August 2009 Medic Protocol Quiz - Burns S502

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| By Jstoffolano
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Jstoffolano
Community Contributor
Quizzes Created: 1 | Total Attempts: 123
Questions: 10 | Attempts: 123

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August 2009 Medic Protocol Quiz - Burns S502 - Quiz

August 2009 Medic Protocol Quiz - Burns S502


Questions and Answers
  • 1. 

    August 2009 Medic Protocol Quiz - Burns S502 What is the age range for this protocol?

    • A.

      Age 16 and over

    • B.

      Over age 15

    • C.

      All ages

    • D.

      Age 8 and over

    • E.

      Age 2 and over

    Correct Answer
    C. All ages
    Explanation
    There is no age specified for this protocol and since is the only protocol for burns, this one applies for pediatric and geriatric patients as well. There may be other applicable protocols for these patients that do depend on age however (pain management and trauma triage for example).

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  • 2. 

    If the patient is unconscious or has any respiratory distress what do you need to do (if possible)?

    Correct Answer
    intubate
    intubate immediately
    tube
    endotracheal intubation
    intubation
    Explanation
    Airway compromise is a major immediate life threat and must be secured quickly if the patient has airway injury.

    Rate this question:

  • 3. 

    While in Paramedic School we all learned about burn patient fluid replaced, in reality is this something we will accomplish (or even attempt to start) in the course of our normal contact with these patients?

    • A.

      Yes

    • B.

      No

    Correct Answer
    B. No
    Explanation
    Parkland says 4mL x kg of body weight x total body surface area.

    So for a 220 pounder with 25% burned, 4x100x25 = 10,000mL over 24 hours; 5,000mL in first 8 hours, therefore only 625mL per hour. With a supposed 30 minute time from incident to arrival at the Trauma Center that’s 312mL.

    The guideline is recommended to be metered out well (like with an infusion pump) so be careful about what you give these patients.

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  • 4. 

    It is allowable start IVs or IOs through burned skin.

    • A.

      True

    • B.

      False

    Correct Answer
    A. True
    Explanation
    "Any port in a storm" These patients are critical and access is important. While not ideal it is allowable to gain vascular access through burned skin.

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  • 5. 

    What Greater Cincinnati Hospital(s) are most appropriate for Delhi Twp Fire to transport emergency burn patients to?    (can be more than one)

    • A.

      Children's Hospital Medical Center

    • B.

      Mercy Western Hills

    • C.

      University Hospital

    • D.

      Shriner's Hospital

    • E.

      The closest, no matter what.

    Correct Answer(s)
    A. Children's Hospital Medical Center
    C. University Hospital
    Explanation
    CHMC and UC are the only two American College of Surgeons Verified Level 1 trauma centers in the Greater Cincinnati area and both are designated as burn centers. Only after Emergency Department treatment do places like Shriner's take over as the next level of care.

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  • 6. 

    A burn of what body surface area percentage (or less) is allowed to be treated with local cooling?

    Correct Answer(s)
    10%
    10 percent
    ten percent
    ten
    10
    Explanation
    The correct answer is 10%, 10 percent, ten percent, ten, 10. This means that a burn of 10% or less of the body surface area is allowed to be treated with local cooling.

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  • 7. 

    What is the drug we give for pain management for burn patients?

    Correct Answer(s)
    morphine
    morphine sulfate
    morphine sulphate
    Explanation
    If you put MS and got it wrong, that is b/c the abbreviation MS is not clear enough for our documentation.

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  • 8. 

    What is the dosage of Morphine given for pain relief to a 25 kg pediatric patient under standing orders?

    Correct Answer(s)
    2.5 mg
    2.5mg
    2.5 milligrams
    2.5 milli grams
    Explanation
    Don't forget your units!!

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  • 9. 

    Where is the closest Emergency Hyperbaric chamber?

    • A.

      Kettering Hospital outside of Dayton

    • B.

      University Hospital

    • C.

      Drake Hospital

    • D.

      St. Elizabeth South Hospital

    Correct Answer
    A. Kettering Hospital outside of Dayton
    Explanation
    In Jan. 2009 UC closed their Hyperbaric chamber. Take isolated CO poisoning patients to any hospital, notify ASAP so they can arrange transport if needed.

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  • 10. 

    - Answer with just a number (example "9" or "67") - Do not enter a percent sign or write "percent" -What is the estimated body percent affected on a 1 year old patient who burned one whole leg, one whole arm, and their whole back.

    Correct Answer
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