Medications
Name the contraindications for Narcan.
Nasal trauma, cardiac arrest, active seizure
Describe how to get to the biohazard room in the SMED Adult ED.
After entering through the ambulance bay double doors, take a R and walk to the end of the hallway, enter the door with the red biohazard sign, place any biohazard trash in red trashcan inside.
Name all the 2-way streets in our service area
106th, 110th, 116th, 120th, 122nd, 125th
Clear C-spine
A&Os. Did you hit your head? Did you fall? LOC? Pupils, POP, pn on ROM
What is the name of '05 and '06?
Achilles
Penelope
What is the weight cutoff in lbs AND kilograms for administering the adult dose of epinephrine?
30kgs/66lbs
Your pt is a 20 y/o F who requests to be transported to Presby. How do you get there from 600 W 116th St and what is the ambulance bay code?
L Broadway, L 120th, R Riverside, R 165th, L Fort Washington, R 168th, Park at Presby Adult ED
Code: 911#
What streets do the Riverside Service Road run between? Special Considerations?
97th to 114th Street
Traffic only goes north
Name 4 reasons you call ALS
Cardiac arrest, active seizure, chemical restraint, advanced airway
Name the medical director.
Dr. Thum
What medications and doses can you administer to a patient experiencing anaphylaxis who has already injected themselves with their Auvi-Q, without calling OLMC?
Epinephrine, 1 more dose before calling med control
Oxygen, NRB 12-15 lpm
Albuterol/IB if your pt is wheezing, up to 3 unit doses
You are transporting a pt from CPS. Which hospital will they refer you to and what are the cross streets for this hospital?
Weill Cornell
70th and York Ave.
List in order from W to E, all the locations on 114th St.
River, Hogan, Broadway, Carman, Ruggles
What are the exclusion criteria OLMC will consider when making a txp decision for a stroke patient?
- LOC
- Bed or wheelchair bound
- Trauma caused
- Txp time > 30 minutes
- Seizure caused
- LKW > 24 hours
What is the name of the channel you turn to on the MARS radio to use it?
Manhattan North
How many doses of Nitroglycerin can you give a patient?
What are the contraindications?
Dosage
- Can give up to 3 doses
Contraindication
- Sys. BP < 120 mmHg
- ED meds in the past 72 hours (call OLMC)
What are the ambulance bay codes for Weill Cornell and Mount Sinai West?
911
Which streets between 110th and 120th can you not turn onto directly from Riverside (NOT service road)?
111, 112, 117, 118
Calculate the GCS score for a pt who opens their eyes to pain, has confused speech, and displays movement to localized pn
Motor - 5
Verbal - 4
Eyes - 2
Total: 11
Name all positions on the Executive Board and what their role does.
Captain - Chief Medical Officer
Director - Chief Executive Officer
Ambo Ops - Responsible for maintaining the ambulances and the electrical equipment on the ambulance.
Supply Ops - Equipment and Medical Supply Officer
Personnel - Human Resources Officer
MAL - Representative of active members of the corps.
What are the dosages (mg/mL) for albuterol and Ipratropium bromide, and the number of doses we can give under standing order for each?
Albuterol
- Can give up to 3 doses, 2.5mg/3 mL (0.083%)
Ipratropium bromide
- Can give up to 3 doses, 0.5mg/2.5 mL (0.02%)
How do you get from Harlem Hospital back to 524 W 114th Street?
R 5th Ave, R 135th, L Adam Clayton Powell, R 125th, L Broadway, L 114th
How do you get from 560 Riverside to William and June Warren?
Straight S on Riverside, L at Tiemann Place, R Broadway, L 114, L Amsterdam, park R side
Name three medications that are included in the exclusion criteria for RMA'ing an intox pt.
Insulin, Glipizide, Glyburide, Coumadin (Warfarin), Plavix, Xarelto (Rivaroxaban), Oxycodone, Percocet, Norco, Vicodin, OxyContin, MS Contin, Methadone, Ativan, Xanax/Alprazolam, Klonopin (Clonazepam)
What year did CUEMS receive their Stork Emblem, and for what?
1997, successfully delivered a baby