Protocols you don't think of
Extended Care Protocols are noted by a ___ in the protocol book
Blue shaded X
Addisons Disease is a condition causing?
The adrenal glands do not produce enough cortisol and sometimes aldosterone too.
What is the danger of placing a restrained patient in the prone position?
Asphyxiation
What does SLUDGEM stand for?
Salivation, Lacrimation, Urination, Defecation, Gastric upset, Emesis, Muscle twitching/Miosis
What is the dosage of Acetaminophen for adult fever ?
What is the dosage of Ibuprofen for adult fever?
If none taken in last 4 hours 500-1000mg PO
If Acetaminophen was taken in the last 4 hours 600mg PO
True or False: Linwood ambulance station is considered a Baby Safe Haven
True
Characterized by a barking sounding cough
Croup
What is a Brief Resolved Unexplained Event?
An event in an infant less than 1 yr old which has now resolved including one or more of these finding:
Cyanosis or Pallor, Absent, decreased or irregular breathing, Marked change in tone, Altered level of consciousness
TXA Administration indications
Evidence of significant trauma AND Evidence or concern for severe internal or external hemorrhage AND Sustained Sbp <90 and/or Heart rate >110 with pain managed AND The injury occurred in last 3 hours
An anti-emetic is strongly recommended for this type of injury
Blunt force or penetrating eye trauma
What is the recommended depth for a nasal ETT in an adult male patient?
28cm
5.9
Double Sequential Defibrillation is indicated under what conditions?
Refractory V-Tach/ V-Fib after 3 shocks. When another manual capable defib is availible.
True or False: Being unable to identify the landmarks for a surgical airway is a possible contraindication for RSI.
Maybe
What is considered possible sepsis?
Suspected infection
Evidence of sepsis criteria (need two or more)
Temperature <96.8 or >101
Heart Rate >90 BPM
Resp Rate >20 BPM
MAP <65
New onset or increased altered mental status
Serum Lactate >2
Do we carry enough Atropine for an organophosphate poisoning?
No.
Describe the two options for post intubation sedation in a conscious adult
Ketamine 1mg/Kg IV followed by infusion 2-5 mg/kg/hr or Fentanyl 0.5-1mcg/kg AND Versed 2-5mg IV every 5-10 mins
Eclampsia vs Pre-eclampsia
In third trimester, hypertension >160/100, headache, visual disturbances, edema, RUQ pain, seizure
What is the SAFER model?
See Protocol 2.4
How many steps are required to rule out the need for spinal motion restriction?
Seven
(4.7)
After delivery routine administration
Oxytocin 10mg IM
The Exception Protocol (1.2) may be used under what two conditions?
The action is within the providers current EMS certification, and scope of practice AND The provider has obtained the permission of online medical control
True or False: Hospice patients should be brought to the ED for an evaluation.
False, members should consult with the hospice team to determine the best course of action to resolve the pts complaints
The treatment for suspected Hyperkalemia
Calcium Gluconate 3 GM in 50-100ml NaCl over 5-10 mins. Calcium Chloride 1GM mixed with 50-100ml NaCl over 5-10 mins may repeat once.
Sodium Bicarbonate 1mEq/kg for acidosis. Continuous Albuterol nebulizer
If an MD who is not our medical control MD is on scene and wants to direct patient care they must:
Continue to provide care during transport or transfer care to another provider at the same level. Document all care provided and submit all documentation the head of the service.
Is Epinephrine indicated in traumatic cardiac arrest?
No