Cardiac
During CPR on a patient what depth for compressions should be reached for the following age groups
Infant / Child / Adult
Infant = 1.5inches or 1/3 the chest
Child = 2 inches or 1/3 of he chest
Adult = 2 inches or 1/3 of the chest
What is wheezing a sign of, and what 2 BLS treatments can be used on it
sign of bronchoconstriction
-albuterol
-CPAP
What all can cause false SP02 readings
(most correct answers, per protocol, wins thepoints)
Hypothermia / Hypoperfusion (shock) / CO poisoning / Peripheral vasoconstriction / Inaccurate pleth wave
how high above a wound should a tourniquet be applied
2-3 inches
How long do you check a pulse on a hypothermic patient
30-45 seconds
Following the ACS protocol what does the 5/5/10/2 stand for
12lead ECG >5min
STEMI identification and notification >5min
transport >10 minutes
providers during transport 2
When ROSC is achieved what is the ETCO2 goal
40mmHg
What are the contraindications for Aspirin
Hypersensitivity
Active ulcer disease
Pregnancy (especially in the 3rd trimester) or a nursing mother
Following the pediatric infant rule of 9's what is the TBSA for a patient with burns to the left leg, left arm, and the anterior chest and abdomen
40.5%
left leg= 13.5
chest/abdomen = 18
left arm = 9
Under what age can a patient not refuse medical care
<14
What are the two shockable rhythms
V-fib
V-tach
In the presence of pulmonary edema what BLS treatments should be considered
-CPAP
-0.4mg nitroglycerin
What are the gasses the 4 gas monitor tests for
-Oxygen
-CO
-Hydrogen Sulfide
-Methane
How many patients determines a
-EMS task force
-MCI alarm
-Additional MCI alarms
Task force = 10 patients
MCI alarm = +10 patients
Additional MCI alarm = +15 patients
List the age range for
-Neonate
-Infant
-Child
Neonate = birth-1month
Infant = 1month-1year
Child = 1year-18years
What are contraindications for using the Lucas device
-Inability to position correctly on a patient
-Pregnant patients
-Pediatric Patients
-LVAD Patients
list the ranges for
-mild hypoxia
-moderate hypoxia
-severe hypoxia
Mild = 90-91%
Moderate = 86-89%
Severe = <86%
When monitoring CO levels on a patient what reading would be considered abnormal for a Non-smoker and what reading would be abnormal for any patient
Non-smoker = 5-10%
Any = 10-15%
Following Trauma Triage Red tagged patients have compromise to which body systems
-Airway
-Breathing
-Circulation
What are the BLS treatments for Heat Stroke
-head elevated 15-30 degrees for the stretcher
-rapid cooling
-cold packs to the back of the neck, the groin, and axillary areas
What are the contraindications for High Performance CPR
Pediatric patients under 12YO
Traumatic cardiac arrest
Systemic hypothermia
Pregnancy with estimated >=24 weeks
Unrelieved airway obstruction
List as many contraindications of CPAP as you can, most correct wins
Respiratory Arrest / Agonal respirations / Unconscious or obtunded / Shock associated with cardiac insufficiency / Trauma / Persistent nausea and vomiting / Facial anomalies / Tracheostomy / Inability to cooperate with procedure / Pediatric patients / Recent gastric, laryngeal, tracheal, or esophageal surgery
What are the 5 Rights o a medication cross chec
Right Patient
Right Drug
Right Dose
Right Route
Right Time
What injury types indicate transport to a Level I or II Trauma Center
(most correct wins the points)
Penetrating injuries to head, neck, and torso / Flail chest / 2 or more long bone fractures / Crushed, degloved, or mangled extremity / Amputation proximal to wrist or ankle / Pelvic fracture / Open or depressed skull fracture / Paralysis
Following the Termination of resuscitation protocol, list all the findings patients could present with to terminate resuscitation
-Rigor mortis
-Decomposition of body tissue
-Dependent lividity
-Injuries incompatible with life
-incineration (100% thickness burns)