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21 Cards in this Set

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  • Back

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

ALS (Paramedic)

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

high quality


standardized

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

BLS protocols

_____ may be performed without contacting medical control.

standing orders

True or False


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

True


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

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

endotracheal intubation

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

...they have been approved by NYC REMAC.

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

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

_____ require Medical Control contact prior to implementation.

Medical Control Options

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



(is / is not)

is not



(alternate advanced airways are only for cardiac arrests)

True of False


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

False



There is no preference in the cardiac arrest setting.

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

(1) no extended CPR interruptions



(2) attempt ET intubation only twice

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

...an alternative airway must be placed.

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



(acceptable / unacceptable)

unacceptable

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



(adult and pediatric definitions)

(1) adults with no sign of hypoperfusion



(2) peds without decompensated shock


(no AMS, hypotension, absent peripherals)

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

(1) decompensated shock (>90mmHg)


(2) AMS

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

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


(2) depressed AMS; absent peripherals

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.

Discretionary Decision

AEMTPs should not ____________ while carrying out a Discretionary Decision.

exceed their level of training

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



(2 examples)

(1) modified drug dosage


(2) modified drug purpose

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

...perform only standing orders and transport.