2017 NYS Collaborative Protocols Update - Mountain Lakes AEMT Exam

* 1. First and Last Name

* 2. NYS EMT Number

* 3. Regional ALS Technician Number

* 4. Primary Mountain Lakes Agency

* 5. All of the following requirements must be met for termination of resuscitation in the field without a medical order EXCEPT

* 6. Your response team consists of 6 providers and you are the only ALS level practitioner on scene. At 15:35 the family of a 34 year-old female called 911 and they estimate the downtime of the unwitnessed arrest to be less than five minutes. The first arriving BLS providers report that at 15:42 their AED reported “no shock advised.” They explain that they initiated the first compressions and the family planned to speak with the family physician about the MOLST program at the end of this week. It is now 15:59 and continuous CPR has not yielded a ROSC. Is it appropriate to consider Termination of Resuscitation in this scenario?

* 7. Which of the following advanced directives can be followed by EMS providers without contacting Medical Control?

* 8. You arrive on scene for the reported 5 y/o male patient recently ill with severe nausea and vomiting who was found unresponsive in bed several hours after having been put down for a nap. Following assessment of ABC’s the patient is found to be apneic and pulseless. CPR is started with adequate BVM ventilations, and an AED indicates “No Shock Advised”. As an AEMT your next step is to:

* 9. A patient who was acting agitated at a restaurant when approached by police continues to be highly upset after you started to assess a blood sugar. While he initially consented to testing and transport, he is now yelling that you are letting his spirit drain onto the ambulance floor and he needs to get up to retrieve it. Verbal de-escalation has not reduced the patient’s upset. He weighs approximately 100 kg (220 lbs). What are appropriate assessments and treatments for the AEMT to provide?

* 10. When caring for an amputation of the distal forearm, it is best practice to elevate and wrap the stump with moist sterile dressings and cover with dry bandage.

* 11. Which of the following is compatible with reimplantation of an avulsed tooth in the field?

* 12. The clinical triad of Excited Delirium Syndrome includes all of the following EXCEPT:

* 13. If your patient shows signs of dehydration and his glucose level is above _____ mg/dL, administer normal saline 500 mL IV bolus, if there is no concern for pulmonary edema.

* 14. Which of the following is true regarding the patella dislocation protocol?

* 15. EMS providers can assist family or caregivers of patients who are actively seizing with the administration of

* 16. What is the appropriate criteria for determining that you will follow the adult Septic Shock- Suspected protocol?

* 17. In the general stroke protocol, if time from symptom onset to estimated arrival in the ED will be less than ___ hours, transport the patient to a NYS DOH Designated Stroke Center, or consult medical control to discuss an appropriate destination facility.

* 18. When should a patient with a Ventricular Assist Device (LVAD) receive CPR?

* 19. Under “Resource: Automatic Transport Ventilator,” it is acceptable to use this device in the event of Cardiac or Respiratory arrest if the patient is already on the ventilator.

* 20. All of the following are permitted airway management interventions for the AEMT EXCEPT.

* 21. How many shocks can you deliver to a hypothermic patient in cardiac arrest?

* 22. Under the Pediatric: Overdose / Toxic Exposure protocol an AEMT may administer Naloxone (Narcan) 1 mg IN, 0.5 mL per nare if there is a suspected opioid overdose with hypoventilation or respiratory distress.

* 23. If a patient's glucose level is below 60 mg/dL and the they cannot swallow on command, an AEMT has which of the following care options available to them.

* 24. Under the Crush Injuries protocol, AEMT's can use all of the following EXCEPT

* 25. What is the phone number for the NYS Child Abuse and Maltreatment Register?

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