Download SNHD Protocol Test Review for Emergency Medicine and more Exams Nursing in PDF only on Docsity!
update 2023-
SNHD protocol test review Latest
update 2023-
If the ability to adequately ventilate the patient cannot be established, the patient must be... ✔️transported to the nearest emergency department Sexual assault victims under 13 should be transported to... ✔️sunrise Sexual assault victims 13 to 18 should be transported to... ✔️sunrise or UMC Sexual assault victims over 18 should be transported to... ✔️UMC BVM is acceptable method of ventilation and managing air way if the pulse oximetry can be maintained at... ✔️greater than or equal to 90% Neuro disorders or signs of hypo perfusion/shock in the presence of abdominal pain my indicate... ✔️an aneurysm After each fluid bolus... ✔️repeat vital signs In patients with abdominal/flank pain, nausea and vomiting, older than 35 years old... ✔️consider cardiac origin and consider a 12 lead Nitroglycerin is contraindicated in in any patient with... ✔️hypotension, bradycardia, tachycardia in the absence of heart failure and evidence of a right ventricular infarction Perform a 12 lead on all patients 35 years old experiencing... (suspected acute coronary syndrome) ✔️vague jaw/chest/abdominal discomfort Always perform ___________ when administering Epi. ✔️ECG monitoring For patients with altered mentation/syncope give oral glucose for a blood sugar value... ✔️less than 60
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Dystonic reaction ✔️involuntary muscle movements or spasms typically of the face, neck and upper extremities, typically adverse reaction to drug like haloperidol? S. A. F. E. R. ✔️Stabilize the situation Assess and acknowledge the crisis Facilitate the id and activation of resources Encourage the patient to use resources and take action is his best interest Bradycardia causing symptoms is typically... ✔️less than 50 a minute A common cause of bradycardia is... ✔️hypoxemia Cover a burned area only with... ✔️dry sterile dressing Adult burn patients should be transported to... ✔️UMC trauma center Burn patients are prone to... ✔️hypothermia What kind of burns must be transported to UMC burn center? ✔️1. second/third degree adult >20%
- second/third degree cover >10% in patients under 10 or over 50
- burns to face hands feet genitals perineum or joints
- electrical or chemical burns
- circumferential burns
- inhalation injury Parkland formula for fluid replacement ✔️4 ml x weight in kg x %BSA burned=total fluids for 24 hrs (1/2 for first 8 hrs, rest over next 16 hrs) What times do you record an APGAR score? ✔️at one and five minutes after birth APGAR of 7-10 is... ✔️normal APGAR of 4-7 requires...
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severe hypothermia ✔️under 82 Indications of pre-eclampsia ✔️sever headache, vision changes, or RUQ pain Pregnancy hypertension values ✔️over 140 (30 more than normal) How soon must ingestion occur to administer activated charcoal? ✔️w/i one hour Benzodiazepines are effective in... ✔️terminating seizures Status epilepticus ✔️two or more seizure successively w/o an intervening lucid period or a seizure lasting over five minutes Grand mal seizure ✔️associated with loss of continence, incontinence and oral trauma Focal seizures ✔️affect only part of the body and are not usually associated with a loss of consciousness For patients with known adrenal insufficiency in shock, administer patients own... ✔️Solu-Cortef (hydrocortisone) Patients with smoke inhalation should be transported to... ✔️UMC Capnometry/capnography is mandatory with... ✔️all methods on intubation An appropriate ventilatory rate is one that maintains and ETCO2 of ✔️35- Pediatric treatment protocols are for patients under... ✔️12 years In pediatric emergencies transport to the closest facility for... ✔️airway emergencies Give oral glucose to children with a BG under...... and for newborns under... ✔️- 60
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Treat hypoglycemia and suspected narcotic overdose before or after using advanced airways? ✔️before Narcan is not recommended in the new born. True or false ✔️true Is Midazolam recommended for use in children for behavioral emergencies? ✔️no Take pediatric burn patients to... ✔️UMC pediatric ED CO exposure should be treated with ✔️100 percent oxygen Adult AED pads may be used on children weighing greater than... ✔️15 kg What must you document during labor ✔️delivery, contraction, duration, and frequency Do not use Activated Charcoal if... ✔️AMS, hydrocarbon or heavy metal ingesion Estimated Min Systolic BP calculation applies up to age... ✔️ 10 Estimated minimum Systolic BP calculation ✔️(age in years x 2) + The most common tachyarrythmia in children is... ✔️sinus An intubation attempt is defined as... ✔️passing the laryngoscope blade or endotracheal tube past the teeth or inserted into the nasal passage Telemetry shall be established: ✔️1. all code 3 transports
- med emergency when ems thinks necessary
- trauma patients going to a trauma center
- telemetry requred per protocol Pediatric patients shall be transported to one of the following facilities: ✔️1. St Rose-Siena
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✔️for patients with penetrating injuries to head neck torso, chest wall deformity, 2+ prox long bone fractures, f'ed up extremity, amputation prox to wrist or ankle, pelvis fracture, open/depressed skill fracture, and paralysis must go to level 1 or 2 center Step 3 Trauma Field Triage ✔️Assess MOI: Adults higher than 20 ft, kids higher than 10 ft, 40 mph crash, intruding roof 12 in +, ejection, rollover w/ unrestrained, death of other passenger, motorcycle over 20 ft, bike hit at 20 mph go to level 1,2, or 3 All trauma calls that meet step 3 or 4 of triage and occur w/i Henderson or geographical area bordered by I-15 to the west and Sunset rd to the north are to be transported to... ✔️St. Rose Siena All adult trauma calls/ pediatric step 3 trauma calls and occur w/in border of Paradise to the west, Sahara to the north, sunset rd to the south are to be transported to ... ✔️Sunrise Adult trauma calls that meet step 1 or 2 of the trauma triage protocol and occur w/i the st rose siena area, city of henderson, or area bordered by paradise rd to the west continuing along that portion where is becomes maryland pkwy, sunset rd to the north, are to be transported to... ✔️Sunrise All trauma calls that meet the Trauma triage criteria and occur w/i any other area of clark county are to be transported to... ✔️UMC All pediatric step 1 and step 2 trauma calls that occur within Clark Country are to be transported to... ✔️UMC Adult Trauma calls that meet step 1 or 2 of the trauma triage and occur in the geographical area bordered by paradise rd to the east, sunset rd to the north, I15 to the west are to be transported to... ✔️UMC All trauma calls that are transported by air ambulance are transported to... ✔️UMC Indications for c spine ✔️1. midline cervical tenderness
- focal neuro deficit
- AMS
- Drug/alcohol intoxication
- Any painful, distracting injury Contraindications for c spine
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✔️1. penetrating trauma to head or neck and no evidence of spinal injury
- collar might compromise assessment, airway or hemorrhage control
- patients in cardiac arrest
