Recognizing Signs and symptoms.
You are dispatched to a Suspected Stroke. Name 3 signs/symptoms your pt could be experiencing if they were having a stroke.
Facial Droop
Arm drift
Aphasia
Unstable Gait
One sided weakness
One sided; abnormal sensation
Nausea and or vomiting
Dizziness
Altered mental
visual disturbance
Unequal pupils
What is the Millcreek policy for ambulance response for all in-district box alarms.
One BLS Unit is to responded to any and all In-district box alarms. (This included Gas boxes).
A secondary BLS Unit is to responded if units arrive on scene and report conditions. (Smoke, fire)
According to the BLS protocols what are the vital signs and assessment criteria for CPAP
Tachypnea- RR greater than 24
tachycardia- HR greater than 100
hypertension- greater than 120mmhg systolic
hypoxia - pulse ox reading of less than or equal to 90%
labored breathing that results in the pt being unable to speak in full sentences.
What are the different “suspicions for infection” in the Pre-Hospital Sepsis ALERT Criteria. ( Name 4)
Indwelling Catheters and or central lines
Pts with altered mental status from a nursing facility. ( Cadia, Manor Care, Millcroft, Coral Springs (Etc)
Chronic Diseases (diabetes, renal failure/dyalsis)
Immunocompromise ( Cancer WITH chemo treatment, HIV+, Transplant recipient)
What is the correct dosing for an adult Duo Nebulizer Rx including oxygen
Albuterol- 5mg
Atrovent- .5mg
oxygen- 8LPM
You are dispatched to a Pt experiencing lethargy, AMS and slurred speech. Your stroke eval is negative and the pts family stated the pt has not consumed drugs or alcohol. What are 3 other possible causes for these symptoms.
Hypo/Hyperglycemic
Head injury
Seizure
Hypoxia
Infection
Psychiatric Emergency
What steps should be taken to report a workmans comp injury
where can you find workman’s comp paperwork
Report your injury immediately to the on duty career Lt or shift lead if LT not available
obtain paperwork from Pinter room mailbox
fill out paperwork
scan paperwork using printer email to Ed Weinstein, Collin’s, and Doughten
place hard copy in Collin’s mailbox or hand directly to him.
Advise LT or shift lead paperwork had been completed.
What is the protocol for cord prolapse
Place the mother in the knee to chest position on the stretcher
keep cord moist with saline soaked gauze
attempt to release pressure off the cord by gently lifting the presenting part of the cord
Ensure pulse still be felt in the cord
What does the V.A.N acronym stand for.
What criteria does the patient need to meet to be ”V.A.N Positive”
V- Visual
A- Aphasia
N- Neglect
If the pt is not experiencing weakness the V.A.N assessment is over and the pt is deemed V.A.N Negative.
If the pt is found to be suffering from Visual Disturbance they are “V.A.N Positive”
If the pt is noted to have aphasia, slurred speech note to be counted they are “V.A.N Positive”
If the pt is noted to to have neglect, she is considered to be “V.A.N Positive”
At or above what age does the patient fall under the adult protocol for Albuterol
6 years of age
You are dispatched to an Alpha Sick Person. upon assessment you find your pt is experiencing chest pains. She is tachycardic, Diaphoretic, short of breath, Hypoglycemic, fatigued, and has no radial pulses. Pt stated she has a cardiac Hx however she can‘t remember the name of the condition. What could your pt be suffering from.
SVT. (Supra Ventricular Tachycardia)
Diabetic Emergency
P.E
Postictal (seizure)
M.I
What needs to be brought to the scene of a Fire from the BLS unit.
Stretcher
Primary bag
AED
Burn Bag
Pediatric Bag
Pet O2 Masks
Give me 5 situations where you would need to contact medical control to obtain a refusal acknowledgment
Suspicion of intoxication by drugs and or alcohol
past medical Hx or suspicion of dementia
Any intervention preformed by any other health care provided
A summons of EMS to a health care facility or call initiated by a health care provided
suspicion of acute mental disease or or SI,HI
Suspicion of significant heady injury
Respiratory distress
Abnormal vitals signs
AMS, Who remain altered
age less than 18yo
Any time ALS is dispatched and recalled by BLS.
Provide 5 prehospital trauma Code injury pattern criteria
Penetrating injuries for the Head, Neck or Torso and Proximal extremities.
Skull Deformity
Chest wall Instability
Suspected spinal injury with new onset of motor or sensory loss
suspected pelvic fracture
Suspected fracture to two or more long bones
Crushes, Degloved, Mangled or pulseless extremity
Amputation proximal to the wrist or ankle
Active bleeding requiring a tourniquet or wound packing with continuous pressure
what is the indication for Zofran
Any pt 15 years of age or older, ongoing nausea/vomiting that is not from a toxin or alcohol ingestion
You are dispatched to a Charlie Interfacility Transport with a C/c of “Altered Mental Status”. You arrived on scene staff tell you the pts was being treated for pneumonia. You note the pt to be cold to the touch. You find the pt to be tachepnic, hypotensive and hyperglycemic. Pt is only alert to verbal stimuli. What could your patient be suffering from?
SEPSIS
Diabetes
What is the chain of command per new employee ranking structure as stated in operation handbook
PPC
Career assistant chief
career captain
FF/EMT LT
EMT LT
FF/EMT
EMT
Using the BLS protocol rule of 9’S
if your pt has complete burns to his genitalia, left buttocks, and the entire left thigh, what would be the pts burn percentage.
12.5%
genitalia-1%
thigh-9%
Buttocks-2.5%
What does SIRS stand for in the sepsis protocol
What are the SIRS Criteria
how many SIRS criteria need to be met to activate a Prehospital Sepsis Alert
SIRS stand for, Systemic Inflammatory Response System.
Temperature grater than 100.4
HR greater than 90
RR Greater than 20
hypotension- systolic less than 90
If TWO or more SIRS criteria are met along with suspicion of infection Activate the Pre-hospital sepsis alert.
what is the weight requirement for the Adult Epi dose (0.3)
Epinephrine auto-injector delivers a single dose of 0.3mg to a patient 30kg/66lbs or above.
What are some signs and symptoms of a Pulmonary Embolism
Shortness of breath
chest pains
pallor
Diaphoresis
Cough
Rapid or irregular heartbeat
Fever
What bridge should Ambulances not be driven under
can BLS units be driven under the CSX Railroad
Stanton Christiana Bridge
Yes
What does A.P.G.A.R stand for
How many point can one pt have
when should you initiated compressions on a neonate even if they are not Pulseless and apneic
Appearance
pulse
grimace
activity
respirations
one pt can have a maximum score of 10
If a newborn has a HR less than 60 initiated CPR
What are 2 important things to communicate to the receiving facility about your suspected stroke pts Hx aside from your assessment and findings
Last know well
use of anticoagulants
Hx of stroke
What are the two contraindications for Benadryl
If the pt has a known allergy to Benadryl
CNS depression