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Questions and Answers
What are the conditions under which a Paramedic may determine that a patient is dead/non-salvageable and decide not to resuscitate?
What are the conditions under which a Paramedic may determine that a patient is dead/non-salvageable and decide not to resuscitate?
- Suspected down time of less than 30 minutes and absence of asystole
- Presence of hypothermia, fixed pupils, and no cardiac activity
- Presentation of a valid DNRO and absence of hypothermic mechanism for arrest
- Presence of lividity, rigor mortis, or tissue decomposition (correct)
In which cases should resuscitation efforts not be started?
In which cases should resuscitation efforts not be started?
- For unwitnessed Asystolic patients who have succumbed to a terminal illness (correct)
- For patients found with fixed and dilated pupils
- For patients with suspected down time of more than 30 minutes
- For patients with a hypothermic mechanism for arrest
What does MICCR stand for in the context of cardiac arrest causes?
What does MICCR stand for in the context of cardiac arrest causes?
- Medically Induced Cardiopulmonary Circulatory Restoration
- Mandatory Intra-Cranial Cooling and Recovery
- Minimally Interrupted Cardio-Cerebral Resuscitation (correct)
- Maximally Invasive Cardiac Compression and Resuscitation
When should emphasis be placed on minimizing interruptions in compressions during resuscitation?
When should emphasis be placed on minimizing interruptions in compressions during resuscitation?
What should be done if an NG tube obstructs an upgraded airway?
What should be done if an NG tube obstructs an upgraded airway?
When is it recommended to consider terminating efforts during an adult cardiac arrest?
When is it recommended to consider terminating efforts during an adult cardiac arrest?
What is the maximum total dose of EPI (1:10,000) recommended for use during cardiac arrest?
What is the maximum total dose of EPI (1:10,000) recommended for use during cardiac arrest?
Which medication is recommended for stable torsades during an adult cardiac arrest?
Which medication is recommended for stable torsades during an adult cardiac arrest?
What is the first dose of Amiodarone recommended for adult cardiac arrest?
What is the first dose of Amiodarone recommended for adult cardiac arrest?
When should defibrillation be performed during an adult cardiac arrest?
When should defibrillation be performed during an adult cardiac arrest?
What is the maximum single dose of Amiodarone for patients with torsades?
What is the maximum single dose of Amiodarone for patients with torsades?
In post-torsades considerations, what is the maximum dose of Magnesium Sulfate that can be administered?
In post-torsades considerations, what is the maximum dose of Magnesium Sulfate that can be administered?
What is the recommended initial dose of Epinephrine for patients who remain hypotensive after receiving normal saline?
What is the recommended initial dose of Epinephrine for patients who remain hypotensive after receiving normal saline?
What is the contraindication for administering Push-Dose Presser Epinephrine?
What is the contraindication for administering Push-Dose Presser Epinephrine?
In the treatment of adult hyperkalemia, what is the recommended administration route for Albuterol?
In the treatment of adult hyperkalemia, what is the recommended administration route for Albuterol?
What is the recommended initial dose of Cold Normal Saline in the treatment of excited delirium (if available)?
What is the recommended initial dose of Cold Normal Saline in the treatment of excited delirium (if available)?
What should be done during CPR for third trimester patients in cardiac arrest?
What should be done during CPR for third trimester patients in cardiac arrest?
What is the defined condition of patients who gain consciousness while receiving CPR?
What is the defined condition of patients who gain consciousness while receiving CPR?
What is the contraindication for administering ketamine?
What is the contraindication for administering ketamine?
When should a rapid infusion of 250mL IV/10 be given for hypoglycemia?
When should a rapid infusion of 250mL IV/10 be given for hypoglycemia?
What is the defined condition of refractory V-Fib/V-Tach?
What is the defined condition of refractory V-Fib/V-Tach?
What is the protocol for double sequential defibrillation?
What is the protocol for double sequential defibrillation?
When should esmolol be administered over 10 minutes IV/10?
When should esmolol be administered over 10 minutes IV/10?
What should be considered for lightning-strike patients who are apneic or in cardiac arrest?
What should be considered for lightning-strike patients who are apneic or in cardiac arrest?
What is the recommended treatment for any firefighter who suffers cardiac arrest during or within 6 hours after a fire incident?
What is the recommended treatment for any firefighter who suffers cardiac arrest during or within 6 hours after a fire incident?
What must be done for drowning victims if the possibility of hypothermia exists?
What must be done for drowning victims if the possibility of hypothermia exists?
When should patients struck by lightning receive priority?
When should patients struck by lightning receive priority?
What should be considered for all third trimester patients in cardiac arrest?
What should be considered for all third trimester patients in cardiac arrest?
What is the recommended initial rate for transcutaneous pacing for bradycardic patients?
What is the recommended initial rate for transcutaneous pacing for bradycardic patients?
In the presence of significant coronary heart disease, CHF, and renal failure patients, what is a particular precaution that should be taken with Push-Dose Presser Epinephrine?
In the presence of significant coronary heart disease, CHF, and renal failure patients, what is a particular precaution that should be taken with Push-Dose Presser Epinephrine?
What should be done if a patient remains hypotensive after the administration of normal saline?
What should be done if a patient remains hypotensive after the administration of normal saline?
In cases where cardiac arrest was a result of Torsades and no Magnesium Sulfate was administered, what is the recommended initial dose of Magnesium Sulfate?
In cases where cardiac arrest was a result of Torsades and no Magnesium Sulfate was administered, what is the recommended initial dose of Magnesium Sulfate?
During compressions, what should be done if defibrillation is ongoing?
During compressions, what should be done if defibrillation is ongoing?
What is the maximum total dose of EPI (1:10,000) recommended for use during cardiac arrest?
What is the maximum total dose of EPI (1:10,000) recommended for use during cardiac arrest?
What is the contraindication for administering Push-Dose Presser Epinephrine?
What is the contraindication for administering Push-Dose Presser Epinephrine?
In post-torsades considerations, what is the maximum total dose of Magnesium Sulfate that can be administered?
In post-torsades considerations, what is the maximum total dose of Magnesium Sulfate that can be administered?
What should be done for drowning victims if the possibility of hypothermia exists?
What should be done for drowning victims if the possibility of hypothermia exists?
What is the procedure utilized when a patient refuses evaluation, treatment, and/or transportation by prehospital personnel?
What is the procedure utilized when a patient refuses evaluation, treatment, and/or transportation by prehospital personnel?
Which of the following individuals can refuse medical care and/or transport?
Which of the following individuals can refuse medical care and/or transport?
Under what condition may a person be considered incompetent to refuse medical care and/or transportation?
Under what condition may a person be considered incompetent to refuse medical care and/or transportation?
How is a competent adult defined in the context of refusing medical care and/or transportation?
How is a competent adult defined in the context of refusing medical care and/or transportation?
What is the purpose of small group defusing according to the Mitchell Model?
What is the purpose of small group defusing according to the Mitchell Model?
In which scenario is Crisis Management briefing most appropriate?
In which scenario is Crisis Management briefing most appropriate?
What does Florida Statute 401.30(4) (e) protect during a C/SM intervention?
What does Florida Statute 401.30(4) (e) protect during a C/SM intervention?
What is the role of CLINICIAN RESPONSE TEAM (CRT) in first responder care?
What is the role of CLINICIAN RESPONSE TEAM (CRT) in first responder care?
What is the purpose of EVALUATED RECOVERY CENTERS in first responder care?
What is the purpose of EVALUATED RECOVERY CENTERS in first responder care?
Who is ideally positioned to provide support in identifying the need for professional care for first responders?
Who is ideally positioned to provide support in identifying the need for professional care for first responders?
What does RETIREE SUPPORT PROGRAMS aim to do?
What does RETIREE SUPPORT PROGRAMS aim to do?
What is the emphasis of Family Support programs?
What is the emphasis of Family Support programs?
In what scenario is small group debriefing recommended?
In what scenario is small group debriefing recommended?
What is the role of Retiree Support Programs?
What is the role of Retiree Support Programs?
What is the emphasis of Family Support programs?
What is the emphasis of Family Support programs?
What must be considered when determining if Air Rescue may be utilized for transport?
What must be considered when determining if Air Rescue may be utilized for transport?
What is a key requirement for the landing zone, as stated in the text?
What is a key requirement for the landing zone, as stated in the text?
What should on-scene personnel secure when Air Rescue may be utilized for transport?
What should on-scene personnel secure when Air Rescue may be utilized for transport?
What is the role of flight medics in the process of determining a landing zone?
What is the role of flight medics in the process of determining a landing zone?
In the absence of a parent or guardian, when must a minor be transported to the appropriate hospital?
In the absence of a parent or guardian, when must a minor be transported to the appropriate hospital?
Under what circumstances should contact with Medical Direction be considered for consultation regarding high-risk refusals?
Under what circumstances should contact with Medical Direction be considered for consultation regarding high-risk refusals?
Under what principle may an incompetent person be treated and transported?
Under what principle may an incompetent person be treated and transported?
What should field personnel do if a diabetic patient wants to sign a Patient Refusal Form after receiving treatment?
What should field personnel do if a diabetic patient wants to sign a Patient Refusal Form after receiving treatment?
Under what circumstances should emphasis be placed on minimizing interruptions in compressions during resuscitation?
Under what circumstances should emphasis be placed on minimizing interruptions in compressions during resuscitation?
What is required for drowning victims to sign a Patient Refusal Form if hypothermia is a possibility?
What is required for drowning victims to sign a Patient Refusal Form if hypothermia is a possibility?
When should a separate EMS Run Report be filled out for individuals who refuse ALL assistance, including proper evaluation?
When should a separate EMS Run Report be filled out for individuals who refuse ALL assistance, including proper evaluation?
Under what circumstances should Medical Direction be contacted for further consultation on transport destination?
Under what circumstances should Medical Direction be contacted for further consultation on transport destination?
When can a minor refuse care or transport based on paramedic judgement?
When can a minor refuse care or transport based on paramedic judgement?
When should an examination of an individual refusing ALL assistance, including proper evaluation, be recorded on a separate EMS Run Report?
When should an examination of an individual refusing ALL assistance, including proper evaluation, be recorded on a separate EMS Run Report?
What color should the Do Not Resuscitate Order Form be printed on?
What color should the Do Not Resuscitate Order Form be printed on?
Who can sign the Do Not Resuscitate Order Form and the patient identification device to make them valid?
Who can sign the Do Not Resuscitate Order Form and the patient identification device to make them valid?
How can a Do Not Resuscitate Order (DNRO) be revoked?
How can a Do Not Resuscitate Order (DNRO) be revoked?
What information should be documented in the EMS Run Report if a witness is used to identify the patient?
What information should be documented in the EMS Run Report if a witness is used to identify the patient?
What care should EMS providers provide during each transport when a DNRO form or patient identification device accompanies the live patient?
What care should EMS providers provide during each transport when a DNRO form or patient identification device accompanies the live patient?
When will Florida be adopting POLST (Physician Orders for Life Sustaining Treatment Paradigm)?
When will Florida be adopting POLST (Physician Orders for Life Sustaining Treatment Paradigm)?
How can a DNRO be verified by EMS?
How can a DNRO be verified by EMS?
What should EMS personnel do if law enforcement personnel refuse access to a potential crime scene?
What should EMS personnel do if law enforcement personnel refuse access to a potential crime scene?
What should EMS personnel do if the patient has no pulse, no spontaneous respiration, and meets criteria outlined in the protocol for determination of death?
What should EMS personnel do if the patient has no pulse, no spontaneous respiration, and meets criteria outlined in the protocol for determination of death?
What is the standard dispatch for an Air Rescue assignment?
What is the standard dispatch for an Air Rescue assignment?
When should additional units be dispatched for an Air Rescue assignment?
When should additional units be dispatched for an Air Rescue assignment?
Under what circumstances may Air Rescue response be necessary?
Under what circumstances may Air Rescue response be necessary?
What safety considerations should personnel take into account when requesting Air Rescue for patient transport?
What safety considerations should personnel take into account when requesting Air Rescue for patient transport?
Who is authorized to modify the standard dispatch for an Air Rescue assignment?
Who is authorized to modify the standard dispatch for an Air Rescue assignment?
When should a request for Air Rescue response be made?
When should a request for Air Rescue response be made?
Which of the following is an incident that may necessitate Air Rescue response?
Which of the following is an incident that may necessitate Air Rescue response?
What guidelines should be followed if it is determined that Air Rescue response may be necessary?
What guidelines should be followed if it is determined that Air Rescue response may be necessary?
What should EMS personnel do if law enforcement refuse access to a crime scene?
What should EMS personnel do if law enforcement refuse access to a crime scene?
Who can modify an Air Rescue assignment?
Who can modify an Air Rescue assignment?
What is the POLST Paradigm primarily focused on?
What is the POLST Paradigm primarily focused on?
Who should have a POLST form according to the text?
Who should have a POLST form according to the text?
Which form translates shared decisions into actionable medical orders?
Which form translates shared decisions into actionable medical orders?
What is the purpose of contacting medical direction for a 'determination of death' as stated in the text?
What is the purpose of contacting medical direction for a 'determination of death' as stated in the text?
What is recommended when resuscitation on a TRAUMA victim should NOT be attempted?
What is recommended when resuscitation on a TRAUMA victim should NOT be attempted?
Under what conditions may a person be considered dead/non-salvageable and not be resuscitated according to the text?
Under what conditions may a person be considered dead/non-salvageable and not be resuscitated according to the text?
What is the role of law enforcement once death has been determined according to the text?
What is the role of law enforcement once death has been determined according to the text?
What distinctive feature does the POLST form have compared to an Advance Directive?
What distinctive feature does the POLST form have compared to an Advance Directive?
What is the main focus of advance care planning according to the text?
What is the main focus of advance care planning according to the text?
In which scenario should resuscitation efforts NOT be started as per the text?
In which scenario should resuscitation efforts NOT be started as per the text?
What occurs once a patient is determined to be dead/non-salvageable according to the text?
What occurs once a patient is determined to be dead/non-salvageable according to the text?
What distinguishes POLST from an Advance Directive according to the text?
What distinguishes POLST from an Advance Directive according to the text?
What are some potential risks for the retiree demographic in the fire service community?
What are some potential risks for the retiree demographic in the fire service community?
What should effective insurance policies for first responders include?
What should effective insurance policies for first responders include?
Who should be knowledgeable in first responders' mental health professional and effective treatment options?
Who should be knowledgeable in first responders' mental health professional and effective treatment options?
What is the role of the BHAP Team Coordinator in the activation process?
What is the role of the BHAP Team Coordinator in the activation process?
In what location should interventions by the BHAP team be conducted?
In what location should interventions by the BHAP team be conducted?
When activating CISM, who should the duty officer provide information to?
When activating CISM, who should the duty officer provide information to?
Where can the most updated Coral Springs BHAP resources be found?
Where can the most updated Coral Springs BHAP resources be found?
What legislative authority governs Do Not Resuscitate Orders (DNRO) in Florida?
What legislative authority governs Do Not Resuscitate Orders (DNRO) in Florida?
What should EMS do if a DNRO/POLST/MOST/MOLST form from another state is presented by the patient or family?
What should EMS do if a DNRO/POLST/MOST/MOLST form from another state is presented by the patient or family?
What color should the Do Not Resuscitate Order (DNRO) form be printed on?
What color should the Do Not Resuscitate Order (DNRO) form be printed on?
What is the maximum total dose of Epinephrine (1:10,000) recommended for use during cardiac arrest?
What is the maximum total dose of Epinephrine (1:10,000) recommended for use during cardiac arrest?
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