2. A PAR is a periodic welfare check to verify safety and security of responders
3. PAR includes all personnel assigned or in the care of the EMS unit (i.e.ride-alongs,
trainees/interns, patients, assisted allied responders, etc.)
4. When a crew receives a request for a PAR, the crew shall:
a. Visualize all personnel assigned to the unit
b. Determine without a doubt they are present and safe
c. State over the radio:
1. Unit ID
2. Has PAR or does not have PAR
3. Number of assigned crew present
4. number of non-crew personnel present
5. the assignment and last known location of any personnel who are not present or visible
6. Unit assignment and location
End of Life Option
Aid-in-Dying Drug Correct Ans-Drug determined and prescribed by physician for a
qualifying individual, which can be self-administered
,End of Life Option
Final Attestation Correct Ans-Form that the patient must complete 48 hours prior to self-
administering the Aid-in-Dying drug
End of Life Option
Procedure Correct Ans-1. Every attempt should be made to verify the patient matches the one
denoted in the Final Attestation, including valid photo ID or family/witness ID
a. If possible, retain a copy with PCR
2. If Final Attestation is present, withhold resuscitative measures if patient is in cardiac arrest
3. Provide supportive and comfort measures appropriately, and/or airway ventilation measures
when applicable.
Standard Protocols
Routine Medical Care (Adult/Pediatric)
Baseline Vital Signs/ early change signs (assessed every 10 minutes for stable, every 5 minutes
for unstable patients) Correct Ans-1. Glasgow Coma Scale
2. Blood Pressure (first should be obtained via manual cuff)
3. Respiratory Rate
4. Pulse Rate (obtained via
palpation)
5. Pulse Oximetry (if unit is equipped)
6. Temperature
,Standard Protocols
Routine Medical Care (Adult/Pediatric)
Advanced Vital Signs Correct Ans-1. Blood Glucose (via Fingerstick, or IV start)
2. Cardiac Monitoring (ECG)
3. Capnography (expiratory CO2 levels
Standard Protocols
Routine Medical Care (Pediatric)
Pediatric Patient Defined Correct Ans-1. Neonate:
Considered between 0-4 months of age
2.Infant:
Considered between 1 month to 1 year of age
3.Child:
Considered older than 1 year of age
4.Pediatric:
Defined as under 15 years of age
a.If this is not specified, Pediatric status is less than 6 years old
4. If hand washing not possible, use waterless hand sanitizer
Standard Protocols
Infectious Disease Control Measures
Contact Transmission Correct Ans-1. Occurs through contact with pathogens on the patients
skin or other surfaces the patient has touched, OR pathogens contained in bodily
fluids/substances/secretions
a. Vomit, feces, urine
b. Draining wounds
c. Secretions (Saliva, semen, sweat, breast milk)
2. Universal precautions, with the addition of an impermeable gown should be used to prevent
contact transmission
Standard Protocols
Infectious Disease Control Measures
Droplet Transmission Correct Ans-Occurs through inhalation or absorption of bodily
fluid/substance droplets that contain pathogens such as:
a. Respiratory viruses (i.e. influenza, coronavirus, adenovirus, rhinovirus)
b. Pertussis
c. Strep Throat
2. Universal precautions, with the addition of a surgical mask should be used. Faceshields and
impermeable gowns may also be considered if indicated
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