Name: Score:
153 Multiple choice questions
Definition 1 of 153
1. General adult assessment
2. oxygen keep SPO2 > 94 %; vascular access
3. does the pt have a known or suspected source of infection and two of the following criteria:
SBP < 90, HR > 90, RR > 20, altered mental status, temp > 100.4 or < 96.8, persistent EtCO2 < 25
Yes:
4. Facility code sepsis notificationn telemetry immediately upon recognition of patient meeting
sepsis criteria
5. NS or LR bolus 500 mL, reassess criteria and re-examine. may repeat x3 for SBP < 90, with no
rales on lung exam. max dose 2 L NS
Sepsis (Suspected)
Cold related illness
STEMI (suspected)
Pediatric seizure
Definition 2 of 153
Transported to the hospital of their choice, if the patient has no preference the patient should
be transported to the nearest appropriate facility
Disposition for stable patients
Pediatric patient considerations
Adult cardiac arrest history
General adult trauma pearls
,Definition 3 of 153
1. basic airway maneuvers - open airway chin lift/jaw thrust - NPA or OPA as needed - suction
as needed
Consider Cervical stabilization
consider altered mental status/syncope
2. administer oxygen > BVM as needed
3. Intervention effective?
Yes: Continue care and transport
No >
4. extraglottic airway > obtain Vascular access
5. Airway placement successful? yes: continue care and transport
No >
6. able to ventilate without advanced airway? Yes: continue care and transport
Overdose/poisoning TCA
Adult burn differential
Ventilation management
Cold-related illness Pearls
Definition 4 of 153
superficial (1st degree) - red and painful; partial thickness (2nd degree) - blistering; full
thickness (3rd degree) - painless/charred or leathery skin; thermal; chemical; electrical;
radiation; lightning
Childbirth/labor differential
Epistaxis differential
Adult burn differential
Adult behavioral emergency differential
,Definition 5 of 153
Transported to Sunrise Hospital
Disposition for victims of domestic violence
Disposition for patients with mental health crises
Disposition for sexual assault victims < 13 y/o
Disposition for elderly patients with falls
Definition 6 of 153
1. general pediatric assessment
2. hypovolemia or witnessed vomiting?
yes: vascular access NS or LR 20 mL/kg IV; may repeat up to 60 mL/kg
Pediatric overdose/poisoning
Pediatric cold related illness
Pediatric abdominal pain, nausea and vomiting
Pediatric drowning
Definition 7 of 153
transported to UMC
Disposition for sexual assault victims 18 y/o and older
Disposition for patients requiring psychiatric evaluation
Disposition for patients with severe dehydration
Disposition for patients with acute respiratory failure
, Definition 8 of 153
1. general adult assessment
2. remove from environment; temperature measurement; remove wet clothing; dry/warm
patient; passive warming measures
3. localized cold injury: monitor and reassess; general wound care; do not rub skin to warm; do
not allow refreezing
Systemic hypothermia:
Unresponsive > pulse present > no > cardiac arrest
Awake with/without altered mental status >
respiratory distress: yes - respiratory distress protocol
no: activate warming measures > vascular access > NS or LR bolus 500 mL IV/IO repeat to
effect SBP > 90 max 2 L > General adult trauma assessment > shock > monitor and reassess
Continue general patient care and transport
Adult altered mental status / syncope
Pediatric drowning
Sepsis (Suspected)
Cold related illness
153 Multiple choice questions
Definition 1 of 153
1. General adult assessment
2. oxygen keep SPO2 > 94 %; vascular access
3. does the pt have a known or suspected source of infection and two of the following criteria:
SBP < 90, HR > 90, RR > 20, altered mental status, temp > 100.4 or < 96.8, persistent EtCO2 < 25
Yes:
4. Facility code sepsis notificationn telemetry immediately upon recognition of patient meeting
sepsis criteria
5. NS or LR bolus 500 mL, reassess criteria and re-examine. may repeat x3 for SBP < 90, with no
rales on lung exam. max dose 2 L NS
Sepsis (Suspected)
Cold related illness
STEMI (suspected)
Pediatric seizure
Definition 2 of 153
Transported to the hospital of their choice, if the patient has no preference the patient should
be transported to the nearest appropriate facility
Disposition for stable patients
Pediatric patient considerations
Adult cardiac arrest history
General adult trauma pearls
,Definition 3 of 153
1. basic airway maneuvers - open airway chin lift/jaw thrust - NPA or OPA as needed - suction
as needed
Consider Cervical stabilization
consider altered mental status/syncope
2. administer oxygen > BVM as needed
3. Intervention effective?
Yes: Continue care and transport
No >
4. extraglottic airway > obtain Vascular access
5. Airway placement successful? yes: continue care and transport
No >
6. able to ventilate without advanced airway? Yes: continue care and transport
Overdose/poisoning TCA
Adult burn differential
Ventilation management
Cold-related illness Pearls
Definition 4 of 153
superficial (1st degree) - red and painful; partial thickness (2nd degree) - blistering; full
thickness (3rd degree) - painless/charred or leathery skin; thermal; chemical; electrical;
radiation; lightning
Childbirth/labor differential
Epistaxis differential
Adult burn differential
Adult behavioral emergency differential
,Definition 5 of 153
Transported to Sunrise Hospital
Disposition for victims of domestic violence
Disposition for patients with mental health crises
Disposition for sexual assault victims < 13 y/o
Disposition for elderly patients with falls
Definition 6 of 153
1. general pediatric assessment
2. hypovolemia or witnessed vomiting?
yes: vascular access NS or LR 20 mL/kg IV; may repeat up to 60 mL/kg
Pediatric overdose/poisoning
Pediatric cold related illness
Pediatric abdominal pain, nausea and vomiting
Pediatric drowning
Definition 7 of 153
transported to UMC
Disposition for sexual assault victims 18 y/o and older
Disposition for patients requiring psychiatric evaluation
Disposition for patients with severe dehydration
Disposition for patients with acute respiratory failure
, Definition 8 of 153
1. general adult assessment
2. remove from environment; temperature measurement; remove wet clothing; dry/warm
patient; passive warming measures
3. localized cold injury: monitor and reassess; general wound care; do not rub skin to warm; do
not allow refreezing
Systemic hypothermia:
Unresponsive > pulse present > no > cardiac arrest
Awake with/without altered mental status >
respiratory distress: yes - respiratory distress protocol
no: activate warming measures > vascular access > NS or LR bolus 500 mL IV/IO repeat to
effect SBP > 90 max 2 L > General adult trauma assessment > shock > monitor and reassess
Continue general patient care and transport
Adult altered mental status / syncope
Pediatric drowning
Sepsis (Suspected)
Cold related illness
