fully screened)
Your trauma patient’s injuries are compatible with life, but they are in cardiac arrest. In order to declare them dead without base contact, they must be in asytole or PEA under what BPM?
40
What is the fastest way to get from the Ballpark to Portola/Vicente, code 2, at midnight?
280 South / Monterey Exit / Yerba Buena Ave or O’Shaugnessy
Where are the replantation centers in SF?
Davies, UCSF, General (with major trauma)
Name 5 airway devices used in this county. This does not include ventilation devices such as CPAP/BVM.
ET, LMA, OPA, NPA, Cric
What are extrapyramidal/dystonic reactions?
Reactions to haldol/similar meds involving contracture of facial muscles
Name 6/8 criteria for a determination of “obvious death” per policy 4050.
Decapitation, Decomposition/Putrefaction, Transection of troso, Incineration, Injuries Incomptaible with Life (such as brain matter or massive crush injury), Submersion > 30 minutes, Rigor Mortis/Lividity PLUS asystole in 2 leads, unwitnessed arrest over 1 hour suspected with asystole in 2 leads
What sections of Geneva Ave are north/south of the Daly City Border?
Geneva west of the Cow Palace / Santos street is SF; east of that is Daly City.
Name all of the specialties for UCSF Parnassus according to policy 5000.1
Stroke, STAR, replantation, LVAD, Critical Airway, Critical Medical Adult, Psych.
Name every piece of equipment your medic will need to hang IV fluids.
10gtts saline bag, administration set, lock, flush, constricting band, angiocatheter, tagaderm, alcohol wipe
Explain the difference between bronchospasm and pulmonary edema. How do they kill, how can they be distinguished from one another clinically, and what common diseases cause each.
Bronchospasm: contracture of airways, COPD/Asthma/Anaphylaxis, Wheezes
Pulmonary Edema: flooding of alveoli, CHF, rales
5. You and your crew have begun CPR on a patient in cardiac arrest with a suspected medical (non-traumatic) etiology. After some time, you decide to discontinue resuscitative efforts. In order to do so without making base contact, name ALL 6 criteria that must be met per policy 4049
1) Patient is at least 18 years of age 2) Unwitnessed cardiopulmonary arrest by EMS Personnel 3) Persistent asystole or PEA for 20 minutes 4) EtCO2 is persistently less than 20mmHg 5) No return of spontaneous circulation after 20 minutes of CPR in the absence of obvious hypothermia 6) All EMS personnel involved in the patient’s care agree that discontinuation of the resuscitation is appropriate