EMERGENCY CARE TEST PAPER FULL
SOLUTION QUESTIONS AND CORRECT
ANSWERS GRADED A+
●● Triage
Answer: -Process of rapidly determining patient acuity
-Helps determine who should be seen first and maintains patient flow
●● Emergency Severity Index (ESI)
Answer: -5 levels of triage
-Based on experience, judgment, and targeted questions
-Should take approximately 7 minutes to adequately triage adults (longer
for pediatric patients)
●● ESI - Level I
Answer: Requires immediate life-saving interventions (needs
resuscitation)
●● ESI - Level II
Answer: -Patient is in a high-risk situation or is
confused/disoriented/lethargic, in severe pain/distress, or has an urgent
issue that is time-sensitive
-Meets criteria within the danger zone vitals
,●● ESI - Level III
Answer: Needs 2+ resources and does not have danger zone vitals
●● ESI - Level IV
Answer: Needs 1 resource
●● ESI - Level V
Answer: No resources needed
●● ESI - Resources
Answer: -Labs
-Imaging
-IV medications or fluids
-Specialty consults
-Procedures (1-2 resources)
-Increased time/effort of healthcare personnel
●● Poison
Answer: -Any chemical that can harm the body
-Can be accidental, occupational, recreational, or intentional
,●● Routes of Exposure
Answer: -Ingestion
-Inhalation
-Splashed in the eye
-Absorbed through the skin
●● Severity of Poisoning
Answer: Depends on...
-Type
-Concentration
-Route of exposure
●● Common Exposure Substances
Answer: -Analgesics
-Cleaning substances
-Cosmetics and personal care products
-Antidepressants
-Sedatives, hypnotics, and antipsychotics
●● What is the priority when treating someone who has been poisoned?
Answer: Decontamination and proper PPE
, ●● What physical manifestations would someone have if they had been
poisoned?
Answer: -Lips may be burnt or irritated
-Excessive salivation
-Odorous breath
-Abnormal lung sounds
●● How can we decrease absorption of toxic substances?
Answer: -Activated charcoal-binding agent
-Dermal cleansing
-Eye irrigation
●● How can we promote elimination for someone who's been poisoned?
Answer: -Cathartics, whole-bowel irrigation, chelating agents
-Antidotes
-Hemodialysis
●● Other Treatment for Poisonings
Answer: -Decontamination
-Maintain airway
-Frequent vitals
-Maintain IVs
SOLUTION QUESTIONS AND CORRECT
ANSWERS GRADED A+
●● Triage
Answer: -Process of rapidly determining patient acuity
-Helps determine who should be seen first and maintains patient flow
●● Emergency Severity Index (ESI)
Answer: -5 levels of triage
-Based on experience, judgment, and targeted questions
-Should take approximately 7 minutes to adequately triage adults (longer
for pediatric patients)
●● ESI - Level I
Answer: Requires immediate life-saving interventions (needs
resuscitation)
●● ESI - Level II
Answer: -Patient is in a high-risk situation or is
confused/disoriented/lethargic, in severe pain/distress, or has an urgent
issue that is time-sensitive
-Meets criteria within the danger zone vitals
,●● ESI - Level III
Answer: Needs 2+ resources and does not have danger zone vitals
●● ESI - Level IV
Answer: Needs 1 resource
●● ESI - Level V
Answer: No resources needed
●● ESI - Resources
Answer: -Labs
-Imaging
-IV medications or fluids
-Specialty consults
-Procedures (1-2 resources)
-Increased time/effort of healthcare personnel
●● Poison
Answer: -Any chemical that can harm the body
-Can be accidental, occupational, recreational, or intentional
,●● Routes of Exposure
Answer: -Ingestion
-Inhalation
-Splashed in the eye
-Absorbed through the skin
●● Severity of Poisoning
Answer: Depends on...
-Type
-Concentration
-Route of exposure
●● Common Exposure Substances
Answer: -Analgesics
-Cleaning substances
-Cosmetics and personal care products
-Antidepressants
-Sedatives, hypnotics, and antipsychotics
●● What is the priority when treating someone who has been poisoned?
Answer: Decontamination and proper PPE
, ●● What physical manifestations would someone have if they had been
poisoned?
Answer: -Lips may be burnt or irritated
-Excessive salivation
-Odorous breath
-Abnormal lung sounds
●● How can we decrease absorption of toxic substances?
Answer: -Activated charcoal-binding agent
-Dermal cleansing
-Eye irrigation
●● How can we promote elimination for someone who's been poisoned?
Answer: -Cathartics, whole-bowel irrigation, chelating agents
-Antidotes
-Hemodialysis
●● Other Treatment for Poisonings
Answer: -Decontamination
-Maintain airway
-Frequent vitals
-Maintain IVs