Podcast
Questions and Answers
What is the primary indication for using a Bag-Valve-Mask (BVM)?
What is the primary indication for using a Bag-Valve-Mask (BVM)?
What does the mnemonic 'RODS' stand for in the context of difficult extraglottic device placement?
What does the mnemonic 'RODS' stand for in the context of difficult extraglottic device placement?
In which of the following scenarios is nasotracheal intubation contraindicated?
In which of the following scenarios is nasotracheal intubation contraindicated?
What is the recommended preparation for the nostrils prior to nasotracheal intubation?
What is the recommended preparation for the nostrils prior to nasotracheal intubation?
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In the context of preoxygenation prior to intubation, what is the purpose of lung denitrogenation?
In the context of preoxygenation prior to intubation, what is the purpose of lung denitrogenation?
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What is the significance of an SBP ≤94% in the context of a trauma patient?
What is the significance of an SBP ≤94% in the context of a trauma patient?
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According to the information provided, what is the pediatric defibrillation dosage progression?
According to the information provided, what is the pediatric defibrillation dosage progression?
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A patient with a suspected basal skull fracture requires definitive airway management. Considering the contraindications, which approach is LEAST suitable for securing the airway?
A patient with a suspected basal skull fracture requires definitive airway management. Considering the contraindications, which approach is LEAST suitable for securing the airway?
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Which of the following is the MOST appropriate insertion site for needle decompression?
Which of the following is the MOST appropriate insertion site for needle decompression?
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Hypotension with signs of shock, persistent hypoxia, and jugular venous distention indicate what?
Hypotension with signs of shock, persistent hypoxia, and jugular venous distention indicate what?
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If a female patient's breast tissue displaces the nipple inferiorly, how should the insertion site for needle decompression be adjusted?
If a female patient's breast tissue displaces the nipple inferiorly, how should the insertion site for needle decompression be adjusted?
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Why is tracheal deviation considered a 'late sign'?
Why is tracheal deviation considered a 'late sign'?
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Which of the following conditions necessitates bilateral needle thoracostomy during resuscitation?
Which of the following conditions necessitates bilateral needle thoracostomy during resuscitation?
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In the context of needle decompression, what is the relevance of the 'triangle of safety'?
In the context of needle decompression, what is the relevance of the 'triangle of safety'?
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Which of the following is an inclusion criterion for first response evaluation/release, according to the provided guidelines?
Which of the following is an inclusion criterion for first response evaluation/release, according to the provided guidelines?
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What is the significance of consistently documenting VS, SpO2, and ETCO2 (if available) BEFORE applying oxygen to a patient?
What is the significance of consistently documenting VS, SpO2, and ETCO2 (if available) BEFORE applying oxygen to a patient?
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What is the first step in managing extremity hemorrhage, according to the guidelines?
What is the first step in managing extremity hemorrhage, according to the guidelines?
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A patient presents with a respiratory rate of 30, SpO2 of 90% on room air, and obvious retractions. Supplemental oxygen is administered, but the SpO2 remains at 92%. Which of the following interventions is MOST critical at this stage, considering all possible underlying causes?
A patient presents with a respiratory rate of 30, SpO2 of 90% on room air, and obvious retractions. Supplemental oxygen is administered, but the SpO2 remains at 92%. Which of the following interventions is MOST critical at this stage, considering all possible underlying causes?
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What is an absolute contraindication for tourniquet application as per the protocol?
What is an absolute contraindication for tourniquet application as per the protocol?
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What defines a Junctional Hemorrhage, according to the provided information?
What defines a Junctional Hemorrhage, according to the provided information?
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In which scenario should you consider tightening the first tourniquet or applying a second one?
In which scenario should you consider tightening the first tourniquet or applying a second one?
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In the context of the provided guidelines, what implies the need for direct intervention for a first responder?
In the context of the provided guidelines, what implies the need for direct intervention for a first responder?
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Consider a scenario where a patient with a junctional hemorrhage also has a mid-shaft femur fracture. How should the wounds be treated?
Consider a scenario where a patient with a junctional hemorrhage also has a mid-shaft femur fracture. How should the wounds be treated?
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A 25-year-old patient with a complete traumatic amputation at the mid-thigh is actively hemorrhaging bright red blood. Bystanders have already applied a commercially manufactured tourniquet, but bleeding persists. What is the MOST appropriate next step?
A 25-year-old patient with a complete traumatic amputation at the mid-thigh is actively hemorrhaging bright red blood. Bystanders have already applied a commercially manufactured tourniquet, but bleeding persists. What is the MOST appropriate next step?
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According to the provided protocols, what documentation-related task must be completed within a specific timeframe after a call?
According to the provided protocols, what documentation-related task must be completed within a specific timeframe after a call?
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In which situation is a Field Response Low-Risk Alpha Evaluate and Release Form required?
In which situation is a Field Response Low-Risk Alpha Evaluate and Release Form required?
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What is the most critical action to perform immediately prior to administering any medication, regardless of provider level?
What is the most critical action to perform immediately prior to administering any medication, regardless of provider level?
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Under what circumstances is needle cricothyroidotomy indicated, according to the provided protocol?
Under what circumstances is needle cricothyroidotomy indicated, according to the provided protocol?
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Which of the following scenarios would NOT be a valid indication for performing a needle cricothyroidotomy?
Which of the following scenarios would NOT be a valid indication for performing a needle cricothyroidotomy?
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A paramedic is preparing to administer medication. They note the patient has a documented allergy to a similar drug in the same class. Following the 'Rights' of medication administration, what should the paramedic's next action be?
A paramedic is preparing to administer medication. They note the patient has a documented allergy to a similar drug in the same class. Following the 'Rights' of medication administration, what should the paramedic's next action be?
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A patient involved in a motor vehicle collision presents with signs of impending airway compromise, but the paramedic is unable to visualize or palpate the cricothyroid membrane due to significant swelling and distortion of the neck anatomy. According to the protocol, what is the most appropriate course of action?
A patient involved in a motor vehicle collision presents with signs of impending airway compromise, but the paramedic is unable to visualize or palpate the cricothyroid membrane due to significant swelling and distortion of the neck anatomy. According to the protocol, what is the most appropriate course of action?
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Consider a scenario where a mass casualty incident overwhelms available resources. Multiple patients require immediate hemorrhage control, but the number of available tourniquets is limited. How should a first responder triage tourniquet application based solely on the documentation provided?
Consider a scenario where a mass casualty incident overwhelms available resources. Multiple patients require immediate hemorrhage control, but the number of available tourniquets is limited. How should a first responder triage tourniquet application based solely on the documentation provided?
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According to the table of contents, which of the following conditions has a specific treatment protocol outlined for both adult and pediatric patients?
According to the table of contents, which of the following conditions has a specific treatment protocol outlined for both adult and pediatric patients?
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If an EMS provider needs to review the protocol for managing a pediatric patient experiencing a behavioral emergency, on which page would they likely find this information, according to the table of contents?
If an EMS provider needs to review the protocol for managing a pediatric patient experiencing a behavioral emergency, on which page would they likely find this information, according to the table of contents?
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Which of the following protocols are listed under the Adult Treatment Protocols section?
Which of the following protocols are listed under the Adult Treatment Protocols section?
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An EMS provider is called to the scene of a cardiac arrest involving an adult. According to the table of contents, on which page would they find the relevant non-traumatic cardiac arrest protocol?
An EMS provider is called to the scene of a cardiac arrest involving an adult. According to the table of contents, on which page would they find the relevant non-traumatic cardiac arrest protocol?
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Which of the following resources is located at the end of the protocol manual, according to the table of contents?
Which of the following resources is located at the end of the protocol manual, according to the table of contents?
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According to the document, what is the effective date of the protocols listed?
According to the document, what is the effective date of the protocols listed?
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An ambulance crew is dispatched for a pediatric patient experiencing nausea and vomiting. Which page range would be MOST appropriate to consult for guidance?
An ambulance crew is dispatched for a pediatric patient experiencing nausea and vomiting. Which page range would be MOST appropriate to consult for guidance?
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Which of the following topics is covered in both the Adult and Pediatric Treatment Protocols?
Which of the following topics is covered in both the Adult and Pediatric Treatment Protocols?
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Where can a user find information about 'Vascular Access' according to the table of contents?
Where can a user find information about 'Vascular Access' according to the table of contents?
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If a patient presents with a nosebleed, which section of the manual would MOST likely provide guidance?
If a patient presents with a nosebleed, which section of the manual would MOST likely provide guidance?
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Which of the following protocols is MOST likely to be used in conjunction with the 'Chest Pain (Non-Traumatic)' protocol in an adult patient?
Which of the following protocols is MOST likely to be used in conjunction with the 'Chest Pain (Non-Traumatic)' protocol in an adult patient?
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An EMS provider is preparing to administer medication to a patient. According to the table of contents, The medication information would MOST likely obtained from?
An EMS provider is preparing to administer medication to a patient. According to the table of contents, The medication information would MOST likely obtained from?
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Where would you find the Clark County EMS system address?
Where would you find the Clark County EMS system address?
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A paramedic is dispatched to a call for a pregnant patient experiencing complications. Considering the organization of this document, which section would be MOST relevant?
A paramedic is dispatched to a call for a pregnant patient experiencing complications. Considering the organization of this document, which section would be MOST relevant?
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A seasoned paramedic, reflecting on the evolution of prehospital care, notes a subtle yet critical distinction in the treatment algorithms between the 2024 and 2025 versions of the protocols. Considering the document's structure and stated effective date, what inference can be definitively drawn regarding this change?
A seasoned paramedic, reflecting on the evolution of prehospital care, notes a subtle yet critical distinction in the treatment algorithms between the 2024 and 2025 versions of the protocols. Considering the document's structure and stated effective date, what inference can be definitively drawn regarding this change?
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When should synchronized cardioversion be considered for a patient experiencing tachycardia?
When should synchronized cardioversion be considered for a patient experiencing tachycardia?
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What is the recommended initial medication and dosage to consider for sedation and analgesia before synchronized cardioversion?
What is the recommended initial medication and dosage to consider for sedation and analgesia before synchronized cardioversion?
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What should be done if a patient with tachycardia is stable?
What should be done if a patient with tachycardia is stable?
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What is the initial dose of adenosine for a patient in tachycardia?
What is the initial dose of adenosine for a patient in tachycardia?
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For which type of tachycardia is amiodarone indicated?
For which type of tachycardia is amiodarone indicated?
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What is an important differential diagnosis to consider when assessing a patient with tachycardia?
What is an important differential diagnosis to consider when assessing a patient with tachycardia?
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What historical information is relevant when assessing a patient with tachycardia?
What historical information is relevant when assessing a patient with tachycardia?
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In the context of tachycardia assessment, what does 'CP' stand for?
In the context of tachycardia assessment, what does 'CP' stand for?
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What defines a 'narrow complex' tachycardia?
What defines a 'narrow complex' tachycardia?
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Which of the following is NOT a potential cause of tachycardia?
Which of the following is NOT a potential cause of tachycardia?
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What is the most appropriate delivery method for adenosine?
What is the most appropriate delivery method for adenosine?
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What physiological effect might drugs like cocaine or methamphetamines have that could lead to tachycardia?
What physiological effect might drugs like cocaine or methamphetamines have that could lead to tachycardia?
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Which of the following vital signs or symptoms is MOST indicative of instability in a patient with tachycardia?
Which of the following vital signs or symptoms is MOST indicative of instability in a patient with tachycardia?
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A patient presents with a heart rate of 220 bpm, chest pain, and is hypotensive. The QRS complex is wide. After initial stabilization, which of the following interventions is MOST appropriate, assuming pharmacological intervention is deemed necessary?
A patient presents with a heart rate of 220 bpm, chest pain, and is hypotensive. The QRS complex is wide. After initial stabilization, which of the following interventions is MOST appropriate, assuming pharmacological intervention is deemed necessary?
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Imagine a patient with a history of Wolff-Parkinson-White (WPW) syndrome presents with atrial fibrillation and rapid ventricular response. Which medication should be AVOIDED, and why?
Imagine a patient with a history of Wolff-Parkinson-White (WPW) syndrome presents with atrial fibrillation and rapid ventricular response. Which medication should be AVOIDED, and why?
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Flashcards
Oxygen Administration
Oxygen Administration
The process of providing supplemental oxygen to patients.
BVM
BVM
Bag-Valve-Mask; used to provide positive pressure ventilation.
Extraglottic Device Placement
Extraglottic Device Placement
Insertion of a device to secure airway above the glottis.
Contraindications for Nasotracheal Intubation
Contraindications for Nasotracheal Intubation
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Preoxygenation
Preoxygenation
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Trauma Field Triage Criteria
Trauma Field Triage Criteria
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Burns Protocol
Burns Protocol
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Pediatric Cardiac Arrest
Pediatric Cardiac Arrest
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Hypotension with signs of shock
Hypotension with signs of shock
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Persistent hypoxia
Persistent hypoxia
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Jugular venous distention
Jugular venous distention
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Respiratory rate > 25
Respiratory rate > 25
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Tracheal deviation
Tracheal deviation
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Needle thoracostomy
Needle thoracostomy
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Insertion site for thoracostomy
Insertion site for thoracostomy
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Key procedural considerations
Key procedural considerations
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EMS Patient Care Record
EMS Patient Care Record
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Field Response Low-Risk Alpha Form
Field Response Low-Risk Alpha Form
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Medication Administration
Medication Administration
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Needle Cricothyroidotomy
Needle Cricothyroidotomy
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Total Airway Obstruction
Total Airway Obstruction
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Inadequate Ventilation
Inadequate Ventilation
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Contraindications for Needle Cricothyroidotomy
Contraindications for Needle Cricothyroidotomy
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Endotracheal Intubation
Endotracheal Intubation
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Hemorrhage Control
Hemorrhage Control
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Inclusion Criteria for Hemorrhage Control
Inclusion Criteria for Hemorrhage Control
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Exclusion Criteria for Hemorrhage Control
Exclusion Criteria for Hemorrhage Control
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Tourniquet Application
Tourniquet Application
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Junctional Hemorrhage
Junctional Hemorrhage
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Wound Packing
Wound Packing
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AEMT/Paramedic Authority
AEMT/Paramedic Authority
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General Adult Assessment
General Adult Assessment
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Adult Trauma Assessment
Adult Trauma Assessment
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Chest Pain Protocol
Chest Pain Protocol
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Sepsis
Sepsis
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Cardiac Arrest Protocol
Cardiac Arrest Protocol
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Stroke (CVA)
Stroke (CVA)
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Respiratory Distress
Respiratory Distress
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Allergic Reaction
Allergic Reaction
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Altered Mental Status
Altered Mental Status
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Pain Management
Pain Management
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Burn Management
Burn Management
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Neonatal Resuscitation
Neonatal Resuscitation
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Shock
Shock
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Heat-Related Illness
Heat-Related Illness
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Ventilation Management
Ventilation Management
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Synchronized Defibrillation
Synchronized Defibrillation
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Cardioversion
Cardioversion
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Sedation and Analgesia
Sedation and Analgesia
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AMIODARONE
AMIODARONE
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ADENOSINE
ADENOSINE
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Stable Tachycardia
Stable Tachycardia
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Unstable Tachycardia
Unstable Tachycardia
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Mental Status Changes
Mental Status Changes
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Wide Complex Tachycardia
Wide Complex Tachycardia
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Narrow Complex Tachycardia
Narrow Complex Tachycardia
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Torsades de Pointes
Torsades de Pointes
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Monomorphic VT
Monomorphic VT
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Cardiac Monitor
Cardiac Monitor
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Vascular Access
Vascular Access
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Patient History for Tachycardia
Patient History for Tachycardia
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Study Notes
Clark County EMS System Emergency Medical Care Protocols
- Effective Date: January 6, 2025
- Version: Replaces July 1, 2024 version
- Purpose: To standardize prehospital patient care in Clark County, Nevada
- Scope: Protocols are guidelines, not meant to extend scope of practice beyond that defined by regulations. Procedures should not delay rapid patient transport.
Table of Contents
- Documents protocols for adult and pediatric treatment, procedures, and a formulary
- Includes sections on foreword, terms & conventions, adult/pediatric treatment protocols, procedures, and appendices.
Adult Treatment Protocols (Detailed list)
- General Adult Assessment
- General Adult Trauma Assessment
- Abdominal Pain/Flank Pain, Nausea & Vomiting
- Allergic Reaction
- Altered Mental Status/Syncope
- Behavioral Emergencies
- Bradycardia
- Burns
- Cardiac Arrest (Non-Traumatic)
- Chest Pain (Non-Traumatic) and Suspected Acute Coronary Syndrome
- Childbirth/Labor
- Cold Related Illness
- Epistaxis
- Heat-Related Illness
- Hyperkalemia (Suspected)
- Obstetrical Emergency
- Overdose/Poisoning
- Pain Management
- Pulmonary Edema/CHF
- Respiratory Distress
- Seizure
- Sepsis
- Shock
- Smoke Inhalation
- STEMI (Suspected)
- Stroke (CVA)
- Tachycardia/Stable
- Tachycardia/Unstable
- Ventilation Management
Pediatric Treatment Protocols (Detailed List)
- General Pediatric Assessment
- General Pediatric Trauma Assessment
- Abdominal/Flank Pain, Nausea & Vomiting
- Allergic Reaction
- Altered Mental Status/Syncope
- Behavioral Emergencies
- Bradycardia
- Burns
- Cardiac Arrest (Non-Traumatic)
- Cold Related Illness
- Epistaxis
- Heat Related Illness
- Neonatal Resuscitation
- Overdose/Poisoning
- Pain Management
- Respiratory Distress
- Seizure
- Shock
- Smoke Inhalation
- Tachycardia/Stable
- Tachycardia/Unstable
- Ventilation Management
Procedures/Protocols (Detailed List)
- Cervical Stabilization
- Electrical Therapy/Defibrillation
- Electrical Therapy/Synchronized Cardioversion
- Electrical Therapy/Transcutaneous Pacing
- Endotracheal Intubation
- Extraglottic Device
- First Response Evaluate/Release
- Hemorrhage Control
- Medication Administration
- Needle Cricothyroidotomy
- Needle Thoracostomy
- Non-Invasive Positive Pressure Ventilation (NIPPV)
- Patient Restraint
- Tracheostomy Tube Replacement
- Traction Splint
- Vagal Maneuvers
- Vascular Access
- FOA (FYI - possible organization in system)
Appendices and Other Information
- Formulary: Lists approved medications and their dosages
- Appendices: Contain additional information, such as practice scope, policy documents, hospital locations & contact information
- Mass Casualty Incident (MCI) Procedures: Details how to handle incidents requiring enhanced resources
- Waiting Room Criteria: Defines criteria for patient placement in waiting rooms at facilities
- Quality Improvement Review (QIR): process for reviewing and aggregating incidents
- Inter-Facility Transport of Patients By Ambulance: Protocol for transportation between facilities
- Prehospital Death Determination: Clarifies procedures for situations where resuscitation is not attempted. Details presumptive and conclusive signs of death.
- Public Intoxication: Outlines circumstances to transport clients, instead of to hospitals.
- Other Protocols: detailed protocols for other scenarios like Childbirths.
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Description
Test your knowledge on advanced airway management techniques, including the use of Bag-Valve-Mask (BVM) and nasotracheal intubation protocols. This quiz covers critical concepts such as preoxygenation, pediatric defibrillation dosage, and emergency airway interventions. Perfect for medical professionals looking to evaluate their skills in managing difficult airway scenarios.