Medications
What are are the indications for Tylenol or Ibuprofen for BLS providers?
Fever or pain
Can a BLS provider give EPI to a child in respiratory distress?
With medical control approval.
You arrive on scene and find a 19 yo F seated on the ground complaining of shortness of breath pain and swelling to the right shoulder and you not red in color blotches of skin covering her arms and chest. What is you diagnosis and what is your first treatment if anything?
Anaphylaxis likely from a bee sting. Give Epi .3 mg IM CALL FOR ALS.
A BLS provider can not transport a patient with an IV in place.
THIS IS FALSE, as long as there is nothing hooked up to the IV a BLS provider can transport the patient.
I had a BLS cardiac arrest do I need to call medical control after the call
YES
up to 1000mg PO
What is the best recommended treatment for hyperthermia?
Remain in place and continue active cooling if available.
You arrive on scene to find a 14 yo M laying on the football field not responding appropriately. You note it is a 85 degree day and the coach informs you he was about to call a time out for everyone to rotate through an Ice bath set up on the sidelines. What is your immediate suspicion and what is your treatment and transport plans?
A BLS provider can transport someone on a ventilator.
True it is within your scope to transport with a ventilator.
I inserted an IGEL for a patient who was not breathing but had a pulse, do i need to call medical control after the call
YES
What are the contraindications for Acetaminophen?
Contraindications: Liver disease, shock, suspected overdose, acetaminophen within four hours, inability to tolerate oral medication
Alcohol pad.
You arrive on scene to find a 9 year old male who fell off his bike and broke his arm. The patients mother asks if there is anything you could do to help his pain. the patient weighs 80 lbs and is deathly afraid of needles. How much Tylenol are you giving him?
Aprox. 600 mg or 2 cups
A patient with suspected head injury must be transported on a backboard in supine position.
We should not be transporting a living patient on a backboard, unless the backboard is being used as a splint for multiple long bone fractures. Additionally, for patients with a head injury it is recommended they are placed with their head at a 30 degree angle.
I gave a medication as a BLS provider do i need to call medical control after the call
no
What are the contraindications of Ibuprofen?
Contraindications: Severe renal impairment, shock/overdose, anticoagulant use, NSAID/aspirin allergy, pregnancy, active bleeding
<60 BPM and 3:1 Compressions : Breaths
You return from a call, What are the three things you are required to do as the lead provider?
Debrief with the crew
RESTOCK EQUIPMENT
complete the PCR
EMTs can administer rectal medications.
TRUE, EMT-B can assist with rectal Diazepam and anti-seizure medication.
I have an 86 YOM who does not want to go to the hospital after falling hitting his head and loosing consciousness while on aspirin do i need to call medical control
YES this is considered a high risk RMA
What are the indications (primary exposure and secondary exposure) of EPI?
Primary: If severe respiratory distress, facial or oral edema, and/or hypoperfusion
or
Secondary: a history of anaphylaxis and has an exposure to an allergen developing respiratory distress and/or hypoperfusion and/or rash
What is the Cardiac Related Chest Pain procedure?
Aspirin
Oxygen
12 lead & Transmit
call Medical Control for interoperation
Assist with nitro if the patient has and medical control approves
You arrive on scene to find a 54 YOM complaining of chest pain, ALS is not available. What do you do for this patient and what is your transport destination?
High flow O2 Aspirin
12 lead & transmit call for interpretation
Assist with nitro if appropriate
Transport to Mather with pre-arrival notification
Once a C-Collar is applied it can not be removed until the patient is seen at the hospital.
FALSE, C-Collars can be removed if deemed by the highest provider on scene to be not required. Cervical collars have recently come under question by recent scientific evidence finding them to do more harm then good in the prehospital environment.
PMCID: PMC3949434
I have a 2 week old baby, mom called because it looked like the baby stopped breathing for a second but now says she was just tired and said the baby was crying the whole time and says she doesnt want to go to the hospital do you need to call medical control
yes all patients under the age of 1 reguradless of parents presence you must call