List the 5 main items list in the "Protocols for All Patients" ( these were the items which are bold and underlined)
Scene safe, BSI, assessment, treatment, and transport.
List 5 things which are done under patient assessment in the “Protocols for All Patients”
Initial assessment, identify priority patients, report triage, transport
In the Written Communications portion of “Protocols for All Patients” what does the paramedic have an obligation to assure?
All the information of the scene and pt is received; if the pt can only refuse transport if mentally competent; report all abuse.
In “Protocols for All Patients” what is the difference between “Base” and “Non-Base” hospitals?
Base hospitals contain medical control and are for emergencies, non-base for transports.
List the key priorities in the “Protocols for ACS Patients”.
Efficient scene times, transport, identification of ACS, 12 lead and contact with medical control
List the medications which may be given to patients of suspected ACS and the dosages.
Aspirin 324mg chewed;
0.4mg Sublingually every 5 minutes for a max of 3 doses; nitro drip at 10mcg/min
For a patient with suspected ACS, list in order the steps for caring for this patient according to the “Protocols for ACS”
Identify concerns, aspirin, 0xygen therapy, IV NS TKO, Nitro, morphine.
What are the two variations of patients in “Protocols for Allergic Reactions”?
Systemic/mild reaction and hypotensive/severe reaction
List the medications given in the “Protocols for Allergic Reactions” and their dosages. What are the actions expected from each one. Are there any actions which require medical control before administration?
Albuterol 2.5mg/3cc NS via nebulizer;
diphenhydramine 50mg IV;
0.3mg SQ epi 1:1,000 or 0.3mg slow IVP at 1:10,000; fluids;
SoluMedrol by direct order
What are the specific considerations listed under “Allergic Reactions” to take note of?
Bug bites/stings remove stinger if possible and wash wound; for snake bites don't elevate wound, no ice or constriction, and wash well the wound.
For “Protocols for Behavioral Emergencies” what will the history of these patient to include?
Obtain history (history of suicidal ideation, drugs, crisis events); assess for suicidal behaviors; treat any medical problems; use law enforcement if needed.
In “Protocols for Behavioral Emergencies” how will a patient with suicidal behavior be managed?
Never leave patient alone/unattended, remove any potential weapon from patient and/or surroundings, obtain history specifically concerning hallucinations/delusions, determine if the patient may be a harm to self and others.
In “Protocols for Abnormal Blood Glucose”, list 6 reasons a patient may refuse transport.
No disease aside from hypoglycemia.
No other complaint/symptom
Glucose corrected to above 80
Responsible adult is present to monitor
No medication error/dosing contributed to hypoglycemia
Patient is eating
Patient's insulin dose has not changed in the previous 10 days
List the medications, their dosages and routes of administration given in “Abnormal Blood Glucose” protocols.
Glucose 30g PO,
thiamine 100mg IM/IV,
D50 at 50g IV,
glucagon 1mg IM
List the management for a person with a blood glucose over 200 mg/dL
Fluids (20cc/kg NS) for hypotension; oxygen if needed; cardiac monitoring
List the circumstances when resuscitation would be withheld in the “Cardiac Arrest” protocols.
Prolonged arrest as evidenced by lividity, rigor mortis, tissue decomposition, generalized body cooling.
List the circumstances for termination of a trauma code in “Cardiac Arrest” Protocols.
Contact with medical control.
List the medications, routes and dosages, and indications for these medications in the “Cardiac Arrest” Protocols.
1mg of 1:10,000 Epi via IVP every 3-5 minutes, vasopressor
Vasopressin single dose 40 units IVP, vasopressor
Amiodarone 300mg IVP first dose with 150mg repeated doses every 3-5 minutes,antiarrythmics
Lidocaine 1.5 mg/kg IVP use in place of amio every 3-5 minutes, antiarrythmics
Mag Sulfate 2g IV, muscle relaxer
Sodium bicarbonate 1mEq/kg IV, treat acidosis
Amiodarone 150mg infusion in 100cc D5W over 10 minutes, antiarrythmics
Atropine 1mg IV for a max of 3mg, positive chronotrope