RFD Protocol - EMT

According to Criteria to Determine Death in the Field, EMS personnel are not obligated to continue resuscitation efforts initiated by other persons on the scene when the patient has dependent lividity present, even if CPR was initiated by the direction of emergency medical dispatchers.

True

According to Patient Care Guidelines Behavioral Emergencies, these patients should be transported with a second attendant in the patient care compartment of the MICU.

True

According to Richardson FD Patient Transport Guidelines, a sexual assault patient does not have to be transported to a facility in the county in which the alleged event occurred.

True

According to the "Baby Moses" Law SOG, all EMS personnel while on duty at their assigned station are considered "designated emergency infant care providers" and shall abide by the terms of the law.

True

According to the Behavioral Emergencies Reference SOG, consent for emergency care of an individual is NOT required and is considered to be implied if the individual is unconscious and/or unable to communicate because of an injury, accident, and/or illness; and appears to be to be suffering from what reasonably appears to be a life threatening injury and/or illness.

True

According to the Consent/Patient Refusal SOG, a patient may be deemed INCOMPETENT if they cannot and/or are unable to understand basic medical treatment information including the medical treatment itself

True

According to the Determination of Death in the Field SOG, EMS personnel do not pronounce death but rather determine death based on predetermined criteria. Only an On Line Medical Control Physician (OLMCP) can pronounce death.

True

According to the Do Not Resuscitate (DNR) SOG, the only acceptable forms of DNR is an approved DNR order form, bracelet or necklace.

True

According to the Patient Care Guidelines for Amputations, if the amputation is proximal to the wrist or ankle and there is replant potential, then transport by air (if possible) to Parkland Hospital. Otherwise transport to a local level 1 or 2 trauma center.

True

According to the Patient Care Guidelines for General Trauma Management, it is necessary to transport all snake bite victims to a Level I or II Trauma Center

True

According to the Patient Care Guidelines for OB/Gyn General Treatment, any third trimester bleeding should be considered life-threatening.

True

According to the Patient Care Guidelines for OB/Gyn General Treatment, due to the sensitive nature of these calls, it is recommended that a second care provider be present during treatment and transport

True

According to the Patient Care Guidelines for Sepsis, the patient must have a suspected or documented infection and an EtCO2 < 30 mmHg

True

According to the Patient Care Guidelines for Stroke, when performing a Cincinnati Prehospital Stroke Scale test, if the patient lacks the strength to raise the arms initially, this constitutes a positive test and not an inconclusive test.

True

According to the Patient Care Report (PCR) SOG, regardless of the method of documenting information, patient care records should include, at a minimum physical assessment of the patient including at least 2 complete sets of vital signs if the patient is transported.

True

According to the Patient in Law Enforcement Custody SOG, If the patient desires care and the police officer wishes to decline care for the patient, please have paramedic and law enforcement officer contact their supervisors for discussion prior to leaving the scene.

True

According to the Scope of Practice, an EMT-Basic can administer Ipratropium/Atrovent nebulized treatment.

True

According to the Selective Spinal Motion Restriction procedure, Spinal Motion Restriction(SMR) is defined as the application of a cervical collar and maintenance of the spine in neutral alignment.

True

According to the Selective Spinal Motion Restriction/Helmet and Shoulder Pad Removal Procedure, should a certified Athletic Trainer (AT) be on scene, they will initially assume "Spinal Command."

True

Any form of restraint, except for verbal must be well documented. Including patients handcuffed by PD.

True

CPAP reverses the pressure gradients causing interalveolar fluid to be reabsorbed into the intravascular space.

True

Expired medications must be stored in reserve until MCP EMS systems have used all of their supply of a medication that has not passed the expiration date before placing expired medications into EMS vehicles or drug boxes/bags.

True

In the Universal Patient Care Guidelines for Trauma patients, the Primary Survey should be completed within 2 minutes of patient contact. The Primary Survey is only interrupted for airway obstruction or respiratory/cardiac arrest.

True

In the Universal Patient Care Guidelines, a hypotensive patient is defined as having a systolic blood pressure <90mmHg in the adult, or <70+ (2x age in years) in the pediatric patient.

True

When patients with advanced airway are moved, capnography should be rechecked for any change.

True

With any childbirth associated complications, OLMCP should be contacted for guidance.

True

According to Richardson FD Patient Transport Guidelines, Major Burns are defined as - Patients with ≥ _____% TBSA of partial thickness (2nd degree) or full thickness (3rd degree), including face, hands, feet, and/or genitalia.

10%

According to the Patient Care Guidelines for Diabetic Emergencies, what is the minimum BGL reading that must be achieved after treatment with Dextrose for the patient to refuse transport?

100

Pediatric "Trauma" patients are those who are less than ____ years of age.

14

According to the Patient Care Guidelines for Toxicological Emergencies in Suspected or Confirmed Carbon Monoxide Poisoning, if CO level is >______ and the patient is symptomatic, transport to a hyperbaric capable facility per the Patient Transport Reference

20

According to the Patient Care Guidelines for an adult patient with major burns to the face, chest and anterior of both arms, using the Rule of 9's, what is the Total Body Surface Area %?

22.5

According to the Patient Care Guidelines for Stroke, calculate a LAMS score for the following patient: absent facial droop, arm falls rapidly, and weak grip.

3

How much does a patient have to weigh to be treated as an adult?

37kg

According to Universal Patient Care Guidelines, if you have a patient for 40 minutes (from time on-scene to delivery at ED) how many sets of vitals signs should be taken on a patient whose vital signs are stable?

4

What size I-gel should be used in a patient weighing 175 lbs?

4.0

According to Patient Care Guidelines Burns, a pediatric patient with burns to both legs and anterior torso, using the Rule of 9's, what is the % of TBSA?

46%

An I-gel supraglottic airway may only be used in patients weighing at least______ lbs.

55

Calculate the APGAR score for a newborn that has a heart rate of 94, is crying, mild extremity movement and grimaces when irritated and has a pink trunk and blue extremities.

6

According to the Radio Report SOG for radio or phone reports, these reports should be less than ____ seconds in duration.

60

According to the Behavioral Emergencies Reference SOG, before using any level of restraint other than verbal on patients less than ____ years of age, the provider should consult OLMCP.

8

According to the Patient Care Report (PCR) SOG, what is the Glasgow Coma Scale Score for an adult that opens his/her eye to pain only, mumbles incomprehensibly, and withdraws from pain?

8

On which of the following ages are INAPPROPRIATE for the use of an AED? A. 10 month old B. 12 month old C. 18 month old D. All are of appropriate age

A. 10 month old

According to Patient Care Guidelines for Non-Traumatic Shock in a pediatric patient, which of the following is NOT a sign of hypovolemia/hypoperfusion? A. Bulging fontanelle B. Poor skin turgor C. Altered LOC D. Delayed capillary refill

A. Bulging fontanelle

According to the TASER Barb Removal Procedure, which of the following sites is allowed for removal by EMS? A. Chest near the heart B. Hands C. Spine D. Face

A. Chest near the heart

According to Patient Care Guidelines for Neonatal Resuscitation - Depressed Newborn (Decreased Responsiveness/Respiratory Effort), what is the correct FIRST intervention for a newborn that is apneic and/or heart rate is < 100/min? A. Initiate BVM ventilation at 40 to 60 breaths per minute B. Initiate cardiac compressions and reassess every 30 seconds C. Warm and dry vigorously and provide tactile stimulation for at least 30 seconds D. Secure airway by intubating with an endotracheal tube & ventilate with 100% oxygen

A. Initiate BVM ventilation at 40 to 60 breaths per minute

According to the "Baby Moses" Law SOG, the infant shall be transported to any facility capable of treating "Pediatric - Medical patients." Which of the following is not an acceptable facility? A. MRMC B. Texas Health - Plano C. Texas Health - Dallas D. Medical City - Dallas

A. MRMC

Patients suspected of being Pre-Eclamptic must present with which of the following signs & symptoms prior to treatment: Choose all that apply A. SBP >140 mmHg B. Headache C. Visual changes D. HR >120 bpm

A. SBP >140 mmHg B. Headache C. Visual changes

All of the following are indications for administration of Atropine EXCEPT: A. Tricyclic Antidepressants B. Beta blocker overdose C. Symptomatic bradycardia D. Organophosphate poisoning

A. Tricyclic Antidepressants

All of the following are correct regarding the use of the Nasal Drug Delivery Device (IN) EXCEPT:? A. Works in any position B. Can be utilized on any patient awake or unconscious C. Elimination of the risk of a contaminated needlestick to the EMS Provider D. Do not administer medications via the IN route if the patient's nose is bleeding

B. Can be utilized on any patient awake or unconscious

Under Termination of Resuscitative Efforts in the Field - Once Death has been Determined, which of the following statements is/are FALSE? A. Immediately notify the appropriate law enforcement agency B. Cover the body with a sheet or other suitable item to prevent onlookers C. Do not remove any property from the body or the scene for any purpose D. Leave all medical devices applied to the body in place

B. Cover the body with a sheet or other suitable item to prevent onlookers

According to the Patient Care Guidelines Drowning/Submersion Injuries, which of the following terms is to be used when reporting a drowning? A. Near drowning B. Non-fatal drowning C. Complete drowning D. None of the above

B. Non-fatal drowning

Which of the following is/are contraindication(s) for the use of CPAP? Choose all that apply A. Severe dyspnea B. Pneumothorax C. Patient with suspected C-Spine injury D. Patient with agonal respirations

B. Pneumothorax D. Patient with agonal respirations

According to the Do Not Resuscitate (DNR) SOG, EMS should NOT honor a DNR Order Form for all of the following reasons EXCEPT: A. Unnatural or suspicious circumstances are present B. The patient's best friend wants EMS to perform CPR. C. You cannot conclusively match the name on the form to the identity of the patient D. The patient is pregnant

B. The patient's best friend wants EMS to perform CPR.

According to the Disaster Response SOG, In thAccording to the Disaster Response SOG, In the event that disaster mode is declared, EMS crew members are authorized to do which of the following A. Delegate advanced skills to EMT Basics B. Treat and release patients C. Prioritize which calls to respond to first D. All the above

B. Treat and release patients

According to the Universal Guidelines - Scope of Practice, which of the following procedures/skills can NOT be done by an EMT-Basic? A. Tourniquet application B. Use Magill forceps C. Supraglottic airway (I-GEL) D. IN administration of Naloxone

B. Use Magill forceps

Which of the following patients meets the criteria for mandatory transport to a Level I or Level II Trauma Center? All patients have blunt or penetrating trauma. A. 16 y.o. w/SBP 70 mmHg B. 60 y.o. w/SBP 110 mmHg C. 65 y.o.w/HR 140 bpm D. 40 y.o. w/RR 9

C. 65 y.o.w/HR 140 bpm

According to the Selective Spinal Motion Restriction/Helmet and Shoulder Pad Removal Procedure, all of the following actions are to be performed during the process of helmet remove at a sporting event EXCEPT: A. Apply an appropriately sized cervical collar B. Remove shoulder pads and helmet C. Place the patient on a long spine board and secure to the board D. Maintain manual in-line cervical spine stabilization throughout the procedure

C. Place the patient on a long spine board and secure to the board

According to the Consent/Patient Refusal SOG, anytime a patient refuses emergency medical evaluation, treatment, or transportation, the OLMCP MUST be contacted if: A. The patient has been given oral glucose to reverse hypoglycemia B. The patient is under the influence of alcohol and is not seriously injured C. The patient has abnormal vital signs D. The patient is in police custody

C. The patient has abnormal vital signs

According to Do Not Resuscitate (DNR) SOG, qualified relatives are defined as any of the following EXCEPT: A. Spouse B. Parents C. Underage children D. Nearest living relative

C. Underage children

According to the Universal Patient Care Guidelines for Trauma patients, the Primary Survey is made up of all of the following except:

Calculate GCS

Which of the following is the most important means of comfirming intubation? Equal chest rise and fall Capnography Condensation in the tube Improvement in the patient's skin color

Capnography

According to the Patient Care Guidelines for Burns, which of the following is NOT considered a major burn? A. Electrical burns including lightening injuries B. Chemical burns and/or inhalation burns C. Significant burns involving the hands, feet, face, genitalia or major joints D. 1° with 20% TBSA

D. 1° with 20% TBSA

According to the Consent/Patient Refusal SOG, A patient may be deemed COMPETENT if they: A. Are oriented to person, place, time of day, and circumstance of situation B. Have no evidence of bizarre/psychotic thoughts and/or behavior C. Have no evidence of mental or judgmental impairment due to alcohol or drug use D. All the above

D. All the above

According to the Disaster Response SOG, a "Disaster Response Mode" may be declared by the ______________________ when a local or regional situation prevents an agency from effectively transporting sick or injured patients to routine destinations. A. Fire Chief B. City manager C. Emergency Management Director D. EMS Director

D. EMS Director

According to the Determination of Death in the Field SOG, Once Death has been Determined, all of the following are correct EXCEPT: A. Immediately notify the appropriate law enforcement agency and remain on scene until they arrive. B. With permission of law enforcement, cover the body with a sheet or other suitable item. C. Do not remove any property from the body or the scene for any purpose. D. Leave the body at the scene in the care of an appropriate family member.

D. Leave the body at the scene in the care of an appropriate family member.

According to Termination of Resuscitative Efforts in the Field and Do Not Resuscitate (DNR) SOG, EMS Personnel MAY terminate resuscitation efforts in WHICH of the following instances? A. The patient is less than 18 years of age. B. The patient is visibly pregnant. C. The family will not accept the termination of resuscitative efforts in the field. D. The patient does not demonstrate any neurological signs.

D. The patient does not demonstrate any neurological signs.

According to the Nerve Agent Exposure SOG, what does the "D" in the acronym "DUMBELS" stand for?

Diarrhea/defacation

APGAR score should be taken and documented at 5 minutes and 10 minutes after delivery.

False

According to Richardson FD Patient Transport Guidelines, there is no preference of facility for cardiac arrest in patients <18 years of age.

False

According to the Acute Coronary Syndrome Guideline, Aspirin is to be administered to the patient PO with water.

False

According to the Consent/Patient Refusal SOG, it is always appropriate on any refusal to have another paramedic to sign as a witness.

False

According to the Patient Care Guidelines for Dyspnea/Respiratory Distress, a pediatric patient with suspected epiglottitis or croup should be transported in the semi-fowlers position and interventions should be performed only if they do not aggravate the patients condition.

False

According to the Patient Care Guidelines for Sepsis, the temperature parameter for temperature for a pediatric patient is 100.4F

False

According to the Patient Restraint During Transport Guidelines, the Pedi-Mate is a CRS approved for patients from 9-22.5 kg (20-50 lbs).

False

According to the Richardson Fire Department Treatment Protocols, it is appropriate to mix Albuterol 2.5 mg with Ipratropium 2.5 mg for nebulized treatments?

False

According to the Scope of Practice, Tetracaine Ophthalmic Solution may be administered by an EMT-Basic.

False

According to the Selective Spinal Motion Restriction procedure, if there is no appropriately sized cervical collar for a specific patient, apply a slightly larger cervical collar.

False

According to the Termination of Resuscitative Efforts in the Field SOG, for blunt or penetrating cardiac arrest in asystole, EMS does not need to contact OLMCP to discontinue resuscitation efforts.

False

According to the Tourniquet Procedure, applying a tourniquet to an extremity with dialysis shunts/grafts or prior vascular repairs is strictly prohibited.

False

According to the Universal Guidelines - Scope of Practice, only a paramedic can set-up and use a nebulized treatment.

False

According to the Universal Patient Care Guidelines, for non-critical trauma patients, the Secondary Survey can be completed on-scene and should be completed within 10 minutes of the Primary Survey.

False

According to the Ventricular Assist Device SOG, a patient with a VAD will have a palpable pulse and have a blood pressure.

False

Application of Continuous Positive Airway Pressure by an EMT Basic is strictly prohibited according to the Medical City Plano Treatment Protocols

False

Regarding General guidelines for transport of patients receiving blood products, which of the following statements is false?

Paramedics shall record a complete set of vital signs (pulse, respirations, BP, temperature, etc.) prior to initiating transport; and obtain a complete set of vital signs every 10 minutes during transport.

According to the Patient Care Guidelines for Burns, which of the following statements is true? Partial-thickness burns 2°burns or full-thickness 3° <10% TBSA: cover with cool, wet, sterile dressings Partial-thickness burns 2°burns or full-thickness 3° >10% TBSA: cover with cool, wet, sterile dressings

Partial-thickness burns 2°burns or full-thickness 3° <10% TBSA: cover with cool, wet, sterile dressings