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A second-party caller reports that a 45 - year-old female has been bitten by a snake. Key Questioning finds: snake is now dead patient is alert no difficulty breathing or swallowing What is the most appropriate Determinant Code? ✔✔ 2 - D- 4 An effective quality improvement program includes case review, feedback, and: ✔✔continuing dispatch education (CDE) MPDS words or phrases that have a specific dispatch definition are marked using: ✔✔all uppercase text (all capital letters) The Priority Symptoms are: ✔✔abnormal breathing, chest pain/discomfort (any), decreased level of consciousness, and SERIOUS hemorrhage An alert, 34 - year-old, first-party caller reports that he is having chest pain. Key Questioning finds: slight difficulty breathing
no difficulty speaking between breaths clammy no history of heart attack or angina no drugs or medications in the past 12 hours What is the most appropriate Determinant Code? ✔✔ 10 - D- 4 When using the MPDS, actual response assignments and emergency modes (lights-and-siren vs. no lights-and-siren) are predetermined by: ✔✔local Medical Control and EMS Administration You are using the Stroke Diagnostic Tool. The caller reports: slight difference in smile one arm higher than other (both raised, but unequally) said "The early bird catches the worm" correctly This should be considered: ✔✔STRONG evidence of stroke Which of the following is the best definition for "cervical cerclage"? ✔✔a surgical procedure meant to prevent premature dilation of the cervix and, therefore, premature labor A second-party caller reports that his 85-year-old sister says her heart is beating way too fast and she needs to go to the doctor. The patient is awake and breathing effectively. Immediately after completing Case Entry interrogation, you should go to: ✔✔Protocol 19: Heart Problems/A.I.C.D
If the caller believes a DNR (Do Not Resuscitate Order) should be ignored or is uncertain if a DNR is valid or in place, an appropriate response and resuscitation attempt should be made. ✔✔true Key Question 1 on Protocol 16 is "Is s/he completely alert (responding appropriately)?" According to MPDS standards, it is acceptable to read this question as "Is she completely alert and responding appropriately?" ✔✔false What is the most appropriate Chief Complaint Protocol to use when the caller is reporting autonomic dysreflexia/hyperreflexia? ✔✔26: Sick Person (Specific Diagnosis) Most emergency callers are uncooperative or hysterical. ✔✔false There is no way over the phone to tell whether STROKE-like symptoms are from a TIA (TRANSIENT ISCHEMIC ATTACK) or an acute STROKE. ✔✔true A second-party caller reports that his 52 - year-old wife is complaining of abdominal pain. The patient: is completely alert is breathing effectively has never been diagnosed with an aortic aneurysm describes the pain as a dull ache nearly fainted trying to get out of bed
has pain below the belly button (navel) What is the most appropriate Determinant Code? ✔✔ 1 - C- 3 A second-party caller reports that a 28-year-old female has just been struck by lightning. The patient is currently unconscious and not breathing at all. Which pathway should be selected on Protocol C, Panel 4? ✔✔Ventilations (V) 1st When using Protocol 22, which of the following body parts is considered PERIPHERAL? ✔✔hand The International Academies of Emergency Dispatch recommends that emergency dispatchers verify the address and callback number by repeating the information back to the caller. ✔✔false A second-party caller reports that an unconscious man is slumped over the steering wheel of his car in the parking lot of her apartment complex. The caller does not know if the patient is breathing. A note attached to the driver's side window says "Warning! Dangerous chemicals inside!" What is the most appropriate Chief Complaint Protocol to use for this case? ✔✔8: Carbon Monoxide/Inhalation/HAZMAT/CBRN In response to Case Entry Question 3, a 10 - year-old caller reports that he believes his 16 - year- old sister has drowned. She is currently at the bottom of the family swimming pool. What should you do next? ✔✔Send 14-E-2, provide Case Entry PDIs a and c, and then return to questioning.
What is the most appropriate Chief Complaint Protocol to use when the complaint description is a breathing-related tracheotomy (trach or stoma) problem in a conscious patient? ✔✔6: Breathing Problems Public safety agencies that fail to take appropriate remedial action against employees who demonstrate poor performance may be found liable for the employee's inappropriate actions based on the legal concept of: ✔✔negligent retention. The Gap Theory suggests that: ✔✔silent "gaps" during a call can elevate caller anxiety. A second-party caller is reporting that her 10-year-old daughter accidentally cut herself with a sharp knife and is bleeding all over. The patient is awake and breathing. In response to Key Question 1 on Protocol 21, the caller reports that the patient is bleeding from her cheek. What should you do next? ✔✔Ask Key Question 2 on Protocol 21. The symbol in the "Go To" column of a Chief Complaint Protocol directs you to: ✔✔use the Stroke Diagnostic & return to questioning. Which of the following is the best definition for "wake-effect collision"? ✔✔a traffic accident caused by the passage of an emergency vehicle that does not directly involve (hit) the emergency vehicle
A high school teacher reports that a 16-year-old student accidentally cut her finger off in the woodshop. There is some bleeding, but the bleeding is not SERIOUS. The patient is alert, and the accident happened about 5 minutes ago. What is the most appropriate Determinant Code? ✔✔ 30 - A- 2 A second-party caller reports that his wife is in labor. He does not believe they can get to the hospital in time. Key Questioning finds: 39 weeks pregnant cannot see any part of the baby yet third full pregnancy and delivery contractions 2 minutes apart no SERIOUS bleeding no HIGH RISK complications What is the most appropriate Determinant Code? ✔✔ 24 - D- 3 When a caller is having difficulty understanding you over the phone, speaking slower is generally more helpful than speaking louder. ✔✔True The symbol in the "Go To" column of a Chief Complaint Protocol directs you to: ✔✔go to PDIs, then DLS Links. A second-party caller is reporting that her 11 - year-old son burned his hand and arm when a recreational firework went off in his hand. Key Questioning finds:
The head-tilt is the only recognized method of airway control in the PAI dispatch environment. ✔✔true A second-party caller reports that his 17 - year-old friend was stabbed during a fight. During Case Entry, the caller reports that the patient is awake and breathing. Key Questioning finds: SERIOUS bleeding completely alert stabbed in abdomen one wound just happened What is the most appropriate Determinant Code? ✔✔ 27 - D-4S During Case Entry, a second-party caller reports that his 12 - year-old stepson is having a generalized (non-FOCAL/non-ABSENCE) seizure. Key Questioning finds: not more than one seizure in a row not diabetic epileptic (diagnosed seizure disorder) no history of STROKE or brain tumor jerking (twitching) stopped effective breathing verified using AGONAL BREATHING Detector What is the most appropriate Determinant Code? ✔✔ 12 - A-1E
According to the First Law of Chest or Back Pain, "hurts to breathe" should be considered the same as difficulty breathing until proven otherwise. ✔✔false On the Case Entry Protocol, use of the AGONAL BREATHING Detector is not necessary when UNCERTAIN BREATHING or INEFFECTIVE BREATHING is associated with unconsciousness. ✔✔true A third-party caller reports that a bus full of passengers just crashed into a large tree. The caller has no other information about the incident. What is the most appropriate Determinant Code? ✔✔ 29 - D-1b
