SNHD Quiz 2

Name: Score: 42 True/False questions Term Definition 1 of 85 What kind of burns must be transported to 1. second/third degree adult >20% UMC burn center? 2. second/third degree cover >10% in patients under 10 or over 50 3. burns to face hands feet genitals perineum or joints 4. electrical or chemical burns 5. circumferential burns 6. inhalation injury True False Term Definition Bradycardia causing symptoms is typically... less than 50 a minute 2 of 85 True False Term Definition BVM is acceptable method of ventilation and less than 60 managing air way if the pulse oximetry can be maintained at... True False 3 of 85 Definition Term patients in cardiac arrest or in whom the ability An intubation attempt is defined as... 4 of 85 to adequately ventilate is not established True False Term Definition 5 of 85 Intoxicated persons who have no emergent A. Patient able to stand with minimal assistance need should be transported to an alcohol and of one or two people drugs abuse facility rather than a hospitals B. Normal vitals, GCS >_14, SPO2 >94 or 90 for emergency center if the patient meets all of the smoker, approval of physician following criteria: True False Term Definition Adult burn patients should be transported to... ECG monitoring 6 of 85 True False Term Definition For adult drowning patients do you suction no 7 of 85 foam in the airway? True False Definition Term 15 kg Adult AED pads may be used on children weighing greater than... True False 8 of 85 Term Definition Is Midazolam recommended for use in children UMC 9 of 85 for behavioral emergencies? True False Definition Term 10 of 85 w/i one hour How soon must ingestion occur to administer activated charcoal? True False Definition Term for patients with penetrating injuries to head Step 2 Trauma Field Triage 11 of 85 neck torso, chest wall deformity, 2+ prox long bone fractures, f'ed up extremity, amputation prox to wrist or ankle, pelvis fracture, open/depressed skill fracture, and paralysis must go to level 1 or 2 center True False Definition Term transported to the nearest emergency If the ability to adequately ventilate the patient department cannot be established, the patient must be... True False 12 of 85 Term Definition Capnometry/capnography is mandatory with... less than 50 a minute 13 of 85 True False Term Definition Patients with smoke inhalation should be UMC 14 of 85 transported to... True False Definition Term hypothermia An intubation attempt is defined as... 15 of 85 True False Term Definition 16 of 85 Grand mal seizure dehydration, tachy, hypoten, temp over 104, and AMS True False Term Definition What must you document during labor delivery, contraction, duration, and frequency True False 17 of 85 Term Definition 18 of 85 Status epilepticus affect only part of the body and are not usually associated with a loss of consciousness True False Definition Term dehydration, tachy, hypoten, temp over 104, and Heat exhaustion consists of... 19 of 85 AMS True False Term Definition Estimated minimum Systolic BP calculation (age in years x 2) +70 20 of 85 True False Term Definition Adult Trauma calls that meet step 1 or 2 of the Sunrise 21 of 85 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... True False Term Definition Cover a burned area only with... 100 percent oxygen True False 22 of 85 Definition Term 23 of 85 12 years Pediatric treatment protocols are for patients under... True False Term Definition 24 of 85 Resuscitation started in the field may be Patient remains in persistent asystole or atonal discontinued only by physician order for rhythm and has capnography les than 10 after MEDICAL ARREST if: 20 min of appropriate resuscitation to include: 1. CPR 2. Effective ventilation with 100%oxygenation 3. Admin on appropriate ACLS meds True False Definition Term dehydration, salt depletion, dizziness, fever, Heat stroke consists of... 25 of 85 AMS, headache, cramps. Tachy, hypotension, and high temp True False Definition Term hypotension, bradycardia, tachycardia in the An intubation attempt is defined as... absence of heart failure and evidence of a right ventricular infarction True False 26 of 85 Definition Term 27 of 85 repeat vital signs Adult burn patients should be transported to... True False Definition Term over 140 (30 more than normal) Pregnancy hypertension values 28 of 85 True False Term Definition All pediatric step 1 and step 2 trauma calls that airway emergencies 29 of 85 occur within Clark Country are to be transported to... True False Term Definition Dystonic reaction two or more seizure successively w/o an 30 of 85 intervening lucid period or a seizure lasting over five minutes True False Definition Term AMS, hydrocarbon or heavy metal ingesion Do not use Activated Charcoal if... True False 31 of 85 Definition Term 0,1,2 Step 2 Trauma Field Triage 32 of 85 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 True False Definition Term 33 of 85 St. Rose Siena 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 ... True False Term Definition A common cause of bradycardia is... hypoxemia 34 of 85 True False Term Definition In pediatric emergencies transport to the 12 years closest facility for... True False 35 of 85 Term Definition Adult trauma calls that meet step 1 or 2 of the true 36 of 85 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... True False Term Definition All adult trauma calls/ pediatric step 3 trauma UMC 37 of 85 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 ... True False Term Definition CO exposure should be treated with dry sterile dressing 38 of 85 True False Definition Term true Narcan is not recommended in the new born. True or false True False 39 of 85 Term Definition 40 of 85 Resuscitation started in the field may be !. Open airway with basic life support measures discontinued only by physician order for 2. provide effective ventil 100% for 2 min 3. TRAUMATIC ARREST if: provide bilateral needle thoracentesis if tension pneumo suspected True False Definition Term 41 of 85 vague jaw/chest/abdominal discomfort Perform a 12 lead on all patients 35 years old experiencing... (suspected acute coronary syndrome) True False Definition Term chronic kidney disease Hyperkalemia is suspected commonly in 42 of 85 patients with... True False 43 Multiple choice questions Term Estimated Min Systolic BP calculation applies up to age... UMC 15 kg no 10 43 of 85 Term 44 of 85 moderate hypothermia 70-80 75-82 82-92 92-98 Term 45 of 85 Pediatric patients shall be transported to one of the following facilities: delivery, contraction, duration, and frequency to the closest facility the hospital of their choice 1. St Rose-Siena 2. Summerlin 3. Sunrise 4. UMC Definition 46 of 85 Assess MOI: Adults higher than 20 ft, kids higher than 10 ft, 40 mph crash, intruding roof 12 in +, ejection, rollover w/ unrestrained, death of other passenger, motorcycle over 20 ft, bike hit at 20 mph go to level 1,2, or 3 Step 3 Trauma Field Triage Step 1 Trauma Field Triage Step 4 Trauma Field Triage Step 2 Trauma Field Triage Term 47 of 85 Sweating generally disappears as body temperatures rise over... 100 106 102 104 Term 48 of 85 Treat hypoglycemia and suspected narcotic overdose before or after using advanced airways? less than 60 before 82-92 an aneurysm Term 49 of 85 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 HENDERSON COCHRANE SINUS Term 50 of 85 What times do you record an APGAR score? immediately after birth and at ten minutes at five and ten minutes after birth at one and five minutes after birth at three and seven minutes after birth Term 51 of 85 Benzodiazepines are effective in... terminating seizures chronic kidney disease airway emergencies hypothermia Term For patients with known adrenal insufficiency in shock, administer patients own... Anadrol-50 (oxymetholone) Solu-medrol (methylprednisolone) Solu-Cortef (hydrocortisone) Decadron (dexamethasone) 52 of 85 Definition 53 of 85 if GCS 13 or less, systolic under 90, or RR abnormal patient must be transported to a level 1 or 2 center for the treatment of trauma. pediatric patient must be transported to pediatric center Step 3 of Trauma Field Triage Step 1 of Trauma Field Triage Step 4 of Trauma Field Triage Step 2 of Trauma Field Triage Term 54 of 85 Stable patients should be transported to... the hospital of their choice the designated trauma center the closest urgent care facility the nearest emergency department Term Give oral glucose to children with a BG under...... and for newborns under... airway emergencies an aneurysm 5.5 mmol/L - 60 - 40 55 of 85 Definition 56 of 85 1. midline cervical tenderness 2. focal neuro deficit 3. AMS 4. Drug/alcohol intoxication 5. Any painful, distracting injury Indications for c spine Heat stroke consists of... Contraindications for c spine Parkland formula for fluid replacement Term 57 of 85 Neuro disorders or signs of hypo perfusion/shock in the presence of abdominal pain my indicate... an aneurysm hypertension an embolus rheumatoid arthritis Term 58 of 85 An intubation attempt is defined as... passing the laryngoscope blade or endotracheal tube past the teeth or inserted into the nasal passage inserting the endotracheal tube into the esophagus inserting the endotracheal tube into the stomach passing the laryngoscope blade over the tongue only Definition 59 of 85 1. penetrating trauma to head or neck and no evidence of spinal injury 2. collar might compromise assessment, airway or hemorrhage control 3. patients in cardiac arrest Dystonic reaction Contraindications for c spine Indications for c spine What kind of burns must be transported to UMC burn center? Term 60 of 85 For patients with altered mentation/syncope give oral glucose for a blood sugar value... less than 60 less than 40 more than 70 greater than 80 Term 61 of 85 All patients in cardiac arrest or in whom the ability to adequately ventilate cannot be established should be transported... to the closest facility patients in cardiac arrest or in whom the ability to adequately ventilate is not established before all methods on intubation Term 62 of 85 When resuscitation has been terminated in the field... all medical interventions should be left in place some medical interventions should be discontinued all medical interventions should be removed only monitoring equipment should be left in place Term 63 of 85 In patients with abdominal/flank pain, nausea and vomiting, older than 35 years old... consider cardiac origin and consider a 12 lead consider musculoskeletal origin and apply heat assume gastrointestinal issue and administer antacids evaluate for renal origin and check urine sample Term 64 of 85 Take pediatric burn patients to... If GCS 13 or less, systolic under 90, or RR abnormal patient must be transported to a level 1 or 2 center for the treatment of trauma. pediatric patient must be transported to pediatric center UMC pediatric ED St. Rose Siena AMS, hydrocarbon or heavy metal ingesion Term 65 of 85 Sexual assault victims over 18 should be transported to... 12 years UMC w/i one hour no Term 66 of 85 What must patients with suspected hyperkalemia have before initiating treatment? 1. cush syndrome, chronic renal failure 2. electrocardiograph consistent with hyperkalemia 3. hemodynamic instability hypotension, bradycardia, tachycardia in the absence of heart failure and evidence of a right ventricular infarction 1. midline cervical tenderness 2. focal neuro deficit 3. AMS 4. Drug/alcohol intoxication 5. Any painful, distracting injury 1. second/third degree adult >20% 2. second/third degree cover >10% in patients under 10 or over 50 3. burns to face hands feet genitals perineum or joints 4. electrical or chemical burns 5. circumferential burns 6. inhalation injury Term 67 of 85 Mild hypothermia 95-100 85-90 90-95 80-85 Term 68 of 85 severe hypothermia under 70 over 85 under 82 82-88 Term 69 of 85 When do you do CCC? non traumatic cardiac arrest, unwitnessed do 2 min, if witnessed, DO THIS FOR DROWNING traumatic cardiac arrest, witnessed do 5 min, if witnessed, DO THIS FOR DROWNING traumatic cardiac arrest, witnessed do 2 min, if unwitnessed, DO THIS FOR DROWNING non traumatic cardiac arrest, witnessed do 2 min, if witnessed, DO NOT DO THIS FOR DROWNING Term 70 of 85 Always perform ___________ when administering Epi. Temperature monitoring Blood pressure monitoring ECG monitoring Oxygen saturation monitoring Term 71 of 85 Telemetry shall be established: if GCS 13 or less, systolic under 90, or RR abnormal patient must be transported to a level 1 or 2 center for the treatment of trauma. pediatric patient must be transported to pediatric center 1. all code 3 transports 2. med emergency when ems thinks necessary 3. trauma patients going to a trauma center 4. telemetry requred per protocol 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) 1. midline cervical tenderness 2. focal neuro deficit 3. AMS 4. Drug/alcohol intoxication 5. Any painful, distracting injury Term 72 of 85 Heat cramps consist of... chronic muscle fatigue due to lack of exercise and hydration benign muscle cramping caused by dehydration and not associated with temp painful muscle spasms associated with low blood sugar severe muscle cramping caused by electrolyte imbalance and high temp Term 73 of 85 Sexual assault victims under 13 should be transported to... sunrise 12 years true sunrise or UMC Term APGAR of 7-10 is... normal dry associated with loss of continence, incontinence and oral trauma too slow 74 of 85 Definition 75 of 85 sever headache, vision changes, or RUQ pain Focal seizures Severe hypothermia Indications of pre-eclampsia Mild hypothermia Term 76 of 85 APGAR of 4-7 requires... dry sterile dressing all methods on intubation terminating seizures resucitative measures Term An appropriate ventilatory rate is one that maintains and ETCO2 of 45-55 50-60 25-35 35-45 77 of 85 Definition 78 of 85 affect only part of the body and are not usually associated with a loss of consciousness Febrile seizures Tonic-clonic seizures Tonic seizures Focal seizures Term 79 of 85 All trauma calls that are transported by air ambulance are transported to... SINUS SUNRISE HOSPITAL COCHRANE UMC Term The most common tachyarrythmia in children is... migraine meatus fistula sinus 80 of 85 Definition 81 of 85 Stabilize the situation Assess and acknowledge the crisis Facilitate the id and activation of resources Encourage the patient to use resources and take action is his best interest S. A. F. E. R. Grand mal seizure Step 1 of Trauma Field Triage Status epilepticus Definition 82 of 85 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) Heat exhaustion consists of... What kind of burns must be transported to UMC burn center? Parkland formula for fluid replacement Estimated minimum Systolic BP calculation Term Sexual assault victims 13 to 18 should be transported to... 12 years sunrise or UMC sunrise ECG monitoring 83 of 85 Term 84 of 85 Hyperkalemia is defined as a potassium level higher than... 3.5 mmol/l 4.0 mmol/l 6.0 mmol/l 5.5 mmol/L Term For sexual assault victims outside a 50 mile radius from UMC and sunrise, shall transport the patient to... an aneurysm vague jaw/chest/abdominal discomfort transported to the nearest emergency department the nearest appropriate facility 85 of 85