Communication & Documentation
This type of communication ensures continuity of care by recording what was seen, done, and the patient’s response.
What is documentation?
The adult dose of aspirin for suspected cardiac chest pain is this.
What is 324 mg (usually four 81 mg tablets)?
This lung sound is high-pitched and indicates lower airway narrowing.
What is wheezing?
Cpain caused by reduced blood flow to the myocardium is called this.
What is angina?
Adult CPR compression-to-ventilation ratio for single or two rescuers is this.
What is 30:2?
When must you update incoming paramedics or hospital staff with a concise patient summary?
What is during handoff/transfer of care?
The adult dose of nitroglycerin is this amount, given every 5 minutes up to three doses if blood pressure allows.
What is 0.4 mg sublingual?
This condition is characterized by fluid in the alveoli, often from heart failure.
What is pulmonary edema?
This medication is given to chest pain patients to reduce platelet aggregation.
What is aspirin?
Compressions should be at least this deep in an adult.
What is at least 2 inches (5 cm)?
This legal document records assessment findings, treatment, and patient response.
What is a patient care report (PCR)?
his medication is indicated for bronchospasm and is typically given at a dose of 2.5 mg via nebulizer.
What is albuterol?
A COPD patient with an SpO₂ of 88% on room air should initially receive this oxygen device.
What is a nasal cannula?
Crushing chest pain lasting more than 20 minutes and not relieved by rest suggests this condition.
What is myocardial infarction?
This device analyzes heart rhythm and advises shocks when appropriate.
What is an AED?
You document “patient appears intoxicated” without assessment findings to support it. This is an example of this documentation error.
What is subjective or opinion-based documentation?
You should NOT administer nitroglycerin if the systolic blood pressure is below this number.
What is 100 mmHg? (I will accept 90 but it depends on your local protocol)
You respond to a 24-year-old with a history of asthma. He is tripoding, speaking one-word sentences, has audible wheezing, respiratory rate of 32, and SpO₂ of 89% on room air. He has already used his inhaler twice with no relief.
Your most appropriate next intervention is this.
What is assist with albuterol via nebulizer (and administer high-flow oxygen)?
You respond to a 58-year-old male complaining of severe, crushing chest pain radiating to his left arm. He is diaphoretic, nauseated, and pale. His BP is 92/58, pulse is 120 and irregular, and SpO₂ is 94% on room air.
Your initial interventions should focus on these actions.
Apply oxygen as tolerated, obtain vitals, prepare for rapid transport and administer aspirin if no contraindications. (must have at least 2 of these)
After ROSC, maintaining adequate oxygenation and monitoring blood pressure is part of this phase of care.
What is post–cardiac arrest care?
Falsifying or omitting information on a PCR can result in this legal consequence.
What is negligence (or liability/legal action)?
A patient with chest pain took sildenafil within the last 24–48 hours. Giving nitroglycerin could result in this life-threatening complication.
What is severe hypotension?
You respond to a 68-year-old with a history of CHF. He is sitting upright, extremely anxious, pale, diaphoretic, BP 188/110, RR 30 with crackles in all lung fields, and pink frothy sputum. SpO₂ is 82% despite high-flow oxygen via nonrebreather.
The most appropriate prehospital intervention is this.
What is initiate CPAP?
You arrive at a grocery store to find a 65-year-old male who suddenly collapsed while walking. He is conscious but extremely short of breath, clutching his chest, and appears pale and sweaty. His pulse is 120 and irregular, BP 88/60, and SpO₂ 86% on room air. He reports a history of high blood pressure and takes no heart medications today.
What are your immediate priorities as an EMT, and what steps do you take to stabilize him before and during transport?
What is ABC's, oxygen, vitals, rapid transport, be prepared for CPR, reassure the patient and call for ALS if needed. (will accept no less than 2)
High-quality CPR includes minimal interruptions, full recoil, and this recommended compression rate.
What is 100–120 compressions per minute?