ICEMA Protocol Exam With All Answers
Correct
Calcium Chloride (always)
Sodium Bicarbonate (always)
Epi (sometimes)
Glucagon (sometimes)
Magnesium Sulfate (sometimes)
Nitroglycerin (sometimes)
Midazolam (sometimes) - correct answers ✔️✔️Meds requiring a BHO
Cold packs
Bolus
Cardiac monitoring
If indicated: dextrose, glucagon, midazolam - correct answers ✔️✔T️ x for heat stroke
500 mL, may repeat - correct answers ✔️✔️Heat stroke adult bolus (9 and older)
20 mL/ kg, may repeat - correct answers ✔️✔H
️ eat stroke ped bolus (birth- 8 years)
8 or younger - correct answers ✔️✔H
️ eat stroke ped bolus age range
Heat packs
Bolus
Cardiac monitoring
,If indicated: dextrose, glucagon, fentanyl - correct answers ✔️✔H
️ ypothermia Tx
500 mL, may repeat - correct answers ✔️✔️Hypothermia adult bolus (9 and older)
20 mL/ kg, may repeat - correct answers ✔️✔H
️ ypothermia ped bolus (birth- 8 years)
Check carotid pulse for a minimum of 1- 2 mins
Defibrillate once- do not repeat defib until Pt is warm
Contact base for orders - correct answers ✔️✔️Cardiac arrest in hypothermia special considerations...
O2
Albuterol and Atrovent
CPAP
*Midazolam may be given for CPAP anxiety - correct answers ✔️✔️Respiratory distress COPD Tx (Adult)
O2
300 mL bolus, one repeat
Albuterol and Atrovent
1:1 Epi
Diphenhydramine for allergic reaction
1:10 Epi for severe anaphylaxis
CPAP
Midazolam for CPAP anxiety
BHO for Mag - correct answers ✔️✔️Respiratory distress Asthma, Allergic reaction, Anaphylaxis Tx
(Adult)
O2
,NTG
Albuterol if no response to NTG
CPAP
Midazolam for CPAP anxiety - correct answers ✔️✔️Respiratory distress Acute pulmonary edema, CHF
(Adult)
Abdominal thrusts
CPR if they become unresponsive
Remove obstruction with laryngoscope and Magill's
Needle cric if unable to ventilate - correct answers ✔️✔A
️ irway obstruction Tx (Adult)
- correct answers ✔️✔️Bradycardia Tx (Adult)
- correct answers ✔️✔T️ achycardia Tx (Adult)
- correct answers ✔️✔C
️ ardiac arrest Tx (Adult)
O2
Dextrose
Glucagon
Narcan
Midazolam
Cardiac Monitor
Trauma assessment - correct answers ✔️✔️ALOC/ Seizure Tx (Adult)
Stop burning
Rule of 9s
High flow O2
Airway management
, Pain management
Albuterol and atrovent
Bolus- unstable 250, up to 1000 mL
stable bolus- 500 mL per hour
Major burns transported to ARMC
Mild/ moderate burns transported to closest
CPAP after Base hospital contact - correct answers ✔️✔️Burn Tx (Adult)
O2
mLAPPS
LAMS
Last known well
Large bore IVs - correct answers ✔️✔️Stroke Tx (Adult)
- correct answers ✔️✔T️ rauma Tx (Adult)
- correct answers ✔️✔️Pain management Tx (Adult)
- correct answers ✔️✔️Psychiatric/ behavioral emergency Tx (Adult)
- correct answers ✔️✔️Respiratory emergencies Tx (Ped- less than 15)
- correct answers ✔️✔A
️ irway obstruction Tx (Ped- less than 15)
- correct answers ✔️✔A
️ llergic reaction Tx (Ped- less than 15)
- correct answers ✔️✔C
️ ardiac arrest Tx (Ped- less than 15)
Correct
Calcium Chloride (always)
Sodium Bicarbonate (always)
Epi (sometimes)
Glucagon (sometimes)
Magnesium Sulfate (sometimes)
Nitroglycerin (sometimes)
Midazolam (sometimes) - correct answers ✔️✔️Meds requiring a BHO
Cold packs
Bolus
Cardiac monitoring
If indicated: dextrose, glucagon, midazolam - correct answers ✔️✔T️ x for heat stroke
500 mL, may repeat - correct answers ✔️✔️Heat stroke adult bolus (9 and older)
20 mL/ kg, may repeat - correct answers ✔️✔H
️ eat stroke ped bolus (birth- 8 years)
8 or younger - correct answers ✔️✔H
️ eat stroke ped bolus age range
Heat packs
Bolus
Cardiac monitoring
,If indicated: dextrose, glucagon, fentanyl - correct answers ✔️✔H
️ ypothermia Tx
500 mL, may repeat - correct answers ✔️✔️Hypothermia adult bolus (9 and older)
20 mL/ kg, may repeat - correct answers ✔️✔H
️ ypothermia ped bolus (birth- 8 years)
Check carotid pulse for a minimum of 1- 2 mins
Defibrillate once- do not repeat defib until Pt is warm
Contact base for orders - correct answers ✔️✔️Cardiac arrest in hypothermia special considerations...
O2
Albuterol and Atrovent
CPAP
*Midazolam may be given for CPAP anxiety - correct answers ✔️✔️Respiratory distress COPD Tx (Adult)
O2
300 mL bolus, one repeat
Albuterol and Atrovent
1:1 Epi
Diphenhydramine for allergic reaction
1:10 Epi for severe anaphylaxis
CPAP
Midazolam for CPAP anxiety
BHO for Mag - correct answers ✔️✔️Respiratory distress Asthma, Allergic reaction, Anaphylaxis Tx
(Adult)
O2
,NTG
Albuterol if no response to NTG
CPAP
Midazolam for CPAP anxiety - correct answers ✔️✔️Respiratory distress Acute pulmonary edema, CHF
(Adult)
Abdominal thrusts
CPR if they become unresponsive
Remove obstruction with laryngoscope and Magill's
Needle cric if unable to ventilate - correct answers ✔️✔A
️ irway obstruction Tx (Adult)
- correct answers ✔️✔️Bradycardia Tx (Adult)
- correct answers ✔️✔T️ achycardia Tx (Adult)
- correct answers ✔️✔C
️ ardiac arrest Tx (Adult)
O2
Dextrose
Glucagon
Narcan
Midazolam
Cardiac Monitor
Trauma assessment - correct answers ✔️✔️ALOC/ Seizure Tx (Adult)
Stop burning
Rule of 9s
High flow O2
Airway management
, Pain management
Albuterol and atrovent
Bolus- unstable 250, up to 1000 mL
stable bolus- 500 mL per hour
Major burns transported to ARMC
Mild/ moderate burns transported to closest
CPAP after Base hospital contact - correct answers ✔️✔️Burn Tx (Adult)
O2
mLAPPS
LAMS
Last known well
Large bore IVs - correct answers ✔️✔️Stroke Tx (Adult)
- correct answers ✔️✔T️ rauma Tx (Adult)
- correct answers ✔️✔️Pain management Tx (Adult)
- correct answers ✔️✔️Psychiatric/ behavioral emergency Tx (Adult)
- correct answers ✔️✔️Respiratory emergencies Tx (Ped- less than 15)
- correct answers ✔️✔A
️ irway obstruction Tx (Ped- less than 15)
- correct answers ✔️✔A
️ llergic reaction Tx (Ped- less than 15)
- correct answers ✔️✔C
️ ardiac arrest Tx (Ped- less than 15)
