Suffolk Remac 2021 Best Rated Exam
Questions
VFib/ pulseless Vtach - ANS--advanced airway if you cannot ventilate enough on BLS
level,
-monitor
-defib 360J/biphasic equivalent
-IV/IO/EJ
-defib 360J or biphasic equivalent
-Epi 1;10,000 1 mg IV/IO/EJ q 3-5 mins
-defib 360J or biphasic equivalent
-if renal failure, TCA OD, hyperkalemia administer sodium bicarb 1 mEq/kg IV/IO/EJ
-Torsades admin Magnesium Sulfate 2 gm IV/IO/EJ
-Amio 300mg IVP repeat of 150 IVP in 3-5 mins
ALS Adult Care Protocol - ANS-HR <50 or >110
SBP<90mmhg or >180mmhg
DBP >110mmhg
RR <10 or >30
CP, Respiratory distress, unresolved AMS
ALS Adult Care Protocol Tx - ANS-C- Spine precaution, vitals, IV NS @ KVO, monitor ,
BGL
Asytole/PEA - ANS--secure airway with advanced airway unless BLS airway is not
sufficient
-IV/IO/EJ
-monitor
-fluid challenge 20 ml/kg repeat to total of 40 ml/kg
, -Epi 1:10,000 1 mg q 3-5 mins
-H's/T's
-renal failure, TCA OD, hyperkailemia sodium bicarb 1 mEq/kg IV/IO/EJ
- tension pneuma suspected = needle chest decompression
Medical Control options for Asytole/ PEA - ANS--termination of resuscitation
-need decompression
-calcium chloride (calcium channel blocker OD )
-glucagon (beta blocker OD
- dextrose 50% (hypoglycemia)
-narcan
Shoch/hyperfusion after ROSC - ANS--high flow o2, PPV
-monitor, 12 lead
-fluid bolus 20 ml/kg total 40 ml/kg
-2nd IV access
-norepi 5 mcg/kg if SBP <90 mmhm titrate to 20 mcg/kg
Medical control options for SHOCk after ROSC - ANS-repeat any of the above, sodium
bicarb
ET, calcium chloride, glucagon, epinephrine infusion , MFI/ RSI
Field Termination of Resuscitation protocol - ANS-- pt must be normothermic
- unwitnessed,
-no shocks were delivered/ asystole/ refractory to all IV/IO medications,
-min of 20 mins of CPR, -family accepts the decision
Cardiac dysrhythmias protocol - ANS-High flow O2
monitor
Questions
VFib/ pulseless Vtach - ANS--advanced airway if you cannot ventilate enough on BLS
level,
-monitor
-defib 360J/biphasic equivalent
-IV/IO/EJ
-defib 360J or biphasic equivalent
-Epi 1;10,000 1 mg IV/IO/EJ q 3-5 mins
-defib 360J or biphasic equivalent
-if renal failure, TCA OD, hyperkalemia administer sodium bicarb 1 mEq/kg IV/IO/EJ
-Torsades admin Magnesium Sulfate 2 gm IV/IO/EJ
-Amio 300mg IVP repeat of 150 IVP in 3-5 mins
ALS Adult Care Protocol - ANS-HR <50 or >110
SBP<90mmhg or >180mmhg
DBP >110mmhg
RR <10 or >30
CP, Respiratory distress, unresolved AMS
ALS Adult Care Protocol Tx - ANS-C- Spine precaution, vitals, IV NS @ KVO, monitor ,
BGL
Asytole/PEA - ANS--secure airway with advanced airway unless BLS airway is not
sufficient
-IV/IO/EJ
-monitor
-fluid challenge 20 ml/kg repeat to total of 40 ml/kg
, -Epi 1:10,000 1 mg q 3-5 mins
-H's/T's
-renal failure, TCA OD, hyperkailemia sodium bicarb 1 mEq/kg IV/IO/EJ
- tension pneuma suspected = needle chest decompression
Medical Control options for Asytole/ PEA - ANS--termination of resuscitation
-need decompression
-calcium chloride (calcium channel blocker OD )
-glucagon (beta blocker OD
- dextrose 50% (hypoglycemia)
-narcan
Shoch/hyperfusion after ROSC - ANS--high flow o2, PPV
-monitor, 12 lead
-fluid bolus 20 ml/kg total 40 ml/kg
-2nd IV access
-norepi 5 mcg/kg if SBP <90 mmhm titrate to 20 mcg/kg
Medical control options for SHOCk after ROSC - ANS-repeat any of the above, sodium
bicarb
ET, calcium chloride, glucagon, epinephrine infusion , MFI/ RSI
Field Termination of Resuscitation protocol - ANS-- pt must be normothermic
- unwitnessed,
-no shocks were delivered/ asystole/ refractory to all IV/IO medications,
-min of 20 mins of CPR, -family accepts the decision
Cardiac dysrhythmias protocol - ANS-High flow O2
monitor
