2017 Nyc Remac - Gop Als - Orders, Airways, Dysrhythmias

Front 1

The ______ Treatment Protocols are for the use of the AEMTP in the field and medical control Physicians.

Back 1

ALS (Paramedic)

Front 2

ALS protocols have been developed to ensure _____, _____ prehospital care.

Back 2

high quality

standardized

Front 3

_____, although not enumerated therein, are the foundation upon which ALS protocols are based.

Back 3

BLS protocols

Front 4

_____ may be performed without contacting medical control.

Back 4

standing orders

Front 5

True or False

Medical control may be contacted prior to the completion of standing orders.

Back 5

True

Medical control may be used as a resource at any time.

Front 6

Unless specific conditions are outlined in the protocol, _____ may be performed under Standing Orders whenever it is required.

Back 6

endotracheal intubation

Front 7

Other methods of advanced airway management are permitted as an alternative to ET intubation, provided that...

Back 7

...they have been approved by NYC REMAC.

Front 8

Blood drawing in the field is no longer routinely performed, but...

Back 8

...it is permitted at the discretion of the EMS Agency Medical Director.

Front 9

_____ require Medical Control contact prior to implementation.

Back 9

Medical Control Options

Front 10

In the non-cardiac arrest setting, the use of alternate airways _____ allowed.

(is / is not)

Back 10

is not

(alternate advanced airways are only for cardiac arrests)

Front 11

True of False

In the cardiac arrest setting, ET intubation is preferred to alternate airways.

Back 11

False

There is no preference in the cardiac arrest setting.

Front 12

If ET intubation is selected as the primary method of advanced airway management in the cardiac arrest setting, (1) _________ and (2)_________.

Back 12

(1) no extended CPR interruptions

(2) attempt ET intubation only twice

Front 13

In the cardiac arrest setting, after two failed ET intubation attempts...

Back 13

...an alternative airway must be placed.

Front 14

Nasal intubation is considered to be an ______ form of airway management in the NYC system.

(acceptable / unacceptable)

Back 14

unacceptable

Front 15

For the purpose of these protocols, a stable dysrhythmia is defined in the following two ways:

(adult and pediatric definitions)

Back 15

(1) adults with no sign of hypoperfusion

(2) peds without decompensated shock

(no AMS, hypotension, absent peripherals)

Front 16

For the purpose of these protocols, an unstable dysrhythmia in an adult is defined in the following two ways:

Back 16

(1) decompensated shock (>90mmHg)

(2) AMS

Front 17

For the purpose of these protocols, an unstable dysrhythmia in a pediatric patient is defined in the following two ways:

Back 17

(1) decompensated shock (>70+2age)

(2) depressed AMS; absent peripherals

Front 18

For patients who do not fit into a rigid formula approach, or where there is no existing protocol and a clear need for advanced life support exists, the term _____ shall be utilized.

Back 18

Discretionary Decision

Front 19

AEMTPs should not ____________ while carrying out a Discretionary Decision.

Back 19

exceed their level of training

Front 20

Discretionary Decisions may include, but are not limited to...

(2 examples)

Back 20

(1) modified drug dosage

(2) modified drug purpose

Front 21

In the event of failure of voice contact with Medical Control, AEMTPs will...

Back 21

...perform only standing orders and transport.