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| Section | Objectives |
|---|---|
| Airway, Respiration and Ventilation | - Airway Management
|
| EMS Operations | - Operational Procedures
|
| Medical, Obstetrics and Gynecology | - Obstetrics and Gynecology
|
| Trauma | - Trauma Assessment and Care
|
| Cardiology and Resuscitation | - Cardiac Emergencies
|
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NEW QUESTION # 73
A 65-year-old patient with a history of angina reports chest pain and shortness of breath after playing golf.
The patient stated the pain began one hour ago and has not stopped with rest. The vital signs are BP 86/64, P
112, R 22, and SpO# 89% on room air. Which of the following actions should the EMT do next?
Answer: D
Explanation:
This is a high-risk cardiac event due to unstable angina or possible myocardial infarction. The EMT should:
* Administer oxygen if SpO# is < 94%
* Avoid nitroglycerin if systolic BP is < 90 mmHg
* Obtain a 12-lead ECG to identify ST-elevation MI (STEMI) and transmit it if trained and authorized CPAP is indicated for pulmonary edema, and albuterol is for bronchospasm, neither of which applies here.
References:
AHA ACLS and BLS Guidelines - ACS Management
NREMT Cardiology Guidelines - Chest Pain/MI
National EMS Education Standards - Cardiovascular Emergencies and ECG Recognition
NEW QUESTION # 74
The principle of Good Samaritan laws provides for
Answer: A
Explanation:
Think of Good Samaritan laws as laws meant to encourage someone to help in an emergency without being overly afraid of being sued afterward . In EMS education, the key legal idea is that these laws generally aim to limit civil liability for people who voluntarily provide emergency aid in good faith. That matches "decreasing the chance of civil liability." ( NCBI ) This is why C is the best NREMT-style answer. The protection is not absolute, and it does not mean a person can act recklessly, but the main principle is reducing fear of civil lawsuits so emergency assistance is more likely to be given. ( NCBI )
NEW QUESTION # 75
A 19-year-old patient has received multiple stab wounds. The patient is unresponsive. The vital signs are BP
82/60, P 116, R 28, and SpO2 86%. Which substance would the EMT expect to increase in the patient ' s body?
Answer: A
Explanation:
The patient is in hypoperfusion (shock) from blood loss. In shock states, tissues are deprived of oxygen, leading to anaerobic metabolism, which produces lactic acid as a byproduct. This causes metabolic acidosis, which is a critical sign of systemic oxygen debt.
Carbon dioxide rises with respiratory failure, but lactic acid is a more specific indicator of cellular hypoxia.
References:
NREMT Medical Emergencies: Shock
Brady Emergency Care, Chapter: Shock and Resuscitation
Advanced EMT Curriculum - Pathophysiology of Shock
NEW QUESTION # 76
A 16-year-old patient has suicidal ideations. How should the EMT proceed?
Answer: B
Explanation:
The best next step is to ask directly whether the patient has a plan to hurt themselves . In behavioral emergency care, EMTs are taught not to ignore suicidal statements and not to be vague about them. A direct question about plan and intent helps determine the immediacy of the danger and guides safe management and transport decisions. National suicide-prevention guidance also recommends asking whether the person is thinking about killing themselves as a core first action. ( National Institute of Mental Health ) In plain EMT terms: a teenager saying they have suicidal thoughts is a patient who needs a calm, focused assessment of risk , and asking about a specific plan is part of that assessment. ( PMC )
NEW QUESTION # 77
The key to effectively managing a multiple casualty incident is to
Answer: C
Explanation:
The foundation of effective multiple-casualty incident (MCI) management is the Incident Command System (ICS). NREMT teaches that ICS provides clear leadership, communication, accountability, and coordination of resources.
Option D is correct because ICS allows for scalable management, efficient delegation, and integration of multiple agencies.
Option B is important but is a component of ICS, not the core principle.
Option C is a tactical step that occurs within the command structure.
Option A misunderstands ICS, as command is established based on arrival, not rank alone.
NREMT stresses that without ICS, MCIs become chaotic and unsafe, regardless of clinical skill.
NEW QUESTION # 78
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