Download EMD Course V14 Exam – MPDS Protocols & Dispatch Certification Test and more Exams Nursing in PDF only on Docsity!
EMD COURSE V14 EXAM | QUESTIONS AND ANSWERS | VERIFIED
AND WELL DETAILED ANSWERS | ALREADY GRADED A+ | LATEST
EXAM UPDATE
the six links of the patient care chain of survival are: CORRECT ANSWER
- recognition and response activation
- early CPR
- rapid defibrillation
- advanced resuscitation
- post cardiac arrest care
- recovery T or F: EMDS are trained medical professionals CORRECT ANSWER true a question with the pre question qualifier "(female 12 50)" should be asked CORRECT ANSWER only when the caller reports that the patient is a female between the ages of 12 and 50. T or F: key questions must be asked in order as written CORRECT ANSWER true DLS links: CORRECT ANSWER Direct the EMD to the appropriate Pre Arrival or case exit instructions T or F: Key Question 7 on Protocol 5 is "(>50) Did s/he faint (pass out) or nearly faint?: Based on MPDS standards, it is appropriate to read this question as "Did she faint, pass out, or nearly faint?" CORRECT ANSWER False words or phrases printed in ALL UPPERCASE text in the MPDS key questions
indicate that: CORRECT ANSWER a definition is available for the word or phrase in the Additional Information section of the protocols. T or F: when a second party caller cannot tell if the patient is breathing or not, the patient should be considered to be NOT BREATHING until proven otherwise CORRECT ANSWER true in response to key questuon 1a on protocol 12, the caller reports that the 14 year old patient was not alert between seizures, what should u do next? CORRECT ANSWER initiate 12 D 2 response, provide all appropriate PDI's and then return to the questioning in response to Case entry question 3 the caller reports that her 16 year old brother is on fire , what should u do next? CORRECT ANSWER initiate 7E 1 response, provide case entry PDI's A and H, and return to questioning. An alert, first party caller reports that he was just bitten by a rattlesnake. What is the best CC protocol? (Refer to MPDS chief complaint classification table) CORRECT ANSWER 2. allergies (reactions)/envenomations (stings, bites) list the 5 primary components of the MPDS CORRECT ANSWER Case entry protocol Chief complaint (CC) protocols Diagnostic and Instruction Tools PAI's Case Exit Protocols List the 6 primary components of the MPDS Chief complaint protocols CORRECT ANSWER key questions determinant descriptors post dispatch instructions (PDI)
T or F: compressions only and compressions 1st CPR are the same thing CORRECT ANSWER false T or F: not all panel directors are contingent on the answer to an operant question CORRECT ANSWER true chief complaint CORRECT ANSWER the primary reason the patient is seeking medical care chief complaint protocols CORRECT ANSWER Problem specific MPDS protocols. Chief complaint protocols function as a secondary interrogation and contain Key Questions, Determinant Descriptors, Post Dispatch Instructions, Critical EMD Information, Dispatch Life Support Links, and Additional Information. Determinant Codes CORRECT ANSWER Alphanumeric response codes assigned by combining the Chief Complaint number, the Determinant Level letter, the Determinant Descriptor number, and the Determinant Suffix letter. Dispatch Life Support (DLS) CORRECT ANSWER Providing care and Links to appropriate PAI or exit instructions. echo CORRECT ANSWER a determinant level that allows early recognition and response initiation based on extreme conditions of breathing and other dire circumstances A caller reports she is pregnant and having abdominal pain. In response to Key Question #1, Protocol 24, she indicates she is 22 weeks along. How many additional Key Questions would the EMD need to ask? CORRECT ANSWER c. Two (#6 and #7) During Case Entry question #3, the caller reports her son is at the bottom of the swimming pool. What should the EMD do next? CORRECT ANSWER c. Dispatch 14 E 2, read PDI A and D, then return to questioning
A caller is reporting a construction worker fell off the roof of a commercial building. The caller estimates the patient fell approximately 35 feet. The patient is awake and breathing, with multiple fractures and SERIOUS bleeding. What is the correct determinant code? CORRECT ANSWER b. 17 D 1 A caller is reporting a fight in the school yard. One victim was hit in the head and is now unconscious. In Protocol 4, how many Key Questions are you asking? CORRECT ANSWER c. Four. After initiating dispatch, you will return to ask Key Questions 1 thru 4 before going to PDI's and DLS links. A caller is reporting a shooting. The suspect has left the scene and the caller is caring for the single victim who was shot once in the chest. The patient is completely alert but having difficulty breathing. The caller also reports there is SERIOUS bleeding. What is the appropriate determinant code? CORRECT ANSWER c. 27 D 4 A caller reports a tiger got loose from its cage at the zoo and has attacked a patron. The caller was able to run into a bathroom to hide but can hear both the victim and the tiger still outside. Which PDI's would you give? CORRECT ANSWER a. PDI A and PDI B If the complaint description appears to be TRAUMA in nature, the EMD should choose the protocol that: CORRECT ANSWER a. Best addresses the mechanism of injury An alert, first party caller reports that he was just bitten by a rattlesnake. What is the best Chief Complaint Protocol? CORRECT ANSWER a. 2: Allergies (Reactions)/Envenomations (Stings, Bites) Pre Arrival Instructions (PAIs) must be read: CORRECT ANSWER a. exactly as written. The head tilt is the only recognized method of airway control in the PAI dispatch environment. CORRECT ANSWER a. True
While providing CPR instructions via Protocol C to an adult cardiac arrest victim, the caller reports the patient vomits just after the instructions from panel 8 were successfully given. What should the EMD do next? CORRECT ANSWER b. Read the instructions from panel 15, then return to sequence Post Dispatch Instructions will be read as scripted but may be enhanced with a situational or conditional statement as long as the meaning or intent of the instruction is kept intact. CORRECT ANSWER a. True A question with the pre question qualifier of female 12 50 should be asked CORRECT ANSWER only when the caller reports that the patient is a female between the ages of 12 and 50 Key questions must be asked in in order as written CORRECT ANSWER True When the callers description indicates that the patient is having heart attack like symptoms, choose which protocol CORRECT ANSWER 10 chest pain/ chest discomfort During Case Entry, the caller indicates a 38 year old male patient is experiencing abdominal pain for the past 2 hours. The patient is awake and breathing and seated next to the caller. Which Key Questions would you ask next? CORRECT ANSWER Key questions 1&4 In Protocol 5, in answer to Key Question 2, the caller indicates an hour ago he was playing football with his friends and tweaked his back when tackling someone. What should the EMD do next? CORRECT ANSWER Shunt to protocol 30 Code for a patient that has been experiencing nausea for the past 3 days? The patient is completely alert, breathing normally and has no other symptoms.
CORRECT ANSWER 26 A 6
A chest pain patient with pale skin is considered to be CHANGING COLOR. CORRECT ANSWER False During Case Entry, the caller reports their loved one is experiencing heart palpitations. The caller reports they were simply watching TV when this started. The patient is currently awake and breathing. What is the appropriate Protocol to go to after Case Entry? CORRECT ANSWER Protocol 19 During questioning in Protocol 18, the caller answers Key Question #4 as "Yes,". what should the EMD do next? CORRECT ANSWER Ask Key Questions 5, 6 and 7, then complete the Stroke Diagnostic Tool When the complaint description strongly suggests GENERALIZED seizure, go to Protocol 12 regardless of consciousness and breathing status. CORRECT ANSWER True Case Entry Protocol CORRECT ANSWER 0 Accelerator Stuck and Can't Stop Vehicle CORRECT ANSWER Stop Sign Abdominal Pain/ Problems CORRECT ANSWER 1 Allergies (reactions) / Envenomation (Stings & Bites) CORRECT ANSWER 2 Epinephrine Auto Injector CORRECT ANSWER P Animal Bites/ Attacks CORRECT ANSWER 3
Person IN Water CORRECT ANSWER K Electrocution/ Lightning CORRECT ANSWER 15 Eye Problems/ Injuries CORRECT ANSWER 16 Falls CORRECT ANSWER 17 Headache CORRECT ANSWER 18 Heart Problems/ A.I.C.D. CORRECT ANSWER 19 Heat/ Cold Exposure CORRECT ANSWER 20 Hemorrhage/ Lacerations CORRECT ANSWER 21 Tourniquet CORRECT ANSWER T Inaccessible Accident/ Other Entrapment (non traffic) CORRECT ANSWER 22 Overdose/ Poisoning (Ingestion) CORRECT ANSWER 23 NARCAN/ Naloxone Nasal Instructions CORRECT ANSWER Q Naloxone Auto injector (Evzio) Instructions CORRECT ANSWER R Naloxone Injection Instructions CORRECT ANSWER S
Pregnancy/ Childbirth/ Miscarriage CORRECT ANSWER 24 Miscarriage CORRECT ANSWER G Psychiatric/ Mental Health Conditions/ Suicide Attempt/ Abnormal Behavior CORRECT ANSWER 25 Sick Person (specific diagnosis) CORRECT ANSWER 26 Stab/ Gunshot/ Penetrating trauma CORRECT ANSWER 27 Stroke (CVA)/ Transient Ischemic Attack( TIA) CORRECT ANSWER 28 Stroke Diagnostic Tool CORRECT ANSWER Blue squiggle face Traffic Collison/ transportation incident CORRECT ANSWER 29 Vehicle in Water CORRECT ANSWER L Traumatic Injuries (specific) CORRECT ANSWER 30 Unconscious/ Fainting (Near) CORRECT ANSWER 31 Unknown Problem (Person Down) CORRECT ANSWER 32 Transfer/ Interfacility/ Palliative Care CORRECT ANSWER 33
Case Entry CORRECT ANSWER 1. What's the address of the emergency? House/Apartment/Business/Intersection/Landmark/Jurisdiction/GPS
- What's the phone number you're calling from?
- Okay, tell me exactly what happened. Obviously NOT BREATHING and Unconscious (non traumatic) Hanging, Strangulation (no assailant involved), Suffocation Underwater (DOMESTIC rescue) Underwater (SPECIALIZED rescue) Person on fire a. (Not obvious Are you with the patient now? （樂 Multiple victims Traffic/Transportation incident (3 or 4 pty caller) c. (Choking) Is s/he breathing or coughing at all? (You go check and tell me what you find.) No Do not slap her/him on the back.
- How old is s/he? a. (Unsure) Tell me approximately, then.
- Is s/he awake (conscious)? Yes No Unknown.
- Is s/he breathing? a. (Hasn't checked 2"d party caller) You go check and tell me what you find. Yes No/NOT BREATHING
UNCERTAIN/INEFFECTIVE/AGONAL BREATHING (15 or 2"d pty caller)Unknown (3"d or 4" pty caller) Case Entry PDIs CORRECT ANSWER a. (ECHO) I'm sending the paramedics (ambulance) to help you now. Stay on the line. b. (Hanging and not OBVIOUS DEATH) (Cut her/him down immediately, loosen the noose, then tell me if s/he's breathing. c. (Underwater) Do not go in the water unless it's safe to do so. d. (Strangulation and not OBVIOUS DEATH) Loosen anything around the neck, then tell me if s/he's breathing. e. (Suffocation) Remove anything covering the face or in the mouth, then tell me if s/he's breathing. (Person on fire) Tell her/him to stop running, drop to the ground, cover her/his face, and roll around. If water is available, douse her/him with it immediately until the fire is completely out. (Water not available) Get a blanket, rug, or large jacket and use it to wrap her/his body and smother the flames. g. (Critical Caller Danger) (If it's too dangerous to stay where you are, and you think you can leave safely, get away and call us from somewhere safe. Not breathing situations CORRECT ANSWER The following, when offered in response to "Tell me exactly what happened" or any listed Entry Question:
- Not breathing at all
- UNCERTAIN BREATHING
- Hanging Strangulation
- Suffocation
- COMPLETE obstruction
between breaths of 8 seconds or more is considered INEFFECTIVE BREATHING. Check a maximum of four breaths (three Intervals tested). Agonal breathing CORRECT ANSWER An ineffective, deteriorating breathing pattern that lingers after the heart has essentially stopped pumping blood to the brain. Uncertain Breathing CORRECT ANSWER A situation where a 2 party caller is uncertain, unsure, indefinite, or ambiguous when asked if an unconscious patient is breathing. ECHO determinant practice CORRECT ANSWER The EcHo level allows early recogmition and Closer response initiation basedon extreme conditions of breathing and other dire circumstances as defined, such as a person on fire Such coding is separated from DELTA to encourage local assignment of the absolute closest response of any trained crew lie, police with AEDs, fire ladder or snorkel crews, HAZMAT or other special ty teams). Chief Complaint Rules CORRECT ANSWER A sudden, unexplained collapse resulting in unconsciousness, even when reported as a ground level fall, should be considered a MEDICAL cardiac arrect until proven otherwise.
- CORRECT ANSWER When cardiac arrest appears to be TRAUMATIC in nature, choose the Chief Complaint Protocol that best fits scene safety concerns and the mechanism of injury
- CORRECT ANSWER If the complaint description ibcludes scene safety issues, choose the Chief Complaint Protocol that best addresses those issues.
- CORRECT ANSWER If the complaint description suggests
TRAUMA, choose the Chief Complaint Protocol that best addresses the mechanism of injury.
- CORRECT ANSWER If the complaint description appears to be MEDICAL in nature, choose the Chief Complaint Protocol that best fits the patient's foremost symptom, with consideration given to priority symptoms.
- CORRECT ANSWER Abdominal pain/cramping anytime during pregnancy should be considered contractions until proven otherwise.
- CORRECT ANSWER Back Pain should only be selected as the Chief Complaint when it is initially clear on Case Entry that the cause is NON RECENT traumatic or NON TRAUMATIC back pain. If unclear go to Protocol 30.
- CORRECT ANSWER When the complaint description is breathingrelated tracheostomy (trach or stoma, problems in the conscious patient, go to Protocol 6.
- CORRECT ANSWER When the complaint description Involves both NON TRAUMATIC chest pain/HEART ATTACK symptoms and breathing problems, choose the Chief Complaint Protocol that best fits the patient's foremost symptom, with ECHOlevel conditions taking precedence. (>/16, alert, not pregnant. Do reported STROKE symptoms) Use the Aspirin Diagnostic & Instruction Tool on either protocol as appropriate.
- CORRECT ANSWER Since severe thermal burns to the eye almost always affect the face or head, go to Protocol 7 for these incidents.
- CORRECT ANSWER If pregnant patients have "illness" as the primary complaint, go to Protocol 26 unless the problem concerns vaginal bleeding, labor, MISCARRIAGE, or waters broken.
- CORRECT ANSWER If the complaint description involves sickle cell crisis/thalassemia, autonomic dysreflexia/hyperreflexia, or acute adrenal insufficiency/adrenal crisis/Addisonian crisis/Addison's disease, go to Protocol
- CORRECT ANSWER For abdominal and thoracic eviscerations, go to Protocol 27.
- CORRECT ANSWER Protocol 27 should not be used for insignificant or peripheral puncture wounds such as household pins, needles, tacks, or stepping on nails. Go to Protocol 21 or 30 as appropriate.
- CORRECT ANSWER For chest pain due to trauma (current or non receny, go to Protocol 30.
- CORRECT ANSWER For ground level falls caused by fainting, near fainting, or dizziness, go to Protocol 31.
- CORRECT ANSWER If the Chief Complaint and status of consciousness and/or breathing are unknown initially (3rd party caller), go to Protocol 32 Rules CORRECT ANSWER The EMD must weigh the dynamic and often conflicting priorities of obtaining and verifying a useful location versus helping the caller get to safety. If initial efforts to identity an exact location fail, it is essential that critical safety instructions be provided without further delay. Further attempts to locate can then be made to determine the street or highway of travel, direction of travel, and last cross street or identifiable objects seen.
- CORRECT ANSWER Some critical patient care instructions may be necessary prior to the "send* point. Any significant scene safety concerns take precedence and must be addressed before the provision of instructions.
- CORRECT ANSWER For a 1st party caller in a sinking vehicle, obtaining an exact location, when not immediately available, should not delay PAls. Further attempts to locate can be made following/during critical safety instructions as time/circumstance permits.
- CORRECT ANSWER Case Entry Questioning must always be completed after PDis when directed by (hanging, strangulation, suffocation, underwater, choking, person on fire).
- CORRECT ANSWER Use of the Breathing Verification Diagnostic is not necessary when UNCERTAIN BREATHING or INEFFECTIVE BREATHING is associated with unconsciousness.
- CORRECT ANSWER 1st party callers using phrases like "I can't breathe" or "I can barely breathe" may be further assessed by their ability to speak normally or in complete sentences, their level of apparent distress or agitation, and the presence of airway noises (i.e., stridor. wheezing, gasping, etc.. Breathing effectiveness ranges from normal breathing to mild shortness of breath to DIFFICULTY SPEAKING BETWEEN BREATHS to fighting for air (INEFFECTIVE BREATHING). When in doubt, the EMD should err on the side of patient safety. Axioms CORRECT ANSWER UNCERTAIN BREATHING status indicates a 2" party caller who has seen the patient and is still unsure. This is considered NOT BREATHING until proven otherwise.
