Stroke and Intubation Assessment Quiz

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Questions and Answers

What does the 'B' in the BE-FAST stroke screening scale stand for?

Breathing irregularities

Bilateral weakness

Balance: Unsteadiness (correct)

Blood pressure changes

Which of the following is NOT included in the definition of a Brief, Resolved, Unexplained Event (BRUE)?

Sudden temperature spike (correct)

Color change (cyanosis or pallor)

Altered level of responsiveness

Marked change in muscle tone

In the LEADSD acronym for assessing and documenting intubation, what does the 'E' stand for?

End-Tidal CO2 Detection Device (correct)

Electrolyte balance

Extent of obstruction

External airway assessment

What is the primary purpose of a nebulizer as described in the treatment protocol?

To administer normal saline or medications Signup and view all the answers

Which of the following statements about End-Tidal CO2 (EtCO2) monitoring is accurate?

It continuously monitors end-tidal CO2 levels. Signup and view all the answers

Which group does the term 'Opioid-Dependent Pain Management Patient' refer to?

Those prescribed opioids for chronic pain management Signup and view all the answers

What indicates a need for Definitive Therapy in terms of treatment?

Immediate or anticipated need for medications or fluid bolus Signup and view all the answers

What does the 'D' in the FAST-ED stroke severity scale stand for?

Denial/Neglect Signup and view all the answers

What is the main difference between BE-FAST and FAST-ED in stroke assessment?

BE-FAST assesses balance, while FAST-ED focuses on facial symptoms. Signup and view all the answers

Which of the following is a characteristic of a Brief, Resolved, Unexplained Event (BRUE)?

It describes episodes that are sudden and brief. Signup and view all the answers

What key aspect does the acronym LEADSD emphasize in endotracheal intubation?

Assessment of lung sounds. Signup and view all the answers

Which of the following describes an Opioid-Dependent Pain Management Patient?

Those prescribed opioids for chronic pain management. Signup and view all the answers

What is the significance of End-Tidal CO2 (EtCO2) monitoring?

It is essential for evaluating respiratory status in intubated patients. Signup and view all the answers

What does the term 'definitive therapy' refer to?

Immediate need for medications or fluid administration. Signup and view all the answers

Which symptom is not part of the BE-FAST assessment for strokes?

Heart palpitations. Signup and view all the answers

What is the function of a nebulizer in emergency treatment?

To deliver medications or saline in mist form. Signup and view all the answers

Study Notes

BE-FAST Stroke Screening Scale

Assesses possible Transient Ischemic Attack (TIA) or stroke
Prehospital stroke severity scale used for positive BE-FAST results
Evaluates balance, eyes, face, arms/legs, speech, and time

Brief Resolved Unexplained Event (BRUE)

Episode in infants under 12 months
Characterized by sudden, brief, and resolving episodes
Possible indicators include: absent/irregular breathing, color change (cyanosis/pallor), altered muscle tone (hyper/hypotonia), and altered responsiveness

Definitive Therapy

Immediate or anticipated need for fluids or medication administration

End-Tidal CO2 (EtCO2)

Quantitative capnography for continuous CO2 monitoring
Mandatory for intubated patients
Exceptions listed in Skills List (S-104)

LEADSD Intubation Assessment

Acronym for steps in endotracheal intubation assessment/documentation
Includes lung sounds, end-tidal CO2 detection, absence of abdominal sounds, depth, size, and documentation

Nebulizer

Oxygen-powered system for medication or saline administration

Opioid

Derivatives of opium, morphine, or substances affecting opioid receptors
Effects include analgesia, somnolence, and respiratory depression
Opioid Overdose (Symptomatic): Decreased level of consciousness and/or respiratory depression (e.g., respiratory rate <12 or EtCO2 ≥40 mmHg).

Pediatric Patients

Ages 14 years or younger are considered pediatric
Trauma patients determined by age, not weight
Neonate (birth - 30 days), Infant (1 month - 1 year)

Perilaryngeal Airway Adjunct (PAA) Options

Supraglottic airway (SGA) - i-gel is the only approved prehospital device in San Diego County
Retroglottic airway - King Airway is the only approved prehospital device in San Diego County

Unstable Patient Criteria

Age 15 and older, with systolic blood pressure (SBP) less than 90 mmHg, and signs of inadequate perfusion
Signs might include altered mental status, pallor, diaphoresis, significant chest pain (possible cardiac origin), or severe dyspnea
Age 14 or younger, with signs of inadequate perfusion (e.g., altered mental status, pallor/mottling/cyanosis, diaphoresis, difference in peripheral/central pulses, delayed capillary refill) and specific age-related hypotension criteria, including SBP values based on age.

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Description

Test your knowledge on key medical assessments including the BE-FAST stroke screening scale and intubation assessment procedures. This quiz covers vital topics such as stroke recognition, BRUE in infants, fluid administration, and capnography for intubated patients. Perfect for healthcare professionals and students looking to reinforce their understanding of critical care practices.