AEMCA perp exam
What is the appendicular skeleton - ✔️✔️comprises bones of the shoulder griddle,
pelvic griddle and lower / upper extermites
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
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
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
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
what is the minimum time that you can monitor vitals at - ✔️✔️q 30 min
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
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 calls require a cardiac monitor - ✔️✔️VSA, LOA pt, syncope, SOB, chest pain,
overdose, abnormal vital signs
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
In the oxygen standard what is the range do we want to maintain SpO2 at - ✔️✔️92-
96%
,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 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
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
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
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
when should an IV bag be changed - ✔️✔️150ml of solution remaining in bag
what conditions should we consider in the non traumatic abdominal standard -
✔️✔️AAA, ectopic pregnancy, testicular torsion , acute pancreatitis, obstruction, pelvic
infection, hernia
According to the general geriatric standard what are activities of daily living - ✔️✔️a)
bathing b) transferring c) toiling d) eating e) dressing
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
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 the minimum volume for nebulization - ✔️✔️2.5 ml
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 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
If stroke symptoms persist after correction of blood glucose is the pt contraindicated out
of the stroke bypass protocol - ✔️✔️No
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
Should a paramedic apply defibrillation pads once a STEMI has been confirmed -
✔️✔️Yes
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
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
How much blood can an normal sized tampon hold - ✔️✔️5ml
what are splinting priorities - ✔️✔️1. spine 2. pelvis 3. femers 4. lower extermities 5.
upper extermities
According to the blunt / penetrating injury standard , how long are we irrigating bite
wounds for - ✔️✔️5 min
According to the head injury standard what ETO2 value should we attempt to maintain -
✔️✔️35-40 mmHg
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 are signs of cerebral herniation - ✔️✔️1. dilated not reactive pupils 2. Asymmetric
pupil response 3. Asymmetric motor response 4. posturing
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
, If the pt is presenting with cerebral herniation and is on a spinal broad what can we do -
✔️✔️elevate 30 degrees
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
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
If the pt is experiencing severe hypothermia what treatment should be done - ✔️✔️1.
foil rescue blanket 2. careful use of sectioning
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
True / false If an injury affects a joint we should always splint below the injury -
✔️✔️false
What should we do in cases of open fractures - ✔️✔️1. Clean site with normal saline 2.
apply moist sterile dressings on site
According to the hazardous materials standard how long should we irrigate an akiline
burn for - ✔️✔️approx. 20 min
How long should we irrigate an unknown chemical burn for - ✔️✔️minimum 20 min
According to the extremity injury standard both open and closed femur fractures should
be treated using a traction splint - ✔️✔️Yes
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
when should an APGAR score be completed - ✔️✔️1 min and 5 min post delivery
what does APGAR stand for - ✔️✔️appearance, pulse, grimus , activity , respiration's
According to the Neonate standard when should paramedics initiate rapid transport -
✔️✔️if the 5 min post APGAR score is less then 7
