El Paso Fire Department EMS Guidelines
48 Questions
0 Views

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

How are the El Paso Fire Department EMS Medical Care Guidelines intended to be used with respect to patient care?

  • As strict protocols that must be followed for every patient situation.
  • As a means to replace needed medical control by the MCEP with established protocols
  • As a general guide that allows for flexibility, with the ability to deviate as needed for unique patient circumstances. (correct)
  • As a rigid protocol, with every box and every step required to meet the standard.

    • Under what circumstance might an EMT deviate from established guidelines in the field?

  • When they are under pressure to transport a patient to the hospital quickly
  • When the EMT believes they know a better course of treatment based on their experience.
  • If they feel it will help the patient, as long as it is within their scope of practice
  • If they receive verbal orders from an online medical control physician (OLMC). (correct)

    • In the El Paso Fire Department EMS Guidelines, what does the color RED signify?

  • Advanced interventions for EMT-A.
  • Interventions for EMT-Paramedic. (correct)
  • Basic interventions for EMT-B.
  • Procedures that should be skipped.

    • According to the provided guidelines, what does 'may repeat x2' mean in the context of medication administration?

    <p>A total of three doses of medication may be administered. (D)</p> Signup and view all the answers

    What does the standard direction format dictate for EMS guidelines?

    <p>BLS for first responders and EMT-Basic personnel and ALS for Advanced-EMT and Paramedics. (D)</p> Signup and view all the answers

    What is the condition for personnel to perform any treatments up to the MCEP identifier?

    <p>They are locally certified to perform at that specific level. (C)</p> Signup and view all the answers

    According to the guidelines, what is the minimum age at which a 12-lead ECG is indicated for a patient with suspected cardiac issues?

    <p>35 years old (A)</p> Signup and view all the answers

    According to the guidelines, what represents the correct sequence for the level of care outlined in the digital format?

    <p>EMT-B, to EMT-A, to EMT-Paramedic. (C)</p> Signup and view all the answers

    For placement of the V4 electrode, which landmark is used?

    <p>5th intercostal space at the midclavicular line (C)</p> Signup and view all the answers

    What is the main purpose of the pearls section?

    <p>To explain that the flowcharts are not absolute and should promote critical thinking. (A)</p> Signup and view all the answers

    When is it necessary for an EMT to contact Medical Control?

    <p>When further pre-hospital treatment, direction, or advice is needed beyond standing orders. (C)</p> Signup and view all the answers

    What is a key condition for 'Non-Guideline Orders' to be implemented?

    <p>They must be within the scope of the EMT’s local level of certification and follow relevant codes. (C)</p> Signup and view all the answers

    Where should the V6 electrode be placed?

    <p>Level with V5 at the left midaxillary line (A)</p> Signup and view all the answers

    What is the intended relationship between the guidelines and flexibility for the EMS personnel?

    <p>The guidelines allow for flexibility, enabling EMS personnel to adapt care based on the clinical situation. (A)</p> Signup and view all the answers

    Where is a 'Non-Guideline Order' documented?

    <p>In the Medical Control section of the electronic Patient Care Report (ePCR). (C)</p> Signup and view all the answers

    According to the given information, what is the sensitivity of ST elevation in V4R for the diagnosis of RV MI?

    <p>88% (B)</p> Signup and view all the answers

    When multiple boxes are present in the flowcharts, what are EMS providers permitted to do?

    <p>Are able to skip to boxes further down the flowchart when clinically indicated. (A)</p> Signup and view all the answers

    According to the guidelines, what does a BLUE color indicate?

    <p>Basic interventions for EMT-B. (B)</p> Signup and view all the answers

    When a patient is having a cardiac complaint, what should the paramedic do with the ECG leads after aquiring a 12 lead?

    <p>Keep all leads connected to allow ST-segment monitoring. (C)</p> Signup and view all the answers

    What is the primary purpose of contacting Medical Control?

    <p>To provide medical advice and treatment orders. (D)</p> Signup and view all the answers

    Which of the following is a correct landmark for applying the V1 lead?

    <p>4th intercostal space at right sternal border (A)</p> Signup and view all the answers

    Who reviews the ePCR after it has been documented by the field EMT?

    <p>The Medical Director. (D)</p> Signup and view all the answers

    What is the primary purpose of using V4R in a 12-lead ECG?

    <p>To monitor the right ventricle (B)</p> Signup and view all the answers

    What should be documented on the patient care report after performing a 12-lead ECG?

    <p>The procedure, time, and the results (A)</p> Signup and view all the answers

    What is the primary effect of vasopressin on the renal system?

    <p>It activates adenylate cyclase, promoting increased water reabsorption and concentrated urine. (A)</p> Signup and view all the answers

    Which of the following is a contraindication for the use of vasopressin?

    <p>Chronic renal failure (A)</p> Signup and view all the answers

    A patient is receiving a ganglionic blocking agent. How might this impact the administration of vasopressin?

    <p>It will enhance the vasopressor effect of vasopressin. (A)</p> Signup and view all the answers

    What is the primary mechanism of action for dobutamine?

    <p>Direct stimulation of beta-1 receptors, increasing myocardial contractility and cardiac output. (D)</p> Signup and view all the answers

    Which of the following is a primary indication for the use of dobutamine?

    <p>Cardiogenic shock with pulmonary edema (A)</p> Signup and view all the answers

    What is the primary indicator of opioid overdose requiring EMS intervention?

    <p>Respiratory depression or apnea. (D)</p> Signup and view all the answers

    A patient is on a beta-adrenergic blocker. How might this medication interact with the administration of dobutamine?

    <p>It will reduce the effects of dobutamine. (B)</p> Signup and view all the answers

    If a patient is found to be using an opioid adhesive patch, what is the recommended initial action?

    <p>Remove the patch from the skin. (B)</p> Signup and view all the answers

    Which of the following describes the major effects of norepinephrine?

    <p>Strong beta-1 and alpha-adrenergic effects, increasing cardiac output and causing vasoconstriction. (C)</p> Signup and view all the answers

    What should take precedence before administering naloxone in an opioid overdose case?

    <p>Critical resuscitation, including airway and oxygen. (D)</p> Signup and view all the answers

    What effect does norepinephrine have on renal perfusion?

    <p>Decreases renal perfusion (A)</p> Signup and view all the answers

    How should naloxone be administered to reverse respiratory depression?

    <p>In incrementally titrated doses. (C)</p> Signup and view all the answers

    What is a key limitation of naloxone's clinical opioid reversal effect?

    <p>It may end within an hour, whereas opiods effect can last 4 hours. (C)</p> Signup and view all the answers

    Which opioid can cause QT prolongation and torsades?

    <p>Methadone. (B)</p> Signup and view all the answers

    Which opioid can cause seizures as a side effect?

    <p>Tramadol (A)</p> Signup and view all the answers

    What additional intervention might be required for patients with fentanyl or fentanyl analogs overdose who exhibit chest wall rigidity?

    <p>Positive end expiratory pressure (PEEP) and larger doses of naloxone. (B)</p> Signup and view all the answers

    Who is primarily responsible for control at a medical emergency scene?

    <p>The individual with the most appropriate pre-hospital emergency training. (A)</p> Signup and view all the answers

    When does a physician-patient relationship get established in an emergency involving an ALS team?

    <p>When the ALS team is requested and dispatched to the scene. (A)</p> Signup and view all the answers

    Who acts as the physician's agent in managing the patient before reaching the hospital?

    <p>The pre-hospital provider on the scene. (D)</p> Signup and view all the answers

    What is the primary standard when a telehealth practitioner provides medical services?

    <p>The telehealth practitioner must meet the same standards as in person care. (A)</p> Signup and view all the answers

    What action should be taken if a telehealth practitioner's medical order conflicts with EPFD EMS guidelines?

    <p>Place the telehealth practitioner in communication with Medical Control. (A)</p> Signup and view all the answers

    When a patient's private physician is present and takes responsibility, what should the pre-hospital provider do?

    <p>Defer to the orders of the physician unless they conflict with guidelines. (A)</p> Signup and view all the answers

    What documentation should the pre-hospital provider request from the patient's private physician?

    <p>A printed name, signature and DEA or medical license number. (B)</p> Signup and view all the answers

    If a private physician and Medical Control do not agree on treatment, what is the physician's required action?

    <p>Continue direct care and accompany patient to the hospital or defer care to Medical Control. (B)</p> Signup and view all the answers

    Study Notes

    El Paso Fire Department EMS Guidelines

    • An ISO Class 1 Department
    • El Paso Fire Department
    • EMS Treatment Guidelines, Medication formulary, Reference.
    • Fire Chief: Jonathan Killings
    • Medical Director: Russell Baker

    General Guidelines

    • How to use the guidelines
    • General information
    • Do Not Resuscitate (DNR)
    • Interfacility and Flight Crew Transport
    • Intravenous Access IV
    • Involuntary Transport
    • MCI Patient Distribution
    • Obvious Death On Scene (DOA)
    • Obvious Death on Scene Documentation
    • Pain Guidelines
    • Patient Determination
    • Patient Encounter Documentation
    • Patient Refusal
    • Patient Transport And Telehealth
    • Sexual Assault / Abuse (SSA)
    • Physician on Scene
    • Termination of Resuscitation (“TOR”)
    • Universal Care
    • US Port of Entry / Bridge Transfer

    ACLS Cardiac Guidelines

    • ACS / Chest Pain
    • Atrial Fibrillation w/RVR
    • Asystole / PEA
    • Bradycardia
    • Cardiac Arrest
    • Cardiogenic shock
    • CPR
    • Post ROSC Care
    • Supraventricular Tachycardia
    • V-Fib & Pulseless V-Tach
    • Wide Complex Tachycardia With Pulses
    • Cardiac Reference

    Environmental Emergencies

    • Bites and Envenomation
    • Carbon Monoxide (CO) / Cyanide (CN¯)
    • Dehydration
    • Drowning and Near Drowning
    • Hyperthermia
    • Hypothermia
    • Lighting Injury
    • Organophosphate Exposure
    • Rhabdomyolysis

    Medical Emergencies Guidelines

    • Medical Patient Categorization
    • Abdominal Pain
    • Allergic Reaction
    • Altered Mental Status
    • Back Pain
    • Behavioral emergency
    • Cerebral Vascular Accident
    • Diabetic Emergency
    • Ebola/High Consequence Infectious Disease
    • Epistaxis
    • Eye Pain
    • Fever/Infection
    • Hypertension (HTN)
    • Hypotension
    • Nausea / Vomiting
    • Opioid Overdose
    • Overdose / Toxic Ingestion
    • Seizures
    • Sepsis
    • Syncope

    OB/GYN Emergencies

    • Breech Delivery
    • Childbirth Emergency
    • Childbirth / Labor

    Newborn Care

    • Newborn Care
    • Newborn Care Reference
    • Neonatal Resuscitation
    • Neonatal Resuscitation Reference
    • Obstetric Emergency
    • Preeclampsia / Eclampsia
    • Vaginal Bleeding

    PALS Pediatric Guidelines

    • PALS: Asystole & PEA
    • PALS: Bradycardia
    • PALS: Cardiac Arrest
    • PALS: Supraventricular Tachycardia SVT
    • Pediatric Airway
    • Pediatric Airway Missed
    • Pediatric Allergic Reaction
    • Pediatric Altered Mental Status
    • Pediatric Drowning/Near Drowning
    • Pediatric Head Trauma
    • Pediatric Hypotension
    • Pediatric Nausea/Vomiting & Diarrhea
    • Pediatric Multisystem Trauma
    • Pediatric Respiratory Distress
    • Pediatric ROSC
    • Pediatric Seizure
    • Pediatric Sepsis / Infection
    • Obstetric Emergency
    • Preeclampsia/Eclampsia
    • Vaginal Bleeding
    • Childbirth/ Labor

    Additional Sections

    • EMS Medications Formulary
    • Austere/Special Circumstances Antibiotics Medications
    • Interfacility Transfer Medications (IFT)
    • Clinical Procedure Guideline
    • Abbreviations and Definitions
    • Appendix

    Studying That Suits You

    Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

    Quiz Team

    Related Documents

    2025 EPFD New Protocols PDF

    Description

    This quiz assesses your understanding of the El Paso Fire Department EMS Medical Care Guidelines. Topics include medication administration, care protocols, and the significance of color codes. Test your knowledge on when EMTs can deviate from guidelines and the procedures for patient assessment.

    More Like This

    Use Quizgecko on...
    Browser
    Open
    Browser
    Browser