Exam (elaborations)
Santa Clara County EMS Exam 2024
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Santa Clara County EMS Exam 2024
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Santa Clara County EMS Exam 2024At any point can a medic transfer care to an EMT after evaluating a patient? -
ANSWER-during declared mass casualty incidents (MCIs) and disaster situations
At what blood glucose level (BGL) is it indicate to treat hypoglycemia in Santa Clara
County? - ANSWER-80mg/dL or less
At what level of a multi-casualty event is START triage enacted? - ANSWER-Level 2
At what speed for a motor vehicle accident would be an automatic mechanism of injury
(MOI) for a major trauma victim (MTV) alert? - ANSWER-estimated impact speed of
more that forty (40) mph
At what speed for a motorcycle accident would require a major trauma victim (MTV)
activation? - ANSWER-greater than twenty (20) mph
capacity - ANSWER-the ability to understand the nature and consequences of a
decision and to make and communicate a decision, including in the case of proposed
health care, the ability to understand its significant benefits, risks, and alternatives
(A/Ox4)
child patient - ANSWER-older than 1 year of age but under 15 years of age
During the "isolate the area and deny entry" portion of an initial action response to a
hazardous materials incident, how far must you keep everyone away for LARGE
incidents? - ANSWER-large incidents = five hundred (500) feet
During the "isolate the area and deny entry" portion of an initial action response to a
hazardous materials incident, how far must you keep everyone away for SMALL
incidents? - ANSWER-small incidents = one hundred (100) feet
For an altered patient, what is the glucose policy for administration and follow up dose?
- ANSWER-BLS
-oxygen
-if blood glucose level (BGL) is 80mg/dL or less and patient can swallow while
controlling their own airway, administer ORAL GLUCOSE (at least 25gm)
-repeat once after 15 minutes if no improvement
ALS
-vascular access (IV)
-DEXTROSE 10% IV piggback or IV drip
-repeat boluses as needed
-if no IV access, GLUCAGON 1mg IM
, For interfacility transports, what form of communication us used for ringdowns? -
ANSWER-NOT to occur on SCC EMS Communications System frequencies; is the
responsibility private ambulance service DISPATCH center
How much aspirin should be administered if there is a complaint of chest pain? -
ANSWER-aspirin = 324mg PO (chewable)
How much Naloxone do you administer? - ANSWER-BLS
Naloxone Internasal Autoinjector; may repeat once (for total of two doses)
ALS
Naloxone 1-2mg IV or IM; repeat as needed
How often are vital signs to be completed for a pediatric patient? - ANSWER-baseline
vitals, except temp, will be assessed every ten (10) minutes on stable patients and
every five (5) minutes on unstable patients
How will policy implementation be disseminated to you? - ANSWER-EMS Program
Manager
If a patient is determined to be emergent, you can transport the patient to the closest
ED with red lights and sirens if the time from arrival on scene to arrival at hospital is...? -
ANSWER-less than ten (10) minutes
If a patient requested to no longer be transported to the hospital and wishes to leave
your ambulance, how would you respond? - ANSWER--attempt to convince the patient
to continue to selected or closest ED
-stop ambulance when safe and permit patient to leave in safe location; notify
communications center
If a physician arrives/is on scene, what must you do first? - ANSWER-request proper
identification to confirm that the person is a California licensed physician
If you accidently press the SOS button, what is the only verbiage you can use to
indicate it was an accident? - ANSWER-"NO FURTHER ASSISTANCE NEEDED"
If you are given a copy of a DNR form, what must you document in your PCR? -
ANSWER-document presence of a DNR order or a POLST in a medical record or a
DNR Form, including:
-name of signing physician
-date signed
if resuscitation is withheld because of valid DNR, document time decision to withhold in
PCR
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