EMS previous weeks review (DOESN'T INCLUDE 5.10.13)
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In prehospital settings, who is allowed to provide oxygen therapy?

  • Any first aid provider with basic training
  • Only physicians and registered nurses
  • EMT-B and EMT-P with additional training
  • Only EMT-I or First Responders who have completed the required EMT-I oxygen module (correct)

    • What are the indications for oxygen therapy in prehospital care?

  • Chronic fatigue, muscle weakness, dizziness, dehydration, fainting
  • Acutely altered mental status, respiratory distress, chest pain, shock, abnormal heart rate, multiple system trauma (correct)
  • Nausea, vomiting, headache, sore throat, skin rash
  • Joint pain, back pain, abdominal discomfort, coughing

    • How should oxygen be administered to spontaneously breathing patients?

  • Using nasal cannula (6 liters/min) or non-rebreathing oxygen mask (15 L/min) (correct)
  • Using oxygen tent at a flow rate of 10 L/min
  • Administering oxygen through tracheostomy at 12 L/min
  • Using a simple face mask at 5 L/min

    • What is the initial oxygen flow rate for patients with a history of COPD?

    <p>2 L/min by nasal cannula</p> Signup and view all the answers

    When should the oxygen flow rate be increased for a patient with COPD?

    <p>If cyanotic, gradually increase oxygen flow until cyanosis clears.</p> Signup and view all the answers

    Which of the following is the maximum recommended dose of aspirin for a patient with a history strongly suggestive of cardiac ischemia?

    <p>Two tablets of 162 mg</p> Signup and view all the answers

    When is it appropriate to allow a patient to have their own nitroglycerine in prehospital care?

    <p>If the patient's blood pressure is greater or equal to 110 systolic</p> Signup and view all the answers

    What is the recommended oxygen flow rate via nasal cannula for a patient with a history of COPD?

    <p>2 liters/minute</p> Signup and view all the answers

    In prehospital care, what should be done if the patient's blood pressure drops below 90 systolic after nitroglycerine administration?

    <p>Lay the patient down</p> Signup and view all the answers

    According to the mnemonic 'OPQRST', which element assesses the time aspect of the chest pain in prehospital care?

    <p>'T' time</p> Signup and view all the answers

    In a prehospital setting, what should NOT be done if hyperventilation is expected and the patient is tingly around the mouth or in extremities?

    <p>Utilize paper bag breathing</p> Signup and view all the answers

    What action should be taken if a child has evidence of epiglottitis, recent infection, high fever, stridor, quiet crying, and drooling in a prehospital setting?

    <p>Immediate transport without Code 3 unless child deteriorates</p> Signup and view all the answers

    What is a cause of respiratory distress according to the given information?

    <p>Pulmonary edema</p> Signup and view all the answers

    If smoke/gas inhalation is suspected in a prehospital scenario, what should be done first?

    <p>Ensure personal safety</p> Signup and view all the answers

    What action should be taken if a child under 5 years of age has a complete obstruction in a prehospital setting?

    <p>Assist ventilations with bag-valve-mask</p> Signup and view all the answers

    In a prehospital setting, what type of burn would be categorized as 'Partial Thickness'?

    <p>Blisters, sensation, and capillary refill present</p> Signup and view all the answers

    If a patient has 2o (partial thickness) or 3o (full thickness) burns that are more than 10% total body surface area, which is the most appropriate destination for transport in a prehospital scenario?

    <p>Regional Burn Center (Regional Medical Center)</p> Signup and view all the answers

    What should be done first if airway burns or respiratory distress are observed in a prehospital setting?

    <p>Transport lights/siren to the Regional Burn Center (Regional Medical Center)</p> Signup and view all the answers

    Which type of burns warrant direct transport to the Regional Burn Center (Regional Medical Center) bypassing other hospitals if ETA to RMC is within two hours in a prehospital scenario?

    <p>Electrical burns with voltage greater than 120 volts</p> Signup and view all the answers

    What should NOT be applied to the burned area in a prehospital setting according to the given information?

    <p>Ice or creams</p> Signup and view all the answers

    In a prehospital setting, what is the most appropriate initial treatment for a patient with suspected syncope?

    <p>Assess and treat airway, breathing, and circulation (ABCs)</p> Signup and view all the answers

    What should be done first if a conscious diabetic patient with altered mental status is encountered in a prehospital setting?

    <p>Conduct a test to assess the patient's gag reflex</p> Signup and view all the answers

    What is the appropriate treatment for a conscious diabetic patient with a gag reflex who is not on insulin or oral hypoglycemic agents in a prehospital setting?

    <p>Administer oral glucose</p> Signup and view all the answers

    What should an EMT do if a patient is seizing and there is no trauma involved?

    <p>Move objects away from the patient, protect the head and neck, and position the patient on the right side to prevent aspiration</p> Signup and view all the answers

    What is the recommended initial treatment for a conscious diabetic patient with altered mental status according to EMT judgment?

    <p>Administer oral glucose</p> Signup and view all the answers

    When should transport lights/siren be used for patients in a prehospital setting?

    <p>For patients with unmanageable airway or deteriorating vital signs or mental status</p> Signup and view all the answers

    What should an EMT consider in patients with known seizure disorder experiencing another seizure?

    <p>Always consider trauma as a possible cause of the present seizure</p> Signup and view all the answers

    According to the 'FACTS' mnemonic for seizures, what does 'F' stand for?

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

    What is the appropriate action for an EMT if a patient presents with confusion, disorientation, or coma?

    <p>Perform a fingerstick for blood glucose testing</p> Signup and view all the answers

    What should be considered if a patient with altered mental status is encountered in a prehospital setting?

    <p>Encourage individuals with knowledge of the patient’s medical history to proceed directly to the emergency department</p> Signup and view all the answers

    What is the recommended initial treatment for a conscious diabetic patient with altered mental status according to EMT judgment?

    <p>Administer oral glucose immediately</p> Signup and view all the answers

    In what scenario should transport lights/siren be used for patients in a prehospital setting?

    <p>When a patient is seizing without trauma involved</p> Signup and view all the answers

    What should be done first if a conscious diabetic patient with a gag reflex is not on insulin or oral hypoglycemic agents in a prehospital setting?

    <p>Administer oral glucose immediately</p> Signup and view all the answers

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