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ABFY Counties (Yakima Region) Protocols
January 2025 ↗
PDF document
697
Flashcards
361
Quiz questions
60
Medications
6
Resources
Study tools for ABFY Counties (Yakima Region) Protocols
A few real flashcards and quiz questions from Washington's own protocols — the full set, plus a spaced-review deck, is in the app.
Flashcards
P5: Jamshidi IO preferred site
The proximal tibia; if trauma, choose the leg least injured. Prep the anterior tibial plateau with betadine 1-3 cm below the tibial tuberosity, on the flat medial surface of the bone.
P11: Open cricothyrotomy landmark
Identify the cricothyroid membrane in the midline between the thyroid and cricoid cartilage. Consider marking the site or do not take your finger from the site after locating it.
P15: Needle angle and landmark for decompression
Insert the needle/catheter at a 90 degree angle to the chest wall directly over the superior aspect of the third rib into the second intercostal space. The intercostal nerve, artery and vein run beneath the ribs, so avoid this area.
P4: Proximal humeral EZ-IO insertion site
The most prominent aspect of the greater tubercle, 1 to 2 cm above the surgical neck. Abduction of the humerus should be avoided and securing the extremity should be routine.
C1: Definition of bradycardia for this protocol
Persistent symptomatic bradycardia or bradycardia causing hemodynamic changes.
C2: BLS care for cardiogenic shock
Establish and maintain airway. Administer O2 @ 10-15 L/min via nonrebreather mask. Frequent vital signs.
C3: BLS oxygen threshold for suspected cardiac chest pain
If SaO2 < 94% administer O2 to keep SaO2 ≥ 94%. Do not routinely use O2 if SaO2 ≥ 94%.
C5: Initial pulse and breathing check
Check carotid pulse and look for signs of breathing simultaneously for <10 seconds. If pulseless (or, in pediatrics, HR<60) initiate HQCC.
Quiz questions
In the C1 bradycardia algorithm, an ALS patient with stable narrow complex bradycardia does not respond to the initial 1 mg Atropine IVP. What does the protocol direct?
- Repeat Atropine 0.5 mg IVP, max dose 2 mg
- Give Adenosine 6 mg rapid IVP
- Give Atropine 2 mg IVP once, no repeat
- ✓ Repeat Atropine 1 mg IVP, max dose 3 mg
Per C2 cardiogenic shock, what fluid does the ILS provider give after establishing two large-bore IVs?
- 10 mL/kg crystalloid bolus
- Crystalloid at TKO rate only
- 20 mL/kg crystalloid bolus
- ✓ 30mL/kg crystalloid bolus
Per C5, what compression:ventilation ratio is used for an adult with 2 rescuers while awaiting the AED/defib?
- 30:2
- 15:2
- ✓ 10:1
- 5:1
In the C6 pulseless arrest algorithm, what energy is the 2nd shock on a Zoll for VF/pVT?
- ✓ 150 Joules
- 200 Joules
- 300 Joules
- 120 Joules
Per C10, after how long of resuscitation for persistent PEA (with EtCO2 < 20) is Medical Control contacted for discontinuation of efforts?
- 10 minutes
- 20 minutes
- 30 minutes
- ✓ 40 minutes
A patient meets P16 criteria for transcutaneous pacing. At what rate does the protocol say to set the pacer?
- 90-100 bpm
- 100-120 bpm
- ✓ 60-80 bpm
- 40-50 bpm
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