2014 Paramedic Protocols

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2014 Paramedic Protocols
2014-11-13 14:30:23
paramedic protocols gmvemsc 2014

GMVEMSC 2014 Paramedic Protocols
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  1. what are the examples for several reasons to contact the hospital?
    • > trauma
    • > cardiac arrest
    • > hazardous materials
    • > bedbugs
    • > cardiac or stroke alerts
  2. when calling ahead concerning a trauma patient, include
    • > MIVT (mechanism, injuries, vitals and Rx)
    • > ETA
    • > GCS components
    • > pt assessment findings (especially those pertinent to decision for trauma alert).
  3. paramedics who have transmitted an EKG are expected to ...
    call and speak with MCP
  4. When calling with an alert (Trauma, Cardiac, or Stroke) say, "
    We recommend a ______ alert"
  5. Deep, penetrating, cranial injuries is a circumstance for ...
    Non-Initiation of Care
  6. Massive truncal wounds is an indication for ...
    Non-initiation of care
  7. DNR Order -- present and valid is an indication for ...
    Non-initiation of care
  8. A frozen body is a indication for ...
    Non-initiation of care
  9. Rigor mortis, tissue decomposition, or sever dependent lividity are indications for ...
    Non-initiation of care
  10. Excessive triage demans can be a indication for ...
    Non-initiation of care
  11. Blunt trauma found in cardiac arrest can be a circumstance precluding non-initiation of care unless one of the following conditions is present:
    • · Pt Tx to ED <5'
    • · The arrest caused by medical condition
    • · Focused blunt trauma to the chest (such as commotio cordis)
  12. If Tx to ED >15', penetrating trauma found in cardiac arrest can be an indication for ...
    Non-initiation of care
  13. If Tx to ED >15', but Pt w/penetrating trauma in cardiac arrest after in EMS care...
    Resuscitation will be initiated
  14. Once en route with a Pt in cardiac arrest ...
    Continue care even if the time limits cannot be met.
  15. If care began and it is readily apparent to EMS that the Pt met non-initiation of care criteria, ...
    resuscitation efforts may cease
  16. With DNR-CC, suctioning is ...
  17. With DNR-CC, Oxygen is ...
  18. With DNR-CC, splinting/immobilization is ...
  19. With DNR-CC, bleeding control is ...
  20. With DNR-CC, pain control is ...
  21. With DNR-CC, chest compressions are ...
    not permitted
  22. With DNR-CC, airway adjuncts including CPAP and respiratory assistance is ...
    not permitted
  23. With DNR-CC, resuscitative drugs are ...
    not permitted
  24. With DNR-CC, defibrillation/cardioversion/monitoring are ...
    not permitted
  25. With DNR-CCA, any standing orders Rx is permitted until ...
    cardiac or respiratory arrest or agonal breathing
  26. When a Durable Power of Attorney for Healthcare (DPA-HC) is presentand the "Living Will and Qualifying Condition" box is checked, the DPA-HC can or cannot override the Pt's DNR status?
  27. May a Pt change their DNR status anytime verbally, in writing or by action?
  28. A Pt must be what age in order for ALS care to be terminated on-scene by MCP
    18 yrs or older
  29. A Pt must have which cardiac rhythms in order for ALS care to be terminated on scene by MCP?
    Asystole or PEA
  30. A Pt may not be in arrest due to this for ALS care to be terminated on scene by MCP?
  31. A Pt must have these two accesses established for ALS care to be terminated on scene by MCP.
    advanced airway and vascular access
  32. PEA rate of higher than this should be given additional consideration before field termination is initiated?
  33. Pts in PEA with a rate ≥40 may not be in true ...
    cardiac arrest and may not have palpable pulses due to hemodynamic instability.