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352 Cards in this Set

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question
anwser
page
child age is
1-8 years old
infant age
less than 1 year old
newborn age
less than 28 days old
Trauma alert pt is pediatric when
15 or younger
contact for ALS orders should be initiated in the following order
via radio
poison control phone number
1-800-222-1222
If chemical restraints are use pt's_____ need to be monitor
EKG
Demobilization support
reserved for large scale events
Defusing
small group processess
Debriefings
structured group meetings
Request for CISM team are made via
dispatch
DNR ____ maybe accepted on white paper
1896 Oct. 92
DNR, to comfirm identity should be doen via
Driver licence/other photo ID
If witness is used to confirm identity need to document what
full name of witness
4 presumptive signs of death
Unresponsive
Conclusive signs of death
Injuries incompatible with life
Pt with ______ require full ALS resuscitation unless injuries incompatible with life
hypothermia
Trauma victim may be determined dead under what criteria
pulseless and apnea with asystole/agonal rhythm with:
Discontinuance of CPR what criteria
appropriate bls and als have been made with no return of spontaneous circulation
who is excluded from discontinuance of CPR
Children and trauma pts
ET tube/king airway must be verified by ___ for pt determined dead in the field
two medics
Rehab requires a minimum of ___ personnel
2 rescue personnel
Rehab, medical evaluations should be done
2 scba bottles and /or 45 mins of strenuous activity
Rehab, medical examination should be competed at ____ min intervals
15
medical examination shall involve minimum of
GSC
rehab fluid replacement is
1-2 quarts of fluid over 15 mins water first then 1/2 strength gatorade
minium rest period for rehab
15 mins
standard dispatch for air rescue assignment
one engine company
final decision on suitability of a LZ is made by
PIC
LZ should be minimum of
120x120 feet
during air transport who should contact the receiving facility
ground rescue unit before air rescue's arrival
air transport, a minimum of ___ personnel will carry the stretcher to helicopter
4
MCI command will designate the following officers
Triage
a Fromal PIA is required for MCI level ____
3 or greater
R in RPM
resprition less than or equal to 30 go to perfusion
P in RPM
radial pulse present or cap refill < 2 secs go to Mental
M in RPM
COAx3=green
start triage Respriations
15-45 go to perfusion
jumpstart Perfusion
periheral pulse present go to mental
jumpstart mental
AVPU
Adult trauma criteria for burns
2nd or 3rd degree 15% or more
Adult trauma criteria for long bone fx
single long bone from MVC or fall greater than 10 feet = blue criteria
GSW to extremity Adult criteria
blue
Adult trauma alert GSW ____ is one red
12 or less
Ped trauma alert LOC or amnesia is
blue
Ped trauma alert red B/P criteria
below 50 systolic
Ped trauma alert, single long bone fx
Blue
Ped trauma alert, single open long bone fx
red
Ped trauma alert, AMS
red
Age for ped trauma alert
15 or younger
Ped trauma alert, blue criteria for weight/length
11kg or less
Trauma alert complete EMS report will be faxed to receiving hospital within
24 hours
adult blue criteria for respiration and pulse rate
>30
helicopter will not be used when
bariatic pt 500lbs or greater
use air transport is trauma center is greater than ___ mins by ground
20
use trauma hawk if ground transport response time is greater than ___ mins
15
use trauma hawk if extrication time is greater than
15 mins
Staging area manager should maintain at least ___ transport units
2
MCI blue tag means
decon
EMS captain should be contacted for consultation under what circumstances
pt's refusal represnet a significant risk to the pt or EMS system
Broselow tape may be use when
pt's weight is unknown
O2 rate for Nasal cannula
.5-6 l/min
O2 rate for simple face mask
6-10 l/min
O2 rate for non-rebreather mask
10-15 l/min
Ventilate rate for BVM with pulse
adult 12/min
Preoxygenate for
8 full breaths or 2 mins with bvm 100% O2
Etomidate adult dose
30mg or .3/kg
Etomidate ped dose
.3mg/kg
Paralytic RSI is to be used by
EMS Captains and Flight Crew personnel.
Ped atropine dose for intubation
.02mg/kg
Atropine for intubation is used when
Ped pt 5 years old or less
Etomidate may be repeat when
repeat once if first intubation is unsuccessful and pt requires additional induction
Succinylcholine dose for Peds
1-1.5mg/kg
Succinylcholine dose for adult
1-1.5mg/kg
What must be given before Succinylcholine
etomidate
Mandatory methods for ET tube placement
Visual
If unable to confirm tube placement by mandatory methods then
remove the ET tube and refer to the Failed Airway protocol.
Use failed airway after
2 unsuccessful attempts and inability to maintain SpO2 >= 95%
Needle cricothyroidotomy age
<12 year old
Post intubation valium dose
5mg
Valium max dose for post intubation
20mg
Minimum B/P for Valium
100
Valium dose ped (post intubation)
.2mg
Vecuronium Bromide dose
.1mg/kg
repeat dose of Vecuronium at
25-40 minutes on initial dose
What must given given prior to succinylcholine
Etomidate
Trauma Alert pt O2
NRM 100%
Suction setting for Tracheostomy
100 mmHG or less
External jugular may be used when
other peripheral site attempts have been unsuccessful
Buritrol should be used when
< eight years old
IO should be attempted after
two failed IV attempts in a life-threatening situation
Adult IO are to be performed by
EMS Captain
PICC or central line should be use when
only in an emergency
Central line use draw off
10cc discard blood
Central line do not use syringe smaller than
10cc
Fluid resuscitation dose
20ml/kg
D10 use when
<10kg or <1month old
D10 dose
5ml/kg
D25 use when
<30kg
D25 dose
2ml/kg
D50 use when
>30kg
D50 dose
Adult 25g
Glucagon newborn dose
do not use on newborn
Glucagon dose
.5mg IM <25kg
If glucose is above ____ give fluids
300
Trauma alert scene time should be limited to
10 mins
Consider intubation with a GCS of
less than 8
Tetracaine is contraindicated in
penetratin eye injury or laceration to cornea or globe
dose for Tetracaine
one drop
burn cover wet when
less than 20% 2nd and/or 5% 3rd apply for 15 mins
dry chemical burns treatment
brush off dry powder, lavage with copious amounts of tepid water for 15 mins
Liquid Chemical burn treatment
Lavage the burned area copious amounts or tepid water for 15 mins
Crush injury treatment
If object still on pt consider infusing a minimum of 20ml/kg before lifting object
child age is
1-8 years old
infant age
less than 1 year old
newborn age
less than 28 days old
Trauma alert pt is pediatric when
15 or younger
contact for ALS orders should be initiated in the following order
via radio
poison control phone number
1-800-222-1222
If chemical restraints are use pt's_____ need to be monitor
EKG
Demobilization support
reserved for large scale events
personnel are given info about stress
signs/symptoms
Defusing
small group processess
Debriefings
structured group meetings
Request for CISM team are made via
dispatch
DNR ____ maybe accepted on white paper
1896 Oct. 92
DNR
to comfirm identity should be doen via
If witness is used to confirm identity need to document what
full name of witness
4 presumptive signs of death
Unresponsive
Conclusive signs of death
Injuries incompatible with life
Pt with ______ require full ALS resuscitation unless injuries incompatible with life
hypothermia
Trauma victim may be determined dead under what criteria
pulseless and apnea with asystole/agonal rhythm with:
Discontinuance of CPR what criteria
appropriate bls and als have been made with no return of spontaneous circulation
who is excluded from discontinuance of CPR
Children and trauma pts
ET tube/king airway must be verified by ___ for pt determined dead in the field
two medics
Rehab requires a minimum of ___ personnel
2 rescue personnel
Rehab
medical evaluations should be done
weakness
dizziness
Discretion of IC
rehab officer
Rehab
medical examination should be competed at ____ min intervals
medical examination shall involve minimum of
GSC
vitals (BP
pulse
rehab fluid replacement is
1-2 quarts of fluid over 15 mins water first then 1/2 strength gatorade
minium rest period for rehab
15 mins
standard dispatch for air rescue assignment
one engine company
final decision on suitability of a LZ is made by
PIC
LZ should be minimum of
120x120 feet
during air transport who should contact the receiving facility
ground rescue unit before air rescue's arrival
air transport
a minimum of ___ personnel will carry the stretcher to helicopter
MCI command will designate the following officers
Triage
a Fromal PIA is required for MCI level ____
3 or greater
R in RPM
resprition less than or equal to 30 go to perfusion
P in RPM
radial pulse present or cap refill < 2 secs go to Mental
M in RPM
COAx3=green
start triage Respriations
15-45 go to perfusion
not breathing open airway
still not breathing check pulse
jumpstart Perfusion
periheral pulse present go to mental
jumpstart mental
AVPU
Adult trauma criteria for burns
2nd or 3rd degree 15% or more
Adult trauma criteria for long bone fx
single long bone from MVC or fall greater than 10 feet = blue criteria
GSW to extremity Adult criteria
blue
Adult trauma alert GSW ____ is one red
12 or less
Ped trauma alert LOC or amnesia is
blue
Ped trauma alert red B/P criteria
below 50 systolic
Ped trauma alert
single long bone fx
Ped trauma alert
single open long bone fx
Ped trauma alert
AMS
Age for ped trauma alert
15 or younger
Ped trauma alert
blue criteria for weight/length
Trauma alert complete EMS report will be faxed to receiving hospital within
24 hours
adult blue criteria for respiration and pulse rate
>30
helicopter will not be used when
bariatic pt 500lbs or greater
use air transport is trauma center is greater than ___ mins by ground
20
use trauma hawk if ground transport response time is greater than ___ mins
15
use trauma hawk if extrication time is greater than
15 mins
Staging area manager should maintain at least ___ transport units
2
MCI blue tag means
decon
EMS captain should be contacted for consultation under what circumstances
pt's refusal represnet a significant risk to the pt or EMS system
Broselow tape may be use when
pt's weight is unknown
O2 rate for Nasal cannula
.5-6 l/min
O2 rate for simple face mask
6-10 l/min
O2 rate for non-rebreather mask
10-15 l/min
Ventilate rate for BVM with pulse
adult 12/min
Preoxygenate for
8 full breaths or 2 mins with bvm 100% O2
Etomidate adult dose
30mg or .3/kg
Etomidate ped dose
.3mg/kg
Paralytic RSI is to be used by
EMS Captains and Flight Crew personnel.
Ped atropine dose for intubation
.02mg/kg
Atropine for intubation is used when
Ped pt 5 years old or less
Etomidate may be repeat when
repeat once if first intubation is unsuccessful and pt requires additional induction
Succinylcholine dose for Peds
1-1.5mg/kg
Succinylcholine dose for adult
1-1.5mg/kg
What must be given before Succinylcholine
etomidate
Mandatory methods for ET tube placement
Visual
If unable to confirm tube placement by mandatory methods then
remove the ET tube and refer to the Failed Airway protocol.
Use failed airway after
2 unsuccessful attempts and inability to maintain SpO2 >= 95%
Needle cricothyroidotomy age
<12 year old
Post intubation valium dose
5mg
Valium max dose for post intubation
20mg
Minimum B/P for Valium
100
post intubation the critically ill or injured who require sedation
paramedic judgement
Valium dose ped (post intubation)
.2mg
Vecuronium Bromide dose
.1mg/kg
repeat dose of Vecuronium at
25-40 minutes on initial dose
What must given given prior to succinylcholine
Etomidate
Trauma Alert pt O2
NRM 100%
Suction setting for Tracheostomy
100 mmHG or less
External jugular may be used when
other peripheral site attempts have been unsuccessful
Buritrol should be used when
< eight years old
IO should be attempted after
two failed IV attempts in a life-threatening situation
Adult IO are to be performed by
EMS Captain
PICC or central line should be use when
only in an emergency
Central line use draw off
10cc discard blood
Central line do not use syringe smaller than
10cc
Fluid resuscitation dose
20ml/kg
D10 use when
<10kg or <1month old
D10 dose
5ml/kg
D25 use when
<30kg
D25 dose
2ml/kg
D50 use when
>30kg
D50 dose
Adult 25g
Glucagon newborn dose
do not use on newborn
Glucagon dose
.5mg IM <25kg
If glucose is above ____ give fluids
300
Trauma alert scene time should be limited to
10 mins
Consider intubation with a GCS of
less than 8
Tetracaine is contraindicated in
penetratin eye injury or laceration to cornea or globe
dose for Tetracaine
one drop
burn cover wet when
less than 20% 2nd and/or 5% 3rd apply for 15 mins
dry chemical burns treatment
brush off dry powder
Liquid Chemical burn treatment
Lavage the burned area copious amounts or tepid water for 15 mins
Crush injury treatment
If object still on pt consider infusing a minimum of 20ml/kg before lifting object
child age is
1-8 years old
infant age
less than 1 year old
newborn age
less than 28 days old
Trauma alert pt is pediatric when
15 or younger
contact for ALS orders should be initiated in the following order
via radio
poison control phone number
1-800-222-1222
If chemical restraints are use pt's_____ need to be monitor
EKG
Demobilization support
reserved for large scale events
personnel are given info about stress
signs/symptoms
Defusing
small group processess
Debriefings
structured group meetings
Request for CISM team are made via
dispatch
DNR ____ maybe accepted on white paper
1896 Oct. 92
DNR
to comfirm identity should be doen via
If witness is used to confirm identity need to document what
full name of witness
4 presumptive signs of death
Unresponsive
Conclusive signs of death
Injuries incompatible with life
Pt with ______ require full ALS resuscitation unless injuries incompatible with life
hypothermia
Trauma victim may be determined dead under what criteria
pulseless and apnea with asystole/agonal rhythm with:
Discontinuance of CPR what criteria
appropriate bls and als have been made with no return of spontaneous circulation
who is excluded from discontinuance of CPR
Children and trauma pts
ET tube/king airway must be verified by ___ for pt determined dead in the field
two medics
Rehab requires a minimum of ___ personnel
2 rescue personnel
Rehab
medical evaluations should be done
weakness
dizziness
Discretion of IC
rehab officer
Rehab
medical examination should be competed at ____ min intervals
medical examination shall involve minimum of
GSC
vitals (BP
pulse
rehab fluid replacement is
1-2 quarts of fluid over 15 mins water first then 1/2 strength gatorade
minium rest period for rehab
15 mins
standard dispatch for air rescue assignment
one engine company
final decision on suitability of a LZ is made by
PIC
LZ should be minimum of
120x120 feet
during air transport who should contact the receiving facility
ground rescue unit before air rescue's arrival
air transport
a minimum of ___ personnel will carry the stretcher to helicopter
MCI command will designate the following officers
Triage
a Fromal PIA is required for MCI level ____
3 or greater
R in RPM
resprition less than or equal to 30 go to perfusion
P in RPM
radial pulse present or cap refill < 2 secs go to Mental
M in RPM
COAx3=green
start triage Respriations
15-45 go to perfusion
not breathing open airway
still not breathing check pulse
jumpstart Perfusion
periheral pulse present go to mental
jumpstart mental
AVPU
Adult trauma criteria for burns
2nd or 3rd degree 15% or more
Adult trauma criteria for long bone fx
single long bone from MVC or fall greater than 10 feet = blue criteria
GSW to extremity Adult criteria
blue
Adult trauma alert GSW ____ is one red
12 or less
Ped trauma alert LOC or amnesia is
blue
Ped trauma alert red B/P criteria
below 50 systolic
Ped trauma alert
single long bone fx
Ped trauma alert
single open long bone fx
Ped trauma alert
AMS
Age for ped trauma alert
15 or younger
Ped trauma alert
blue criteria for weight/length
Trauma alert complete EMS report will be faxed to receiving hospital within
24 hours
adult blue criteria for respiration and pulse rate
>30
helicopter will not be used when
bariatic pt 500lbs or greater
use air transport is trauma center is greater than ___ mins by ground
20
use trauma hawk if ground transport response time is greater than ___ mins
15
use trauma hawk if extrication time is greater than
15 mins
Staging area manager should maintain at least ___ transport units
2
MCI blue tag means
decon
EMS captain should be contacted for consultation under what circumstances
pt's refusal represnet a significant risk to the pt or EMS system
Broselow tape may be use when
pt's weight is unknown
O2 rate for Nasal cannula
.5-6 l/min
O2 rate for simple face mask
6-10 l/min
O2 rate for non-rebreather mask
10-15 l/min
Ventilate rate for BVM with pulse
adult 12/min
Preoxygenate for
8 full breaths or 2 mins with bvm 100% O2
Etomidate adult dose
30mg or .3/kg
Etomidate ped dose
.3mg/kg
Paralytic RSI is to be used by
EMS Captains and Flight Crew personnel.
Ped atropine dose for intubation
.02mg/kg
Atropine for intubation is used when
Ped pt 5 years old or less
Etomidate may be repeat when
repeat once if first intubation is unsuccessful and pt requires additional induction
Succinylcholine dose for Peds
1-1.5mg/kg
Succinylcholine dose for adult
1-1.5mg/kg
What must be given before Succinylcholine
etomidate
Mandatory methods for ET tube placement
Visual
If unable to confirm tube placement by mandatory methods then
remove the ET tube and refer to the Failed Airway protocol.
Use failed airway after
2 unsuccessful attempts and inability to maintain SpO2 >= 95%
Needle cricothyroidotomy age
<12 year old
Post intubation valium dose
5mg
Valium max dose for post intubation
20mg
Minimum B/P for Valium
100
post intubation the critically ill or injured who require sedation
paramedic judgement
Valium dose ped (post intubation)
.2mg
Vecuronium Bromide dose
.1mg/kg
repeat dose of Vecuronium at
25-40 minutes on initial dose
What must given given prior to succinylcholine
Etomidate
Trauma Alert pt O2
NRM 100%
Suction setting for Tracheostomy
100 mmHG or less
External jugular may be used when
other peripheral site attempts have been unsuccessful
Buritrol should be used when
< eight years old
IO should be attempted after
two failed IV attempts in a life-threatening situation
Adult IO are to be performed by
EMS Captain
PICC or central line should be use when
only in an emergency
Central line use draw off
10cc discard blood
Central line do not use syringe smaller than
10cc
Fluid resuscitation dose
20ml/kg
D10 use when
<10kg or <1month old
D10 dose
5ml/kg
D25 use when
<30kg
D25 dose
2ml/kg
D50 use when
>30kg
D50 dose
Adult 25g
Glucagon newborn dose
do not use on newborn
Glucagon dose
.5mg IM <25kg
If glucose is above ____ give fluids
300
Trauma alert scene time should be limited to
10 mins
Consider intubation with a GCS of
less than 8
Tetracaine is contraindicated in
penetratin eye injury or laceration to cornea or globe
dose for Tetracaine
one drop
burn cover wet when
less than 20% 2nd and/or 5% 3rd apply for 15 mins
dry chemical burns treatment
brush off dry powder
Liquid Chemical burn treatment
Lavage the burned area copious amounts or tepid water for 15 mins
Crush injury treatment
If object still on pt consider infusing a minimum of 20ml/kg before lifting object