Delaware Advanced Life Support Protocols

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Questions and Answers

Which patients must have phone or radio consultation with the receiving facility?

Patients being treated under standard orders

Patients requiring only basic life support

ALS Priority I patients (correct)

Priority II and III patients

What is necessary before going off duty concerning PCR submissions?

Approval from the medical director

Completion of a patient satisfaction survey

Verbal report to the patient’s family

Submission of a PCR to the receiving facility (correct)

What should be included in the verbal report given at the patient’s bedside?

A list of all crew members present

All medications administered

Specific notification or requests (correct)

Personal comments about the incident

How soon should a PCR be submitted to the receiving facility after patient disposition?

Within four hours (D) Signup and view all the answers

Which of the following is NOT part of the report format for contacting medical control?

Patient's blood type (D) Signup and view all the answers

What is the role of medical control in relation to ALS Priority I patients?

To give online medical direction for orders (D) Signup and view all the answers

What is required for IV bags mixed with a medication at ED disposition?

Labeling at the time of ED disposition (C) Signup and view all the answers

When is it necessary for a paramedic to seek expert consultation via online medical control?

At any time for any patient for any reason (A) Signup and view all the answers

Under which condition should Buprenorphine be administered?

COWS score is greater than 5 OR the patient was opiate-free for 72 hours (A) Signup and view all the answers

What is the maximum dose of Buprenorphine that can be administered?

24 mg (C) Signup and view all the answers

What is a required action if the diastolic blood pressure remains greater than 120 mmHg after the initial Labetalol dose?

Contact Medical Control for a repeat dose (B) Signup and view all the answers

Which of the following is NOT an indication for administering Labetalol in a hypertensive crisis?

Heart rate above 100 bpm (B) Signup and view all the answers

Which symptom is NOT associated with pre-eclampsia?

Persistent cough (A) Signup and view all the answers

How long should compressions be interrupted during resuscitation?

No more than 10 seconds (B) Signup and view all the answers

Which dosage of Magnesium Sulfate should be administered concurrently with the first dose of Labetalol?

5 g (B) Signup and view all the answers

When should ventilation with a BVM occur during CPR?

On the upstroke of every 10th compression (A) Signup and view all the answers

In the case of opiate overdose, when should additional buprenorphine be contacted and administered?

If symptoms worsen or persist after 10 minutes (C) Signup and view all the answers

What should be withheld in patients with CHF or bradycardia?

Labetalol (A) Signup and view all the answers

What is the target ETCO2 level to maintain during compressions?

Above 20 mmHg (D) Signup and view all the answers

How long should resuscitation generally be performed on scene before moving the patient?

At least 20 minutes (D) Signup and view all the answers

What action should be taken if ventilation with a BVM is unsuccessful?

Place a supraglottic airway (A) Signup and view all the answers

When transporting patients requiring ongoing CPR, what is the recommended use of lights and sirens?

Do not use lights and sirens (D) Signup and view all the answers

What is the preferred method for vascular access during resuscitation?

Intravenous access (B) Signup and view all the answers

When should medications be administered during CPR?

After 6 minutes, following the first two cycles of compressions (D) Signup and view all the answers

What is the consequence of coercing a patient into a Refusal of Services?

Loss of EMS provider privilege by the State Medical Director (D) Signup and view all the answers

Who should initiate the discussion about refusal of services?

The patient or their representative (A) Signup and view all the answers

What is required before entering an EMS call as a “service call or public assist” into the reporting system?

It must be originally dispatched as such (C) Signup and view all the answers

What must an ALS provider do if the patient refuses treatment but has obvious injuries?

Consider the person a patient and treat as such (C) Signup and view all the answers

Under what condition must an ALS provider contact Medical Control?

The patient shows signs of intoxication (D) Signup and view all the answers

What constitutes a significant change in vital signs according to the protocol?

Systolic blood pressure over 180 mmHg (A) Signup and view all the answers

What is a condition when ALS treatment must be accompanied even if the patient refuses consent?

Unconsciousness or altered mental status (A) Signup and view all the answers

What must be done before transferring care from ALS to BLS?

Perform a complete assessment and history (C) Signup and view all the answers

What is the primary purpose of the standing orders?

To stabilize patients prior to transport (B) Signup and view all the answers

When can standing orders be deviated from?

Only by direct order from an approved medical control physician (A) Signup and view all the answers

What is the status of paramedics operating in Delaware?

They function as physician extenders (C) Signup and view all the answers

What is a requirement for paramedics to perform advanced life support procedures?

They must be on duty in an ALS unit (B) Signup and view all the answers

What is the role of the Delaware EMS Director regarding paramedic agencies?

To establish compliance timelines for agencies (B) Signup and view all the answers

How are off-duty paramedics classified when responding to a scene?

As good Samaritans (B) Signup and view all the answers

What is meant by the term 'physician extenders' in relation to paramedics?

Paramedics operate under the guidance of a medical director (B) Signup and view all the answers

What is a goal of the Delaware Paramedic System?

To create a positive impact on healthcare delivery (D) Signup and view all the answers

What constitutes a 'person' under this guideline?

Any individual in the healing arts and law enforcement agencies (B) Signup and view all the answers

What should be reported if an adult is suspected to be infirm or incapacitated?

To the Department of Health and Social Services (B) Signup and view all the answers

Which phone number is associated with reporting child abuse?

1-800-292-9582 (D) Signup and view all the answers

What action should an EMS provider take if they suspect a person is a victim of human trafficking?

Report the concern to the National Human Trafficking Resource Center (D) Signup and view all the answers

Which skill is required for paramedic certification regarding airway management?

Use of nasopharyngeal and oropharyngeal airways (B) Signup and view all the answers

What is one of the required skills for initial certification of paramedics?

Patient assessment including primary and secondary surveys (C) Signup and view all the answers

Which of the following requires written approval by the State EMS Medical Director?

All equipment/devices carried by ALS agencies (C) Signup and view all the answers

What is the purpose of the NHTRC hotline?

To assist in discussing potential human trafficking cases (A) Signup and view all the answers

Study Notes

Statewide Standard Treatment Protocols

Delaware Advanced Life Support Protocols, Guidelines, Policies, and Standing Orders are effective November 1, 2024
Approved by EMS Medical Directors: April 17, 2024
Approved by the Advanced Life Support Subcommittee of the Board of Medical Licensure and Discipline: May 31, 2024
Approved by the Board of Medical Licensure and Discipline: July 9, 2024

Contains various topics in a list format.
Includes introduction, paramedic scope of practice, minimum skills and procedures, and a keyword index of all topics included.
Covers a broad range of adult and pediatric medical protocols including:
- Acute Respiratory Distress
- Pulmonary Edema
- Non-invasive mechanical ventilation (NIMV)
- Altered mental status
- Buprenorphine
- Hypertensive crisis
- Seizure/allergic/adverse reaction
- Acute Coronary Syndromes (ACS)/STEMI
- Hemodynamically compromising bradycardia
- Stable/unstable tachycardia
- Adult/pediatric cardiac arrest
- Medical care by paramedic (general adult/general pediatric, seizure, allergies)
- Refusal of service
Contains appendices on topics such as:
- Ideal predicted body weight tables
- Medication lists
- VAN stroke scale
- COWS
- Shock index

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Description

Explore the Delaware Advanced Life Support Protocols curriculum, effective November 1, 2024. This quiz covers essential topics such as respiratory distress, hypertensive crises, and pediatric medical protocols, aimed at enhancing the skills of healthcare providers. Test your knowledge on the latest guidelines approved by the Board of Medical Licensure and Discipline.