General Protocols
An ALS provider is performing an action that you believe to be dangerous for your patient. What should you do?
Speak up.
What is the formula for calculating shock index?
Heart Rate (HR)/Systolic Blood Pressure (SBP)
What exit is the Foothills Rainbow Station off of?
Exit 252 WB.
Can you use Ketamine for sedation at Highland Rescue?
No.
What is Colorado's Crisis Hot Line number?
988
A patient is intoxicated, A&Ox4, but clearly altered. They are refusing transport to the hospital. They are stumbling into the road where there is busy traffic. Should you transport this patient?
Yes, they are altered and a threat to themselves.
What are the 5 different types of shock?
Obstructive, neurogenic, cardiogenic, distributive, and hypovolemic.
How long after a call do you need to have your chart completed?
Within 24 hours.
Should you give TXA through the same IV that administers blood?
No.
Who are the members of Peer Support?
Dan V., Jasmine B., Ellie D., Red R., Pat D., Laura C., and Steve T.
You have an 84 y/o M with a positive BEFAST assessment, with onset of 30 minutes. He is hypertensive and tachycardic. Is this an ALS or BLS transport?
ALS.
For Medical Shock, what is the fluid administration dose?
20 mL/kg, up to 1 L (protocol 4000)
You get dispatched to the address: 60 S. Pine Road. Do you take a left or right, leaving the station's parking lot?
Left
What is the current dose of epi for someone in anaphylactic shock?
.5 mg
Is it an appropriate reason to call peer support, if you run a call and it does not seem to affect anyone else, but you are ruminating and losing sleep over it,
Yes!
You have a high index of suspicion of domestic violence for your 34 y/o F pt who called after "falling down the stairs." She does not have any intellectual, developmental, or physical disabilities. Should you call Adult Protective Services?
No, she does not fall under the category of an "At Risk" adult. Consider law enforcement.
When caring for a patient in shock, the line for permissive hypertension is a systolic pressure of around 90, except for in which type of shock?
Nuerogenic.
What is the nose art on 287?
Blucifer.
What are 3 contraindications listed for Droperidol?
- Suspected MI
- Systolic BP under 100
- Signs of Respiratory Depression
- Known QT prolongation
- Pregnancy
If you are worried about a peer who has been reclusive, distant, tired, and "not acting like themselves", who should you reach out to for support?
A peer support member!
You have a 75 y/o pt who is presenting with AMS, fever, hypotension, and a heart rate of 80. This patient has been sick for 2 days and is progressively getting worse. They are on Atorvastatin, Levothyroxine, Metoprolol, and Sertraline. Would you consider Sepsis for this patient?
Yes
You have a patient who was hit in the ribs with a baseball bat. Upon arrival you find the pt complaining of left flank pain, LLL absent lung sounds, and presenting with a positive shock index. What type of shock is this likely?
Obstructive Shock.
What is the code to get into Rob's gym, if it's locked?
80401
You can use Diphenhydramine for two listed indications, per our protocols. One is an allergic reaction. What is the other?
Dystonic medication reactions or akathisia (agitation or restlessness).
True or False: Anything you say to peer support will remain 100% confidential and under no circumstances will that confidentiality be broken.
False. They are mandated reporters and need to break confidentiality under these circumstances:
- You are a threat to yourself or others
- You are gravely disabled
- There is abuse of a protected population
- You make a threat against a school.