Trauma
this is the most common type of shock seen in Trauma patients
What is Hypovolemic
HIPAA requires Covered Entities to provide this document , which outlines their rights regarding their health information.
What is the Notice of Privacy Practices?
Competency, Capacity and Informed are required for a patient to do what.
What is Refuse Care?
AMA versus lift assist.
NH EMS Protocol that covers the condition where a child suddenly stops breathing and becomes limp, often with a color change, but then recovers. Hint: Acronym
What is: Apparent Life-Threatening event (ALTE) or (BRUE)Brief Resolved Unexplained Event.
Signs of this type of "distributive" shock include Dizziness, Coughing, Sneezing, hives/urticaria, Labored breathing, rapid heart beat, Wheezing, Vomiting.
What is Anaphylactic Shock?
Note: Dose for Adult/Child (2 "systems"=Anaphylactic)
What is the ETCO2 target range for a patient with a suspected Traumatic Brain Injury.
What is 35-45 mm/hg?
True or False: A patients License Plate Information is considered Protected Health Information.
What is True
Procedure/Protocol that includes the used of 2% Lidocaine: Adult: 1 – 2.5 ml (20 – 50 mg) 2% lidocaine. • Pediatric: 0.5 mg/kg 2% lidocaine
What is IO (intraosseous Access)Protocol 6.4
How many "points of contact" to the stretcher must a child safety seat have to be considered "secured" in an ambulance
What is 4 points of contact?
(5 point harness is to the child) see NH EMS 8.12
This classic sign of “Compensated” shock is the body's initial response to maintain blood flow to the vital organs.
What is Tachycardia
this Triad includes Hypotension, Muffled heart sounds, and Jugular vein distension.
What is Becks Triad?
HIPAA allows PHI to be shared without Patient authorization for these 3 main purposes.
What are Treatment, Payment, and Healthcare Operations.
ALS Call Review, Completed and Ready for Billing are topics discussed in what AR/SOG?
AR 104.04 PCR Quality Assurance
Organizations like the American Heart Association, American Academy of Pediatrics, and others use these terms to categorize children in these age groups (3 Answers):
-Birth to 1 month
-1 month to a year
-1 year to puberty (or 18 years of age)
What are:
Neonate
Infant
Child (toddler, school age, adolescents, pediatrics etc.) NH Length Based Tape
There are 3 stages of shock
What are Compensated, Decompensated and Irreversible
what are the 3 conditions that make up the Trauma Triad of Death?
What are: Coagulopathy
Hypothermia
Metabolic Acidosis
An Assessment performed by an ALS crew as part of an emergency response that was necessary because of the Pt's reported condition at the time of dispatch (EMD determinates) was such that only an ALS crew was qualified to perform an assessment.
What is ALS Assessment?
An ALS Assessment does not necessarily result in a determination that the patient requires an ALS level of service.
Which CFD Administrative Regulation (AR) recommends patient referral to an outside agency.
What is VNA referral (SOG 210.11)
This electrolyte disturbance is commonly seen in pediatric patients with dehydration?
What is Hyponatremia?
Note: Type of Shock, 20ml/kg resuscitation
Heart Rate divided by Systolic Blood Pressure gives you what
What is Shock Index?
Note: >1= "Bad" don't RSI, resuscitate before intubate (remember 1:1 = "Bad")
This term describes the pattern of injuries sustained from being struck by a car, then hitting the hood, and finally impacting the ground.
What is the Waddell Triad
This HIPAA rule establishes national standards for how PHI should be used and disclosed
What is the Privacy Rule?
Which NH EMS Protocol contains "the 20 minute rule"
What is Resuscitation Initiation and Termination 8.15
Formula used to determine (baseline) systolic blood pressure in a child older than 3.
What is 70+ (2 x age in years)
There are 4 types of shock, AND one has 3 sub categories
What are Hypovolemic, Cardiogenic, Obstructive and Distributive
(Distributive has 3 sub-categories: Septic, Anaphylactic, Neurogenic)