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What BGL requires 25 Grams of D10 and when is 12.5 Grams indicated instead.
What is
<40 mg/dl for 25G
40-70 mg/dl 12.5G
What is the process called in which toxins are absorbed by osmosis through a solution infused into the peritoneal cavity; and then drained out.
What is Peritoneal Dialysis
When is it actually written in the protocol to "Handle Patient Gently"
What is the Hypothermia Protocol
With temps <86 degree F VF is the most common cause of death. VF can be caused by rough handling, noxious stimuli, or even minor mechanical disturbances.
Should you contact med command before rewarming a deep frostbite injury
What is YES
Do not attempt to rewarm deep frostbite unless there is an extreme delay in transport and there is no risk that the effected body part will be refrozen.
You should transport your Hypertensive patient in this position
What is Head Up equal to or greater than 30 Degrees
Vital signs should be obtained at the time meds are given and 10 minutes after
What is The Wong-Baker Faces Pain Rating Scale
What is a visual description for those who don't have the verbal skills to explain how their S&S make them feel. Kids over the age of 3 and elderly for example.
Pain Management should not be done for the following reasons.
Altered Mentation, Traumatic Abdominal pain, Head Trauma, Hypovolemia
These are important to check, to rule out head injury
What is Pupils
Two reasons to cancel Mobile Stroke
What is Negative Cincinnati Stroke Scale and response time greater than 10 minutes.
What is the dose of Midazolam for a Seizure
What med can be given for refractory seizures after 2 doses of benzodiazepines
CALL MED COMMAND
Ketamine 100mg IV/IO diluted in 100ml wide open or 100mg undiluted IM
can repeat if no changes after 5 min.
Should Ondansetron be given fast or slow
Give over at least 2 minutes, slow IV
For motion sickness/vertigo substitute diphenhydramine 25-50 mg IV/IM no repeat
A hypothermic patient will not respond to this treatment
Patients with low core temp may not respond to ALS drugs. Discuss ACLS drug use with online med control in severely hypothermic patients.
What does the The Syncope / Near Syncope Protocol say about a patient with now normal vital signs.
These cases need to be evaluated in depth. There was a temporary lack of perfusion to the brain and EMS should encourage transport and complete assessment despite patient return to baseline.
Drugs that end in "LOL" are commonly ______________ (what kind of drug)
What is Beta Blockers
What is the dose of Albuterol for Hyperkalemia
What is 10mg (4x2.5mg)
Albuterol is a beta-adrenergic agonist that assists with movement of potassium from the extracellular space into the intracellular space.
For a T wave to be "peaked", what is the number elevation, for Hyperkalemia
>5mm in limb leads and >10mm in precordial leads.
How quickly can Narcan wear off
As little as 20 minutes
What frequently causes exposure to Cyanide
Smoke Inhalation from fires
In this situation, with Med Command discussion, you may withhold CPR on a patient without a pulse.
Hypothermic patient with an organized rhythm (PEA)
What are the levels of CO from mild to severe
<10 mild
10%-20% Moderate
>20% Severe
Special Considerations for Pregnant Females and Children
What is Jacksonian Seizures
Seizures that start as a focal seizure and become generalized (focal motor seizure)
Overdose on Potassium Channel Blocker with a prolong QT, should be treated with____________
What is Magnesium Sulfate 2G IV/IO
This reduces the risk of Torsades. It does not address the Potassium blockade
The rhythm AVR means the R wave is the final part of the QRS. There is no S wave to be seen. This is seen with what kind of overdose and how is it treated.
What is Sodium Channel Blockers/Tricyclic/Anti-Depressants. Treatment Sodium Bicarbonate 1mEg/kg slow IV/IO Until QRS narrows/condition improves. If no improvement contact med command.