Questions and Answers
What is the maximum allowable heart rate for an emergency responder before they can be reassigned?
Which symptom does NOT require immediate evaluation by ALS prior to returning to duty?
What respiratory rate indicates a need for ALS evaluation after rehabilitation?
Which of the following vital sign measurements is NOT considered normal for a resting pulse rate?
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What is the maximum systolic blood pressure allowed during rehabilitation for personnel to be reassigned?
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Which condition mentioned would NOT indicate an immediate need for medical assistance?
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What does a diastolic blood pressure reading above 100 mmHg signify for personnel in rehabilitation?
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In terms of alertness, what condition must an emergency responder meet to be considered for reassignment?
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What is the threshold body temperature after which personnel may not be returned to duty?
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What minimum pulse oximetry value must be maintained for personnel to return to operations?
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Which condition will require ALS evaluation and treatment even before the 20-minute rest?
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Which of the following describes a condition indicating heat stress?
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In what scenario might tympanic measurements be lower than core body temperature readings?
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What action should be taken for personnel exhibiting abnormal neurological findings?
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Which of the following describes skin signs of frostbite in cold stress?
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After how many minutes of oxygen therapy must personnel with a persistent pulse oximeter value below 92% receive ALS evaluation?
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Study Notes
Function C: Medical Treatment and Transport
- ALS (Advanced Life Support) crews and a Rescue team oversee medical treatment for personnel experiencing overexertion or injuries.
- Standard ALS Protocols are key for evaluating medical treatment and transporting personnel as needed.
Vital Signs & Assessment Standards for REHAB
- Close monitoring of physical observations is critical for personnel, including complaints such as:
- Chest pain, dizziness, shortness of breath, weakness, nausea, headache
- General discomfort like cramps, aches, or rate of perceived exertion
Assessment Criteria for Reassignment
- Personnel must meet specific vital sign criteria before being reassigned:
- Heart rate below 100 bpm without irregularities
- Systolic blood pressure (BP) below 160
- Diastolic BP below 100
- Respiratory rate between 12-20 breaths per minute
- No abnormal neurological findings
- No significant complaints
Heart Rate Values (HRV)
- Normal resting pulse is 60-100 bpm; responders cannot return to work if HR exceeds 100 bpm after 20 minutes of rest.
- Taller HRV values (over 100 bpm) necessitate ALS evaluation and treatment.
Respiratory Rate (RR)
- Normal respiratory rates range from 12-20 breaths per minute; those exceeding 20 breaths must be evaluated by ALS.
Blood Pressure (BP)
- During recovery, blood pressure should ideally return to baseline; systolic over 160 or diastolic over 100 after rehabilitation requires ALS evaluation.
Neurological Assessments
- Personnel showing confusion, disorientation, or unusual changes in gait, speech, or behavior require immediate ALS evaluation, bypassing the rest period.
Skin and Body Temperature Evaluations
- Heat Stress is indicated by hot, dry, red skin or blistering.
- Cold Stress is characterized by skin changes from red to purple to white, indicating frostbite.
- Body temperature over 99.5°F after 20 minutes will necessitate hospital transport for further evaluation; core temperatures are generally lower when measured orally.
Pulse Oximetry
- Oxygen saturation must be above 92%; values below this after 20 minutes of oxygen therapy will trigger ALS evaluation.
Blood Glucose/Sugar (BGS) Assessment
- Conducted whenever abnormal neurological symptoms are present; treatment follows PFD protocol.
Electrocardiogram (EKG) Monitoring
- Persistent heart rate over 100 bpm after rest requires a 12 lead EKG and ALS treatment.
- Irregular pulses warrant ALS treatment immediately, regardless of rest period.
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Description
This quiz covers the protocols involved in medical treatment and transporting personnel in emergency situations. It focuses on the standards for evaluating vital signs and the responsibilities of ALS crews during rehabilitation. Test your knowledge on the procedures and protocols essential for ensuring the safety and health of team members.
