Advanced EMT Protocol Study Guide 2014 1. EMTs can suction tracheostomies True False 2. CPAP is permitted for DNR-CC patients True False 3. An EMS Provider can with-hold resuscitation when bystander CPR is in progress and the patient presents with obvious signs of death. True False 4. Which patient will require immobilization with a c-collar and spinal immobilization device a) a. 28 year old female patient complaining of neck pain after a motor vehicle accident b) 70 year old make patient with hip pain following a fall from a standing position c) 42 year old male patient who appears intoxicated complaining of head pain following a motor vehicle accident d) 16 year old female with spinal tenderness following a motor vehicle accident 5. Transmitted ECGs should include how many patient identifiers? What are two examples? 6. Any EMS provider can witness drug wastage True False 7. In order to request a field termination of resuscitation, the EMS provider must speak with the Medical Control Physician True False 8. Which of the following is not included in the SAMPLE history? a) Medications b) Signs\Symptoms c) Allergies d) Physician 9. What are the three major components of SALT triage? 10. When calling ahead with a trauma patient, what information should be provided? 11. The only procedures that should delay transport of major trauma patients are 12. Describe recommendations for the placement of tourniquets in hemorrhage control 13. You are working with a Paramedic and an EMT and are dispatched on a cardiac arrest. Upon arrival, you should move the patient to the ambulance and begin transport while initiating care enroute. True False
14. List the six rights of drug administration 15. EMS Providers will no longer administer medications via SQ route, but now by route 16. Complete the following for Albuterol a. Generic name(s) b. Desired effect(s) c. Adult dose 17. Complete the following for Aspirin c. Contra-Indication(s) 18. Complete the following for Naloxone a. Generic name b. Desired effect(s) c. Adult dose 19. Complete the following for Nitroglycerin c. Side effects 20. Complete the following for Epinephrine c. Pedi dose 21. Complete the following for Diazepam a. Desired Effect(s) b. Adult Dose c. Side effect(s) 22. Complete the following for Glucagon c. Side effect(s) 23. Complete the following for Diphenhydramine a. Desired Effect(s): b. Adult Dose c. Pedi Dose d. Side effect(s)
24. Complete the following for Lidocaine a. Desired Effect c. Pedi dose
25. Complete the following for Midazolam a. Indication b. Desired effect(s) c. Adult dose d. Pedi dose 26. Complete the following for Sublimaze a. Generic Name b. Desired Effect(s) c. Adult Dose d. Pediatric Dose 27. Complete the following for Promethazine a. Generic name b. Desired Effect c. Adult Dose 28. Oral Glucose may be administered to the unresponsive patient who has been placed in the lateral recumbent position T F 29. Slow IV meds should be administered over how many minutes? 30. What is the destination guideline for childbirth? 31. List four complications of delivery 32. Regarding APGAR, when do we score? 33. If a patient weighs 36 pounds, what color zone of the Broselow tape will be referenced? 34. If your patient weighs 26kg, what size LMA is recommended by the Broselow tape? 35. When assessing pediatric patients, how should you determine what the child s normal vital signs range should be? 36. A 9 month old who moans and opens his eyes to pain and pulls his arms away when touched has a GCS of: 37. A pediatric patient with poor perfusion should have CPR initiated if the heart rate is less than
38. Special consideration should be given for the geriatric trauma patient to be evaluated at a Trauma Center if they have the following conditions: 39. You are at your fire station when a woman drives up and comes to the door with a blanket wrapped baby. She says she just doesn t want to keep him. Describe your actions under the Safe Harbor provisions: 40. Intermediates and Basics must call the hospital after transmitting the 12-lead obtained: a. Only on patients with chest pain b. Only when the computer reads it as abnormal c. If the patient is over 50 years old d. Any time a 12-lead is transmitted 41. A 23 year-old with a positive family cardiac history presents with chest pain. Correct sequence for chest pain protocol on this patient is: a. Oxygen, transport, Aspirin enroute b. Aspirin, 12-lead EKG, transport c. Oxygen, 12-lead EKG, transport d. 12-lead EKG, Aspirin, Oxygen, Sublimaze, transport 42. CPR should not be interrupted for more than: a. 30 seconds b. 60 seconds c. 10 seconds d. None of the choices are correct 43. Non-Initiation of Care / Resuscitation guidelines will be followed in the following circumstances: a. Burned beyond recognition b. Decapitation pregnant patient c. Deep, penetrating, cranial injuries d. All choices qualify for non-initiation of care 44. Which statement(s) is correct regarding two-rescuer CPR for the healthcare provider in the adult patient? a. Rescuers should be changed after 5 cycles or about every 2 minutes b. Interruptions should be 10 seconds or less c. Once advanced airway is in place, 1 breath should be given every 6 to 8 seconds without a pause in CPR to facilitate breath delivery d. All of the answer choices are true 45. When completing a Drug Bag Discrepancy form, the Blue Seal should be included with the form if it is available True False
46. What injuries may occur if a patient contaminated with diesel fuel is left lying on their fuel saturated clothing? a. Lead Poisoning b. Chemical Burn Injuries c. Barotrauma d. None of the answer choices are correct 47. Describe the process for activating a Chempack, including notification 48. Field termination cannot be performed by an EMT True False 49. Which of the following is not a component of the Cincinnati Stroke Scale? a. Facial droop b. Arm drift c. Abnormal speech d. Leg strength 50. Which regional hospitals have a 24/7 Stroke Interventional Cath Lab? a. Miami Valley Hospital and Good Samaritan Hospital b. Good Samaritan Hospital and Kettering Medical Center c. Grandview Hospital and Kettering Medical Center d. Miami Valley Hospital and Kettering Medical Center