OCEMS Protocol study guide Questions With Correct Solutions, Already Passed!!

The ________________________ physician must relinquish the responsibility of patient care to the physician on scene for the scene physician to take control - ️️Medical Control The paramedic has the discretion to continue resuscitation efforts in any case despite termination of resuscitation criteria being met if - ️️scene safety, location, patient's age, time of arrest or bystander input compels this decision. EMTs are able to perform the following: - ️️Apply pulse oximetry and capnography monitoring devices, perform blood glucose evaluations, perform bag valve mask ventilation, perform LTA insertion and ventilation and perform BVM ventilation of paramedic inserted ET tube A patient encounter shall be considered any event - ️️when signs and symptoms, or a complaint results in evaluation or treatment. How long to decide if ALS is needed? - ️️Within 3 minutes after patient contact How long should initial assessment generally take? - ️️10 minutes Trauma patients should be enroute to a receiving facility within _______ minutes unless extensive extrication or atypical situations are encountered - ️️10 minutes Medical patients should enroute within - ️️20 minutes Whenever possible obtain what type of consent prior to initializing treatment? - ️️Verbal For trauma situations a pediatric patient has - ️️the anatomical and physical characteristics of a person fifteen years or younger When a patient is given parenteral narcotics or sedative agents, what shall be performed? - ️️Continuous cardiac, O2 saturation and ETCO2 monitoring In non-critical patients only use a concentration of oxygen to achieve an O2 saturation of over ____ this can normally be accomplished with a ____________________ - ️️95% nasal cannulaAll patients should be transported to the hospital of their choice when operationally feasible unless the patient is - ️️Unstable If several hospitals are within the same approximate distance from the scene, allow the __________ or __________ family to select the receiving facility of their choice - ️️patient patient's Contact the hospital at least how many minutes prior to arrival? - ️️5 minutes Unless otherwise specified in protocol, give individual IV medication doses over - ️️1-2 minutes Crews should interface with the charge nurse within how many minutes of arrival at the ER? - ️️2 minutes Can you give orange juice to a patient to a diabetic patient if no IV is available? - ️️Yes, if patient is alert enough to self administer oral agent Hold fluid boluses at ____________ ml if no hypotension - ️️500ml Some criteria to consider when treating kidney stones: - ️️equal or less than age 55 fever greater 100.4F systolic BP 120 Do not use magnesium sulfate if - ️️CHF is suspected Contact medical control for approval of administration of EPI 1:1000 0.3mg IM for patients that are - ️️55 years old or known to be on beta blockers When chemical or physical restraints are used perform - ️️full ALS assessment and treatment Advanced airway / ventilatory management ventilate at a rate of - ️️8-10 breaths per minute can atropine be delivered down the ET tube? - ️️Yes, the meds for ET tube are Epi, narcan and atropine What are the H's for cardiac arrest? - ️️Hypoxia Hypovolemia Hydrogen Ion (Acidosis) HyperkalemiaHypothermia What are the T's for cardiac arrest? - ️️Toxins Tamponade (cardiac) Tension pneumothorax Thrombosis, pulmonary Thrombosis, coronary Treatment for PEA due to hypovolemia - ️️NS 1-2 liters IV/IO Post ROSC administer supplemental oxygen to achieve O2 sat of - ️️94-