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SNHD protocol test review questions
and answers 100% pass
If the ability to adequately ventilate the patient cannot be established, the patient must be... ✔✔transported to the nearest emergency department
Sexual assault victims under 13 should be transported to... ✔✔sunrise
Sexual assault victims 13 to 18 should be transported to... ✔✔sunrise or UMC
Sexual assault victims over 18 should be transported to... ✔✔UMC
BVM is acceptable method of ventilation and managing air way if the pulse oximetry can be maintained at... ✔✔greater than or equal to 90%
Neuro disorders or signs of hypo perfusion/shock in the presence of abdominal pain my indicate... ✔✔an aneurysm
After each fluid bolus... ✔✔repeat vital signs
In patients with abdominal/flank pain, nausea and vomiting, older than 35 years old... ✔✔consider cardiac origin and consider a 12 lead
Nitroglycerin is contraindicated in in any patient with... ✔✔hypotension, bradycardia, tachycardia in the absence of heart failure and evidence of a right ventricular infarction
Perform a 12 lead on all patients 35 years old experiencing... (suspected acute coronary syndrome) ✔✔vague jaw/chest/abdominal discomfort
Always perform ___________ when administering Epi. ✔✔ECG monitoring
For patients with altered mentation/syncope give oral glucose for a blood sugar value... ✔✔less than 60
Dystonic reaction ✔✔involuntary muscle movements or spasms typically of the face, neck and upper extremities, typically adverse reaction to drug like haloperidol?
S.
What kind of burns must be transported to UMC burn center? ✔✔1. second/third degree adult
20%
- second/third degree cover >10% in patients under 10 or over 50
- burns to face hands feet genitals perineum or joints
- electrical or chemical burns
- circumferential burns
- inhalation injury
Parkland formula for fluid replacement ✔✔4 ml x weight in kg x %BSA burned=total fluids for 24 hrs (1/2 for first 8 hrs, rest over next 16 hrs)
What times do you record an APGAR score? ✔✔at one and five minutes after birth
APGAR of 7-10 is... ✔✔normal
APGAR of 4-7 requires... ✔✔resucitative measures
How is apgar scored? ✔✔0,1,
0 being absent
1 being flexion, pulse below 100, grimace, normal skin except extremities, and slow irregular respirations
2 being active move, pulse over 100, sneeze/cough/pull away, normal skin, crying/good respirations
For adult drowning patients do you suction foam in the airway? ✔✔no
When do you do CCC? ✔✔non traumatic cardiac arrest, witnessed do 2 min, if witnessed, DO NOT DO THIS FOR DROWNING
Hyperkalemia is suspected commonly in patients with... ✔✔chronic kidney disease
What must patients with suspected hyperkalemia have before initiating treatment? ✔✔1. cush syndrome, chronic renal failure
- electrocardiograph consistent with hyperkalemia
- hemodynamic instability
Hyperkalemia is defined as a potassium level higher than... ✔✔5.5 mmol/L
Pregnancy hypertension values ✔✔over 140 (30 more than normal)
How soon must ingestion occur to administer activated charcoal? ✔✔w/i one hour
Benzodiazepines are effective in... ✔✔terminating seizures
Status epilepticus ✔✔two or more seizure successively w/o an intervening lucid period or a seizure lasting over five minutes
Grand mal seizure ✔✔associated with loss of continence, incontinence and oral trauma
Focal seizures ✔✔affect only part of the body and are not usually associated with a loss of consciousness
For patients with known adrenal insufficiency in shock, administer patients own... ✔✔Solu- Cortef (hydrocortisone)
Patients with smoke inhalation should be transported to... ✔✔UMC
Capnometry/capnography is mandatory with... ✔✔all methods on intubation
An appropriate ventilatory rate is one that maintains and ETCO2 of ✔✔35-
Pediatric treatment protocols are for patients under... ✔✔12 years
In pediatric emergencies transport to the closest facility for... ✔✔airway emergencies
Give oral glucose to children with a BG under...... and for newborns under... ✔✔- 60
Treat hypoglycemia and suspected narcotic overdose before or after using advanced airways? ✔✔before
Narcan is not recommended in the new born. True or false ✔✔true
An intubation attempt is defined as... ✔✔passing the laryngoscope blade or endotracheal tube past the teeth or inserted into the nasal passage
Telemetry shall be established: ✔✔1. all code 3 transports
- med emergency when ems thinks necessary
- trauma patients going to a trauma center
- telemetry requred per protocol
Pediatric patients shall be transported to one of the following facilities: ✔✔1. St Rose-Siena
- Summerlin
- Sunrise
- UMC
Intoxicated persons who have no emergent need should be transported to an alcohol and drugs abuse facility rather than a hospitals emergency center if the patient meets all of the following criteria: ✔✔A. Patient able to stand with minimal assistance of one or two people
B. Normal vitals, GCS >_14, SPO2 >94 or 90 for smoker, approval of physician
Resuscitation started in the field may be discontinued only by physician order for MEDICAL ARREST if: ✔✔Patient remains in persistent asystole or atonal rhythm and has capnography les than 10 after 20 min of appropriate resuscitation to include:
- CPR 2. Effective ventilation with 100%oxygenation 3. Admin on appropriate ACLS meds
Resuscitation started in the field may be discontinued only by physician order for TRAUMATIC ARREST if: ✔✔!. Open airway with basic life support measures 2. provide effective ventil 100% for 2 min 3. provide bilateral needle thoracentesis if tension pneumo suspected
When resuscitation has been terminated in the field... ✔✔all medical interventions should be left in place
For sexual assault victims outside a 50 mile radius from UMC and sunrise, shall transport the patient to... ✔✔the nearest appropriate facility
All patients in cardiac arrest or in whom the ability to adequately ventilate cannot be established should be transported... ✔✔to the closest facility
Stable patients should be transported to... ✔✔the hospital of their choice
All adult trauma calls/ pediatric step 3 trauma calls and occur w/in border of Paradise to the west, Sahara to the north, sunset rd to the south are to be transported to ... ✔✔Sunrise
Adult trauma calls that meet step 1 or 2 of the trauma triage protocol and occur w/i the st rose siena area, city of henderson, or area bordered by paradise rd to the west continuing along that portion where is becomes maryland pkwy, sunset rd to the north, are to be transported to... ✔✔Sunrise
All trauma calls that meet the Trauma triage criteria and occur w/i any other area of clark county are to be transported to... ✔✔UMC
All pediatric step 1 and step 2 trauma calls that occur within Clark Country are to be transported to... ✔✔UMC
Adult Trauma calls that meet step 1 or 2 of the trauma triage and occur in the geographical area bordered by paradise rd to the east, sunset rd to the north, I15 to the west are to be transported to... ✔✔UMC
All trauma calls that are transported by air ambulance are transported to... ✔✔UMC
Indications for c spine ✔✔1. midline cervical tenderness
- focal neuro deficit
- AMS
- Drug/alcohol intoxication
- Any painful, distracting injury
Contraindications for c spine ✔✔1. penetrating trauma to head or neck and no evidence of spinal injury
- collar might compromise assessment, airway or hemorrhage control
- patients in cardiac arrest
