Protocol Update Version 2020.2 - ALS | Take the Quiz

Under the 1.0 Routine Patient Care Protocol, if called to a "Lift Assist'' and the patient refuses treatment after a full assessment, EMS should do what next:

generate a patient care report (PCR)

tell the patient not to call 911 for a “Lift Assist”

argue with the patient about seeking care

clear with a “public assist”

In protocol 2.15A Seizures- Adult, standing orders for treatment for paramedics is:

Midazolam 2-6mg IV/IO/IM

Midazolam 10mg IN

Magnesium Sulfate 2-4 grams IV/IO over 5 minutes if suspected eclampsia

all of the above

If a patient wakes from sleep or is found with symptoms of a stroke, the last known well time is defined as the last time the patient was observed to be normal

True

False

Select all the medications that are appropriate treatment for hyperkalemia

When disconnecting a patient from home hemodialysis, if you accidentally pull a needle out of the fistula, you have to apply firm manual pressure to that bleeding point for ____ minutes.

10 minutes

20 minutes

45 minutes

90 minutes

If a patient is already taking a Beta Blocker, Metoprolol can be administered as an alternative for atrial fibrillation/ atrial flutter. What is the correct dosage?

25mg IV push

2.5-5mg slow IV/IO over 2 minutes

0.25mg/kg slow IV/IO over 2 minutes

15 mg rapid IV push

Select all the clinical factors predisposing patients to hyperkalemia

chronic renal failure

acute renal failure (secondary to dehydration, shock, nephrotoxins, obstruction, etc.)

alcoholism

crush injury/compartment syndrome/rhabdomyolysis

blunt injury to abdomen

In the Sedation for an Intubated Patient (5.4) protocol, Fentanyl should be titrated to adequate sedation and maintain a systolic BP of 100mmHg.

True

False

Which 2 additional medications with the correct dosage can be used in conjunction with Fentanyl for the 5.4 Protocol for the Sedation for an Intubated Patient?

Midazolam 0.05mg/kg slow IV/IO up to 5mg max

Ketamine 5-10mg/kg slow IV/IO up to 300mg

Midazolam 1-2mg/kg slow IV/IO up to 20mg max

Ketamine 1-2 mg/kg slow IV/IO up to 100mg

The blood pressure range for resting vital signs for the Fire and Tactical EMS Rehabilitation (8.1) is >90 or <160mmHg systolic and <100mmHg diastolic.

True

False