Emergency Medical Response: Agitation Management
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Questions and Answers

What action should be taken if a patient refuses treatment?

  • Ignore the refusal.
  • Call medical control. (correct)
  • Notify the patient's family.
  • Force the patient to comply.

    • Which medication is used for anxiety in an agitated patient?

  • Prozac 20 mg PO
  • Sedative 5 mg IM
  • Haldol 2.5 mg IVP
  • Ativan 1 mg IVP (correct)

    • What must be monitored when administering benzodiazepines, opiates, or ketamine?

  • Temperature only.
  • Only SpO2.
  • Heart rate only.
  • Capnography and SpO2. (correct)

    • What criteria must be satisfied for a patient to be considered agitated?

    <p>The patient is verbally aggressive and threatening.</p> Signup and view all the answers

    What is the first step when law enforcement involves EMS for an agitated patient?

    <p>Clarify the patient's handoff from law enforcement.</p> Signup and view all the answers

    What should EMS personnel establish before treating an agitated patient?

    <p>The patient's mental clarity and capacity.</p> Signup and view all the answers

    What is a consideration for EMS personnel when managing an agitated patient?

    <p>Potential for cardiovascular collapse.</p> Signup and view all the answers

    Which of the following is NOT an indication for the use of medications in an agitated patient?

    <p>Patient is fully cooperative and aware.</p> Signup and view all the answers

    What is the recommended fever medication if the patient has not taken Tylenol in the last 4 hours?

    <p>650 mg Tylenol</p> Signup and view all the answers

    What is the target systolic blood pressure when initiating vasopressor therapy for hypotensive patients?

    <p>90 mmHg</p> Signup and view all the answers

    What is the initial fluid resuscitation volume recommended for hypotensive patients?

    <p>30 ml/kg</p> Signup and view all the answers

    Which of the following are indications for pain management in pre-hospital care?

    <p>Extremity injuries</p> Signup and view all the answers

    What is the correct dose of Push Dose Epinephrine to administer until target pressure is achieved?

    <p>1-2 ml every 2-4 minutes</p> Signup and view all the answers

    What is the primary focus of pain management during pre-hospital care?

    <p>Patient comfort</p> Signup and view all the answers

    What dosage of Toradol is recommended for pain management?

    <p>15 mg IV or 30 mg IM</p> Signup and view all the answers

    What criteria must be met for burns to be considered critical in patients under 10 years or over 50 years?

    <p>Combined injury greater than 10%</p> Signup and view all the answers

    What should be done if a patient has stridor and altered mental status?

    <p>Follow Drug Assisted Airway Management Protocol</p> Signup and view all the answers

    Which of the following is true regarding the use of Succinylcholine?

    <p>It is contraindicated if burns are over 72 hrs old.</p> Signup and view all the answers

    What is the cornerstone of management for head injury patients?

    <p>Aggressive prevention and treatment of the Three H-Bombs of TBI</p> Signup and view all the answers

    In patients with altered mental status who are breathing spontaneously, what oxygen delivery method should be used?

    <p>Non-Rebreather Mask with 100% O2</p> Signup and view all the answers

    What action is recommended in the case of potential hypoxemia?

    <p>Apply high-flow oxygen immediately upon finding the patient</p> Signup and view all the answers

    When should critical burn patients be transferred to St.Vincent Indianapolis Burn Unit?

    <p>When they meet the critical burn criteria</p> Signup and view all the answers

    What is a critical factor in managing patients with inhalation or electrical injuries?

    <p>Considering their needs for blood products or procedures</p> Signup and view all the answers

    What is the initial fluid bolus amount recommended for a patient with an isolated head injury?

    <p>1000 ml IV crystalloid solution</p> Signup and view all the answers

    What should be monitored continuously in all TBI patients?

    <p>ETCO2 levels</p> Signup and view all the answers

    Which medication is mentioned as having less potential for causing hypotension?

    <p>Ketamine</p> Signup and view all the answers

    What is the target range for ETCO2 levels in TBI patients?

    <p>35-45 mmHg</p> Signup and view all the answers

    When transporting a patient in the third trimester, what position should they be secured in?

    <p>Left lateral recumbent position</p> Signup and view all the answers

    What is the importance of having one person dedicated to monitor ETCO2 during TBI care?

    <p>To maintain consistent ETCO2 monitoring</p> Signup and view all the answers

    Which device is recommended for patient transfers with a possible spine injury?

    <p>Vacuum mattress</p> Signup and view all the answers

    What is advised against when using vasopressors in TBI patients?

    <p>Increasing intracranial pressure (ICP)</p> Signup and view all the answers

    What effect do tight collars have on intracranial pressure (ICP)?

    <p>They increase ICP</p> Signup and view all the answers

    What is a potential complication of prolonged use of C-collars?

    <p>Pressure ulcers</p> Signup and view all the answers

    What is indicated if a patient shows signs of increased intracranial pressure (ICP)?

    <p>Elevate the head of the bed to 30 degrees</p> Signup and view all the answers

    Which drug should be administered for hypotension and bradycardia in suspected spinal cord injury?

    <p>Labetalol</p> Signup and view all the answers

    What should be done first if a patient is pulseless?

    <p>Begin CPR</p> Signup and view all the answers

    What is a component of passive rewarming for a hypothermic patient?

    <p>Remove all clothing</p> Signup and view all the answers

    Which technique is NOT considered a non-invasive active rewarming method?

    <p>Perform rapid CPR</p> Signup and view all the answers

    What should be monitored to prevent induced ventricular fibrillation in a hypothermic patient?

    <p>ETCO2 levels</p> Signup and view all the answers

    What should be done if the head does not deliver during childbirth?

    <p>Insert a gloved hand into the vagina with palm toward the baby's face.</p> Signup and view all the answers

    What is the main goal of the Mauriceau Maneuver?

    <p>Tuck and flex the child's head.</p> Signup and view all the answers

    What position should the mother be placed in if umbilical cord prolapse occurs?

    <p>Extreme Trendelenburg position or on the left side.</p> Signup and view all the answers

    During the McRoberts Maneuver, how should the mother position her legs?

    <p>With knees pushed towards her chest.</p> Signup and view all the answers

    While performing the Mauriceau Maneuver, how should you position your fingers?

    <p>In a V shape on the fetal maxilla.</p> Signup and view all the answers

    What should you do if the cord is prolapsed during delivery?

    <p>Cover the exposed portion of the cord with saline soaked gauze.</p> Signup and view all the answers

    What action should be taken while applying suprapubic pressure during delivery?

    <p>Promote flexion of the head.</p> Signup and view all the answers

    If the first maneuvers to deliver a baby do not work, what is recommended next?

    <p>Consider using the McRoberts Maneuver.</p> Signup and view all the answers

    Study Notes

    Adult Protocols V3

    • Ascension St. Vincent North Region EMS protocols for adults.
    • Protocol version is V3.

    Table of Contents

    • Page 4: General Guidelines
    • Page 5-8: (Missing)
    • Page 9: Canine Officer Protocol
    • Page 10-11: (Missing)
    • Page 12: Allergic Reaction
    • Page 13: IV Access
    • Page 14: IO Access
    • Page 15: Port Access Protocol
    • Page 16: CPAP/BiPAP
    • Page 17-19: Ventilator Protocol
    • Page 20: Heated High Flow Nasal Cannula
    • Page 21: Reactive Airway Disease
    • Page 22: Sepsis
    • Page 23: Pain Management
    • Page 24: Non Agitated Psychosis
    • Page 25: Diabetic Emergency
    • Page 26: Agitated Patient
    • Page 27: Restraint Policy
    • Page 28: (Missing)
    • Page 29: Chest Pain
    • Page 30: Cardiogenic Shock
    • Page 31: Bradycardia
    • Page 32-35: Tachycardia Algorithm
    • Page 36: Cardiac Arrest Algorithm
    • Page 37-38: (Missing)
    • Page 39: Need for Resuscitation
    • Page 40: Termination of Resuscitation
    • Page 41: Stroke
    • Page 42: Pulmonary Edema
    • Page 43: Toxicology
    • Page 44: Seizures
    • Page 45: Nausea
    • Page 46: Trauma
    • Page 47: (Missing)
    • Page 48: Burns
    • Page 49: Head Injury
    • Page 50: Cyanide Poisoning
    • Page 51: Carbon Monoxide Poisoning
    • Page 52: Spinal Motion Restriction
    • Page 53: Spinal Cord Injury
    • Page 54: Hypothermia
    • Page 55-57: Hyperthermia
    • Page 58: Taser Removal
    • Page 59: OroGastric Tubes
    • Page 60: Sexual Assault
    • Page 61: Eclampsia
    • Page 62: Pre-Eclampsia
    • Page 63-66: Childbirth
    • Page 67-68: Drug List
    • Page 69-71: Drip Charts (Nitroglycerin, Epinephrine, Norepinephrine)
    • Page 72: Drip Charts (Amiodarone)
    • Page 73: Drip Charts (Magnesium Sulfate)
    • Page 74: Drip Charts (Dobutamine)
    • Page 75: Drip Charts (Ketamine)
    • Page 76: Drip Charts (Fentanyl)
    • Page 77: Drip Charts (Dopamine)
    • Page 78: Drip Charts (Oxytocin, Ceftriaxone, TXA, Hydroxocobalamin)
    • Page 79: IBW Chart

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    Ascension St. Vincent North Region EMS Adult Protocols V3 PDF

    Description

    Test your knowledge on managing agitated patients in an emergency medical setting. This quiz covers critical actions, medications, and monitoring processes involved in the treatment of agitation and hypotension. Perfect for EMS personnel and medical professionals working in fast-paced environments.

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