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| Section | Objectives |
|---|---|
| Topic 1: EMS Operations | - Operational Procedures
|
| Topic 2: Airway, Respiration and Ventilation | - Airway Management
|
| Topic 3: Cardiology and Resuscitation | - Cardiac Emergencies
|
| Topic 4: Trauma | - Trauma Assessment and Care
|
| Topic 5: Medical, Obstetrics and Gynecology | - Obstetrics and Gynecology
|
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NEW QUESTION # 242
When using the SALT method for triage, which of the following interventions should the EMT perform during the individual assessment step?
Answer: B
Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
SALT(Sort, Assess, Lifesaving interventions, Treatment/Transport) is a mass casualty triage method recommended by theCDC and the National Association of EMS Physicians (NAEMSP). During the
"Assess" step, responders:
* Checkrespirations
* Providelifesaving interventionssuch asrescue breathsif the patient is not breathing but has a pulse
* Evaluatementation(e.g., ability to follow commands)
Airway adjuncts and full transport do not happen at this stage. Scorecards and pediatric-specific modifications are addressed later in the protocol.
References:
NREMT EMS Operations - Mass Casualty and Triage Guidelines
CDC SALT Mass Casualty Triage Guidelines
National EMS Education Standards - Disaster Response
NEW QUESTION # 243
A 6-year-old patient has difficulty breathing. Lung sounds reveal wheezing. The patient ' s skin is cool and clammy. The respiratory rate is 32/min, and SpO2 88% on room air. Which of the following actions should the EMT administer to this patient first, and why?
Answer: D
Explanation:
The correct answer is A because during the primary assessment , the priority is to correct hypoxia immediately . This patient has an SpO# of 88% , indicating significant hypoxemia , along with signs of respiratory distress (tachypnea, wheezing, cool clammy skin).
NREMT-aligned guidance emphasizes that oxygen administration is the first intervention in patients with inadequate oxygenation. High-flow oxygen via a non-rebreather mask (NRB) is appropriate for a patient who is still breathing spontaneously but is hypoxic.
While wheezing suggests bronchoconstriction and albuterol may be needed, oxygenation takes priority first in the treatment sequence.
NEW QUESTION # 244
A 24-year-old patient was involved in an MVC. The EMT is completing the patient care report. Which of the following statements indicate pertinent negatives? Select the two correct options.
Answer: D,E
Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
Pertinent negativesare findings that arenot present, butwould be clinically relevant if they were. For example:
* "No neck or back pain"helps rule out spinal injury
* "No loss of consciousness"informs head trauma assessment
Statements about behavior or initial refusal (B, E) may be documented under patient behavior or refusal, but they are not pertinent negatives. Positive findings like abdominal tenderness arepertinent positives.
References:
NREMT Documentation Standards
National EMS Education Standards - Communication and Documentation
Brady Emergency Care (13th ed.) - Patient Care Reporting
NEW QUESTION # 245
An EMS unit is dispatched to a mass casualty incident along with police and fire resources. Which command structure, singular or unified, should the crew expect to find in use?
Answer: D
Explanation:
When an incident involves multiple agencies with shared responsibility, NREMT teaches that a Unified Command structure is used. This allows police, fire, EMS, and other agencies to work together under a common set of objectives while maintaining their individual authority.
Option C is correct because the defining feature of unified command is multi-agency involvement, not rank or arrival order.
Option A is incorrect because no single agency automatically has authority.
Option B misunderstands unified command, which still functions with coordinated leadership.
Option D is incorrect because EMS does not automatically become part of command.
NREMT emphasizes unified command to improve coordination, communication, and safety during MCIs.
NEW QUESTION # 246
A 43-year-old patient is experiencing a sudden onset of coughing, nausea, and shortness of breath. The patient has a history of alcohol use disorder and major depressive disorder. The patient spent the day cleaning. The kitchen has food in various forms of decay. The patient's condition improves slightly once oxygen has been administered. Which of the following environmental factors is the most likely cause of the patient's presentation?
Answer: A
Explanation:
Comprehensive and Detailed Explanation (Based on NREMT standards):
Sudden respiratory symptoms following prolonged cleaning strongly suggest chemical inhalation, particularly from cleaning agents such as ammonia or bleach. Mixing chemicals or using them in poorly ventilated areas can release toxic gases that cause coughing, nausea, and dyspnea.
Option D is correct because inhaled chemical irritants commonly cause acute respiratory distress that improves with oxygen therapy.
Option A typically causes chronic symptoms, not sudden onset.
Option B does not cause respiratory distress.
Option C does not explain the environmental exposure or oxygen response.
NREMT emphasizes recognizing environmental hazards and removing patients from the source while providing supportive care.
NEW QUESTION # 247
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