In & Out
Quick - Call 911
Don't know this #, who dis?
Growing a fetus to tiny human
Whoa! That's ALOT of blood
100
What is a BIAD and name some devices that you might see in the wild?
Blind Insertion Airway Device; iGel, King, LMA, Combitube
100
What parameter should be monitored in an acute bronchospasm asthma patient?
EtCO2 waveform
100
What medications can be given intranasally and how many mL’s per nostril?
Narcan, Fentanyl, and Versed. No more than 1mL per nostril
100
If you have a 10y child on a propofol drip and the ED staff has titrated it to 75mcg/kg/min. What should you do?
Contact PICU for clarification of orders regarding propofol drip in child <14 years old.
100
You are transferring a trauma patient from Mendota to Rockford and the patient has received 3 units of PRBC’s and 2 units of FFP prior to arrival. What medication should be considered if not already administered?
Calcium gluconate
200
If a pre-hospital provider placed a BIAD, does the LF crew need to exchange/replace with a definitive airway if the BIAD is working properly and adequately ventilating/oxygenating the patient?
No
200
What is the current guidelines for a symptomatic adult bradycardic rhythm?
Atropine 1mg
200
You are about to intubate an adult patient, 120kg, due to altered mental status and inability to protect airway. You chose Etomidate and Rocuronium for medications. How much of each medication would you draw up and give?
Etomidate 24-40mg. Rocuronium 100mg
200
What is a specific assessment parameter that is included for Peds DKA?
Monitoring and replacing a potassium if less than 3.3 and acquiring ABG and glucose if time permits
200
You are called to a scene with a patient whose legs are pinned under the dashboard and extrication is in progress. What medications are you going to administer per Crush Protocol?
1L IV fluids, Sodium Bicarbonate 2 amps, calcium gluconate 2gr, albuterol 10mg
300
What is the dose of succinylcholine for a 130kg patient?
200mg
300
If you are caring for a suspected MI patient, and they report a change in their pain or other symptoms, what should be performed?
12-lead EKG
300
You have a 56y male patient with an ENT hemorrhage, what is the nebulized dose of TXA?
500mg over 15 minutes
300
You are treating a pre-eclampsia OB patient. What is your doses for Hydralazine and Labetalol?
Hydralazine 2.5mg q15 minutes per order. Labetalol 10-20mg over 2 minutes
300
What is the dose for TXA for a 13y pediatric patient?
15mg/kg (1gram max) diluted in 100mL of NS over 10 minutes
400
What is the recommended volume to set for the transport ventilator in the setting on ARDS?
4-6mL/kg
400
If you are suspecting a benzodiazepine overdose, what could be given per protocol?
Narcan 0.4mg and repeat and consider a drip (Flumazenil requires a direct order from medical control)
400
You have a 10kg pediatric sepsis patient with a rectal temperature of 102F. No medications have been given prior to your arrival. What medications and doses would you give?
Tylenol 150mg (15mg/kg) or Ibuprofen 100mg (10mg/kg)
400
What is the maximum dose for a pediatric patient on Levophed?
2.0mcg/kg/min
400
You respond to a scene of a MVA for an adult patient who is currently being extricated from the vehicle. On assessment, your patient is confused and repeatedly asking if your name is “Craig”, you may smell a hint of ETOH, complaining of pain all over with most of it in his lower back, has a tourniquet to right lower extremity from an obvious deformity that has a large laceration and bleeding wasn’t controlled with direct pressure. Per the spinal motion restriction policy, should this patient be backboarded and c-collared?
Yes
500
You are placing your kiddo patient on NIMV via an appropriately sized Optiflow cannula. What settings do you need for the Hamilton ventilator?
Mode: NIV-ST. rate, pressure, P ramp, I time, PEEP, flow trigger, and FiO2
500
When caring for an aortic emergency patient, name the three parameters for esmolol, cardene, and emergent administration of blood products.
Esmolol 50-200 q5-10minutes by 25mcg/kg/min to a goal heart rate of 60. Cardene start at 5 and increase by 2.5 q5-15 minutes to desired blood pressure with a max of 15. Blood to be given if persistent hypotension SBP<90. Steps include stopping antihypertensives, fluid bolus of 500mL and administer blood if suspected hemorrhage from rupture.
500
You are transporting a 47kg, 8y seizure patient. The child begins to seize. What is your Ativan dose and how much are you going to give?
0.1mg/kg. 4mg (max dose)
500
When transporting an OB patient, what are the assessment questions that should be asked/obtained?
Gravida/Para, due date, prenatal care, prior pregnancies/deliveries/complications, effacement/dilation/membranes/station, progression of labor, onset/duration/frequency/severity
500
What is the reversal agents for a life threatening hemorrhage in the setting of iatrogenic anticoagulation, per protocol?
K Centra. 2-4 units of FFP, and Vitamin K 10mg over 30minutes. (any of these answers but specifically K Centra)