Kern County EMT Protocols: Questions With
Comprehensive Answers
BFD Medication Dosages Accurate Answer:- -Narcan (IN/IM): Adult = 2
mg (1 mg per nare), children < 1 y/o = 0.5 mg, children 1-7 y/o = 1 mg,
children > 8 y/o = 2 mg (BFD policy for children = 0.1 mg/kg)
-Epinephrine (IM): Adult = 0.3 mg of 1:1000, children = 0.15 mg of 1:1000
-Aspirin (O): Adult = 325 mg
-Nitroglycerin (O): Adult = 0.4 mg every 3-5 min. if systolic BP > 100 mmHg
-Tylenol (O): Adult = 650 mg, children = 15 mg/kg
Secondary Assessment: Head Accurate Answer:- -Inspect mouth, nose,
and assess facial area
-Inspect and palpate scalp and ears
-Assess eyes for PERRL
Secondary Assessment: Neck Accurate Answer:- -Check position of
trachea
-Check jugular veins
-Palpate cervical spine
Secondary Assessment: Chest Accurate Answer:- -Inspect chest
-Palpate chest
-Auscultate chest
Secondary Assessment: Abdomen/Pelvis Accurate Answer:- -Inspect
and palpate abdomen
-Assess pelvis
-Verbalize assessment of genitalia/perineum as needed
Secondary Assessment: Lower Extremities Accurate Answer:- -Inspect,
palpate and assess motor, sensory and distal circulatory functions
Secondary Assessment: Upper Extremities Accurate Answer:- -Inspect,
palpate and assess motor, sensory and distal circulatory functions
Secondary Assessment: Posterior Thorax, Lumbar and Buttocks Accurate
Answer:- -Inspect and palpate posterior thorax
, -Inspect and palpate lumbar and buttocks area
Common Causes of ALOC w/Pinpoint Pupils & Respiratory Depression
Accurate Answer:- -Nerve gas (SLUDGEM)
-Organophosphate poisoning (SLUDGEM)
-Head injury
-Intra-cerebral hemorrhage
Cushing's Triad (Increased Intracranial Pressure) Signs/Symptoms
Accurate Answer:- -Decreased heart rate
-Increased blood pressure
-Increased/irregular respiratory rate
-Decompensation can be rapid once blood pressure and respiratory rate
begins to drop
Carbon Monoxide Poisoning Signs/Symptoms Accurate Answer:- -
Headaches
-Nausea
-Breathlessness
-Collapse
-Dizziness
-LOC
Opiate Overdose Signs/Symptoms Accurate Answer:- -ALOC
-Constricted pupils/miosis
-Slow/snoring respirations, respiratory depression
-Adults = tachycardia
-Children/infants = slow heart rates
-No gag reflex
-(Sometimes) Cheyne-Stokes respirations
-Decreased intestinal motility
Opioid Withdrawal Symptoms Accurate Answer:- -Agitation
-Pulmonary edema
-Tachycardia
-Nausea
-Vomiting
-Seizures
Comprehensive Answers
BFD Medication Dosages Accurate Answer:- -Narcan (IN/IM): Adult = 2
mg (1 mg per nare), children < 1 y/o = 0.5 mg, children 1-7 y/o = 1 mg,
children > 8 y/o = 2 mg (BFD policy for children = 0.1 mg/kg)
-Epinephrine (IM): Adult = 0.3 mg of 1:1000, children = 0.15 mg of 1:1000
-Aspirin (O): Adult = 325 mg
-Nitroglycerin (O): Adult = 0.4 mg every 3-5 min. if systolic BP > 100 mmHg
-Tylenol (O): Adult = 650 mg, children = 15 mg/kg
Secondary Assessment: Head Accurate Answer:- -Inspect mouth, nose,
and assess facial area
-Inspect and palpate scalp and ears
-Assess eyes for PERRL
Secondary Assessment: Neck Accurate Answer:- -Check position of
trachea
-Check jugular veins
-Palpate cervical spine
Secondary Assessment: Chest Accurate Answer:- -Inspect chest
-Palpate chest
-Auscultate chest
Secondary Assessment: Abdomen/Pelvis Accurate Answer:- -Inspect
and palpate abdomen
-Assess pelvis
-Verbalize assessment of genitalia/perineum as needed
Secondary Assessment: Lower Extremities Accurate Answer:- -Inspect,
palpate and assess motor, sensory and distal circulatory functions
Secondary Assessment: Upper Extremities Accurate Answer:- -Inspect,
palpate and assess motor, sensory and distal circulatory functions
Secondary Assessment: Posterior Thorax, Lumbar and Buttocks Accurate
Answer:- -Inspect and palpate posterior thorax
, -Inspect and palpate lumbar and buttocks area
Common Causes of ALOC w/Pinpoint Pupils & Respiratory Depression
Accurate Answer:- -Nerve gas (SLUDGEM)
-Organophosphate poisoning (SLUDGEM)
-Head injury
-Intra-cerebral hemorrhage
Cushing's Triad (Increased Intracranial Pressure) Signs/Symptoms
Accurate Answer:- -Decreased heart rate
-Increased blood pressure
-Increased/irregular respiratory rate
-Decompensation can be rapid once blood pressure and respiratory rate
begins to drop
Carbon Monoxide Poisoning Signs/Symptoms Accurate Answer:- -
Headaches
-Nausea
-Breathlessness
-Collapse
-Dizziness
-LOC
Opiate Overdose Signs/Symptoms Accurate Answer:- -ALOC
-Constricted pupils/miosis
-Slow/snoring respirations, respiratory depression
-Adults = tachycardia
-Children/infants = slow heart rates
-No gag reflex
-(Sometimes) Cheyne-Stokes respirations
-Decreased intestinal motility
Opioid Withdrawal Symptoms Accurate Answer:- -Agitation
-Pulmonary edema
-Tachycardia
-Nausea
-Vomiting
-Seizures
