Airway Management
When performing a head-tilt chin-lift, what step should be done?
Apply backwards pressure to the pts forehead while gently lifting up on the chin.
What is the proper flow rate for a non-rebreather mask? (LPM and reservoir bag)
10-15lpm
1/3 depletion of the reservoir bag
What is a contraindication(s) to providing nitro to a 62y/o male with crushing chest pain that does not go away with rest?
Low Blood pressure below 100 systolic
ED meds in the past 24hrs .
Already taken max dose of 3 tablets/sprays
What is the most important role as an EMT when responding to a cardiac arrest to increase the pt. survival rate?
Early Defibrillation
Which device is best for clearing oral secretions from an adult patient's airway?
suction unit
You are attempting to ventilate an apneic patient with a bag-valve-mask, but air is leaking around a poor mask seal. What should you do NEXT to improve ventilations if you suspect a neck injury?
Have your partner help secure the mask to the pts. face
Which of these describes the best oxygen flow for a bag-valve-mask with a reservoir bag?
15-25LPM
You find a pt. who is unconscious with a firm abdomen. What type of consent applies to treating this patient?
implied consent
What are the two dysrhythmias an AED can shock?
Ventricular Fibrillation
Pulseless Ventricular Tachycardia
You are using a bag-valve-mask, but it lacks one part. Which part can be missing and still allow ventilations?
Reservoir bag
You observe very little chest wall movement and the patient's lips are turning dusky-blue. What is the most likely cause of the lip color change?
Hypoxia
You are assisting with ventilations on a cardiac arrest patient. No chest rise is observed. What is your next step?
Open pts. airway and assess for airway obstruction
What assessment tool provides the greatest information for a patient complaining of chest pain?
OPQRST and SAMPLE
Where is lead V4 placed while placing a 12-lead?
5th intercostal space, midclavicular line
A patient is being transported and prefers to be positioned semi-fowler's. What does this mean?
the patient is positioned on their back with the upper body elevated at about a 45 degree angle to the floor
What technique do you use to ventilate an adult patient with a stoma?
Use a pediatric BVM mask attached to an adult BVM
What care should you provide to an unresponsive patient with suspected hypoxia who is breathing adequately?
Supplemental oxygen via NRB
You are called to the scene of a pedestrian hit by a car. The patient is unresponsive, with pale skin, a weak radial pulse, and no significant external bleeding. What should you suspect?
What is most likely causing a patient with equal lung sounds, jugular venous distension, and sudden shortness of breath after knee surgery?
Pulmonary Embolism
A patient is showing late signs of shock what is the latest sign you would expect to see?
low blood pressure
What 5 airway devices/techniques are appropriate for an unresponsive patient that is unable to manage their own airway?
BVM, OPA, NPA, head tilt chin lift, jaw thrust
You have a pt. breathing 14-16 times per minute, which seem shallow, she has pale skin, and is tachycardiac. Which sign above indicates inadequate breathing?
shallow breathing
After finding a patient with abdominal pain and a firm abdomen, what should you do NEXT?
Treat for shock by covering with blanket to conserve body heat, supplemental O2 via NRB, and rapid transport
What would you suspect if you are presented with a 72 year old male, who has unequal blood pressures?
AAA
List the steps in order of how you would care for a 47y/o that you found unresponsive in bed.
1. Check for breathing & pulse no longer than 10 seconds
2. Call for ALS
3. Move to firm surface
4. Start chest compression 30: 2 ventilations
5. Attach AED and follow directions