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| Section | Objectives |
|---|---|
| Cardiology & Resuscitation | - Cardiac emergencies
|
| Medical, Obstetrics & Pediatrics | - Medical emergencies
|
| Airway, Respiration & Ventilation | - Airway management
|
| EMS Operations | - Operational procedures
|
| Trauma | - Traumatic injuries
|
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NEW QUESTION # 255
The most common finding in a patient who is experiencing a sickle cell crisis is
Answer: A
Explanation:
Sickle cell crisis (vaso-occlusive crisis) occurs when abnormally shaped red blood cells obstruct blood flow, leading to:
* Severe localized or generalized pain (most common symptom)
* Often in the back, chest, abdomen, or long bones
Hypoxia may be a contributing factor, but pain is the most reported reason for EMS activation. Cardiac arrhythmias and hypertension are not primary symptoms of sickle cell crisis.
References:
NREMT Medical Guidelines - Hematologic Disorders
AAOS Emergency Care and Transportation (11th ed.) - Chapter on Hematologic Emergencies National Heart, Lung, and Blood Institute - Sickle Cell Disease Management
NEW QUESTION # 256
Which of the following actions are appropriate management for two-rescuer pediatric basic life support? Select the three correct options.
Answer: A,E,F
Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
For pediatric BLS with two rescuers, current AHA Guidelines (2020) recommend:
* Two-thumb encircling hands technique: Most effective for infants; provides consistent depth and control.
* Compression ratio of 15:2: Enhances ventilation without compromising perfusion.
* Compression depth: 1/3 of chest or approximately one-half the chest's depth.
CPR begins if pulse <60 bpm with signs of poor perfusion, not at 72 bpm. Rate of 180/min is excessive; ideal rate is 100-120/min.
References:
AHA BLS Provider Manual (2020) - Pediatric BLS Section
NREMT Cardiology and Resuscitation Module
Pediatric Advanced Life Support (PALS) Guidelines
NEW QUESTION # 257
When assessing an unresponsive diabetic patient, a finding that is most helpful to differentiate between hyperglycemia and hypoglycemia is
Answer: A
Explanation:
In an unresponsive diabetic patient, EMTs must rapidly determine whether the cause is hypoglycemia (low blood glucose) or hyperglycemia (high blood glucose) because immediate management priorities differ.
According to NREMT education, skin signs are the most reliable and quickly observable indicator when a blood glucose reading is not immediately available.
Hypoglycemia typically presents with cool, pale, and diaphoretic skin due to a sympathetic nervous system response. In contrast, hyperglycemia often presents with warm, dry skin, reflecting dehydration and lack of insulin-mediated glucose uptake.
Option D is correct because skin color and condition provide the most useful differentiation in the field.
Option A may help identify diabetic ketoacidosis (Kussmaul respirations) but is not the most consistent finding.
Option B is unreliable and nonspecific.
Option C may vary but does not clearly distinguish between the two conditions.
NREMT emphasizes treating unresponsive diabetics as hypoglycemic until proven otherwise, while using skin findings to guide clinical suspicion.
NEW QUESTION # 258
A 24-year-old male was injured in an explosion at a large factory. He is breathing shallowly at a rate of 40 and his capillary refill is 3 seconds. What color should you assign him for triage?
Answer: A
Explanation:
Using the START triage system, patients are categorized based on Respirations, Perfusion, and Mental Status (RPM).
A respiratory rate greater than 30 breaths per minute immediately qualifies the patient as RED (Immediate).
Additionally, delayed capillary refill ( > 2 seconds) further supports this classification.
Option A is correct.
Option B applies to stable patients who can wait.
Option C is for deceased or nonsalvageable patients.
Option D is for minor injuries.
NREMT teaches that patients with compromised airway or perfusion are the highest priority.
NEW QUESTION # 259
A choking patient becomes unresponsive. What should the EMT perform next? Select the two correct options.
Answer: C,E
Explanation:
If a choking patient becomes unresponsive, EMTs should:
* Check for a pulse
* Begin chest compressions if no pulse is foundChest compressions can help dislodge the object. After compressions, the airway should be opened and inspected. Back blows are not appropriate for unconscious patients.
Ventilation is attempted after clearing the airway or if no object is seen. Do not withhold compressions waiting for object removal.
References:
AHA BLS Provider Manual (2020) - Foreign Body Airway Obstruction Algorithm NREMT Airway Skills Sheet - Obstructed Airway National EMS Education Standards - Respiratory and Airway Management
NEW QUESTION # 260
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