UNITEK EMT
What do you do for a seizure patient – answer Do not restrain the patient, insert NPA
(not OPA) if indicated, protect from harm, provide O2, immobilize if C-SPINE trauma is
suspected
How do older adults diffuse O2? - answer Older adults have more dead space in their
pulmonary system and diffuse O2 less efficiently
What should a radio report include? - answer1. Unit ID and level of service
2. Name of receiving hospital
3. ETA
4. Patient gender and age
5. Chief complaint
6. Brief history
7. Brief report of findings
8. Summary of care given
9. Patient response to treatment
10. Any questions or orders from receiving hospital
What does the FCC do as relates to EMS? - answer1. Allocate specific frequencies for
EMS providers
2. License and assign call signs for base stations
3. Establish licensing standards and op specs for radio equipment
4. Establish limitations for transmitter power output
5. Monitor radio operations w/ spot field checks
What does it mean to confirm to dispatch? - answer1. Confirm you are en route
2. Report any issues en route
3. Confirm arrival at the scene w/ obvious details
Drug profile: Albuterol - answerAssisted admin/Med Control
2.5 mg puff (often x2) delivered via metered dose inhaler
Prime before using
Contraindications: Other sympathomimetic use (adrenaline, uppers)
Drug profile: Nitroglycerin - answerAssisted Admin/Med Control
0.4mg dose, sublingual tablet or spray (prime before using spray)
Contraindications: Hypotension, sexually enhancing drug use <24hours, hypovolemia
Drug profile: Naloxone - answerMed Control
1.0mg dose/nostril (repeat every 2 mins)
Contraindications: Hypersensitivity
, Drug profile: Aspirin - answerNo med control
Up to 4 81 mg tablets (324mg total) delivered orally (chew and swallow)
Contraindications: bleeding disorders, children, adolescents
Drug profile: Oxygen - answerNo med control
15L/minute
Via non rebreather mask or nasal cannula
Oral Glucose - answerMed control
10-15g delivered buccally
Contraindications: non-patent airway, unconsciousness
Epinephrine - answerAssistedAdmin/Med Control
0.3mg autoinjector adults
0.15 autoinjector children
Intramuscular injection, apply for 10 seconds, then rub for 10 seconds
Activated charcoal - answer1-2g/kg weight of patient delivered orally
Contraindications: acid alkali or petroleum ingestion, unconsciousness, other oral drugs
What are the types of shock, their cause and signs? - answer1. Hypovolemic - loss of
fluid, low BP, cmc skin, altered consciousness
2. Neurologic - nervous system/brain stem interruption, low BP, cmc skin, altered
consciousness
3. Septic - infection in bloodstream, fever, low BP, cmc skin, altered consciousness
4. Psychogenic - psychological impact, low BP, cmc skin, altered consciousness
5. Obstructive - loss of circulation to an organ, low BP, cmc skin, altered consciousness
What is AVPU? - answerCheck for consciousness - eye tracking, verbal response, pain
response, unconscious
How does patient refusal work? - answerA sound, rational adult patient can refuse, no
altered level of consciousness or delusional state, no suicidal, no children unless
already parents
Standard of Care - answerCare that a reasonable person w/ same level of training
would provide, specified for each condition, otherwise patient neglect, set by state
standards and medical director
What is the difference between dyspnea and tachypnea? - answerDyspnea = trouble
breathing
Tachypnea = fast breathing
What is the National EMS Scope of Practice Model? - answerThe scope of practice
model outlines national standards, there are also state and department protocols