Blog

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 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 :

For persistent hypotension,  Epinephrine (0.1 mg/mL) at 0.005 mg/kg IV/IO every 10 minutes may be administered to a newborn during radio communication failure. (policy 11010)

Which of the following statements is correct regarding toxic exposure, inhalation, or ingestion? (policy 4603)

The Base Station Hospital physician may order Milk PO for toxic ingestion.

Which of the following injuries (anatomic criteria), when associated with trauma, meet critical trauma patient (CTP) criteria for transport to a Level I or Level II trauma center? (policy 5301) Select all that apply.

Trauma Triage Indicators and Destination policy 5301 mentions all of the following regarding pediatric trauma patients: Select all that apply.

Per REMSA policy 4406, Respiratory Distress Epinephrine IM for both adults and pediatrics requires BHO.

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)

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)