Airway and Vent
You arrive on scene to a patient you determine has an adequate airway. Which of the following signs would confirm this?
The patient is able to speak in full sentences
You are performing chest compressions on an adult patient. What is the proper rate and depth at which you should be performing them?
100-120 compressions per minute at 2 inch depth
You arrive to a scene of a man lying unconscious on the ground. You do not know the mechanism of injury, but notice no visible signs of trauma. What should you ALWAYS assume?
He has a spinal injury
Which of the following is a main function of the liver?
Remove toxins from blood supply
How often should you check the equipment in the ambulance?
At the beginning of the shift.
Clubbing of the fingers is caused by which of the following?
Chronic hypoxia
Which artery should be palpated in an infant?
Brachial artery
Which of the following organs in the left upper quadrant is MOST likely to be injured?
Spleen
When are infants at the highest risk for Sudden Infant Death Syndrome (SIDS)?
1 to 4 weeks after birth
The community expects EMS providers to be fast and knowledgable in emergency situations; they are welcomed into homes with the trust of the patient to take care of him or her and do no harm. What is this expectation known as?
Ethics
A 72 year-old male is found unresponsive and not breathing. You begin treating his airway but he begins to vomit. What is the next best step?
Suction his airway to clear vomit, then proceed to ventilate
A 85 year-old male presents to you with complaints of shortness of breath and "not feeling right". You notice he is pale and diaphoretic. He has a wet cough with pink, frothy sputum, and no fever. His vitals are as follows: BP 168/92, HR 144, RR 24 per minute, and SpO2 92% on room air. What do you suspect?
Pneumonia, transport supine with nasal cannula at 2L/min
You are on scene of a motorcycle accident. The patient was not wearing a helmet. The patient is responding to painful stimuli and keeps complaining of a "killer headache". His vital signs are as follows: BP 176/94, HR 48, RR 8 breaths per minute. Soon after, he begins to vomit. What do you suspect?
Increased intracranial pressure
You arrive on scene to a 20 year-old male working at a campground for the past month. His coworkers state he has been acting not himself lately. They state he does not drink or do drugs. You notice the patient's eyes are dazed and he is having a hard time staying awake. You find purple spots on his upper chest and his skin is warm. What do you suspect?
Meningitis
How should you communicate to a child of preschool age?
Speak in a calm voice and smile often
You are on scene with a 20 year-old male having an acute asthma attack. He states he took four puffs of his inhaler but it did not help. He is speaking in 2-3 word sentences and standing in the tripod position. You should...
Administer oxygen via nonrebreather mask, place patient in comfortable position, then rapidly transport to hospital
Which of the following best describes ischemia?
Lack of blood flow or oxygen to tissue
A 23 year-old patient was rescued from a house fire. He has burns on his chest, abdomen, and anterior surface of both his legs. Which of the following would be the total body surface area burned using the rule of 9s?
36%
Which of the following is the primary role of red blood cells?
Deliver oxygen
You arrive on scene to a building fire. There are many people sitting across the street with various degrees of smoke inhalation injuries. You should...
Begin triaging patients and call for additional ambulances
How is the majority of oxygen delivered to the cells of the body?
Hemoglobin
Which of the following would CAUSE a decreased cardiac output?
Decreased heart rate
A 24 year-old male has been thrown from his motorcycle. He responds and flexes to painful stimuli and is making incomprehensible sounds. You determine he has multiple rib fracture but his chest wall is stable. His vital signs are as follows: BP 92/70, HR 116, RR 22 per minute, SpO2 90% on room air. What do you suspect?
Hemopneumothorax
Your patient is in anaphylaxis and you administer an EpiPen. Which of the following effects of epinephrine helps to reduce hypotension?
Alpha-1 effects
You arrive on scene to a 57 year-old with complaints of difficulty breathing after mowing the lawn. He is alert, oriented, and able to follow verbal commands. His spouse is very concerned and the one who called 911. His vital signs are as follows: BP 122/80, HR 102, RR 24 breaths per minute, SpO2 98% on room air. The patient states he does not want to go to the hospital. What is the best next step?
Tell him the consequences of refusing care