NYC REMAC PROTOCOLS and GOPs. REVISION QUESTIONS AND CORRECT
ANSWERS (ALREADY GRADED A+) (2024 UPDATE) 100% GUARANTEED
High index of suspicion - ANSWER- mechanism of injury
injury/illness severity
abnormal vital signs
family testimony to change in patients condition
reported suiciidal or homicidal behavior
testimony from health care provider stating change in patients condition
unable to contact medical control - ANSWER- standing order treatments only
criteria for contacting OLMC - ANSWER- treat and release patient decisions
transport decision for alternative destination
high index RMA
Definition of alternative destination - ANSWER- regionally approved 911 system receiving
facility that may have limited and/or specialized capabilities but is not a 911 system ambulance
destination emergency department
Operational control during MCI, hazmat, unscheduled medvac transports or other unusual public
health emergencies belongs to - ANSWER- FDNY
True or False: REMAC OLMC Physician that administers care beyond the scope of practice of the
paramedic must accompany the patient - ANSWER- true
ALS Orders for NON-OLMC REMAC physicians - ANSWER- Non-REMAC OLMC certified
physicians who appropriately identify themselves on scene and who request to intervene in ALS
care, MUST have prior approval from OLMC. After OLMC approval, the on scene physician may
provide direction in ALS care so long as that care does not conflict with REMAC prehospital
treatment protocol standing orders, policies and procedures
,when should a patient be taken to the nearest emergency ambulance destination - ANSWER-
patients with an unmanageable airway
patients with major burns should be transported to the nearest burn center UNLESS - ANSWER-
cardiac arrest or unmanageable airway
trauma center transport criteria
activation of nyc burn disaster plan bf fdny, doh, nycem or DOHMH
patients with acute stroke symptoms <24 hrs require transport to the nearest stroke center unless -
ANSWER- cardiac arrest or unmanageable airway
trauma center transport criteria
patients with indication of stemi should be transported to nearest stemi center unless - ANSWER-
unmanageable airway
trauma center transport criteria
IF the patient deteriorates into cardiac arrest, continue to the STEMI center
cpr shall be initiated on all pulseness or apneic patients unless has any of the following conditions
- ANSWER- extreme dependent lividity
rigor mortis
tissue decomposition
obvious mortal injury
valid DNR, MOLST
the following medications can be administered instranasally - ANSWER- glucagon
fentanyl
lorezepam
,midazolam
naloxone
ketaine
diazepam
io access can be attained in adult and pediatric patients in shock when - ANSWER- iv access
is missed after two attempts
conscious IO - ANSWER- administered preservative-free 2% lidocaine 0.5 mg/kg slowly over
2-3 minutes. additional dose 0.25 mg.kg
minimum size iv catheter for vasopressor infusion - ANSWER- 18 or larger
is there a perference for airway management for patients in cardiac arrest - ANSWER- no
can EMTs transported a patient with a secued iv? - ANSWER- as long as fluids or medications
are not attached
use of pre existing central venous lines - ANSWER- unstable patients, including those in
cardiac arrest, paramedics may consider using PICC lines under standing orders
use of non-picc central lines - ANSWER- OLMC only
age definition of a pediatric patient - ANSWER- less than or equal to 15 years old
definition of preterm birth - ANSWER- prior to 37 weeks gestation
definition: newborrn - ANSWER- immediaitely following birth to the first few hours after birth
, definition: neonate - ANSWER- after the first few hours of birth up to 28 days
definition: infant - ANSWER- between ages 1 month to 1 year
definition: child - ANSWER- between the ages of 1 and 9 years old
definition: adolescent child - ANSWER- ages between 9-14 years old
conditions that qualify for laws of emancipation - ANSWER- married
pregnant
parent
request treatment for HIV and other STI/STD
military enlistment
self supporting and has left their parents home
the oldest age that an infant may be abandoned at - ANSWER- less than or equal to 30 days
paramedics may transfer care to the BLS unit for purposes of transporting the patient if the patient
has all of the following conditions - ANSWER- hemodynamically stable
ability to follow simple commands with BGL >60
not received any ALS meds
not expected to require ALS meds
no reports of ACS in last 24 hours
conditions for ALs and BLS unit transporting patient together - ANSWER- placement of
advanced airway or assisted ventilations
cardiac arrest of impending arrest
paramedic feels the need for additional assistance
ANSWERS (ALREADY GRADED A+) (2024 UPDATE) 100% GUARANTEED
High index of suspicion - ANSWER- mechanism of injury
injury/illness severity
abnormal vital signs
family testimony to change in patients condition
reported suiciidal or homicidal behavior
testimony from health care provider stating change in patients condition
unable to contact medical control - ANSWER- standing order treatments only
criteria for contacting OLMC - ANSWER- treat and release patient decisions
transport decision for alternative destination
high index RMA
Definition of alternative destination - ANSWER- regionally approved 911 system receiving
facility that may have limited and/or specialized capabilities but is not a 911 system ambulance
destination emergency department
Operational control during MCI, hazmat, unscheduled medvac transports or other unusual public
health emergencies belongs to - ANSWER- FDNY
True or False: REMAC OLMC Physician that administers care beyond the scope of practice of the
paramedic must accompany the patient - ANSWER- true
ALS Orders for NON-OLMC REMAC physicians - ANSWER- Non-REMAC OLMC certified
physicians who appropriately identify themselves on scene and who request to intervene in ALS
care, MUST have prior approval from OLMC. After OLMC approval, the on scene physician may
provide direction in ALS care so long as that care does not conflict with REMAC prehospital
treatment protocol standing orders, policies and procedures
,when should a patient be taken to the nearest emergency ambulance destination - ANSWER-
patients with an unmanageable airway
patients with major burns should be transported to the nearest burn center UNLESS - ANSWER-
cardiac arrest or unmanageable airway
trauma center transport criteria
activation of nyc burn disaster plan bf fdny, doh, nycem or DOHMH
patients with acute stroke symptoms <24 hrs require transport to the nearest stroke center unless -
ANSWER- cardiac arrest or unmanageable airway
trauma center transport criteria
patients with indication of stemi should be transported to nearest stemi center unless - ANSWER-
unmanageable airway
trauma center transport criteria
IF the patient deteriorates into cardiac arrest, continue to the STEMI center
cpr shall be initiated on all pulseness or apneic patients unless has any of the following conditions
- ANSWER- extreme dependent lividity
rigor mortis
tissue decomposition
obvious mortal injury
valid DNR, MOLST
the following medications can be administered instranasally - ANSWER- glucagon
fentanyl
lorezepam
,midazolam
naloxone
ketaine
diazepam
io access can be attained in adult and pediatric patients in shock when - ANSWER- iv access
is missed after two attempts
conscious IO - ANSWER- administered preservative-free 2% lidocaine 0.5 mg/kg slowly over
2-3 minutes. additional dose 0.25 mg.kg
minimum size iv catheter for vasopressor infusion - ANSWER- 18 or larger
is there a perference for airway management for patients in cardiac arrest - ANSWER- no
can EMTs transported a patient with a secued iv? - ANSWER- as long as fluids or medications
are not attached
use of pre existing central venous lines - ANSWER- unstable patients, including those in
cardiac arrest, paramedics may consider using PICC lines under standing orders
use of non-picc central lines - ANSWER- OLMC only
age definition of a pediatric patient - ANSWER- less than or equal to 15 years old
definition of preterm birth - ANSWER- prior to 37 weeks gestation
definition: newborrn - ANSWER- immediaitely following birth to the first few hours after birth
, definition: neonate - ANSWER- after the first few hours of birth up to 28 days
definition: infant - ANSWER- between ages 1 month to 1 year
definition: child - ANSWER- between the ages of 1 and 9 years old
definition: adolescent child - ANSWER- ages between 9-14 years old
conditions that qualify for laws of emancipation - ANSWER- married
pregnant
parent
request treatment for HIV and other STI/STD
military enlistment
self supporting and has left their parents home
the oldest age that an infant may be abandoned at - ANSWER- less than or equal to 30 days
paramedics may transfer care to the BLS unit for purposes of transporting the patient if the patient
has all of the following conditions - ANSWER- hemodynamically stable
ability to follow simple commands with BGL >60
not received any ALS meds
not expected to require ALS meds
no reports of ACS in last 24 hours
conditions for ALs and BLS unit transporting patient together - ANSWER- placement of
advanced airway or assisted ventilations
cardiac arrest of impending arrest
paramedic feels the need for additional assistance
