30 Questions
What is the title of the medical director mentioned in the protocol?
Medical Director City of Miami and Village of Key Biscayne
Who is the Fire Chief of Coral Gables Fire Department?
Marcos DelaRosa
What is the name of the protocol reviewed by the Protocol Review Committee?
2022-24 Common EMS Protocols
Who is the Medical Director of CGFD/HFD/MBFD?
Frederick M.Keroff
How many fire departments are involved in the 2022-24 Common EMS Protocols?
5
Who is the Associate Medical Director of City of Miami and Village of Key Biscayne?
Armando Clift
What is the primary use of a bougie in airway management?
To place an ETT through the vocal cords
Why is it important to maintain the patient's head and neck in a neutral position?
To prevent displacement of the airway device
What is the first step in changing the airway from an I-gel to an ETT using a bougie?
Insert the bougie into the I-gel and through the vocal cords
What should you consider if the patient's SpO2 levels drop to less than 94%?
Displacement of the airway device, obstruction of the device, pneumothorax, and equipment failure
What is the purpose of waveform capnography?
To confirm placement of the ETT
What is the marker used to guide the placement of the ETT?
20 mm marker at the lips
What is the characteristic of Benadryl compared to epinephrine?
Slower in onset and longer in duration
What should be done immediately after a monitor indicates VF/Pulseless V-Tach?
DEFIBRILLATE and immediately resume 2 minutes of CPR
What is a potential first sign of upper airway obstruction in patients?
Changes in the tone of voice or a muffled speech
What should be administered within the first minute after resuming CPR?
Amiodarone, 300 mg IOP/IVP
What is recommended for airway interventions in patients unless it's an emergency?
Doing it in a hospital setting
Why is it important to monitor ETCO2 and SpO2 during transport?
To monitor respiratory status
How often can epinephrine be repeated during the arrest?
Every 3-5 minutes
What should be done if the rhythm is NOT shockable?
Check for pulse and if absent, resume CPR and treat as PEA/Asystole
What is the primary cause of upper back pain or thoracic spine pain?
Internal conditions
How long should pulse checks be when the rhythm is NOT shockable?
Up to 10 seconds
What is the most valuable component in understanding back pain?
Patient history
What should be done after completing every 2-minute cycle of CPR?
Check rhythm, and if the patient remains in a shockable rhythm, DEFIBRILLATE
What should you do if the rhythm is not shockable?
Check for pulse and if absent, resume CPR and treat as PEA/Asystole
What is the recommended energy level for double sequential defibrillation using two Zolls or two MRXs?
400 joules
When should you consider double sequential defibrillation?
After the 4 initial defibrillations have failed
How should the second set of pads be placed for double sequential defibrillation?
In the alternative position
What should be done with all subsequent defibrillations after double sequential defibrillation?
Use the same maximum joules
Why is it important to inform ED personnel about the maximum shocks delivered?
So they can adjust their treatment plan
Test your knowledge of the common EMS protocols for Coral Gables, Hialeah, Miami, Miami Beach, and Key Biscayne. Learn about the protocols and guidelines set by medical directors and fire chiefs. Review the key concepts and procedures for emergency medical services.
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