Hospital Specialties
Level I Adult Trauma Center in Maryland
Johns Hopkins Hospital, Baltimore
Where are the two locations you will feel for a pulse if you believe your patient has gone into cardiac arrest?
- Carotid
- Radial
What are the rates for a nasal cannula and NRB for oxygen delivery?
NC: 2-6 LPM
NRB: 12-15 LPM
If a patient has fallen and is taking anticoagulants, would it be appropriate to call your patient a category delta trauma?
Yes, BUT it can also depend on the mechanism and timeframe of the fall! Use your logic and field experience to make the appropriate decision for your patient!
What channel is dispatch and operations on the radio?
7A1: operations
7A2: dispatch
Your patient was in a car accident on IN 495 between exits 38 and 36 and now has shards of glass in their eyes with profuse bleeding. What is the best hospital to take your patient to?
Wilmer Eye Institute/The Johns Hopkins Hospital, Baltimore
What is the proper chest compression rate?
100-120 BPM
List the 8 BLS medications.
1. Oxygen
2. Albuterol
3. Acetaminophen
4. Narcan
5. Baby aspirin
6. Activated charcoal
7. Glucose
8. Epinephrine
Alpha
What does it mean if a hospital is on yellow?
There are not enough beds.
What are the two pediatric trauma centers?
- Children's National Medical Center, DC
When ventilating your patient before an advanced airway is placed, what is the ventilation rate?
______ breaths every _______ compression
1 breath every 10th compression
What are the indications for Narcan?
To reverse respiratory depression induced by opiod/narcotic agent.
What are three injuries that would make your patient be a category bravo trauma?
- 2 or more proximal long-bone fractures
- Amputation proximal to wrist or ankle
- Chest wall instability or deformity
- Crushed, degloved, mangled, or pulseless extremity
- Open or depressed skull fracture
- Penetrating inj to head, neck, torso, or extremities closer to elbow and knee
- Pelvic fracture
- Suspected spinal injury with new motor or sensory loss
- Active bleeding requiring a tourniquet
What does it mean if a hospital is on red?
There are not enough beds with heart monitors. Only tx cardiac pts if necessary.
You are dispatched as a transport unit to a domestic violence call. The female pt states she wants to be transported for "evidence collection" due to sexual assault. What is this kind of patient called? What hospital would you transport to?
- Shady Grove Hospital (pediatric and adult cases)
You are a BLS unit first on scene for a possible cardiac arrest.
You feel for a pulse and check for breathing. You confirm it is a code. What are your next 4 steps.
- Begin compressions
- Get AED and set up
- Begin ventilating
List 4 adverse effects of albuterol.
1. Tachycardia/palpitations
2. HTN
3. Angina
4. Nervousness/anxiety
5. Tremors
6. Dizziness
7. Headache
8. Sweating
9. Nausea/emesis
10. Sore throat
Your patient has fallen from a height of 11 feet and now has a respiratory rate less than 10. What two categories do these findings fit into? Which one goes where?
Height of 11 feet -- Charlie
Respiratory rate less than 10 -- Alpha
If any MCFRS personnel, volunteer or career, is injured, what hospital are we supposed to tx to?
(SUPPOSED TO being the key words)
Washington Hospital Center
You have a 78 YOF pt with signs and symptoms of a stroke. The Cincinnati stroke scale is positive and they have a LAMS of 4. Suburban Hospital is on reroute. What is the next hospital you could take your patient to?
- Shady Grove
- Johns Hopkins, Baltimore
List 2 responsibilities of ALS once they are on scene of a working code.
- Establish IV/IO
- Administer ALS meds
- Establish advanced airway
- Coach/timekeeper role
- Family Support
Explain the process of administering Epi.
Confirm allergic rxn/anaphylaxis. Wipe down pts arm with alcohol pad and clean top of epi bottle. Draw up 0.5 nor 0.15 (depending on age of patient) of air and push it into epi bottle. Draw up appropriate dosage. Pinch pts arm and inject epi. Be sure to run through RPMDDD.
You respond to an MCI involving multiple vehicles and have 3 patients being left in your care by command. One is a 65 YOM with a right closed femur fracture and right closed humerus fracture. The second is a 7 YOF who was unrestrained in a car that was going 80 MPH. The third patient is a 56 YOF who self extricated from her car after she rear ended a car while staring at the car crash. What trauma category should each patient be in?
1. Bravo
2. Charlie
3. Delta
Give an EMRC consult for a p2 category charlie trauma. Fill in the rest of the information with your choice.