ALS PCS 4.8 COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS)
QUESTION: What is the general structure of a medical directive?
(Preamble)
Ans: Indications - general complaint/issue that directly applies
Conditions - parameters present to perform treatment/drug
Contraindications - parameter to prevent treatment/drug
Treatment - type of procedure or dose of drug
Clinical considerations - Clinical points to give general guidance to perform a
procedure or administer a drug properly
QUESTION: What is an auxiliary medical directive? (Preamble)
Master01 | Dec, 2024/2025 | Latest update
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Ans: An additional "auxiliary" skill/directive that is optional and may be
introduced after consultation/mutual agreement between the regional base
hospital and certified ambulance service that employs paramedics
QUESTION: What is the respiration rate for 6 year olds? (Preamble)
Ans: 16 - 24 breaths/min
QUESTION: What is hypotension in adults? (Preamble)
Ans: SBP <90mmHg
QUESTION: What is tachycardia in adults? (Preamble)
Ans: HR ≥100 Bpm
QUESTION: What is tachypnea in adults? (Preamble)
Ans: RR ≥ 28 breaths/min
QUESTION: What is the respiration rate for 0-3 month olds?
(Preamble)
Ans: 30 - 60 breaths/min
Master01 | Dec, 2024/2025 | Latest update
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QUESTION: What is the respiration for 3-6 month olds? (Preamble)
Ans: 30 - 60 breaths/min
QUESTION: What is the heart rate for 3 - 6 month olds? (Preamble)
Ans: 80 - 160 BPM
QUESTION: What is the heart rate for 10 year olds? (Preamble)
Ans: 60 - 90 BPM
QUESTION: What is hypotension for pediatrics? (Preamble)
Ans: SBP < 70mmHg + (2 x age in years)
QUESTION: What is normotension for pediatrics? (Preamble)
Ans: SBP ≥90mmHg + (2 x age in years)
QUESTION: How many sections is the ALS composed of? (Preamble)
Master01 | Dec, 2024/2025 | Latest update
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Ans: 6 + preamble
- Preamble
- Appendix 1 - PCP core medical directives
- Appendix 2 - ACP core medical directives
- Appendix 3 - PCP auxiliary medical directives
- Appendix 4 - ACP auxiliary medical directives
- Appendix 5 - Chemical exposure medical directive
- Appendix 6 - Certification standard
QUESTION: Who can provide consent? (Preamble)
Ans: A capable patient or a substitute decision maker (SDM) if the patient is
incapable
QUESTION: What is implied consent? (Preamble)
Ans: When the patient has a physical indication (unconscious) that implies that
they would consent to treatment
ex. unconscious or patient that can't speak reaches for paramedic
Master01 | Dec, 2024/2025 | Latest update