Behavioral
How many uniformed SFFD personnel shall be present to retrain a patient?
5
Physiological Trauma Activation Criteria includes a respiratory rate under __ or above ___.
<10, >29
What medication is indicated for SVT?
Adenosine
T/F: the most common cause of non-traumatic arrest in pediatrics ia respiratory problem.
True
Compressions should be done at what rate per minute?
100 to 120.
Under what circumstances may a patient remain in handcuffs?
Law enforcement riding along
What is the physiological trauma triage criteria related to GCS?
Motor under 6 (unable to follow commands)
How do you draw up an epi dose for cardiac arrest without a preload?
Draw from vial into 10cc flush
True/false: the definition of pediatric for all SF protocols is under 18 years of age.
False; only for purposes of destination. Clinically, a pediatric is under puberty.
What is the appropriate compression to ventilation ratio for adults and pediatrics with no advanced airway?
Adults 30:2, children 30:2 single rescuer 15:2 multiple rescuer.
What type of restraints are permitted, and what may they be restrained to?
Soft restraints; gurney or backboard
For children under age 0-9, physiological trauma activation criteria includes an SBP under ____
70 + 2x age in years
Your paramedic asks you for aspirin for an adult patient. How many pills should you grab and what is the dosage in milligrams?
4 pills; 324 mg
T/F: all of the following pediatric vital signs are within normal ranges (age in parenthesis). RR 50 (6mo), HR130 (1year), BP 88/50 (2 year).
True
What is CCF and why is it important?
Chest compression fraction; maintaining perfusion pressure
Describe 3 principles used in effective verbal-deescalation.
body language, listening skills, tone, etc
Name 4/6 Mechanism Criteria specific to automobile (not motorbike) crashes.
Evidence of abdominal seat belt sign • Intrusion into passenger compartment (including roof) > 12 inches or > 18 inches on any site • Ejection from vehicle (partial or complete) • Death of another passenger in same compartment • Need for extrication of entrapped patient • Child 0 – 9 years old unrestrained or in unsecured child safety seat
What are the Narcan dosages for IM, IV, and IN?
IM/IV: 0.4mg, may repeat q 5 mins up to 2mg. Intranasal: 2mg, may repeated in 5 min
Name the four conditions that automatically qualify a pediatric patient for Pediatric Critical Medical status.
Arrest/rosc, hypotension with shock, status epilepticus, acute deteriorating LOC.
What compression to ventilation ratio should be done for neonates?
3:1
What medication is used for chemical sedation, and what medication is used for cooperative patients with psychiatric symptoms?
Droperidol; Olanzapine
Write down 9/13 anatomic trauma criteria.
Gunshot wounds
2.1.2.2. Penetrating injuries to head, neck, torso or proximal extremities
2.1.2.3. Chest wall instability, deformity, or suspected flail chest
2.1.2.4. Burns or inhalation injuries associated with significant trauma
2.1.2.5. Suspected fracture of two (2) or more long bones 2.1.2.6.
Open fractures of femur, tibia, or humerus 2.1.2.7.
Suspected pelvic fracture 2.1.2.8. Amputation or near-amputation proximal to wrist or ankle 2.1.2.9.
Crushed, degloved, mangled, or pulseless extremity associated with trauma 2.1.2.10.
Open, depressed, or suspected skull fracture 2.1.2.11.
Active bleeding that requires a tourniquet or wound packing with continuous pressure 2.1.2.12.
Suspected spinal injury with new motor or sensory loss 2.1.2.13.
Pregnancy > 20 weeks with abdominal trauma
What are 3/4 contraindications for Ondansetron?
Hypersensitivity, taking apomorphine, known phenylketonurics, prolonged QT interval
For the purposes of calculating burned area, what % BSA is an infant’s head?
18%
For each of the following four patients, should you as a solo provider call for help first or perform 2 minutes of CPR first? Adult Witnessed Arrest, Adult Unwitnessed Arrest, Pediatric Witnessed Arrest, Pediatric Unwitnessed Arrest
Call for help first in all but pediatric unwitnessed arrest.