Professional Practice
Patient Assessment
Trauma Care
Airway, BLS & Medications
Medical & Operations
100
Mid-assessment, a capable patient says “stop.” What must the EMR respect before continuing non-emergent care?
What is withdrawal of consent?
100
During the primary survey, which finding demands treatment before a complete history: a bruise or absent normal breathing?
What is absent normal breathing?
100
In ITLS-informed trauma care, which primary-survey sequence starts with catastrophic haemorrhage?
What is CABC?
100
Visible emesis and gurgling obscure the airway. What intervention must precede effective BVM ventilation?
What is suction?
100
After a food exposure, wheeze, hypotension, and facial swelling develop. What time-sensitive treatment is required under protocol?
What is epinephrine for anaphylaxis?
200
An alert patient refuses transport but cannot explain foreseeable consequences. What must be assessed before accepting the refusal?
What is decision-making capacity?
200
A chest-pain call requires symptom analysis plus medical history. Which paired tools prevent key omissions?
What are OPQRST and SAMPLE?
200
Pulsatile limb bleeding continues despite firm direct pressure. What should be applied, documented, and not intermittently loosened?
What is a commercial tourniquet?
200
A patient has a pulse but inadequate respirations. What action supports oxygenation while confirming effectiveness clinically?
What is BVM ventilation with chest rise?
200
A suspected opioid overdose has cyanosis and very slow breathing. What care corrects hypoxia before or alongside reversal?
What are ventilation and naloxone?
300
A neighbour asks why an ambulance attended. Without consent or lawful authority, what duty limits disclosure?
What is confidentiality?
300
After treatment, one normal vital sign contrasts with worsening skin signs and mental status. What comparison detects deterioration?
What is trending?
300
A patient with midline tenderness after a high-risk mechanism needs movement minimized. What protective strategy is indicated?
What is spinal motion restriction?
300
An adult is pulseless and apnoeic. What two actions should occur with minimal interruption?
What are high-quality CPR and immediate AED use?
300
Before hands-on assessment of an ill child, what rapid framework considers appearance, work of breathing, and circulation?
What is the Paediatric Assessment Triangle?
400
The leader orders epinephrine; the partner repeats the order, gives it, and reports completion. What method prevents error?
What is closed-loop communication?
400
New unilateral weakness and confusion: what two assessments help identify stroke signs and a reversible mimic?
What are a focused neurologic assessment and glucose check?
400
Blunt chest trauma plus worsening dyspnea, hypotension, and unilateral diminished breath sounds should trigger concern for what priority?
What is a time-critical chest injury?
400
A low glucose reading is present, but the patient cannot follow commands or swallow. What treatment must be avoided?
What is withholding oral glucose?
400
Unknown vapour causes coughing in several bystanders. Without appropriate PPE, what must happen before the EMR approaches?
What are staging, isolation, and HazMat-resource request?
500
Which four elements make a high-risk refusal defensible?
What are risk explanation, alternatives, capacity, and documentation?
500
Your assessment is incomplete, but consciousness and perfusion decline. What decision overrides further on-scene detail?
What is transport priority based on instability?
500
After life threats are addressed, what three ITLS-informed decisions prevent avoidable scene delay?
What are critical intervention, destination choice, and rapid transport?
500
Before medication assistance, what safety checks must be confirmed beyond simply matching the drug label?
What are medication rights, indication, contraindications, and authorization?
500
A multiple-casualty scene overwhelms initial resources. What system organizes priorities before definitive treatment?
What are incident command, primary triage, and resource coordination?