A
15 year old female injured her ankle last week, pain intensified during the walk today. She denies calling 911 and does not want to go. She says mom is at home one block away what should you do.
contact mom for consent
Large number of attendants at concert become sick with excessive salivation urination diarrhea and vomiting and two experience seizures
Nerve gas
What document should IC expect to be present at a scene of a chem plant?
MSDS
Medic knowledge of crime scene preservation?
Moving coffee table and informing PD
You have an observer ride-along. You get dispatched to a pt with active TB. What do you do?
Provide a surgical mask to the observer
The nature of mass gatherings often necessitates deviation from policies and procedures. What is acceptable?
Tx for hypoglycemia and release without transporting
Pts at a large event begin to show signs and symptoms of organophosphate poisoning. What do you do?
Setup command and ensure scene safety
What situation requires divulging pt information?
You are told in confidence by an elderly man that he is being abused by his family
Finish duties as treatment @ MCI. What do you do next?
report to treatment officer for further instructions
using START traige what pt requires immediate transport?
40 y/o uncscious M with skull fracture R6 P120
O2 at 300PSI
change out the bottle
What type of communication should we use on pts and Family?
unbiased questions
39 yo pt has severe abd pain. The pt is worried about transportation to the hospital. What do you do?
Ask about his concerns
Your pt has recently has had multiple allergic reactions. They have used all of their supply of epi pens and are currently stable. The pt wants to be left with extra epi pens just in case. What do you do?
Explain the danger of nontreatment and recommend refilling of meds
An ECG is used for educational purposes. What should be removed?
ECG ID number
A tanker truck is leaking. The tanker appears to be made of polyethylene. What type of substance do you suspect this tanker is holding?
Corrosives
You are on the scene of an MCI where a child has had catastrophic injuries, but is breathing. What do you do?
Consider unsalvageable
Pd stops you for speeding, you tell her you are a paramedic. What kind of treatment is this?
unethical
After receiving summons in court appearance be prepared to present what?
Documentation proving standard of care
You arm brushed against a bloody sheet; your skin is intact. After washing well, what do you do?
continue the cleaning routine
Initial responding unit at a scene of an MCI with 6 cars including a bus. What do you do?
establish IC
30 yr female is agitated, hallucinating, and making verbal threats. Her friends would like to take her POV. What do you do?
Request PD to move the friends to another location
You are on the scene of an industrial accident where dozens are running away. People are on the ground near the building in pain and struggling to breathe. What do you do?
set up perimeter
What is the appropriate procedure for medium to high turn operations?
tokyo drift MF!!!!!
brake before entering a turn
How do you secure a pt in the back of the ambulance?
Lateral shoulder and leg seatbelts
You are on the scene of a GSW. When treating the pt you should?
Preserve bullet holes in the shirt
year old F refused to answer partners questions tells him to get out and she is done answering questions.
arms crossed? during interview
When does advanced directive become effective?
confirmed and signed by the pt physician
Unknown chemical gas in building, What level of PPE?
Level A
You pt is a toddler with a fever. You note red marks with linear contusions.Parents mention they tried coining. What do you do?
Document your findings
85 yr old male is being transferred to a SNF. What do you do after arrival?
Give an oral report and discharge papers to nurse
You note a toxic cloud over an industrial building. People begin to approach your ambulance and say they were exposed. What do you do?
contact IC
In regard to nerve agents, what should EMS personnel be familiar with the administration of?
Atropine
You are waiting to provide a handoff to the nurse when dispatch gives you another call. A hospital EMT offers to wait with the patient for you. What do you do?
Remain with the patient and relay the issue
Your pt has a femur fracture. Your partner refuses to give pain medication. What do you do?
Give recommendation of the appropriate dosage
You are at a 4 way stop. You see a motorest on your left. What do you do?
come to a complete stop check all sides and proceed slowly
you arrive at the hospital and remove your pt from the ambulance. Then do what?
turn engine off, lock all the doors and bring the key
Aspirin was administered to pt. At hospital pt. tells nurse he is allergic to asa. What to do?
Document time of admin and that you inquired about allergies
You are on scene of an MCI in a rural area with 3 pt who were ejected. What do you do?
request a helicopoter
52 yo pt is in cardiac arrest in church. Many bystanders claim to be physicians, but have different opinions about tx. What do you do?
Follow local protocol
34 yo female is involved in a MVC at an Icy intersection. Her head is flexed forward and appears to not be breathing. What is your primary concern?
Safety of rescuers
Online medication direction refused the administration of a medication. Your patient’s life depends on the administration of this medication. What do you do?
Call the doc again
45 yo male fell off of the ladder while trimming his trees. The pt cannot walk and vomited blood prior to EMS arrival. What do you do?
transport emergently
Which sector coordinates ops with staging officer and routes pts to hospital.
Transportation unit leader
While inspecting meds before a call
make sure appropriate supplies are available for administration
72 yo female fell and has a hip injury. The pt is currently on the ground on the second floor. What device would be used to move this pt?
use a scoop stretcher
During transportation to a nursing facility your terminally ill pt goes into cardiac arrest. There is no sign of an advance directive. What do you do?
initiate advanced resuscitative efforts
During extrication of a pt you cut your finger on glass. What do you do?
Remove the glove and clean the area*
What criteria is met for rapid extrication?
Pelvic and lower extremity injury w/ pallor and has a hx of heart disease
Dimensions of wellness that involves realistic perception of life and life changing situations?
emotional
11-year-old is pronounced dead at the scene. While treating the mother she asks about her daughter. What do you tell her?
Daughter suffered devastating injuries
42.You are dispatched to a prison for a prisoner who is unconscious and lying on his stomach. The pt is handcuffed on his stomach and responds to painful stimuli. What do you do?
Ask the officer to release the pt off the handcuffs and roll pt onto back
In order to develop prob solve skills, paramedics are advised to do?
Rehearse situations in simulations
A 10 yr was struck by a car, bilateral femur fractures + head injury. Father has been notified.
Begin immediate transport and update the family enroute
36 yo pt crashed into a tree. The pt struck their head on the steering wheel and there is 2-3 ft of intrusion. The pt is still in the car, alert, and anxious. What do you do?
Deactivate airbags
You are on scene of a 32 yr old pt involved in a domestic dispute. The house smells of rotten food and there is trash scattered everywhere. You hear children playing behind a closed door. The pt refuses tx and tells you they will have you arrested if you touch anything. What do you do?
Ask the pt to sign refusal and report to pd
A mother at a concert asks you for an ice pack for her son. You note the son has a swollen extremity and deformities in multiple places. She says she will drive her son to the hospital. What do you do?
Ask to evaluate her son and AMA
Which patient is incompetent?
65 yof with a concussion
27 yo female pt involved in an MVC. The pt is trapped and you note she has severe hearing and visual impairment. The most important thing you can do for her is?
extricate immediately
An outdoor event provides rehydration units designated driver programs blankets etc, what type of program is this?
Public health hazard mitigation
You have a pt with a language barrier. What do you do?
contact dispatch for translator
Single vehicle crash on the left. Fire is parked behind the crash. Where do you park?
Pass the crash on the left shoulder
EMS director teaches about gurney control and dropping Pts. He is currently at a level 1 trauma center to observe crews coming in. What kind of program is this:
injury prevention
34 year old homeless is worried about insurance, what do you do?
transport to appropriate hospital
Crash with MCI what do you do?
scene safety
What procedure is acceptable to sterilize equipment?
pressure steam
How do you reduce exposure to gamma radiation?
stay as far away as possible
72 yr old fell. What do you tell the nurse?
took drug and hit their head
Adult Female falls but is mute and deaf, what should you do?
Assume the willingness to let you treat her constitutes as consent
18 yr cuts. Hx of suicide. Staff places him in the hallway near the exit. What should you do?
Voice concerns to ED staff
Why should you have a professional demeanor when dealing with Pt care?
Establish Pts trust
What is the main priority of the ICS at a MCI:
monitor incident organization
You partner hits the pole while backing up the unit. He is on probation
provide an objective report and have officials perform conclusions
20 yr F fell down an embankment. Said that she had the wind knocked out of her and has tenderness on her ankle. States that she does not want to go when she gets into the ambulance. What should you do?
explain implications of non treatment
Which of the following regarding medical directors decision for removing a drug from protocols is evidence based?
Pt outcomes would be worse when given