Acadian Protocols

Question 1

List MOI’s that indicate minimum status 3 PT:

Answer 1

• falls over 10 feet
• MVA with intrusion of 12 inches occupant site, 18 inches passenger
• MVA with injection (partial/ complete)
• MVA with death of occupant
• MVA with unsecured pediatric
• auto vs ped >20 mph impact
• motorcycle crash >20 mph

Question 2

List mandatory equipment for emergency:

Answer 2

• O2
• cardiac monitor
• suction device
• ALS equipment

Question 3

List 5 criteria for status 1 adult PT:

Answer 3

• new onset GCS <13 or <2 normal GCS
• respiratory rate <10 and >29
• acute SPO2 <90
• systolic BP <90
• HR <45 or >145

Question 4

List 3 criteria for status 1 pediatric:

Answer 4

• poor muscle tone
• increased work of breathing
• reduced circulation of alin

Question 5

What is the age range for pediatrics?

Answer 5

12 and younger

Question 6

List 9 secondary assessments- trauma positive findings for status 2:

Answer 6

• all penetrating injuries
• chest wall instability
• two or more proximal long bone fractures
• crushed, degloved, mangled or piled less extremity
• amputation proximal to wrist /ankle
• pelvic fractures
• skull deformity / fracture
• paralysis
• active bleeding requiring wound packing / tourniquet
• unable to follow simple commands (motor GCS <6)
• heart rate >systolic BP

Question 7

List 2 secondary assessments- medical positive findings (status 2):

Answer 7

• STEMI (angina-type chest pain)
• new onset stroke

Question 8

If needed 12 lead should be done within ?

Answer 8

10 minutes

Question 9

List 3 circumstances when a stays 1 PT can be made status 3:

Answer 9

• successfully treated hypoglycemia
• successfully treated narcotic OD
• anxious , hyperventilating PT w/ initial respiratory rate >29

Question 10

Definitive care hospital for ROSC PT is :

Answer 10

Temperature targeted management facility

Question 11

Definitive care hospital for STEMI pt is Hosptial with ?

Answer 11

Per cutaneous coronary intervention (PCI)

Question 12

Definitive care hospital for non-trauma Peds is ?

Answer 12

24/7 pediatric ICU/NICU

Question 13

What is needed if PT Choice of hospital is not definitive care ?

Answer 13

AMA (against medical advice )

Question 14

List three conditions where the closest hospital is the definitive care hospital?

Answer 14

• cardiac arrest
• uncontrolled airway
• tension pneumothorax

Question 15

A status 3 patient is any patient that requires?

Answer 15

• ALS and interventions at a general care hospital

Question 16

List six acceptable reasons for diversion of a status 1 or 2 patient

Answer 16

1. Patient’s medical condition warrants transported to an different hospital for stabilization
2. Non-Functioning diagnostic capabilities.
3. Mass casually incident
4. ED closure
5. No general surgery.
6. ED saturation

Question 17

When can a status 3 or 4 patient be diverted?

Answer 17

If ED is close to all incoming patients

Question 18

List 6 unacceptable reasons for diversion of a status 1or 2 patient:

Answer 18

1. ICU saturation
   2.