AEMCA perp exam

when should an IV bag be changed

150ml of solution remaining in bag

Going down the croup protocol how much epi should be given to a 10 kg pt that is 9 months old

2.5 mg

what is the minimum volume for nebulization

2.5 ml

According to the head injury standard what ETO2 value should we attempt to maintain

35-40 mmHg

According to the blunt / penetrating injury standard , how long are we irrigating bite wounds for

5 min

How much blood can an normal sized tampon hold

5ml

In the oxygen standard what is the range do we want to maintain SpO2 at

92-96%

what conditions should we consider in the non traumatic abdominal standard

AAA, ectopic pregnancy, testicular torsion , acute pancreatitis, obstruction, pelvic infection, hernia

what are the symptoms that are consistent with the onset of acute stroke protocol

a) inappropriate words or mute b) slurred speech c) unilateral arm weakness or drift d) unilateral facial droop e) unilateral leg weakness

What are some conditions that you can consider leaving on the first analysis according to the medical cardiac arrest standard

a) pregnancy of 20> weeks b) suspected pulmonary embolism c) hypothermia d) overdose e) airway obstruction

The paramedic shall carry out emergency treatment on an incapable person if:

a) pt does not have capacity b) pt experiencing severe suffering c) a delay to get consent will prolong suffering

What are the fallowing indications for STEMI bypass

a) pt is > 18 yrs of age b) chest pain related to cardiac ischemia c) chest pain for < 12 hours d) 12-lead shows a STEMI ( 2mm elevation in V1 -V3 2 contagious leads ) or ( 1mm of elevation in 2 atomically contagious leads )

The paramedic shall carry out emergency treatment on a capable person if:

a) pt is at risk /severe suffering b) language barrier c) means taken to communicate but ineffective

what are some conditions that we want to administer high concentration oxygen in the oxygen standard

a) suspected CO exposure b) upper airway burn c) scuba diving disorder d) cardiopulmonary arrest e) complete airway obstruction

According to the spinal motion restriction standard what MOIs should you consider SMR

a) trauma associated with head or neck pain b) sports accident c) diving injury d) submersion e) falls f) electrocution i) penetrating injury to the head,neck or torso

when can a paramedic restrain a pt who is violent

a) under police authority b) under Dr. authority c) pt in ambulance becomes violent en route

According to the head injury standard if ETCO2 is not available what rate should we hyperventilate a adult, child, and infant

adult 20 breaths/min, child 25 breaths/min , infant 30 breaths/min

What is the trauma TOR

age 16 > , LOA is altered and No palpable pulses and No shocks delivered and HR is monitored at 0 or HR is above 0 and transport time is greater then 30 min away

What is the medical TOR

age 18 >, LOA altered and arrest not witnessed by EMS and No shocks delivered and No ROSC

What is A in phonetic alphabet

alpha

what does APGAR stand for

appearance, pulse, grimus , activity , respiration's

According to the hazardous materials standard how long should we irrigate an akiline burn for

approx. 20 min

What is 10 - 19

back to base

If the presence or abstance of shivering with altered level of consciousness is observed what should we assume the core body temp to be according to the cold injury standard

below 32 degrees

Fallowing the guideline outlined in the respiratory failure standard if using ETCO2 on a COPD or asthma pt and they have an initial ETCO2 of 50 > what should we attempt to maintain there ENCO2 value to

between 50-60 mmHg

What is 10-100

bomb threat

What is B in phonetic alphabet

bravo

What is 10-6

busy

What is 10-26

call cancelled

What is 10-21

call on phone

What is code 1

deferable transfer

What is D in phonetic alphabet

delta

What is E in phonetic alphabet

echo

If the pt is presenting with cerebral herniation and is on a spinal broad what can we do

elevate 30 degrees

What is 10-36

emergency is closed

What is 10-37

emergency is only open to code 3's

True / false If an injury affects a joint we should always splint below the injury

false

If a pt makes a informed refusal of service and was hypoglycemic what has to be completed on the ACR prior to being departed

final set of vitals and BGL

What is F in phonetic alphabet

foxtrot

What is 10-13

friend / relative near by

What is G in phonetic alphabet

golf

What is H in phonetic alphabet

hotel

According to the Neonate standard when should paramedics initiate rapid transport

if the 5 min post APGAR score is less then 7

What is 10-7

in service

What is K in phonetic alphabet

kilo

What is L in phonetic alphabet

lima

What is 10-20

location

What is M in phonetic alphabet

mike

How long should we irrigate an unknown chemical burn for

minimum 20 min

What is 10-25

non-violent psych pt

What is N in phonetic alphabet

november

What is O in phonetic alphabet

oscar

What is 10-8

out of service

What is P in phonetic alphabet

pappa

What are causes of croup

parainfuenza virus, RSV, Influenza A and B

what is the mandatory patch point state in the medical cardiac arrest standard

patch to BHP for TOR after 3rd analysis , if patch fails or TOR does not apply transport to closest facility fallowing ROSC or 4th analysis

electronic probe removal is contraindicated by:

probes being above the clavicles OR nipples OR genital area

what is the minimum time that you can monitor vitals at

q 30 min

What is Q in phonetic alphabet

quebec

What is 10-3

radio silence

What is 10-4

received message

What is 10-9

repeat

What is R in phonetic alphabet

romeo

What is code 2

scheduled transfer

What is S in phonetic alphabet

sierra

What is T in phonetic alphabet

tango

According to the extremity injury standard if an fractured or injured extremity is found pulse less or angulated what action should we take

to gently pull traction unless severe pain or resistance is encountered

What is U in phonetic alphabet

uniform

When completing a patch what information has to be included

unit number, Pt age, Pt sex, CTAS level, CC, pertinent assessment findings, pt management, abnormal vitals, ETA

What is V in phonetic alphabet

victor

What is 10-50

violent psych pt

What is W in phonetic alphabet

whiskey

What is X in phonetic alphabet

x-ray

What is Y in phonetic alphabet

yankee

What is Z in phonetic alphabet

zulu

Going down the glucagon protocol who much glucagon is given to a 8 year old pt

1 mg

when should an APGAR score be completed

1 min and 5 min post delivery

What should we do in cases of open fractures

1. Clean site with normal saline 2. apply moist sterile dressings on site

What are signs of cerebral herniation

1. dilated not reactive pupils 2. Asymmetric pupil response 3. Asymmetric motor response 4. posturing

If the pt is experiencing severe hypothermia what treatment should be done

1. foil rescue blanket 2. careful use of sectioning

If the pt is experiencing mild to moderate hypothermia what treatment should be done

1. foil rescue blanket 2. re-warm with hot packs to axillary, groin , and cervical region

what are splinting priorities

1. spine 2. pelvis 3. femers 4. lower extermities 5. upper extermities

What is C in phonetic alphabet

Charlie

When should we hyperventilate a pt with signs of cerebral herniation

If measures were already taken to improve hypoxemia and hypotension and to targat ETCO2 levels between 30-35 mmHg

What is I in phonetic alphabet

India

What is J in phonetic alphabet

Juliette

If stroke symptoms persist after correction of blood glucose is the pt contraindicated out of the stroke bypass protocol

No

According to the pregnancy standard when should pre-eclampsia be assumed

Pt is beyond 20 weeks with a BP of 140/90 or greater with edema or complaints of headaches, nausea, abdominal pain, blurred vision, fatigue, vomiting

What is deemed obviously dead

a) grossly charred body and VSA b) decapitation, transection, visible decomp and putrefaction c) open head/torso with outpouring of contents and VSA, Dependent lividly and VSA , Gross rigor mortis and VSA

What calls require a cardiac monitor

VSA, LOA pt, syncope, SOB, chest pain, overdose, abnormal vital signs

According to the extremity injury standard both open and closed femur fractures should be treated using a traction splint

Yes

Should a paramedic apply defibrillation pads once a STEMI has been confirmed

Yes

What are contraindications for the STEMI bypass

a) 12 lead shows LBBB b) pt is CTAS 1 c) transport time is 60 min d) PCP diversion such as CPAP , VSA, or become symptomatic BP under 90

what does a DNR not allow us to do in an event of cardiopulmonary arrest

a) CPR b) artificial ventilation c) defibrillation d) resuscitation drugs e) trans-cutaneous pacing f) insertion of OPA g) intubation

what are contraindications for the stroke bypass protocol

a) CTAS 1 b) stroke symptoms resolved prior to paramedic arrival c) BGL under 4 d) GCS under 10 e) seizure at onset or observed by paramedics f) terminally ill palliative care pts

what is the special criteria outlined in the trauma field triage standard

a) age b) bleeding disorders c) burns d) pregnancy > 20 weeks

According to the general geriatric standard what are activities of daily living

a) bathing b) transferring c) toiling d) eating e) dressing

when should escorts be used in the IV maintenance standard

a) blood products b) narcotics c) infusion rates greater then 200ml/hr d) central lines e) potassium chloride to a pt under 18 f) pediatric pt under 2 yrs g) electronic pumps

Sepsis is suspected by the fallowing :

a) fever of 38.5> b) potential infection site c) presence of any of the fallowing SBP <90, RR 22 or greater, acute confusion

If SpO2 monitor is not working what signs are we looking for to administer high concentration oxygen

a) hypotension b) abnormal pregnancy c) cynotic/pale d) respiratory distress e) altered LOA