Destination
Policies
Treatments
(For Meds-Give name, dose, route)
Peds
Random
100

Female in traumatic full arrest who is 34 weeks pregnant

What is nearest open trauma center

100

This individual at the scene of an MCI communicates with the BH and provides transporting units with destination assignments

Who is Med Com (Medical Communications Coordinator)

100
65M c/o chest pain, rales, BP 165/109, RR 30, 90%.

What is nitro 0.8mg SL

12-lead

Aspirin four 81mg chewable tablets or 325mg tablet

consider CPAP

100
Four possible causes of a BRUE/ALTE

airway disease, abuse, meningitis, pertussis, seizure, arrhythmias, GERD, infection, ICH, near-miss SIDS, RSV, sepsis, etc.

100

Two indications for synchronized cardioversion in the field

SVT with severe s/s of poor perfusion

VT with severe s/s of poor perfusion 

200

The destination for a 37F with wide complex tachycardia, rate of 160

What is nearest open ERC

200

The radio code for 'en route to the hospital'

What is 902-H

200

Treatment for an altered, lethargic patient with stable VS, blood sugar 58. 

What is 10% Dextrose 250mL IV

200
3F pulled from a pool and awake after mother gave rescue breaths. EMS has patient on high flow O2. VS WNL. The MICN should direct the patient to this destination.

What is CCERC

200

LAMS components (3)

Facial droop, grip strength, arm drift

300

Destination for what appears to be a self-inflicted near amputation of the left arm on a 43M. BP 72/45, HR 130, GCS 1-1-1

What is replant (UCI)

300

MICNs have to attend two of these meetings annually to maintain their OCEMS authorization

What are REAC (Regional Emergency Advisory Council) meetings?

300

29M who drank pre-workout and is now experiencing palpitations, HR 210, BP 110/60

NS 250mL 

Valsalva maneuvers

What is adenosine 12mg rapid IVP


300

Maximum single dose of fentanyl in a pediatric patient for general injury/trauma

What is 50mcg

300

Three places taser barbs can be embedded in the body that require transport to the nearest ERC (Hint: There are five in policy)

Face

Eye

Hand

Foot

Groin

400

Pt is pulled from the water after scuba diving training and is now seizing. 

What is the nearest open ERC?

400

Three reasons base contact is necessary for an AMA

All cases where base contact would have been required...many examples

400

Priority treatment for a high speed motorcylce crash victim, VS: 85/66, 126, 90%. Pt is unconscious with an open left tib/fib fracture, absent breath sounds on left chest, road rash on left side of body.

What is a needle T

400

IVF bolus order for a 4 year old who is 15kg

What is 250mL
400

Five examples of mechanism of injury that meet trauma criteria

Falls...

High risk auto crash...

diving injury with suspected spinal cord injury

Hanging

auto vs ped

unenclosed motorized vehicle crash >20mph

500

56M sudden onset severe abdominal pain that radiates to back, hypotension, tachycardia, poor skin signs

What is trauma center

500

Eight specialties a medic will contact base for.

Trauma

CVRC

SNRC

Burn

Replant

CCERC

L&D

Antivenin

500

First line treatment for a 88F, pale, lethargic, with a HR of 32, BP 80/50

What is Atropine 1mg IV/IO/IM

500

5F in VTach arrest with CPR in progress has been defibrillated once and given one dose of epinephrine 0.01mg/kg IV. The next pulse check shows VTach without a pulse. This is the next treatment that should be ordered by the MICN. Patient is 20kg. 

What is defibrillation at 4J/kg=80J

500

Closure or Diversion categories (6)

What are ED Saturation, Trauma, CVRC, SNRC, CT Scanner, Internal Disruption

M
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