MICN Questions and Verified Answers
Termination of Resuscitation (TOR) criteria Correct Answer: *Asystole arrests of presumed cardiac
origin.
Drowning, Hypothermia, Electrocution are excluded.*
All have to be met:
1. Victim arrest was not witnessed by EMS
2. No bystander witness of collapse
3. No bystander CPR
4. Never received a rescue shock
5. Never had a return of pulses
Still asystole & no improvement in resus. <20 min: base contact for termination BHPO.
Still asystole & no improvement in resus. >20 min: cease efforts SO.
If all the above criteria are met, Base hospital contact not required even if ALS interventions performed.
Organophosphate poisoning S/S Correct Answer: SLUDGE
Salivation
Lacrimation
Urination
Defecation
GI distress
Emesis
,Medication given for organophosphate poisoning Correct Answer: Atropine 2mg SO, MR x2 q 3-5 min
given until SLUDGE stops
Destination for AAA Correct Answer: Nearest Open Trauma Center with surgical capabilities
Intracerebral Hemorrhage Suspected Correct Answer: SUDDEN, severe headache w/ onset in past 24
hours with any one of:
-Vomiting (repeated),
-Neurological deficit (hemeparesis or weakness, gaze to one side, or asymmetric pupils w/o prior eye
surgery)
-Altered mental status
-Marked BP elevation (diastolic >100mmhg)
CPAP: Indications Correct Answer: - Age ≥ 15 years
- Resp. distress: CHF, COPD, Asthma, Pneumonia, Drowning
- Moderate to severe resp. distress
- Retractions / Accessory muscle use AND
RR ≥ 25 OR SpO2 <94%
When is a BHPO required for all pain meds? Correct Answer: -Isolated head injury
-Drug/ETOH intoxication
-Suspected active labor
-Acute onset severe headache
-Major trauma with GCS <15
When is a BHO required for pain meds (Morphine, Fentanyl, Ketamine)? Correct Answer: -BP <100
, -Change in analgesic admin
-Change in admin. route
Fentanyl: Indications Correct Answer: -Abdominal
-Burns
-Envenomation
-Trauma
Fentanyl: Special Consideration Correct Answer: Age 65!! Smaller doses >65
Fentanyl: dosing Correct Answer: <65: IV- 50mcg SO, 25mcg SO, 25mcg SO
<65: IN- 50 mcg SO, 50mcg SO, 50mcg BHO
>65: IV- 25mcg SO, 25mcg SO, 25mcg SO
>65: IN- 25mcg SO, 25mcg SO, 25mcg BHO
Cardiac pain: 25mcg IV x1 SO
Morphine: Indications Correct Answer: -Abdominal pain
-Burns
-Envenomation
-Trauma
-Cardiac chest pain
-Cardiac pacing
Morphine: Dosing Correct Answer: #1) 0.1mg/kg SO
#2) 0.05mg/kg SO (half)
Termination of Resuscitation (TOR) criteria Correct Answer: *Asystole arrests of presumed cardiac
origin.
Drowning, Hypothermia, Electrocution are excluded.*
All have to be met:
1. Victim arrest was not witnessed by EMS
2. No bystander witness of collapse
3. No bystander CPR
4. Never received a rescue shock
5. Never had a return of pulses
Still asystole & no improvement in resus. <20 min: base contact for termination BHPO.
Still asystole & no improvement in resus. >20 min: cease efforts SO.
If all the above criteria are met, Base hospital contact not required even if ALS interventions performed.
Organophosphate poisoning S/S Correct Answer: SLUDGE
Salivation
Lacrimation
Urination
Defecation
GI distress
Emesis
,Medication given for organophosphate poisoning Correct Answer: Atropine 2mg SO, MR x2 q 3-5 min
given until SLUDGE stops
Destination for AAA Correct Answer: Nearest Open Trauma Center with surgical capabilities
Intracerebral Hemorrhage Suspected Correct Answer: SUDDEN, severe headache w/ onset in past 24
hours with any one of:
-Vomiting (repeated),
-Neurological deficit (hemeparesis or weakness, gaze to one side, or asymmetric pupils w/o prior eye
surgery)
-Altered mental status
-Marked BP elevation (diastolic >100mmhg)
CPAP: Indications Correct Answer: - Age ≥ 15 years
- Resp. distress: CHF, COPD, Asthma, Pneumonia, Drowning
- Moderate to severe resp. distress
- Retractions / Accessory muscle use AND
RR ≥ 25 OR SpO2 <94%
When is a BHPO required for all pain meds? Correct Answer: -Isolated head injury
-Drug/ETOH intoxication
-Suspected active labor
-Acute onset severe headache
-Major trauma with GCS <15
When is a BHO required for pain meds (Morphine, Fentanyl, Ketamine)? Correct Answer: -BP <100
, -Change in analgesic admin
-Change in admin. route
Fentanyl: Indications Correct Answer: -Abdominal
-Burns
-Envenomation
-Trauma
Fentanyl: Special Consideration Correct Answer: Age 65!! Smaller doses >65
Fentanyl: dosing Correct Answer: <65: IV- 50mcg SO, 25mcg SO, 25mcg SO
<65: IN- 50 mcg SO, 50mcg SO, 50mcg BHO
>65: IV- 25mcg SO, 25mcg SO, 25mcg SO
>65: IN- 25mcg SO, 25mcg SO, 25mcg BHO
Cardiac pain: 25mcg IV x1 SO
Morphine: Indications Correct Answer: -Abdominal pain
-Burns
-Envenomation
-Trauma
-Cardiac chest pain
-Cardiac pacing
Morphine: Dosing Correct Answer: #1) 0.1mg/kg SO
#2) 0.05mg/kg SO (half)
