CCEMSA Protocols Week 4 | EMS Protocol Study Guide & Exam Review

CCEMSA.,Protocols:.,Week.,4


530.09.,PEA.,-.,Intervention.,following.,assessment/CPR?.,-.,correct.,answer.,
✔ ✔ IV/IO.,access



530.09.,PEA.,-.,Epi.,dosing.,-.,correct.,answer.,✔ ✔ 1.,mg.,of.,1:10



530.09.,PEA.,-.,Intervention.,that.,follows.,Epi?.,-.,correct.,answer.,✔ ✔
BLS.,airway.,or.,intubation


530.09.,PEA.,-
.,Should.,the.,pt.,be.,intubated.,before.,IV.,access.,if.,the.,airway.,is.,secure.,with.,B


LS.,interventions?.,-.,correct.,answer.,✔ ✔
Establish.,IV.,over.,ET.,tube.,if.,airway.,is.,secure.,with.,BLS.,airway..,Accom
plish.,simultaneously.,with
other.,therapy.,if.,possible


530.09.,PEA.,-
.,What.,cause.,of.,PEA.,should.,be.,considered?.,What.,intervention.,should.,be.,d


one.,to.,treat.,that.,cause?.,-.,correct.,answer.,✔ ✔ Consider.,hypovolemia..,

Give.,LR.,wide.,open.,until.,systolic.,BP.,greater.,than.,100.,or.,1.,L.,infused

,530.09.,PEA.,-.,ET.,tube.,dosing.,of.,Epi.,-.,correct.,answer.,✔ ✔
2.,mg.,of.,1:1


530.09.,PEA.,-.,When.,to.,stop.,efforts.,(determine.,death).,in.,PEA.,pt?.,-
.,correct.,answer.,✔ ✔
Consider.,termination.,of.,efforts.,if.,patient.,is.,not.,hypothermic,.,and.,remai
ns.,in.,PEA.,with.,rate.,less
than.,20.,for.,at.,least.,10.,minutes


530.09.,PEA.,-
.,Base.,Hospital.,Orders.,for.,suspected.,Hyperkalemia.,or.,CCB.,toxicity?.,-


.,correct.,answer.,✔ ✔
Calcium.,Chloride.,1000.,mg.,(10.,ml).,of.,10%.,IV.,push.


530.09.,PEA.,-.,Base.,Hospital.,Orders.,for.,Tricyclic.,OD.,or.,Hyperkalemia?.,-
.,correct.,answer.,✔ ✔ Sodium.,Bicarbonate.,1.,mEq/kg.,IV.,push


530.09.,PEA.,-
.,Base.,Hospital.,Orders.,for.,determination.,of.,death.,for.,PEA>20.,-


.,correct.,answer.,✔ ✔
Consider.,termination.,of.,efforts.,if.,patient.,is.,not.,hypothermic.,and.,remain
s.,in.,PEA.,for.,at.,least.,10
minutes.,and.,the.,protocol.,sequence.,completed.

,530.09.,PEA.,-.,Base.,Hospital.,Orders.,for.,suspected.,pneumothorax?.,-
.,correct.,answer.,✔ ✔ Needle.,Thoracostomy



530.09.,PEA.,-.,How.,to.,circulate.,medication?.,-.,correct.,answer.,✔ ✔
Allow.,60.,seconds.,of.,adequate.,CPR.,after.,medication.,administration.,to.,c
irculate.,medications



530.09.,PEA.,-.,Potential.,causes.,of.,PEA.,(8.,items).,-.,correct.,answer.,✔ ✔
1..,Hypovolemia.,-.,give.,fluid.,challenge
2..,Occult.,bleeding.,(GI.,bleeding,.,ruptured.,aortic.,aneurysm).,-
.,give.,fluid.,challenge



3..,Cardiac.,tamponade
4..,Tension.,pneumothorax
5..,Hypothermia
6..,Drug.,overdose
7..,Acidosis
8..,Hypoxia


530.09.,PEA.,-
.,In.,what.,condition.,of.,PEA.,should.,the.,paramedic.,consider.,Base.,Hospital.,c


ontact?.,-.,correct.,answer.,✔ ✔ Isolated.,hypothermia

, 530.09.,PEA.,-.,Is.,CPR.,indicated.,in.,a.,PEA.,pt.,with.,isolated.,hypothermia?.,-
.,correct.,answer.,✔ ✔
In.,the.,setting.,of.,organized.,EKG.,rhythm.,(such.,as.,PEA).,in.,a.,patient.,with.,
isolated.,hypothermia,.,CPR.,is.,generally
not.,indicated


530.09.,PEA.,-.,At.,what.,BGL.,prior.,to.,pt.,becoming.,pulseless.,and.,non-
breathing.,does.,the.,paramedic.,consider.,dextrose?.,-.,correct.,answer.,✔ ✔
Below.,80


530.09.,PEA.,-.,What.,intervention.,to.,perform.,in.,the.,case.,of.,ROSC?.,-
.,correct.,answer.,✔ ✔ 12-lead


530.10.,Bradys.,Ventricular.,Rate.,<60.,-.,Oxygen.,Dosing.,-.,correct.,answer.,
✔ ✔ Low.,flow.

High.,flow.,if.,unstable.


530.10.,Bradys.,Ventricular.,Rate.,<60.,-.,Serious.,S&S.,of.,

brady.,(5.,items).,-.,correct.,answer.,✔ ✔
Patient.,must.,demonstrate.,one.,or.,more.,of.,the.,following:.,


1..,Severe.,chest.,pain