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Protocol Study Guide 3-15-2025*

  1. Who is the KCEMS medical director?
    Kristopher Lyons

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg. 1
  2. What are Paramedics authorized during inter-facility patient transfers?
    Monitor IV’s of Potassium Chloride with less than 40 mEq, per liter

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg. 4
  3. What can’t a paramedic transport on an inter-facility transfer?
    Any med outside of our scope of practice (Unless such medication or medical procedures are self-monitored and administered by the patient or patient family members authorized by the patient physician and the transport originates within the pre-hospital phase of care.)

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg. 4
  4. What is considered a significant ED OVERLOAD SCORE?
    Greater than 5 (Step 4)

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg. 7
  5. Where is an EMS Satelite Stroke Center?
    Ridgecrest Regional Hospital

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.7
  6. What is not a consideration in the hospital destination process?
    The medic’s option

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.unknown
  7. Where do you take orthopedic patients?
    All metro hospital except the Heart Hospital

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg. 5
  8. Where do you take Burn Patients
    BMH

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg. 5
  9. Where do you take STEMI Patients
    • BMH
    • Heart
    • AH-B (Adventist Health – Bakersfield)

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg. 5
  10. Where do you take Red Tier Trauma patients?
    Kern Medical

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.5
  11. Where do you take a Sexual Assault Patient?
    AH-B (Adventist Health – Bakersfield)

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.5
  12. How many extremis criteria are there?
    Two, (medical and trauma)

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.9
  13. What is ALS Extremis Criteria?
    • Unmanageable airway or resp. arrest
    • Uncontrolled hemorrhage with signs of hypovolemic shock
    • Cardiopulmonary arrest

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.9
  14. Where do you take Red Tier Trauma patients with burns?
    Kern Medical

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.10
  15. A patient (without special circumstances) must be confirmed pulseless and apneic for how long to withhold resuscitation efforts?
    10 minutes

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.13
  16. What prolongs brain life and therefore treatment and transport should be considered?
    Drowning, hypothermia and barbiturates

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.14
  17. When to perform a needle cricothyrotomy?
    No longer performed

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg. unknown
  18. What is the treatment sequence for an allergic reaction?
    • Epi 0.3mg IM
    • Benadryl 50mg IM or 25-50 mg slow IVP
    • Repeat Epi IM dose
    • Push dose Epi or EPI drip

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.22
  19. In cardiac arrest How do you administer EPI?
    Epinephrine IV drip 2-8 mcg/min repeat as needed. Start at 8mcg/min and titrate down once ROSC is achieved.

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.25
  20. The pause in chest compressions to check the rhythm and pulse should be no longer than how many seconds?
    10 seconds

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.25
  21. What is the atropine dose for asystole/PEA?
    None (Atropine is not part of the asystole protocol)

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.25
  22. What are the special resuscitation situations in asystole that exist?
    Hypothermia and drug overdose.

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.27
  23. How many mcg/min is 15 drops per minute using a 60 drop tubing?
    2mcg/min

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.26
  24. What is the Bradycardic treatment protocol sequence?
    • Atropine 0.5mg IV
    • TCP
    • Epinephrine Drip 2-8 mcg/min
    • Epi Push dose 0.5mL every 1-5 minutes

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.30, 31
  25. Which of the H’s and T’s in PEA are most common?
    Hypovolemia & Hypoxia

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.26
  26. When is Transcutaneous Cardiac Pacing (TCP) used?
    For symptomatic bradycardia

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.32
  27. What should the starting pace rate be?
    80

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.32
  28. What dose of Atropine should you give for bradycardia?
    0.5MG IV. MAY REPEAT TO A TOTAL DOSE OF 3 MG

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.30
  29. What is the rate for external cardiac pacing?
    • Rate = 80
    • mA= 50-90 adjust until capture

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.32
  30. When should you start TCP immediately?
    No response to atropine

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.31
  31. When is it OK to use Versed for conscious intubation?
    Patients with Burns after the patient has been intubated.

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.35
  32. What is the adult dose for Versed in conscious intubation?
    1 mg slow IVP may repeat in 1 mg increments to max of 5 mg

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.35
  33. Where do you transport burns patients without trauma?
    To any designated burn receiving facility.

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.37
  34. How many different types of pain medication can you use on any given burn patient?
    One

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.36
  35. How do you treat burns to large body surface areas?
    They should be cooled initially to stop burning process and then wrapped in dry, sterile dressing to prevent hypothermia.

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.37
  36. What is the dose of aspirin for an adult with chest pain?
    325 mg to chew

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.41
  37. If the patient has taken their own aspirin and still are having Chest Pain, can you give them aspirin?
    No, only if they haven't already taken some.

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.42
  38. How many doses of nitroglycerin can you give a patient with chest?
    No limit as long as the systolic blood pressure is above 90

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.41
  39. Can you give Nitro to a patient who took Tadalafil (Cialis) 72 hours ago?
    Yes (Suspected or known that the patient has taken sildenafil (Viagra) or vardenafil (Levitra) within the previous 24 hours or tadalafil (Cialis) within the previous 48 hours.)

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.42
  40. If a patient is without chest pain and the monitor indicates an acute MI, what do you do?
    The patient should still be treated under the Chest Pain protocol.

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.42
  41. You must notify base contact within how many minutes of obtaining a 12-lead STEMI Alert?
    5 Minutes

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.42
  42. What is the maximum on scene time for trauma patients that do not need prolonged extrication?
    10 minutes.

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.45
  43. Where is the proper placement of a thoracic decompression needle?
    2nd intercostal space, mid-clavicular line for pediatric patients or 4th intercostal space, mid-axillary line for adult patients.

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.45
  44. What do you administer to a diabetic patient if unable to swallow?
    10% Dextrose 5 mL/kg Max 250 mL Rapid IV Bolus

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.46
  45. What should you give to an altered patient with closed head trauma and a blood pressure below 90 systolic?
    1000mL IV fluid bolus and may repeat 500mL bolus to maintain BP over 90mm/Hg.

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.48
  46. Can you give a non closed head trauma patient a fluid bolus?
    You can give a 250 mL fluid bolus to maintain Systolic B/P >80 mmHg

    BASE STATION CONTACT REQUIRED

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.49
  47. What are the signs of Cushing’s Triad?
    • Decreased heart rate
    • Increased blood pressure
    • Increased respiratory rate.

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.49
  48. What is a perfect APGAR Score?
    10

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.54
  49. What does the acronym APGAR stand for?
    • Appearance
    • Pulse
    • Grimace
    • Activity
    • Respiratory Effort

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.55
  50. What is the recommended ratio for compressions to ventilations for neonates?
    3:1 with 90 compressions and 30 breaths to achieve 120 events per minute.

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.53
  51. What is the adult intranasal dose of Ketamine?
    25mg IN, (after drawing up medication add NS to increase volume to 1mL total volume) may repeat one time in 15 minutes.

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.55
  52. What are side effects of giving pain medications Rapid IVP?
    Respiratory depression and undesired pressor effects.

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.unknown
  53. Patients who are unable to verbally communicate where a painful situation may exist, what vital signs should be assessed for indicators of pain.
    Elevations in respiratory rate and heart rate.

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.58
  54. For pain control protocol, what is considered to be an altered level of consciousness?
    Anything below the patient's baseline mental status.

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.58
  55. Acetaminophen is used in which two protocols?
    Pain Control (117) and Seizure activity (122)

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.56, 72
  56. How many different types of ALS analgesic can be used on one patient for pain control?
    Only one type of ALS analgesic shall be used.

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.36
  57. What can be administered to reduce myocardial workload and oxygen consumption in cases of pulmonary edema?
    • Nitroglycerin 0.4 MG SL Repeat every 5 minutes as long as BP greater than 150 SYSTOLIC
    • CONSIDER CPAP IF AVAILABLE AND BP greater than 90 SYSTOLIC
    • No response to CPAP or Medications apply a Positive Pressure Ventilation Via Bag Valve Mask

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.69
  58. What is the antidote for Tricyclic Antidepressants?
    Sodium Bicarbonate - 1MeQ/kg IV/IO

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.61, 62
  59. What is the antidote for Calcium Channel Blockers?
    Calcium Chloride 1 gram slow IV/IO

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.62
  60. What is the antidote for symptomatic organophosphate poisoning?
    Atropine 2 mg IV every 5 minutes as needed.

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.62
  61. What is the antidote for Beta Blockers?
    Glucagon- Adults 2mg IV/IO, PEDS 0.1mg/kg IV/IO

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.62
  62. What should you consider in all unresponsive patients?
    Narcan, blood glucose analysis and Dextrose (if hypoglycemic) in all unresponsive patients including cardiopulmonary arrest.

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.68
  63. How long should transitions in compressors take during CPR?
    Take less than 3 seconds

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.67, 68
  64. What is indicated with minor to moderate cases of bronchospasm not responsive to albuterol?
    Epinephrine 1:1000 0.3 MG, IM or IV or Push Dose 0.5ml every 1-5 minutes or Drip 2-8mcg/minute Start at 2mcg

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.69
  65. What medication do you give to a pulmonary edema patient with a systolic BP greater than 150?
    Nitroglycerin 0.4 mg SL every 5 minutes as long as BP is greater than 150.

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.69
  66. If a patient has Bronchospasms, is in severe distress and no response to Albuterol, what can you give?
    Magnesium Sulfate 1-2 grams in 50 mL NS over 5-10 minutes

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.69
  67. What is the VERSED dose for seizures for a non pregnant patient?
    • Versed Initial dose
    •   under 13kg 0.2mg/kg
    •   5mg 13kg - 40kg
    •   OR 10mg greater than 40kg IM/IN ONLY MAX 1 mL per nare.
    • Repeat doses shall be weight based Versed 0.2mg/kg IM/IN MAX 5mg OR 0.1mg/kg IV/IO MAX 5mg.

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.72,73
  68. What medication do you give to an actively seizing patient with IV access, prior to blood glucose check?
    Midazolam 0.1mg IV/IO Max of 5mg.

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.72
  69. What should you give a patient who is Actively Seizing and is PREGNANT OR POST PARTUM (up to 30 days after delivery)
    Magnesium Sulfate 4-6 grams slow IV drip over 5-10 minutes. If the patient continues to seize, give Midazolam 10mg if >40kg OR 5mg if <40kg IM/IN ONLY MAX 1 mL per nare

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.72, 73
  70. What is the Valium dose for seizures for a non pregnant patient?
    • ADULT: Valium 5 mg/IV/IO if seizure lasts longer than 10 minutes may repeat dose 1-time BASE for further direction
    • PEDS: 0.3 mg/kg IV/IO MAX dose 5 mg Rectal 0.5 mg/kg. MAX dose 10 mg If seizure lasts longer than 10 minutes may repeat dose 1 time. BASE for further direction

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.73
  71. For a suspected stroke and positive Cincinnati Prehospital Stroke Scale (CPSS), how many hours since last known normal?
    Under 4 hours

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.75
  72. Patient has a CVA and SPO2 is at 99%, how much oxygen do you give?
    None (Apply O2 only if pulse ox less than 94% or signs of respiratory distress.)

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.75
  73. What is the name of the scale Kern County uses to determine a stroke?
    Cincinnati Prehospital Stroke Scale (CPSS)

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.76
  74. For a stroke patient, apply oxygen only if pulse ox is less than what %?
    94%

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.75
  75. What is the time frame to be a candidate for fibrinolytic therapy for a stroke patient?
    Last normal at or within 4 hours.

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.76
  76. What position should you transport a stroke patient?
    Semi-Fowler’s position with no more than 30 degrees head elevation.

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.76
  77. What is the MAGNESIUM SULFATE Pediatric dosage for stable tachycardia wide QRS with an irregular rate consider?
    Stable Wide QRS - 25mg/kg IV/IO drip OR IVP, over 5-10 minutes.

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.78
  78. What is the treatment sequence for a stable patient with a wide QRS and a regular rate?
    GIVE LIDOCAINE 1-1.5 mg/kg IV/IO, may repeat @0.5-.075 mg/kg every 5-10 minutes to a MAX dose of 3mg.

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.78
  79. What is the treatment sequence for a stable patient with a narrow QRS ?
    Vagal maneuver if no change, then Adenosine 6mg, 12mg, 12mg max of 30mg

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.78
  80. What should you do if the patient is unstable and conscious and you need to cardiovert?
    Provide sedation to a conscious patient, if possible, but do not delay cardioversion if the patient is unstable.

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.79
  81. How should you deliver low energy shocks during Cardioversion?
    As synchronized shocks.

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.79
  82. What is the dose of adenosine for a tachycardia with pulses patient?
    6mg – 12mg – 12mg

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.79
  83. Serious signs and symptoms for tachycardia are unlikely to be present with a heart rate below?
    150 BPM

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.79
  84. What is not a serious sign or symptom of infant tachycardia?
    Insomnia

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.81
  85. What is the fluid resuscitation rate for pediatrics in hypovolemic shock ?
    20 ml/kg fluid bolus

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.82
  86. What medication do you administer for Trauma and Post-Partum Hemorrhage?
    Consider Tranexamic Acid 1 gram administered over 10 minutes for the initial dose. Mix 1 gram (10 mL) in 100 mL of NS and infuse via: - Macro 10gtts/mL over 10 minutes @ 110 gtts.

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.83
  87. What types of patients receive Tranexamic Acid?
    Trauma, Epistaxis and Post-Partum Hemorrhage

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.82, 91
  88. The pause in chest compressions to check the rhythm and pulse should not exceed how many seconds?
    10 seconds

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.86
  89. What is the first line cardiac drug for VF/Pulseless VT?
    Lidocaine

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.86
  90. When should you transport a cardiac arrest patient who is less than 18 years of age?
    After 10 minutes of high performance CPR or ROSC.

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.87
  91. What is the max dose of Atropine in Cardiac Arrest?
    Atropine is no longer used

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.86
  92. For a cardiac arrest patient in VF/VT who has a body temperature of less than 86oF, How many defibrillation(s) attempts are appropriate?
    One

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.87
  93. What is the Energy Doses for pediatric defibrillation?
    Zoll and LifePak-2j/kg, 4j/kg, 6j/kg, then 8j/kg

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.88
  94. What is the Energy Doses for adult Defibrillation
    • Zoll -200 joules for all shocks
    • LifePak 200, 300, then 360 joules

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.88
  95. What is the Energy Doses for adult Cardioversion?
    • Zoll 100j, 150j, 200j, 200j
    • LifePak 50j, 100j, 100j, 100j

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.80
  96. What is the Energy Doses for Pediatric Cardioversion?
    Zoll & LifePak 0.5j, 1j, 2j, 2j

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.80
  97. For a pediatric patient in VF/VT what is the joule setting for the first attempt with a Zoll monitor?
    2 J/kg.

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.88
  98. What should you do if you suspect a possible TENSION PNEUMOTHORAX?
    Tension pneumothorax requires immediate decompression.

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.90
  99. Where do you decompress the chest for patients with a tension pneumothorax?
    2nd intercostal space, mid-clavicular line for pediatric patients or 4th intercostal space, mid-axillary line for adult patients.

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.90
  100. What is the Crush Injury Protocol Sequence?
    • Calcium Chloride 20mg/kg slow IV/IO push, Repeat x1 for persistent ECG abnormalities.
    • Sodium Bicarbonate 1 mEq/kg slow IV/IO push, Repeat x1 for persistent ECG abnormalities.
    • Albuterol 5mg via neb, repeat continuously until hospital arrival.

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.94
  101. What should you do if you cannot gain IV access prior to extrication of a crush syndrome patient?
    Tourniquet placement PRIOR to extrication and is a last resort.

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.96
  102. What should you do if the monitor indicates "ACUTE MI”?
    CONTACT A STEMI RECEIVING CENTER WITHIN 5 MINUTES OF ACQUISITION AND ADVISE “STEMI ALERT”

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.100
  103. What shall be the trigger for the notification of a “STEMI Alert?
    The monitor’s interpretation, on the printed 12 Lead EKG

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.100
  104. Who receives a copy of the 12 lead EKG?
    • A copy must be maintained by the transporting agency
    • The hospital ED for inclusion in the patient chart. The 12 lead EKG print-out shall be presented to hospital staff at the time the patient is delivered.
    • A copy made available to EMS upon request

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.100
  105. What criteria must be met for CPAP?
    • AGE GREATER THAN 8 YEARS OLD
    • PATIENT ALERT, ORIENTED, AND ABLE TO FOLLOW COMMANDS
    • PATIENT HAS THE ABILITY TO MAINTAIN AN OPEN AIRWAY (GCS GREATER THAN 10)
    • SYSTOLIC BP GREATER THAN 90MMHG

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.102
  106. What are the four signs and symptoms that two must be present for CPAP?
    • RESPIRATORY RATE GREATER THAN 25 BREATHS PER MIN
    • RETRACTIONS OR ACCESSORY MUSCLE USE
    • PULSE OXIMETRY LESS THAN 94%
    • ADVENITIOUS (ABNORMAL) OR DIMINISHED LUNG SOUNDS

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.101
  107. Can you administer Versed with CPAP?
    YES, IV/IM (Base Hospital Contact Required)

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.101
  108. What are the contraindications for CPAP?
    • AGONAL OR ABSENT RESPIRATIONS
    • SUSPECTED PNEUMOTHROAX OR PENETRATING CHEST TRAUMA
    • PATIENT HAS TRACHEOSTOMY
    • SYSTOLIC BP OF LESS THAN 90 RISK FOR ASPIRATION (VOMITING, EPISTAXIS, FACIAL TRAUMA)

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.101
  109. What is a more important factor than age in determining eligibility for CPAP?
    The size and anatomy of the patient.

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.102
  110. How often must vital signs be recorded for CPAP?
    Every 5 minutes

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.103
  111. What vital signs must be recorded?
    • Respiratory rate
    • Heart rate
    • Blood pressure
    • Sp02

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.103
  112. Can a CPAP patient be transferred to a Paramedic that has not been trained on the use of CPAP?
    NO

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.103
  113. Can all patients in respiratory distress use CPAP?
    False

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.103
  114. What is optional for the first attempt at intubation and is strongly encouraged for all attempts and is mandatory for 2nd attempt?
    Tube introducer

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.104, 106
  115. What SHALL be used to confirm all ALS placed King Airways or Endotracheal Tubes?
    End Tidal CO2 or Waveform Capnography

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.106
  116. Where do you perform a cricothyrotomy?
    No longer allowed

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.104-106
  117. What is the approved method for C-spine?
    • C-Collar and gurney straps or seatbelts only. Head blocks may be used to prevent rotation.
    • No backboards

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.108
  118. When may you leave a patient on a backboard?
    When removing a patient from the device interferes with critical treatments or interventions.

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.108
  119. Does the mechanism of injury alone determine spinal immobilization?
    No

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.108
  120. What is the approved drug for restraining a patient?
    Versed 5mg IM or 2mg IV base contact required beyond initial dose for agitation control.

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.109
  121. What are KCEMS approved patient restraints?
    Commercially manufactured devices intended for patient restraint.

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.110
  122. How should restraints for a combative patient be secured?
    To a non- moving part of a gurney and tied in a fashion that will allow for quick release.

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.110
  123. What is the medication for associated pain administration of an IO?
    • Lidocaine prior to saline flush.
    • 40 mg for adults slow IO
    • 0.5 mg/kg peds to 40 mg max.

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.111
  124. Where do you start an IO?
    • Interosseous-proximal tibia is the only approved IO site
    • The tibial-tuberosity 2-3 cm medially at the broad flat aspect of the tibia.

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.111
  125. What are the contraindications of saline lock use?
    If patient has a risk for hypoperfusion, (cardiac arrest, burn, or signs of physiological shock)

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.112
  126. What are the indications for saline lock?
    A saline lock may be used for blood draw or when a patient requires intravenous access but does not require continuous infusion of an intravenous solution.

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.111, 112
  127. Is it Ok to stay on-scene with a patient with a suspected MI to obtain a 12-lead?
    Do not delay treatment or transport beyond 2-3 minutes to obtain a 12-lead ECG.

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.unknown
  128. What meds can be administered though the ET tube?
    None, no longer allowed.

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.unknown
  129. What are the approved drugs for MAD?
    • Narcan
    • Versed
    • Fentanyl
    • Ketamine
    • Tranexamic Acid (TXA)

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.unknown
  130. What classes are required by KCEMS?
    • PHTLS
    • CPR
    • Skills Verification

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.unknown
  131. What must the paramedic do before leaving the hospital after delivering a patient to the ED?
    The paramedic must leave a completed patient care report with the facility before leaving, either hand written on the county form or printed from their digital PCR device.

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.unknown
  132. When can a patient be transported to a closed hospital ED?
    When the patient is in extremis status and the ED is not on internal disaster closure.

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.unknown
  133. What is the purpose of an MCI activation?
    Proper management of incidents involving more than 5 patients, an incident involving a hazardous materials exposure regardless of the number of patients, and a serious or unusual overload of the EMS system as determined by the EMS Division.

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.unknown
  134. Where do you transport a medical extremis patient?
    The closest hospital ED not on closure status.

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.unknown
  135. You receive base orders to discontinue CPR while en-route to the hospital, what do you do?
    Stop CPR, continue Code 2 to the closest most appropriate receiving hospital or base hospital.

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.unknown
  136. Who shall be informed of destinations decisions and ambulance assignments on an MED-ALERT?
    The incident commander (IC)

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.unknown
  137. What is the maximum time to obtain a 12-lead ECG?
    Do not delay treatment or transport beyond 2-3 minutes to obtain 12-lead ECG

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.unknown
  138. What must a physician do if they assume the role of patient health care authority on scene?
    They must agree to accompany the patient in transport

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.unknown
  139. Who shall be advised of the transport destination at an MCI?
    The IC (Incident Commander)

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.unknown
  140. You are working up a cardiac arrest patient in the back of the ambulance at the scene and have not began transport, base physician advises to discontinue resuscitation, what do you do?
    Discontinue CPR, remain at scene with patient in your ambulance until released by law enforcement agency with investigative authority or coroner.

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.unknown
  141. When accessing a CVAD, what port should you never use?
    Red Port

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.116
  142. You receive base orders to discontinue CPR while en-route to the hospital, what do you do?
    Stop CPR, continue Code 2 to the closest most appropriate receiving hospital or base hospital.

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.unknown
  143. How do you flush a CVAD?
    Draw out 5cc of blood and push 5-10cc of normal saline

    Paramedic Study Guide (All Provider Policies Rev 3-7-25) Pg.116
Author
sdrake99
ID
361547
Card Set
Protocol Study Guide 3-15-2025*
Description
Paramedic Study Guide
Updated

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