Adult Medical
What are the 3 approved Adult intraosseous sites?
Proximal tibia, Humeral head, and Sternum
True or False: It is not necessary to cover the unaffected/uninjured eye.
TRUE
Scene time for adult/pediatric trauma patients should not exceed __ minutes.
10
What evaluation must be completed on newborn patients at one and five minutes of life?
APGAR
Pediatric protocols should be used until the patient is > __ kg or showing signs of puberty.
60
What is the criteria for activating a stroke alert?
Positive Cincinnati Pre-hospital Stroke Scale
BGL >60
Onset of symptoms within 6 hours
Name 3 indications for using Spinal Motion Restriction in blunt trauma patients.
Abnormal LOC
Midline neck/back pain or tenderness
Focal neurological signs and symptoms
Anatomic deformity of the spine
Distracting injury or circumstances
What is the treatment for a 6-year-old patient that has a BGL of 48mg/dL?
Administer Oral Glucose 15g (1 tube) PO
Upon discovering a nuchal cord what is your next course of action?
Attempt to remove the nuchal cord and if unsuccessful, double clamp the umbilical cord and cut between the two clamps.
If all other termination criteria are met, after __ minutes of high-quality CPR you should consider contacting OLMD to request termination of resuscitation.
20
Name at least three differential diagnosis for a behavioral emergency patient.
Seizure/Postictal, Head Injury, DKA or Infection,
Toxins, Withdrawal syndrome, Excited Delirium,
Hypertensive Emergency, Electrolyte Disturbances,
Bipolar, Schizophrenia
True or False: A patient who has sustained burns and significant trauma should be transported directly to a burn center.
FALSE
What is the treatment for a 5-year old patient suffering from severe asthma exacerbation without relief from a duoneb treatment?
Administer Epinephrine Autoinjector 0.15mg IM
What condition are you most concerned for in a pregnant patient with headache, nausea, peripheral edema, and a BP of 182/94?
Pre-Eclampsia
The TBSA must be at least __% for fluid resuscitation to be indicated in burn patients.
20
What does the pneumonic CHAPS stand for?
Chest Pain
Hypotension
Altered Mental Status
Pulmonary Edema
Shock
True or False: 1st degree burns are not counted in the calculation of TBSA.
TRUE
What is the treatment for suspected epiglottitis?
Supportive care only; minimize medical interventions and allow the patient to assume a position of comfort
Which medication should be given to a patient who is experiencing a life-threatening postpartum vaginal bleeding?
TXA 1g in 10mL NS IV/IO over 10 minutes
Utilizing the START triage guide, how would you categorize an adult patient who begins to spontaneously breathe only after you've positioned the airway and placed an NPA?
Immediate
What are the guidelines for a patient to be classified as having septic shock?
Suspected or known infection, EtCO2 <26
AND two or more of the following
Temp: <96.0F OR >100.4F
HR >90 AND RR>20
SBP <90 mmHg
Altered Mental Status (GCS<15)
What is the fluid resuscitation treatment of a patient with a severe head injury?
Titrate IV/IO fluids to maintain a SBP >110mmHg; max fluid volume of 2L
What is the goal of fluid resuscitation in pediatric patients who do NOT have a head injury?
To increase their SBP above their age specific minimum blood pressure.
What presentations would trigger a call for additional resources for a newborn between birth and 24 hours of life?
HR <100 or is not adequately breathing
Baby is limp or APGAR <7
Meconium is present and infant has a weak cry
What does the B in the Pediatric Assessment Triangle (ABC) stand for?
Work of Breathing