108 Questions
What are the conditions under which a Paramedic may determine that a patient is dead/non-salvageable and decide not to resuscitate?
Presence of lividity, rigor mortis, or tissue decomposition
In which cases should resuscitation efforts not be started?
For unwitnessed Asystolic patients who have succumbed to a terminal illness
What does MICCR stand for in the context of cardiac arrest causes?
Minimally Interrupted Cardio-Cerebral Resuscitation
When should emphasis be placed on minimizing interruptions in compressions during resuscitation?
No more than 5 seconds
What should be done if an NG tube obstructs an upgraded airway?
Remove the NG tube and reinsert it in the appropriate port
When is it recommended to consider terminating efforts during an adult cardiac arrest?
When EtCO2 is less than 10 mm Hg with good quality CPR
What is the maximum total dose of EPI (1:10,000) recommended for use during cardiac arrest?
4 mg
Which medication is recommended for stable torsades during an adult cardiac arrest?
Magnesium sulfate
What is the first dose of Amiodarone recommended for adult cardiac arrest?
300mg IV/IO over 5 minutes
When should defibrillation be performed during an adult cardiac arrest?
At any time during the arrest
What is the maximum single dose of Amiodarone for patients with torsades?
300 mg
In post-torsades considerations, what is the maximum dose of Magnesium Sulfate that can be administered?
2g
What is the recommended initial dose of Epinephrine for patients who remain hypotensive after receiving normal saline?
0.2mg
What is the contraindication for administering Push-Dose Presser Epinephrine?
Hypotension secondary to blood loss
In the treatment of adult hyperkalemia, what is the recommended administration route for Albuterol?
Via nebulizer
What is the recommended initial dose of Cold Normal Saline in the treatment of excited delirium (if available)?
20 ml
What should be done during CPR for third trimester patients in cardiac arrest?
Manually displace the uterus towards the left
What is the defined condition of patients who gain consciousness while receiving CPR?
CPR-induced consciousness post-cardiac arrest
What is the contraindication for administering ketamine?
Pregnant patients
When should a rapid infusion of 250mL IV/10 be given for hypoglycemia?
After refractory V-Fib/V-Tach termination
What is the defined condition of refractory V-Fib/V-Tach?
Persistent V-Fib/V-Tach without transient interruption after 3 defibrillations
What is the protocol for double sequential defibrillation?
Verify both monitors/defibrillators are attached and confirm V-FIB/V-TACH rhythm on both monitors
When should esmolol be administered over 10 minutes IV/10?
If refractory V-Fib/V-Tach is still present during the next rhythm check
What should be considered for lightning-strike patients who are apneic or in cardiac arrest?
Immediate defibrillation as applicable
What is the recommended treatment for any firefighter who suffers cardiac arrest during or within 6 hours after a fire incident?
Cyanokit dosing
What must be done for drowning victims if the possibility of hypothermia exists?
Not to be pronounced dead at the scene
When should patients struck by lightning receive priority?
If they are in cardiac arrest or apneic
What should be considered for all third trimester patients in cardiac arrest?
Transport to the closest OB hospital
What is the recommended initial rate for transcutaneous pacing for bradycardic patients?
60 beats per minute
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?
Administer faster than 1 ml/minute
What should be done if a patient remains hypotensive after the administration of normal saline?
Administer rapid infusion of 250mL IV/10
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?
2g
During compressions, what should be done if defibrillation is ongoing?
Continue compressions during defibrillator chirp
What is the maximum total dose of EPI (1:10,000) recommended for use during cardiac arrest?
.2mg (20ml)
What is the contraindication for administering Push-Dose Presser Epinephrine?
Hypotension secondary to blood loss
In post-torsades considerations, what is the maximum total dose of Magnesium Sulfate that can be administered?
.2g (20ml)
What should be done for drowning victims if the possibility of hypothermia exists?
.01mg/kg EPI IV/10
What is the procedure utilized when a patient refuses evaluation, treatment, and/or transportation by prehospital personnel?
Refusal of care procedure
Which of the following individuals can refuse medical care and/or transport?
A married minor
Under what condition may a person be considered incompetent to refuse medical care and/or transportation?
Altered level of consciousness
How is a competent adult defined in the context of refusing medical care and/or transportation?
Ability to understand the risks and lack of potential benefits of refusal
What is the purpose of small group defusing according to the Mitchell Model?
To assess and educate with possible referral and follow up
In which scenario is Crisis Management briefing most appropriate?
Large incidents or incidents with high media involvement
What does Florida Statute 401.30(4) (e) protect during a C/SM intervention?
Confidential and privileged communication
What is the role of CLINICIAN RESPONSE TEAM (CRT) in first responder care?
Evaluation and educational services
What is the purpose of EVALUATED RECOVERY CENTERS in first responder care?
To provide first responder specific treatment programs
Who is ideally positioned to provide support in identifying the need for professional care for first responders?
Family caregivers
What does RETIREE SUPPORT PROGRAMS aim to do?
Extend mental wellness programs to retirees
What is the emphasis of Family Support programs?
Enhancing the caregivers knowledge of stress injuries/mental health related issues
In what scenario is small group debriefing recommended?
12-72 hours post-critical incident occurs
What is the role of Retiree Support Programs?
Mental wellness programs should be extended to include retirees who may continue to suffer from job related stress.
What is the emphasis of Family Support programs?
Educational programs may be designed to enhance the caregivers knowledge of Stress injuries/mental health related issues specific to the first responder.
What must be considered when determining if Air Rescue may be utilized for transport?
Patient status
What is a key requirement for the landing zone, as stated in the text?
A 100 feet by 100 feet area free from potential safety hazards
What should on-scene personnel secure when Air Rescue may be utilized for transport?
A MedCom channel
What is the role of flight medics in the process of determining a landing zone?
Relaying information to the pilot regarding the intended landing zone area
In the absence of a parent or guardian, when must a minor be transported to the appropriate hospital?
If there is no authorized adult present to sign the patient refusal form
Under what circumstances should contact with Medical Direction be considered for consultation regarding high-risk refusals?
For patients who refuse transport after administration of any IV medication
Under what principle may an incompetent person be treated and transported?
Under the principle of implied consent
What should field personnel do if a diabetic patient wants to sign a Patient Refusal Form after receiving treatment?
Ensure that the patient meets the criteria to refuse as outlined in the protocol
Under what circumstances should emphasis be placed on minimizing interruptions in compressions during resuscitation?
For all adult patients regardless of the situation
What is required for drowning victims to sign a Patient Refusal Form if hypothermia is a possibility?
Immediate access to food and blood glucose levels within acceptable range
When should a separate EMS Run Report be filled out for individuals who refuse ALL assistance, including proper evaluation?
Only if an examination on an individual has begun already
Under what circumstances should Medical Direction be contacted for further consultation on transport destination?
If there is no authorized adult to sign or it is unclear if refusal is safe for the patient or EMS system/agency
When can a minor refuse care or transport based on paramedic judgement?
When refusal is in question 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?
Once an examination has been begun
What color should the Do Not Resuscitate Order Form be printed on?
Yellow
Who can sign the Do Not Resuscitate Order Form and the patient identification device to make them valid?
The patient's physician, the patient, and the patient's healthcare surrogate or proxy
How can a Do Not Resuscitate Order (DNRO) be revoked?
By orally expressing a contrary intent
What information should be documented in the EMS Run Report if a witness is used to identify the patient?
The full name, address, telephone number, and relationship of the witness to the patient
What care should EMS providers provide during each transport when a DNRO form or patient identification device accompanies the live patient?
Comforting, pain-relieving, and any other medically indicated care, short of respiratory or cardiac resuscitation
When will Florida be adopting POLST (Physician Orders for Life Sustaining Treatment Paradigm)?
In the near future
How can a DNRO be verified by EMS?
By verifying from a driver's license or photo identification or from a witness in the presence of the patient
What should EMS personnel do if law enforcement personnel refuse access to a potential crime scene?
Notify the EMS Agency Supervisor and complete an incident report.
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?
Follow the appropriate protocol for treatment and resuscitation.
What is the standard dispatch for an Air Rescue assignment?
One engine company and one rescue unit.
When should additional units be dispatched for an Air Rescue assignment?
As dictated by the incident circumstances.
Under what circumstances may Air Rescue response be necessary?
For patients located in areas inaccessible by ground or in time-critical inter-facility patient transfers.
What safety considerations should personnel take into account when requesting Air Rescue for patient transport?
Existing questions.
Who is authorized to modify the standard dispatch for an Air Rescue assignment?
Uniformed Fire Department Officers only.
When should a request for Air Rescue response be made?
As soon as possible through dispatch.
Which of the following is an incident that may necessitate Air Rescue response?
Extrication of a trauma patient is anticipated to exceed fifteen (15) minutes.
What guidelines should be followed if it is determined that Air Rescue response may be necessary?
Make the request as soon as possible through Dispatch.
What should EMS personnel do if law enforcement refuse access to a crime scene?
Notify the EMS Agency Supervisor and complete an incident report as required.
Who can modify an Air Rescue assignment?
Uniformed Fire Department Officers only.
What is the POLST Paradigm primarily focused on?
Ensuring patient wishes are honored at the end of life
Who should have a POLST form according to the text?
Patients with serious illness or frailty
Which form translates shared decisions into actionable medical orders?
POLST
What is the purpose of contacting medical direction for a 'determination of death' as stated in the text?
To confirm the death of the patient
What is recommended when resuscitation on a TRAUMA victim should NOT be attempted?
Consider terminating efforts and leave the body at the scene
Under what conditions may a person be considered dead/non-salvageable and not be resuscitated according to the text?
Injuries incompatible with life
What is the role of law enforcement once death has been determined according to the text?
Take responsibility for the deceased's body
What distinctive feature does the POLST form have compared to an Advance Directive?
Translates shared decisions into actionable medical orders
What is the main focus of advance care planning according to the text?
Ensuring patient wishes are honored at the end of life
In which scenario should resuscitation efforts NOT be started as per the text?
Patient has asystole and fixed, dilated pupils
What occurs once a patient is determined to be dead/non-salvageable according to the text?
Local law enforcement takes responsibility for the body at the scene
What distinguishes POLST from an Advance Directive according to the text?
POLST translates shared decisions into actionable medical orders
What are some potential risks for the retiree demographic in the fire service community?
Loss of connectivity with others in the fire service community
What should effective insurance policies for first responders include?
Inclusive of first responder specific providers and high-level service
Who should be knowledgeable in first responders' mental health professional and effective treatment options?
Program managers of employee assistance programs
What is the role of the BHAP Team Coordinator in the activation process?
Informing the BHAP Clinical Director of the incident
In what location should interventions by the BHAP team be conducted?
Secure location without written, audio, or video recording
When activating CISM, who should the duty officer provide information to?
Safety and Health Chief only
Where can the most updated Coral Springs BHAP resources be found?
.coralspringsstrong.org
What legislative authority governs Do Not Resuscitate Orders (DNRO) in Florida?
(FAC) 64J-2.018 Do Not Resuscitate Order (DNRO) Form and Patient Identification Device
What should EMS do if a DNRO/POLST/MOST/MOLST form from another state is presented by the patient or family?
Contact Medical Control for direction as soon as possible.
What color should the Do Not Resuscitate Order (DNRO) form be printed on?
White
What is the maximum total dose of Epinephrine (1:10,000) recommended for use during cardiac arrest?
1 mg
Test your knowledge on the management of adult cardiac arrest with this revision quiz. Covering topics such as primary assessment, CPR cycles, defibrillation, airway management, and more.
Make Your Own Quizzes and Flashcards
Convert your notes into interactive study material.
Get started for free
