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LOYOLA EMS SYSTEM ENTRY QUESTIONS
AND VERIFIED 100% CORRECT ANSWERS
"Who may not be released in the field in the event of school bus MVC? - CORRECT ANSWER
Special needs children"
"Any physician or nurse on scene must provide what? - CORRECT ANSWER Medical license
and state issues ID"
"Where should any possible stroke patient be transported to? - CORRECT ANSWER Nearest
stroke center"
"What must be left at hospital before leaving? - CORRECT ANSWER PCR"
"What does the Illinois abandoned newborn infant act say? - CORRECT ANSWER Personnel
must accept and provide all necessary care to an infant 30 says old or younger"
"Who can call a patient death through med control? - CORRECT ANSWER Only ER
physician"
"Are living wills honored by EMS providers? - CORRECT ANSWER No"
"What should you ask about when you have a patient with chest pain? - CORRECT ANSWER
Use of viagra cialis or revatio in the past 36 hours before considering administration of nitro"
"Adult initial dose of fentanyl under 65 y/o - CORRECT ANSWER 1mcg/kg not to exceed 100
mcg"
"2nd dose of fentanyl under 65 y/o - CORRECT ANSWER .5mcg/kg not to exceed 50mcg"
"First dose of fentanyl over 65 y/o - CORRECT ANSWER .5mcg/kg not to exceed 50mcg"
"Second dose of fentanyl over 65 y/o - CORRECT ANSWER .25 mcg/kg not to exceed 25mcg"
"Treatment of unstable bradycardia - CORRECT ANSWER .5 mg of atropine IV or 1mg ET
tube May repeat every 3-5 minutes Max dose of 3 mg"
"Treatment of unstable bradycardia if atropine does not work - CORRECT ANSWER
Transcutaneous pacing at rate of 70 Consider sedation with versed 2 mg max dose of 10"
"Adult intubation procedure - CORRECT ANSWER Benzocainex2 30 seconds apart
Etomidate 0.6mg/kg not to exceed 40mg For post sedation versed 2mg every 2 minutes Max of 10mg"
"Cyclic anti depressant overdose treatment - CORRECT ANSWER 1L NS bolus with
8.4% sodium bicarbonate 1meq/kg"
"Beta blocker or calcium channel blocker overdose - CORRECT ANSWER 1mg glucagon Slow
IVP
Repeat x If no success consider pacing"
"Organophosphate poisoning or SLUDGEBAM - CORRECT ANSWER Administer atropine
2mg rapid IVP every 3 minutes no max dose"
"What is the distance a level 1 trauma center has to be for you to be able to transfer to level 2 -
CORRECT ANSWER 25 minutes"
"Dose for epi in peds - CORRECT ANSWER 1:10,000 0.1 ml/kg IV/IO
Or 1:10,000 0.5 ml/kg ET Every 3-5 minutes"
"Zofran dose in person less than 40kg - CORRECT ANSWER .1 mg/kg slow IV"
"What form of zofran do you not give pediatrics - CORRECT ANSWER ODT"
"Pediatric atropine dose - CORRECT ANSWER 0.02 mg/kg may repeat x
Not to exceed 0.5mg"
"Cardioversion jewels for pediatric - CORRECT ANSWER 1 J/kg
May repeat at 2 J/kg"
If patient is unstable, initiate expeditious transport"
"Adult Pulmonary Edema - CORRECT ANSWER Patient Assessment - place patient in High
Fowlers position if systolic bp is greater than 100 mg, may need to deliver supplemental oxygen - can administer 0.4 mg SL of NTG"
"Narcan (naloxone) 2 mg IN - CORRECT ANSWER If indicated by decreasing sensorium and
pinpoint pupils, depressed respirations and possible history of opioid/synthetic opioid ingestion"
"Cholinergic Drug overdose - CORRECT ANSWER D
U M B B E L
S"
SAMPLE - CORRECT ANSWER signs and symptoms
allergies medicine past pertinent details last oral intake events leading up"
"OPQRST - CORRECT ANSWER onset, provocation, quality, radiation, severity, time"
"Steps to patient assessment - CORRECT ANSWER Scene safety/PPE/BSI
ABCs A&Ox ALS backup? Focused history Detailed physical"
"Do we honor living wills/surrogates? - CORRECT ANSWER No, just DNRs"
"Components of a valid DNR? - CORRECT ANSWER Name
Physician name and signature effective date explicitly labeled DNR Evidence of consent"
"Signs of a triple zero patient - CORRECT ANSWER NEED: non-breathing, pulseless, asystolic
One or more: decapitation rigor mortis without hypothermia dependent lividity decomp putrification frozen incineration"
"Suspected cardiac patients with heart pain - CORRECT ANSWER Initial medical care
Pt must be able to swallow 4x81 g baby aspirin (324 g) check BP, systole must be >100 mmHg before nitroglycerin (prescribed)"
"Acute asthma/COPD - CORRECT ANSWER initial medical care
Inhaler (check 6Rs) and find out last time of dosage begin transport neb 2.5 mg Albuterol in 3mL"
"Seizures/status epilepticus - CORRECT ANSWER Clear and preserve airway
Protect from injury Position on side, baseline vitals Blood glucose (if less than 60 administer glucose) transport"
"Stroke - CORRECT ANSWER limit scene time and do c-spine if trauma suspected
baseline vitals protect airway Assess Cincinnati stroke scale Ask onset"
"Chronic renal failure (dialysis pts) - CORRECT ANSWER DONT take BP on same arm as
shunt or fistula control any obvious bleeding"
"Heat emergencies - CORRECT ANSWER Move pt to cool environment (do not massage
muscles) Can give fluid if awake, alert, and gag reflex Put cool packs to lateral chest wall, groin, axilla, carotid arteries, temples, behind knees check blood glucose"
toddler: 1-5 years under 15 is a peds"
"Peds respiratory arrest - CORRECT ANSWER initial medical care
Airway maneuver, maintain C-spine and preserve airway BVM if not breathing Check for cardiopulmonary compromise Check for obstruction"
"Peds respiratory distress with tracheostomy tube - CORRECT ANSWER Administer high
flow O2 per trach collar Suction and reassess airway Remove inner cannula or insert ET tube into stoma BVM if needed"
"Peds seizures - CORRECT ANSWER Preserve airway
Protect from injury Roll pt on side and record blood glucose levels Febrile seizures: remove clothes to cool, use cool cloth and fan child"
"Peds heat emergencies - CORRECT ANSWER Record initial assessment
Assess for environmental risks to pt and self and relocate if needed"
“Patient needing restraint must be restrained in what position - CORRECT ANSWER Semi
Fowlers"
"Any patient under what age is considered a minor? What can they not do? - CORRECT
ANSWER 18, they cannot consent for themselves unless child abuse is suspected"
"What is an emancipated minor? - CORRECT ANSWER Patient between the ages of 16-18 that
have demonstrated ability and capacity to manage own affairs and live independently of parents or guardians."
"When can a minor consent for themself or their child? - CORRECT ANSWER When they are
pregnant married or have a living child."
"When can a parent not refuse treatment of child? - CORRECT ANSWER Parents may not
withhold consent for life saving treatment When suspicion of abuse or neglect exist Life or limb threatening limb or injury
Incompetent adult guardian"
"Uninjured children in school bus MVC can be released in the field to.... - CORRECT ANSWER
Parent or qualified school official"
"When should nearly expired drugs be exchanged? - CORRECT ANSWER At least 60 days
prior to expiration"
"Loyola EMS requires how much system approved CE? - CORRECT ANSWER 120 hours"
"How many hours will be awarded for make up quizzes? - CORRECT ANSWER 1.5 hours"
"In the event of an exposure what do you do? - CORRECT ANSWER Complete Loyola EMS
communicable disease exposure form which is part of the exposure carepak"
"Personnel may be suspended for many reasons including... - CORRECT ANSWER
Unauthorized use or removal of narcotics drugs or supplies"
"What should be communicated at beginning of radio report? - CORRECT ANSWER Closest
and desired hospitals along with ETAs"
"What should be obtained and relayed for any patient with altered mental status? - CORRECT
ANSWER Blood glucose"
"Patients with nausea receive what? - CORRECT ANSWER 4 mg zofran slow IVP or ODT
1 dose only"
"When is it acceptable to discontinue ALS care? - CORRECT ANSWER Never"
"When can pediatric drug dosing exceed adult dosing? - CORRECT ANSWER Weight based IV
fluid bolus versed or narcan"
"Symptomatic bradycardia treatment if atropine and pacing do not work - CORRECT
ANSWER Dopamine 5-10 mcg/kg/min IVPB"
"Stable adult SVT treatment - CORRECT ANSWER 6mg adenosine followed by rapid 10cc
flush If no response 12mg If no response 12mg"
"Unstable adult SVT treatment - CORRECT ANSWER Sedate with 2mg versed every 2 minutes
up to 10 mg Cardiovert at 100J
2-4 or 65 pounds front facing toddler seat Booster seat 4-8 years or 4 foot 9 Seat belt from 8-15 or taller that 4 foot 9"
"Prolonged extrication without serious injury is not sufficient reason for - CORRECT
ANSWER SCT/CCT"
"Avoid what to eye injury? - CORRECT ANSWER Pressure"
"Thermal burns <10% treatment if occurred with in 15 minutes - CORRECT ANSWER Cool
burned area with water or NS for no longer than 5 minutes"
"Burn <10% dressing type - CORRECT ANSWER Wet may be applied for pain relief"
"Burn >10% dressing type - CORRECT ANSWER Dry sterile dressing"
"Taser injuries to face - CORRECT ANSWER Stabilize prongs and transport"
"Long bone fix with displacement and spasm - CORRECT ANSWER Consider versed 2mg
every 2 minutes up to 10mg"
"Care of amputated part - CORRECT ANSWER Wrap in saline moistened gauze and put in
plastic bag"
"What not to do with amputated part - CORRECT ANSWER Immerse in NS or water"
"Pediatric seizures - CORRECT ANSWER Versed 0.1 mg/kg IV
Versed 0.2 mg/kg IN Max dose of 10mg"
"Dose for narcan in pediatrics - CORRECT ANSWER Less than 20 kg or less than age 5 0.
mg/kg Greater than 20kg and age of 5 then 2mg"
"Anaphylaxis in peds - CORRECT ANSWER Benadryl 1mg/kg
More than local reaction then administer epi 1:1, Less than 10kg 0.1 mg/kg Between 20kg and 10kg 0.2 mg/kg Over 20kg 0.3 mg/kg For signs of hypoperfusion administer fluid bolus Administer epi 1:10,000 0.1 mg/kg every 3 min."
"Patient Assessment - CORRECT ANSWER 1) Scene safety/BSI/PPE
- Initial assessment: Airway and C spine established and maintained, Breathing assessed and assisted if needed (lung sounds) Circulation (pulse and hemorrhage), Disability AVPU
- History and Physical Exams: SAMPLE (signs and symptoms, allergies, medications, past oral intake, last oral intake/last menstrual period, and events leading up to condition), Vital signs, Rate pain on scale 1-
- Detailed physical exam
- Ongoing assessment - reassess ABCDs"
"Respiratory Assessment - CORRECT ANSWER Target oxygen saturation = 94-98%, 92% if
COPD
in cases of adequate rate depth/minimal distress/mild hypoxia/SpO2 92-94% --> Low FiO in cases of adequate rate/depth, moderate/severe distress and SpO2 of less than 92%, --> High FiO In cases of inadequate rate/depth with moderate/severe distress or instability --> High FiO2 by BVM ventilation"
"Pain Management - CORRECT ANSWER BLS/ALS = zofran out 4 mg tab or 4 mg slow IV
1 dose only"
"Outline for streamlined communication for BLS Calls - CORRECT ANSWER 1. Name and
vehicle number of provider
- patient age and gender
- Chief complaint/ MOI
- SOP being followed
- Any deviation from SOP/unusual circumstances
- ETA"
"Load and Go situations - CORRECT ANSWER applies if circumstances demand hospital care
for patient stability - some procedures in SOPs may be omitted or abbreviated"
"Power of Attorney for Healthcare - CORRECT ANSWER POLST/DNR only valid if WRITTEN
and signed by patients attending practitioner"
"Living Will/Srrogates - CORRECT ANSWER Living wills may NOT be honored by EMS
providers - begin or continue treatment No situations in which surrogate can directly give instructions to EMS providers - begin or continue treatment"
"Validity of POLST/DNR Order - CORRECT ANSWER Name of patient, Resuscitation orders
must say "Do Not Resuscitate" or "withhold treatment", 3 signatures required - evidence of consent, signature of a witness, and signature of attending practitioner
