Exam (elaborations) CCEMSA EMT PROTOCOLS

Oxygen therapy is required only for patients with which conditions? - ANS(CARMAPS) Chest pain, Altered mental status, Respiratory distress, Multi-systems trauma, Abnormal heart rate, Protocols (any condition specifically covered in the BLS protocols), Shock Low flow oxygen should be administered at _____ liters per minute via __________. - ANS6, nasal cannula High flow oxygen should be administered at _____ liters per minute via __________. - ANS15, non-rebreather mask If a patient has a history of COPD and is showing signs of cyanosis, how should oxygen be administered? - ANSAdminister oxygen at 2 liters per minute via nasal cannula and gradually increase until cyanosis clears. If you administer oxygen therapy to a patient with a history of COPD and cyanosis does not clear, what should you do? - ANSAdminister 6 liters per minute via cannula and increase to 15 L/min by non-rebreathing mask. When should a bag-valve-mask with supplemental oxygen be used? - ANSIf the patient is not breathing or if the patient's breathing is too shallow to ventilate adequately. TRUE/FALSE: You should not use oxygen powered breathing devices on patients 5 years old or less - ANSTrue TRUE/FALSE: If a COPD patient is on home oxygen and is CHRONICALLY cyanotic, administer the patient's normal oxygen dosage and contact the base hospital for an increase in oxygen flow. - ANSTrue List the steps in the suctioning of a tracheostomy patient. - ANSHyperventilate the patient for 1 minute prior to suctioning, irrigate with 3cc normal saline through trach, tell the patient to inhale and insert suction catheder gently until resistance is felt. Tell the patient to cough/exhale, and suction while withdrawing the catheder. When should full C-spine precautions be taken? - ANSSevere blunt multi-system trauma, any patient with neurological deficits, and non-ambulatory patients or patients suffering from either severe blunt multi-system trauma or penetrating trauma with altered mental status. Which acronym should be used in the treatment of a patient in medical cardiac arrest? - ANSA-B-C