Questions 80-84 are associated with the following scenario: (policy 3305) An MCI has been declared for a vehicle rollover on the freeway. There are 5 patients. Two have self-extricated and walked to the shoulder of the road. Three patients need to be triaged and extricated from the vehicle. Triage and treat patients according to START standards. 19-year-old male driver c/o head pain. He has profuse bleeding from an open scalp wound and a broken femur. Peripheral pulse is present at about 90, respirations 20. He is awake, confused, and fails to follow commands. The appropriate Triage Category for this person is:
You are called to the scene of an auto vs. pedestrian. You h…
You are called to the scene of an auto vs. pedestrian. You have a pediatric patient with tire marks across the chest and a broken foot with minimal bleeding. The child is pale with absent breath sounds on the right side of the chest. BP 60/38, P 160 RR 38. Oxygen has been applied by NRM. (policy 4302) Your next action should be:
Which of the following are the contraindications for adminis…
Which of the following are the contraindications for administering Tranexamic Acid (TXA) per policy 4105? Select all that apply
Questions 61-62 are based on the following scenario: You arr…
Questions 61-62 are based on the following scenario: You arrive on the scene and find a 21-year-old female burned by a campfire approximately 15 minutes ago. She has second and third-degree burns to her entire right arm, anterior trunk, and entire right leg. Her vital signs are BP 98/p, P 130, RR 32, and shallow. Her lungs have audible wheezing, and she has soot around the mouth and nose. Her weight is 55 kg. The first responding paramedics have established an IV. The patient is being ventilated, but there is poor chest rise and fall with attempts, and intubation has not succeeded. According to the “Rule of Nines,” this patient has suffered ____ percent of body surface area burns:
You arrive on the scene and find a 6-year-old weighing 44 lb…
You arrive on the scene and find a 6-year-old weighing 44 lbs. with a heart rate of 240, palpable weak radial pulse, and RR of 30. The child is alert and anxious, with dizziness and chest pain. An IV is established, and O2 via NRM is being provided. The cardiac monitor shows SVT. According to REMSA policies, which of the following appropriate treatments require BHO :
Which of the following statements is incorrect regarding tra…
Which of the following statements is incorrect regarding traumatic arrest?
A 19 y.o. male is found unconscious and unresponsive on his…
A 19 y.o. male is found unconscious and unresponsive on his bed. He has an empty bottle of Elavil, which you recognize as a tricyclic antidepressant medication. His mother states she just refilled the medication three days ago. The patient has snoring respirations, dry skin, and is warm. ECG shows wide complex tachycardia at 150; BP is 70/40, RR is 8, and shallow; the pulse is weak and rapid at the carotid, with no radial. BGL is 100. After controlling the airway and providing oxygenation, you establish an IV and start a fluid bolus of 250 mL. You contact a base hospital and request which medication and dosage? (policy 4601)
For neonates less than 48 hours old you should consider dext…
For neonates less than 48 hours old you should consider dextrose or oral glucose if the blood sugar is less than ________________? (Policy 4105-ALS Drug Index)
You are called to the scene of a 64-year-old female with a C…
You are called to the scene of a 64-year-old female with a C/O “left shoulder aching for fifteen minutes.” The pain was unprovoked and was followed by nausea. She rates the pain at 7 on a scale of 1-10. She takes no medications and has no known allergies. Her blood pressure is 84/60, pulse 88, and respirations are 18. You place her on oxygen at 15 lpm by NRM and establish an IV of NS. The next appropriate action is:
Select all REMSA-approved STEMI Centers per policy 8101: EMS…
Select all REMSA-approved STEMI Centers per policy 8101: EMS System Resource List