Neurological
Diabetic
Protocols
Medications
Bonus
100

This type of stroke results from a blockage cutting off blood flow to brain tissue.

What is an ischemic stroke?

100

This condition can mimic intoxication and be missed by EMS.

What is Hypoglycemia?

100

In the "Seizure" protocol, we need to maintain an SPO2 above ___%?

What is 92%?

100

This hormone raises glucose and can be administered IM.

What is Glucagon?

100

What am I:

- HTN with widening pulse pressure

- Bradycardia

- Irregular respirations

What is Cushing's Triad?

200

An acute neurological condition involving a temporary dysfunction caused by abnormal electrical brain activity.

What is a seizure?

200

Shaky, sweaty, altered mental status.

What is hypoglycemia?

200

What BGL reading does League City EMS treat for hypoglycemia?

What is <60mg/dL?

200

What initial medication and dosage do we administer for 

BGL 52

GCS 14, lethargic but able to follow commands. 

What is Oral glucose 15G?

200

Preferred IV treatment for hypoglycemia?

What is D10?

300

A seizure that lasts 5 minutes or longer, or multiple seizures without regaining consciousness between them.

What is status epilepticus? 

300

Polyuria, polydipsia, polyphagia.

What are classic hyperglycemia symptoms?

300

Why do we assess 12-lead with complaints of Hyperglycemia?

What is a silent MI?

300

What medication and dosage would you administer for the following vitals:

- BP: 236/130

- HR: 56

- GCS 14

What is 10mg Hydralazine?

300

This class of drugs may mask hypoglycemia symptoms like tachycardia.

What are Beta Blockers?

400

A progressive brain disorder that damages neurons leading to motor symptoms such as tremors, stiffness, slow movement, and impaired balance, as well as non-motor symptoms including depression, sleep disturbances, and cognitive changes.

What is Parkinson's?

400

Name the Primary Impression:

  •  BP 88/62 mmHg, HR 120 bpm, RR 36 (Kussmaul respirations), O₂ sat 96% on 2L NC, BGL HI, GCS 10.

  • Symptoms: Deep, labored breathing with acetone odor, nausea, vomiting, drowsiness.

What is DKA?

400

What is the blood pressure goal for CVA and what % reduction are we trying to achieve?

What is < 220/120 and up 20% reduction. 

400

What medications and dosages can you give for HTN in CVA patients?

What is 10mg Labetalol or 10mg Hydralazine.
400

Chest pain, Hypotension, Tachypnea, Tachycardia, 12-lead Sinus Tachycardia with no ST changes, BGL 427. What is your primary impression?

What is Hyperglycemia?

500

58 Y/O M fell off ladder 1 hour ago and briefly lost consciousness. EMS obtained an AMA refusal. Now GCS 3. What type of hematoma?

What is an Epidural hematoma?

500

Gradual onset, extreme dehydration, very high BGL (>600), no fruity breath.

What is Hyperosmolar Hyperglycemic State (HHS)?

500

What is the RACE score for 

Significant left sided facial droop, right sided numbness/tingling with some movement but moderate weakness, and slurred speech, unable to "get thoughts out"? Patient is unable to close eyes and make a fist.

What is 6?

500

What are the medications and dosages with max for Seizure protocol.

What is:

- Versed 5mg IM (Max 10mg). 

If actively seizing:

- Ativan 2-4mg IV/IO, repeat 2mg IV/IO q 2-3 minutes while seizing (max 10mg).

500

What is the Versed dosage for pediatric seizures with max?

What is 0.2mg/kg IM/IN, may repeat q2-3 minutes. 

Max 5mg/dose.