Termination of Resuscitation
After on-scene resuscitation including high-quality CPR and indicated ACLS interventions, the patient shall be transported if any of the following criteria are met..
*List 2 of 4
- Witnessed arrest where bystander CPR was being performed
-Cardiac arrest was witnessed by EMS personnel
-ROSC was obtained at any point during the resuscitation
-A shock was delivered by AED or Defibrillator
Who is in charge of Divisions / Groups?
Supervisor
ie. Bravo Division Supervisor
Describe the numeric designation of lanes of the roadway beginning with the far-left lane as you face the direction of travel.
Left shoulder, Lane 1, 2, 3, Right Shoulder
Space found in high rise buildings constructed after 1991 and some earlier ones. The majority of the building's systems and services can be monitored from this area.
Fire Control Room
Allergic Reaction / Anaphylaxis
What is the medication administered to stop, reverse the allergic reaction?
*name, dose, route
Diphenhydramine (Benadryl)
50mg IV/IO/IM (A/I/P)
Transport all pediatric cardiac arrests directly to..
Childrens Hospital of the King's Daughters (CHKD)
Who makes up the Command Staff?
What is their title?
A.L.I.S.A.
Accountability Officer
Liason Officer
Information Officer
Safety Officer
Air Management Officer
Minimum Distance to Safe Area (feet) with a posted speed of 35 mph.
120 feet
What assignment is the first arriving medic unit to assume?
Establish Medical Group or Branch (Lobby/Lower floor)
Breathing Difficulty - ADULT
What is the dose for Nitro Paste?
Nitro Paste - 1 inch (transdermal) (A/I/P)
If the conditions listed in the policy do not exist, after how many minutes of high quality CPR should the EMS personnel contact hospital medical control for termination of resuscitation.
20 minutes
A resource that has checked-in and assigned work tasks on an incident.
Assigned Resources
When establishing a work zone, it is recommended that a minimum of how many lanes are blocked by emergency vehicles.
Two traffic lanes (or one more than is already obstructed by the incident, whichever is greater)
Which floor should the first arriving engine company make their standpipe connection to?
The floor below the fire floor
Seizures
Treatment for active seizures.
Name, Dose, Route, Frequency
Midazolam (Versed) 2.5mg IV (A/I/P)
May repeat once (PO for Advanced)
Midazolam (Versed) 5mg IN/IM (A/I/P)
May repeat once (PO for Advanced)
The radio report to request termination of resuscitation efforts should consist of:
1. Resuscitation effort provided.
2. Rhythm on the cardiac monitor.
3. Physical exam findings.
What are those exam findings?
Neurological - Pupils, no response to painful stimuli
Respiratory - No respiratory effort
Circulatory - No pulses, heart sounds on auscultation
What standard terminology benchmarks shall be used by all levels of the command structure?
"All clear"
"Fire Control"
"Patient Extricated"
"Leak Secured"
"Hazard Secured"
If a medic unit arrives on scene first, the vehicle should be placed where?
Between oncoming traffic and the incident scene, until the arrival of the first fire apparatus.
What are the search priorities?
1. Fire Floor
2. Floor Above
3. Stairwells Above the Fire Floor
4. Upper Floors
Appendix E: DDNR
In no case shall any person other than ___ have authority to revoke a DDNR executed upon the request of and with consent of the patient.
The Patient
Which special consideration victims should have full resuscitative efforts initiated and transported to the hospital?
Electrocution
Lightning Strike
Hypothermia
Drowning
The organizational level having responsibility for operations within a defined geographic area.
Divison
Where should the first arriving rescue company position?
Within the protected work zone near the vehicles from which patients are to be extricated.
Who makes up Lobby Control?
The operator from the 1st arriving engine company
The 2nd arriving ladder company
The 4th arriving engine company
Glasgow Coma Score
What are the Motor Responses? (6)
1. No motor response
2. Extension to pain
3. Flexion to pain
4. Withdrawls from pain
5. Localizing pain
6. Obeys commands