ICEMA PROTOCOL STUDY GUIDE Questions and Answers with
Verified Solutions | Latest 2026 Update
,ICEMA PROTOCOL STUDY GUIDE Questions and Answers with
Verified Solutions | Latest 2026 Update
Q: Burns-adult #14070
Answer:
- Estimate % TBSA burned and depth using rule of nines.
Thermal burns: Stop burning process. DO not break blisters. Cover affected body
surface with
dry, sterile dressing or sheet.
Chemical burns: Brush off dry powder, if present. Remove any contaminated or wet
clothing.
Irrigate with copious amounts of saline or water.
Tar burns: Cool with water, do not remove tar
Electrical burns: Remove from electrical source (without endangering self) with
nonconductive
material. Cover affected body surface with dry, sterile dressing or sheet
Eye involvement: Continuous flushing with NS during transport. Allow patient to
remove
contact lenses if possible
Advanced airway as clinically indicated. King airway is contraindicated
Iv access: Unstable- BP less than 90 and/or signs and symptoms of inadequate tissue
perfusion, start 2nd IV line. Give 250mL boluses and repeat to max of 1L
Stable- BP more than 90 and signs of adequate tissue perfusion, administer 500ml/
hr.
Respiratory distress: Use BVM as needed. Contact receiving hospital ASAP.
Administer
,ICEMA PROTOCOL STUDY GUIDE Questions and Answers with
Verified Solutions | Latest 2026 Update
albuterol with Atrovent. High flow oxygen Is essential with known or potential
respiratory
injury. Beware of smoke inhalation. Do not apply ice water directly to skin surfa
as
additional injury will result. Intubate patient if facial/ oral swelling is present or
respiratory
depression or distress develops due to inhalation injury. CPAP may be consider
indicated
after consultation with BH
Treat pain with analgesics as indicated
Q: Pain management #14100 Patients with a GCS of 15 or at baseline mentation
and have a pain score of 5 or higher and have: acute traumatic injuries, acute
abdominal/ flank pain, burn injuries, cancer pain, or sickle cell crisis What
drugs/dosages are used?
Answer:
Must always monitor and assess vital signs prior to administration of any analgesic.
After administration must continually monitor EKG and place on capno. Reassess
vital signs, capno, and pain scores every 5 minutes.
, ICEMA PROTOCOL STUDY GUIDE Questions and Answers with
Verified Solutions | Latest 2026 Update
Q: Once a pain medication has been administered via route of choice, changing
route (i.e. IM to
Answer:
IV) requires BHO.
Shifting from one analgesic while treating a patient requires BHO
For pain and a SBP below 100, administer 0.3mg/kg Ketamine IVPB to a max single
dose of 30
mg. May repeat once in 15 minutes.
For pain and an SBP above 100, administer 50 mcq Fetanyl slow IV/IO push over 1
minute.
May repeat every 5 minutes titrated to pain but not to exceed 200 mcq OR 100 mcq
IM/IN. May
repeat 50 mcq every 10 minutes titrated to pain, not to exceed 200 mcq. Peds dose is
0.5mcq/kg slow IV/IO over 1 minute. May repeat in 5 min titrated to pain, not to
exceed 100
mcq OR 1 mcq/kg IM/IN, may repeat every 10 minutes titrated to pain but not to
exceed 200
mcq. Can also use 0.3mg/kg of Ketamine IVPB to a max of 30mg as a single dose in
50-100mL of
NS over 5 minutes. May repeat one time in 15 minutes, if pain is still a 5 or higher.
DO not
administer IVP, IO, IM, IN
Verified Solutions | Latest 2026 Update
,ICEMA PROTOCOL STUDY GUIDE Questions and Answers with
Verified Solutions | Latest 2026 Update
Q: Burns-adult #14070
Answer:
- Estimate % TBSA burned and depth using rule of nines.
Thermal burns: Stop burning process. DO not break blisters. Cover affected body
surface with
dry, sterile dressing or sheet.
Chemical burns: Brush off dry powder, if present. Remove any contaminated or wet
clothing.
Irrigate with copious amounts of saline or water.
Tar burns: Cool with water, do not remove tar
Electrical burns: Remove from electrical source (without endangering self) with
nonconductive
material. Cover affected body surface with dry, sterile dressing or sheet
Eye involvement: Continuous flushing with NS during transport. Allow patient to
remove
contact lenses if possible
Advanced airway as clinically indicated. King airway is contraindicated
Iv access: Unstable- BP less than 90 and/or signs and symptoms of inadequate tissue
perfusion, start 2nd IV line. Give 250mL boluses and repeat to max of 1L
Stable- BP more than 90 and signs of adequate tissue perfusion, administer 500ml/
hr.
Respiratory distress: Use BVM as needed. Contact receiving hospital ASAP.
Administer
,ICEMA PROTOCOL STUDY GUIDE Questions and Answers with
Verified Solutions | Latest 2026 Update
albuterol with Atrovent. High flow oxygen Is essential with known or potential
respiratory
injury. Beware of smoke inhalation. Do not apply ice water directly to skin surfa
as
additional injury will result. Intubate patient if facial/ oral swelling is present or
respiratory
depression or distress develops due to inhalation injury. CPAP may be consider
indicated
after consultation with BH
Treat pain with analgesics as indicated
Q: Pain management #14100 Patients with a GCS of 15 or at baseline mentation
and have a pain score of 5 or higher and have: acute traumatic injuries, acute
abdominal/ flank pain, burn injuries, cancer pain, or sickle cell crisis What
drugs/dosages are used?
Answer:
Must always monitor and assess vital signs prior to administration of any analgesic.
After administration must continually monitor EKG and place on capno. Reassess
vital signs, capno, and pain scores every 5 minutes.
, ICEMA PROTOCOL STUDY GUIDE Questions and Answers with
Verified Solutions | Latest 2026 Update
Q: Once a pain medication has been administered via route of choice, changing
route (i.e. IM to
Answer:
IV) requires BHO.
Shifting from one analgesic while treating a patient requires BHO
For pain and a SBP below 100, administer 0.3mg/kg Ketamine IVPB to a max single
dose of 30
mg. May repeat once in 15 minutes.
For pain and an SBP above 100, administer 50 mcq Fetanyl slow IV/IO push over 1
minute.
May repeat every 5 minutes titrated to pain but not to exceed 200 mcq OR 100 mcq
IM/IN. May
repeat 50 mcq every 10 minutes titrated to pain, not to exceed 200 mcq. Peds dose is
0.5mcq/kg slow IV/IO over 1 minute. May repeat in 5 min titrated to pain, not to
exceed 100
mcq OR 1 mcq/kg IM/IN, may repeat every 10 minutes titrated to pain but not to
exceed 200
mcq. Can also use 0.3mg/kg of Ketamine IVPB to a max of 30mg as a single dose in
50-100mL of
NS over 5 minutes. May repeat one time in 15 minutes, if pain is still a 5 or higher.
DO not
administer IVP, IO, IM, IN
