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ICEMA Protocols adul Test

Enter the letter for the matching Answer
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1.
Heat related
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2.
V tach (old)
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3.
contraindications for EMS aircraft
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4.
Newborn care base may order
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5.
paralysis,abdomen, amputation, fractures. Any: skull deformity, major tissue disruption,suspected pelvic fracture
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6.
Cardiac Arrest Additional
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7.
Acute Asthma/Bronchospasm
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8.
Non traumatic shock
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9.
Critical Trauma Patient Physiologic-GCS,Respiratory,Hypotension
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10.
Considerations
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11.
Cold related: frostbite/mild hypothermia
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12.
SVT protocol (old)
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13.
Determination of death on scene
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14.
Critical Trauma Patient anatomic penetrating injuries to, blunt chest trauma resulting in, severe tenderness to,
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15.
Age and co morbid factors for decision of destination for trauma patient
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16.
EMS aircraft indications
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17.
ALOC
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18.
Chest trauma, isolated extremity fractures
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19.
OB RCF
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20.
COPD ADULT
A.
Dopamine for inadequate tissue perfusion 400mg in 250ml, 5-20mcg/kg/min, Lido infusion 2mg/min for conversion from VF/VT, contact base to terminate, copy of ECG.
B.
decomp,obvious rigor, signs of venous pooling,lividity,decapitation,incineration of head or torso,massive crush or penetrating injury w/evisceration of heart or brain, gross dismemberment of trunk,cardiac arrest w/sev blunt force trauma,no vitals,asystole
C.
HAZ MAT pts who can't be decontaminated, violent or under the influence or drugs or alcohol pts, stable pts,ground transport<30,traumatic cardiac arrest,other safety considerations determined by crew/pilot.
D.
MCI, Prolonged extrication time >20min,never delay pt transport waiting for an enroute EMS aircraft
E.
Airway adjunts/O2 sat,nebulized albuterol 2.5mg/atrovent .5mg, repeat twice, 300cc for inadequate tissue perfusion may repeat, CPAP up to 15CMS,EPI 0.3mg SQ 1:1,000,repeat after 15min,nasotracheal intubation
F.
penetrating injuries to:torso,head,extremity proximal to the knee or elbow,neck,groin.blunt chest trauma resulting in:eccymosis,unstable chest wall,flail chest.severe tenderness to:head,neck,torso,abdomen,pelvis.
G.
minor heat illness=remove heat source,O2,rehydrate,c-spine.heat exhaustion=IV,300cc,reassess repeat if BP<90,Peds 20ml/kg repeat until palpable pulse,blood glucose.heat stroke=aggressive cooling,rhythm strip, seizure,ALOC,peds seizure precautions
H.
scene time should be limited to 10 min whenever possible, for patients meeting the trauma triage criteria base hospital contact shall be made in the event of patient refusal of assessment, care and/or transport.
I.
Airway, O2, monitor, trendelenburg, IV, bp<90 500cc, may repeat, peds 20ml/kg may repeat 1, BP>90 150ml/hr, TKO for peds, base may order (RCF): 2nd large IV, Dopamine
J.
O2 sat,nebulized albuterol/atrovent 2.5mg/.5mg, may repeat twice,CPAP up to 15cms in 3cms incriments,naso tracheal intubation
K.
procainimide 20mg/min, suppressed hang drip 2mg/min, lido at 1mg/kg every 10min at 0.5mg/kg to a max of 3mg/kg, hang drip 2mg/min, mag 2gms 100ml over 5 min for torsades, adenosine svt, precordial thump witnessed v tach, sync cardio, lido
L.
C spine, IV, monitor, hypoglycemic: D50, Glucagon 1mg IM,SC,IN, repeat D50. Active Seizure versed 5-10 IM, 2.5-5IV/IO/IN, repeat. Opiate OD:narcan 2mgIV/IN/IM 2-3min repeat
M.
paralysis:traumatic,loss of sensation,suspected spinal cord injury.abdomen:tenderness with firm and rigid abdomen on examination.amputation:above the wrist,above the ankle.fractures evidence of two to more proximal long bone fracture(femur,humerus).
N.
Dopamine 5-20mg/kg/min,magnesium 2 in 100ml of NS at 30ml/hr,after administration of 4grams,repeat versed after 10min of continued tonic/clonic activity
O.
Adult=GCS< or =13,LOC>3min,requiring assistance with ventilation,hypoxic or O2 sat less than 90 consistently, RR<10 or >29.inadequate tissue perfusion,BP<90mmHG,Tachycardia
P.
ped<9,adult>65,have known resp. cardiac,liver disease or diabetes, hematologic or immunosuppresive conditions,isolated extremity injury w/neurovascular compromise,>20weeks pregnant, inablitly to communicate.
Q.
occlusive dressing,perform needle thoracostomy,MS 5mg every 5min to 20mg,IV NS 250ml one time,IM pain relief MS 10mg
R.
frostbite=elevate,IV,pain relief=2mg MS up to 10mg IV/10mg IM adult, .1mg/kg up to 2mg, up to 5mg,.2IM to 10, RCF may repeat MS.Mild hypothermia=IV,monitor,glucose.
S.
vaso vagal, 300 cc bolus, 6, 12, 12 of adenosine followed by 20ml NS, procainamide 20mg/min, if suppressed hang drip at 2mg/min, sych cardiovert 100, 200, 300, 360
T.
10-20ml/kg IV NS over 5min,RCF 10ml/kg over 5 min may repeat.persistnet hypotension despite adequate ventilation and fluid resuscitation EPI 1:10,000 0.005mg/kg every 10 min.
Type the Question that corresponds to the displayed Answer.
incorrect
21.
O2 sat,airway adjuncts,Nitro 0.4mg repeat W/signs of adequate tissue perfusion,CPAP,Nasotracheal intubation RCF(dopamine,Lasix 40-100mg,nebulized albuterol/atrovent once stabilized)
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22.
non symptomatic=300cc may repeat,monitor. symptomatic=consider advanced airway,300cc bolus,set rate at 300cc if lungs remain clear,monitor/strip,atropine 0.5 max of 3.0mg,TCP for 2nd type 2/3rd,Dopamine 5-20mcg/kg/min
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23.
<5% TBSA,<2%full,moderate=5-10TBSA,2-5full,high voltage inj.,susp. inhalation,circumferential,predisposed med issues,major= >10TBSA,>5full,high voltage,known inhal.,sign. burn to face,eye,ear,genital,joints
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24.
high speed crash initial speed>40,major auto deformity>18inches,intrusion into passenger space compartment>12inches,unrestrained passenger, front axle rearward displaced,bent steering wheel/column,starred windshield.
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25.
Poison control,monitor vitals,expeditious transport,ABC's,IV,hypotensive=500cc,20ml/kg may repeat for peds,charcoal 50gms(1gm/kg ped) PO alert w/gag,organophosphate=2mg ivp atropine repeat as needed.
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26.
if reps<20 or gasping tactile stimulation and assisted ventialtion,if hr<100 ventilate BVM 30sec,HR<60 chest compressions 120/per min.IV/IO,advanced airway,epi 0.01mg/kg if hr<60,OG >2min ventilation,heel stick,
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27.
Advanced airway as indicated,unmanageable airway=transport to the closest most appropriate.Requires intubation=airway can't be maintained with BVM,unable to intubate.For all calls:Monitor ECG warm IV fluids when available, unstable=BP<90 start 2nd IV,
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28.
excessive bleeding=500cc may repeat,maintain at 150ml/hr,2nd large IV.hypertension/eclampsia=IV TKO,left lateral,strip,tonic/clonic=mag 4gms/20ml/3-4min,versed 2.5IVX2,5IMX2,base order dopa,2gm/100/30ml/hr,repeat versed after 10min,continued tonic/clonic
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29.
start cpr, advanced airway, defib 360 v tach/fib, 2 min cpr after defib, epi 1:10,000 1mg, reassess, defib if VF/VT, after 2 cycles of Cpr lido 1.5mg/kg repeat 0.75mg/kg every 5, call base after 5 cycles
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30.
Advanced Airway-uto go closest,monitor,IV/IO,BP<90 250ml up to 1000, stable 500ml/hr,5mg MS every 5min to 20mg, IM 10mg,minor=closest,major=burn center,ele arrest=medical,resp. 2.5/.5 neb. 3 times, deter. vital,pulseless,apneic=closest.

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