LOYOLA ENTRY EXAM IMPORTANT INFO QUESTIONS
& ANSWERS
Who is the EMS Loyola EMS System Medical Director? - Answer -Mark E. Chichon
What is important to give when providing your name and vehicle number of provider in
your radio report? - Answer -Desired destination and ETA
A in ABCDs? - Answer -Airway (establish and maintain. Consider SPINE MOTION
RESTRICTION)
D in ABCDs? - Answer -Disability - neurologic
A - Alert
V - Responds to Verbal stimuli
P - Responds to Painful stimuli
U - Unresponsive
Who is the best source of infortmation for
- medications
- baseline vitals
- functional nevel
- likely complication
- equipment - Answer -Parents/caregivers
Target SpO2? - Answer -94-98% (92% if hx of COPD)
How often should we re-evaluate vitals? - Answer -q 15 minutes or q 5 minutes if
unstable
When can we transport to a facility other than the closest appropriate hospital? -
Answer -If a physician certifies that the benefits outweigh the risks (unless patient
meeds Level 1 Trauma criteria)
What must the deviation from SMOs be based on? - Answer -The EMS provider
treating the patient
What if you are not certain if a DNR/POLST order can be applied? - Answer -Begin
treatment and contact medical control
POLST/DNRs can only be honored by EMS providers if: - Answer -it is written, and
signed by the patient's attending practitioner
Can living wills be honored by EMS providers? - Answer -No, can not
, POLST/DNRs need 3 signatures. Name them. - Answer -- Patient/Guardian
- Witness
- Attending Practitioner
What if resuscitative efforts were begun prior to POLST/DNR is presented? (valid) -
Answer -Efforts may be withdrawn
Blunt trauma patient without vital signs may be considered for witholding resuscitative
efforts with the approval of: - Answer -Medical Control
When can we not give Nitroglycerin? - Answer -If any ED/Viagra has been taken, or if
their SBP is less than 140 mmHg
If patient has pulmonary edema, we place them in High Fowler's position if there SBP is
above what? - Answer -100 mmHg
If a patient is wearing a LVAD, and is pulses, the NIBP may be: - Answer -Inaccurate
If a patient is choking but able to speak, we should: - Answer -Not interfere with their
attempts to clear their airway
If airway is obstructed and obscruction is visible, what should we do? - Answer -
Attempt to remove
Main Treatment for wheezing/asthmatic? - Answer -ALBUTEROL 2.5 mg (3 mL)
What should we consider with a wheezing/asthmatic patient? - Answer -CHF,
especially if they have a history
Main treatment for allergic reaction? - Answer -Epinephrine 0.3 mg (0.3 mL) 1:1000 IM
If a patient's blood sugar is less than 60, with intact gag reflex, what is main treatment? -
Answer -Oral Glucose
Iif a patient has a known suspected infection AND meets any of these two critera, we
should consider sepsis: - Answer -- TEMP > 100.4 or < 96.8
- Shock index of > 1 (HR / SBP)
- HR > 90 bpm
What is shock index? - Answer -HR / SBP
When a patient is having a seizure, we should make sure to do what to their airway? -
Answer -Clear and protect. Take vomiting/aspirations precautions
How do we protect patient from injury if they are having a seizure? - Answer -Do not
place anything in mouth. Don't hold down. Clear area.
& ANSWERS
Who is the EMS Loyola EMS System Medical Director? - Answer -Mark E. Chichon
What is important to give when providing your name and vehicle number of provider in
your radio report? - Answer -Desired destination and ETA
A in ABCDs? - Answer -Airway (establish and maintain. Consider SPINE MOTION
RESTRICTION)
D in ABCDs? - Answer -Disability - neurologic
A - Alert
V - Responds to Verbal stimuli
P - Responds to Painful stimuli
U - Unresponsive
Who is the best source of infortmation for
- medications
- baseline vitals
- functional nevel
- likely complication
- equipment - Answer -Parents/caregivers
Target SpO2? - Answer -94-98% (92% if hx of COPD)
How often should we re-evaluate vitals? - Answer -q 15 minutes or q 5 minutes if
unstable
When can we transport to a facility other than the closest appropriate hospital? -
Answer -If a physician certifies that the benefits outweigh the risks (unless patient
meeds Level 1 Trauma criteria)
What must the deviation from SMOs be based on? - Answer -The EMS provider
treating the patient
What if you are not certain if a DNR/POLST order can be applied? - Answer -Begin
treatment and contact medical control
POLST/DNRs can only be honored by EMS providers if: - Answer -it is written, and
signed by the patient's attending practitioner
Can living wills be honored by EMS providers? - Answer -No, can not
, POLST/DNRs need 3 signatures. Name them. - Answer -- Patient/Guardian
- Witness
- Attending Practitioner
What if resuscitative efforts were begun prior to POLST/DNR is presented? (valid) -
Answer -Efforts may be withdrawn
Blunt trauma patient without vital signs may be considered for witholding resuscitative
efforts with the approval of: - Answer -Medical Control
When can we not give Nitroglycerin? - Answer -If any ED/Viagra has been taken, or if
their SBP is less than 140 mmHg
If patient has pulmonary edema, we place them in High Fowler's position if there SBP is
above what? - Answer -100 mmHg
If a patient is wearing a LVAD, and is pulses, the NIBP may be: - Answer -Inaccurate
If a patient is choking but able to speak, we should: - Answer -Not interfere with their
attempts to clear their airway
If airway is obstructed and obscruction is visible, what should we do? - Answer -
Attempt to remove
Main Treatment for wheezing/asthmatic? - Answer -ALBUTEROL 2.5 mg (3 mL)
What should we consider with a wheezing/asthmatic patient? - Answer -CHF,
especially if they have a history
Main treatment for allergic reaction? - Answer -Epinephrine 0.3 mg (0.3 mL) 1:1000 IM
If a patient's blood sugar is less than 60, with intact gag reflex, what is main treatment? -
Answer -Oral Glucose
Iif a patient has a known suspected infection AND meets any of these two critera, we
should consider sepsis: - Answer -- TEMP > 100.4 or < 96.8
- Shock index of > 1 (HR / SBP)
- HR > 90 bpm
What is shock index? - Answer -HR / SBP
When a patient is having a seizure, we should make sure to do what to their airway? -
Answer -Clear and protect. Take vomiting/aspirations precautions
How do we protect patient from injury if they are having a seizure? - Answer -Do not
place anything in mouth. Don't hold down. Clear area.
