Kern EMS Paramedic Protocols: Questions With
Verified Answers
Adult Ketamine Dose for MAD? Accurate Answer:- 25mg IN draw saline
to increase volume to 1ml. For IV drip 15mg in 100 bag over 5min may repeat
1 time in 15min
What hospitals offer Therapeutic Hypothermia? Accurate Answer:-
BMH
Destination for Pshyciatric when all other medical is ruled out? Accurate
Answer:- KMC
PCR policy, Can MICN excuse you from the hospital? Accurate Answer:-
MICN can't excuse you. PCR must be complete before leaving the hospital.
Only in cases of system downtime or electronic in operability.
When can you activate trauma? Accurate Answer:- Can be activated
prior to arrival if first responders say the meet trauma criteria. Can be BLS or
ALS.
When can you deactivate Trauma? Accurate Answer:- When the patient
no longer meets trauma criteria and upon base contract with a level 2 trauma
center.
Orotracheal intuabation with airwa edema using an introducer device?
Accurate Answer:- Yes along with PPV use a smaller tube
TXA for post partum hemorrhage? Accurate Answer:- Base contact only
Burns with respiratory compromise? Accurate Answer:- 1mg versed
once airway is secured
Atropine dose for bradycardia? Accurate Answer:- 0.5mg, Second dose
is also 0.5mg Max dose of 3mg
Atropine dose for Organophosphate poisoning? Accurate Answer:- 2mg
, Bradycardia protocol? Accurate Answer:- Prepare pacer at rate of
80bpm, then 0.5mg atropine, push dose epi 0.5mL or epi drip 2-8mcg a min
Can atropine be considered for Asystole? Accurate Answer:- No
Adult calcium channel blocker OD? Accurate Answer:- 1gram calcium
chloride
TXA dose? Accurate Answer:- 2grams IV push
Transport position for stroke patient? Accurate Answer:- Elevate head
of gurney to 30 degrees
Do not give oxygen to a stroke patient if their SPO2 is greater than what?
Accurate Answer:- >94%
Destination decision for burns with trauma? Accurate Answer:- Trauma
center first, If no trauma burn center
What is Red Trauma Criteria? Accurate Answer:- Physiological changes.
BP <90, GCS <6, Resp >29 or <10
Red trauma ? Accurate Answer:- Anatomical injuries, ie. Pelvic fracture
Yellow trauma? Accurate Answer:- Mechanism ie. Ejections
Yellow? Accurate Answer:- Comorbidities. Age >65
Patients with ACS without chest pain? Accurate Answer:- Treat per
chest pain ACS protocol
Max nitro dose for ACS? Accurate Answer:- None as long as BP >90
What is the first line treatment in patients actively having seizures?
Accurate Answer:- Versed then blood glucose check
Pain management Accurate Answer:- Fentanyl 50mcg every 5min max
200mcg. If not available morphine 5mg every 5min max 20mg
Verified Answers
Adult Ketamine Dose for MAD? Accurate Answer:- 25mg IN draw saline
to increase volume to 1ml. For IV drip 15mg in 100 bag over 5min may repeat
1 time in 15min
What hospitals offer Therapeutic Hypothermia? Accurate Answer:-
BMH
Destination for Pshyciatric when all other medical is ruled out? Accurate
Answer:- KMC
PCR policy, Can MICN excuse you from the hospital? Accurate Answer:-
MICN can't excuse you. PCR must be complete before leaving the hospital.
Only in cases of system downtime or electronic in operability.
When can you activate trauma? Accurate Answer:- Can be activated
prior to arrival if first responders say the meet trauma criteria. Can be BLS or
ALS.
When can you deactivate Trauma? Accurate Answer:- When the patient
no longer meets trauma criteria and upon base contract with a level 2 trauma
center.
Orotracheal intuabation with airwa edema using an introducer device?
Accurate Answer:- Yes along with PPV use a smaller tube
TXA for post partum hemorrhage? Accurate Answer:- Base contact only
Burns with respiratory compromise? Accurate Answer:- 1mg versed
once airway is secured
Atropine dose for bradycardia? Accurate Answer:- 0.5mg, Second dose
is also 0.5mg Max dose of 3mg
Atropine dose for Organophosphate poisoning? Accurate Answer:- 2mg
, Bradycardia protocol? Accurate Answer:- Prepare pacer at rate of
80bpm, then 0.5mg atropine, push dose epi 0.5mL or epi drip 2-8mcg a min
Can atropine be considered for Asystole? Accurate Answer:- No
Adult calcium channel blocker OD? Accurate Answer:- 1gram calcium
chloride
TXA dose? Accurate Answer:- 2grams IV push
Transport position for stroke patient? Accurate Answer:- Elevate head
of gurney to 30 degrees
Do not give oxygen to a stroke patient if their SPO2 is greater than what?
Accurate Answer:- >94%
Destination decision for burns with trauma? Accurate Answer:- Trauma
center first, If no trauma burn center
What is Red Trauma Criteria? Accurate Answer:- Physiological changes.
BP <90, GCS <6, Resp >29 or <10
Red trauma ? Accurate Answer:- Anatomical injuries, ie. Pelvic fracture
Yellow trauma? Accurate Answer:- Mechanism ie. Ejections
Yellow? Accurate Answer:- Comorbidities. Age >65
Patients with ACS without chest pain? Accurate Answer:- Treat per
chest pain ACS protocol
Max nitro dose for ACS? Accurate Answer:- None as long as BP >90
What is the first line treatment in patients actively having seizures?
Accurate Answer:- Versed then blood glucose check
Pain management Accurate Answer:- Fentanyl 50mcg every 5min max
200mcg. If not available morphine 5mg every 5min max 20mg
