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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Primary Assessment | 39–43% | - Identification and management of life-threatening conditions - Initial patient assessment - Airway, breathing, and circulation management - General patient impression and priority determination |
| Topic 2: EMS Operations | 10–14% | - Documentation and legal aspects - EMS system roles and responsibilities - Emergency vehicle operations and safety - Incident command and multiple-casualty situations |
| Topic 3: Scene Size-Up and Safety | 15–19% | - Hazard recognition and management - Mechanism of injury / nature of illness - Scene assessment and safety protocols |
| Topic 4: Secondary Assessment | 5–9% | - Symptom assessment and history taking - Focused history and physical exam - Vital signs and monitoring |
| Topic 5: Patient Treatment and Transport | 20–24% | - Medical and trauma care interventions - Patient packaging and transport procedures - Medication administration and protocols - Communication with receiving facilities |
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NEW QUESTION # 66
Defusing sessions should do which of the following in order to be successful? Select the two answer options that are correct.
Answer: B,C
Explanation:
A defusing session is meant to be an early, immediate support intervention , not something delayed for days. In critical incident stress management resources, defusing is described as occurring the same day or within about 24 hours after the event to provide immediate support, while later, more formal debriefings are typically done afterward. ( Shared Health - Health Providers ) It also works best when responders are given a chance to talk openly and share information voluntarily in a supportive setting. The goal is discussion, normalization, and support, not forcing people to speak or turning the session into a rigid interrogation. SAMHSA describes CISM as using supportive interventions after stressful incidents, and forcing participation is not part of that model. ( SAMHSA )
NEW QUESTION # 67
A 3-year-old patient has drooling and stridor. The vital signs are BP 82/40, P 132, R 34, SpO# 94%, and T
102.4°F (39.1°C). Which of the following interventions should the EMT perform?
Answer: C
Explanation:
The correct answer is D. Apply humidified oxygen.
This patient presentation is highly suggestive of epiglottitis, a life-threatening upper airway infection commonly seen in pediatric patients.
Key findings:
* Drooling # inability to swallow secretions
* Stridor # upper airway obstruction
* Fever (102.4°F) # infection
* Anxiety and tachycardia # respiratory distress
Why D is correct:
* The priority is to maintain airway patency without agitating the child.
* Humidified oxygen helps improve oxygenation while minimizing airway irritation.
* It is the safest initial intervention in suspected epiglottitis.
Why the other options are incorrect:
* A. Visualize the airway # Can trigger complete airway obstruction due to swelling
* B. Suction posterior pharynx # May stimulate gag reflex and worsen obstruction
* C. Insert oropharyngeal airway # Contraindicated in conscious or semi-conscious patients and may cause airway collapse Exact Extracts:
* "Do not attempt to visualize the airway in suspected epiglottitis."
* "Avoid any procedure that may agitate the child and cause airway obstruction."
* "Provide humidified oxygen and transport promptly."
References:
NREMT EMT Education Standards - Airway, Respiration & Ventilation (Pediatric Airway) National EMS Education Standards - Pediatric Respiratory Emergencies NREMT Candidate Handbook - Airway Management
NEW QUESTION # 68
The ability to assess a situation quickly, appropriately take control, set action priorities, and give clear and concise direction can best be described as
Answer: D
Explanation:
The correct answer is A because these described qualities- rapid situation assessment, taking control, prioritizing actions, and giving clear direction -are core elements of leadership in EMS .
NREMT-aligned EMS education identifies leadership as the ability to direct others effectively, make decisions under pressure, and coordinate patient care activities , especially during emergency scenes.
Strong leadership ensures efficient scene management, clear communication, and optimal patient outcomes.
NEW QUESTION # 69
Following insertion of an oropharyngeal airway in an unresponsive 1-year-old male, he develops cyanosis and bradycardia. You should
Answer: B
Explanation:
The correct answer is A. Remove the airway and ventilate him.
In pediatric patients, improper placement or incorrect sizing of an oropharyngeal airway (OPA) can cause:
* Airway obstruction instead of opening
* Worsening hypoxia
* Leading to cyanosis and bradycardia
* The patient's cyanosis (low oxygen) and bradycardia (late hypoxia sign) indicate that the airway intervention has failed or worsened the situation.
* Immediate action is to:
* Remove the OPA
* Provide effective ventilations with BVM
* B. Continue ventilation with the airway in place # Incorrect because the airway is likely malpositioned or obstructing airflow
* C. Increase ventilation rate to 40-60 # Excessive and inappropriate; does not correct obstruction
* D. Start CPR if HR < 100 # In pediatrics, CPR begins if HR < 60 with poor perfusion, not < 100
* "If an airway adjunct worsens ventilation, it should be removed immediately."
* "Bradycardia in infants is a sign of hypoxia."
* "Ensure adequate ventilation before initiating compressions."
References:
NREMT EMT Education Standards - Airway, Respiration & Ventilation
National EMS Education Standards - Pediatric Airway Management
NREMT Candidate Handbook - Airway Management and Resuscitation
NEW QUESTION # 70
A patient with emphysema is displaying pursed lip breathing. Which of the following pathological responses is responsible for this type of breathing?
Answer: C
Explanation:
Pursed-lip breathing is a classic compensatory mechanism seen in patients with emphysema, a form of chronic obstructive pulmonary disease (COPD). According to NREMT education, emphysema is characterized by destruction of the alveolar walls, which leads to loss of lung elasticity. This loss prevents the small airways from remaining open during exhalation.
Option A is correct because pursed-lip breathing creates positive pressure in the airways during exhalation.
This pressure helps keep collapsed airways open longer, allowing trapped air to escape and improving ventilation. It also reduces the work of breathing and helps alleviate dyspnea.
Option B is incorrect because decreased hemoglobin affects oxygen-carrying capacity, not airway mechanics or breathing patterns.
Option C is more commonly associated with chronic bronchitis, not emphysema.
Option D is incorrect because diaphragmatic dysfunction is not the primary cause of pursed-lip breathing.
NREMT emphasizes recognizing compensatory breathing patterns in chronic lung disease to guide supportive care, including oxygen administration and positioning.
NEW QUESTION # 71
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