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| Section | Objectives |
|---|---|
| Topic 1: Cardiology and Resuscitation | - Cardiac Emergencies
|
| Topic 2: Medical, Obstetrics and Gynecology | - Obstetrics and Gynecology
|
| Topic 3: EMS Operations | - Operational Procedures
|
| Topic 4: Airway, Respiration and Ventilation | - Airway Management
|
| Topic 5: Trauma | - Trauma Assessment and Care
|
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NEW QUESTION # 106
Which of the following actions are appropriate management for two-rescuer pediatric basic life support? Select the three correct options.
Answer: C,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 # 107
A 22-year-old patient fell and had pain in their right arm. The EMT began transporting the patient without splinting the arm. During transport, the patient's pain increased, and a deformity formed. The patient required surgical intervention for a displaced fracture. Based on this example, which of the following elements of negligence could be applied?
Answer: D
Explanation:
The correct answer is B. Causation.
Negligence in EMS requires four elements:
* Duty to act
* Breach of duty
* Causation
* Damages
Why B is correct (Causation):
* Causation means that the EMT's actions (or lack of action) directly caused harm to the patient.
* In this scenario:
* The EMT failed to splint the arm
* During transport, the injury worsened (deformity and displacement)
* This led to surgical intervention
* This clearly shows a direct link between the EMT's action and the patient's worsening condition.
Why the other options are incorrect:
* A. Damages # Refers to the actual harm or injury, which is present, but the question focuses on the relationship (cause)
* C. Duty to act # The EMT had a duty, but this is not what the scenario is emphasizing
* D. Breach of duty # Not splinting is a breach, but the key point is that this breach caused additional harm Exact Extracts:
* "Causation means that the EMT's actions directly resulted in injury to the patient."
* "Negligence requires duty to act, breach of duty, causation, and damages."
* "The provider's actions must be shown to have caused the harm."
References:
NREMT EMT Education Standards - EMS Operations (Medical/Legal)
National EMS Education Standards - Legal Responsibilities
NREMT Candidate Handbook - Negligence and Liability
NEW QUESTION # 108
A 38-year-old patient is unconscious with slow, shallow, and gasping breaths. The patient is not moving.
What should the EMT perform first?
Answer: C
Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
In anyunresponsive patient, the first step is toassess and open the airwayto determine patency and identify obstruction or inadequate breathing.
Gasping respirations (agonal) are not effective; they requireBVM ventilationsupport. The airway must be openbefore checking for a pulse or performing auscultation. A secondary assessment is performed only after primary survey and stabilization.
References:
AHA BLS Provider Manual (2020) - Unresponsive Patient Algorithm
NREMT Airway Skills - Primary Assessment
National EMS Education Standards - Airway, Breathing, Circulation (ABC) Sequence
NEW QUESTION # 109
When using START triage, which of the following patients would the EMT consider to be a red tag? Select the two answer options that are correct.
Answer: C,D
Explanation:
The correct answers are A and C.
START triage categorizes patients based on respirations, perfusion, and mental status (RPM). A red tag (Immediate) is assigned to patients who have life-threatening conditions that can be rapidly treated.
START Criteria for Red Tag (Immediate):
* Respirations > 30/min
* Capillary refill > 2 seconds or no radial pulse
* Unable to follow commands
Option A: Correct (Red Tag)
* The child is unconscious (cannot follow commands) # immediate red classification
* Capillary refill is 4 seconds ( > 2 seconds) # poor perfusion
* Meets two red criteria
Option C: Correct (Red Tag)
* Normal respirations (acceptable), BUT
* Capillary refill is 5 seconds ( > 2 seconds) # indicates poor perfusion/shock
* This alone qualifies for red tag
Why the other options are incorrect:
* B. Walking patient # Automatically categorized as green (minor) regardless of other findings
* D. No breathing after airway repositioning # Classified as black (deceased/expectant), not red
* E. Cannot walk but follows commands, normal breathing, normal pulse # Yellow (delayed) Exact Extracts:
* "Patients who can walk are tagged as minor (green)."
* "If capillary refill is greater than 2 seconds, tag the patient as immediate (red)."
* "If the patient cannot follow simple commands, tag as immediate."
* "If the patient is not breathing after airway repositioning, tag as deceased (black)." References:
NREMT EMT Education Standards - EMS Operations (Triage)
START Triage Guidelines - RPM (Respirations, Perfusion, Mental Status)
NREMT Candidate Handbook - Mass Casualty Incidents
NEW QUESTION # 110
Which of the following are signs or symptoms of a hypertensive emergency? Select the two answer options that are correct.
Answer: B,E
Explanation:
For this one, focus on what makes hypertension an emergency rather than just a high blood pressure reading:
evidence of acute end-organ involvement . Two important clues are headache from possible neurologic involvement and orthopnea from possible acute pulmonary edema/heart failure . Authoritative references on hypertensive emergency describe it as severe hypertension with target-organ damage such as pulmonary edema and neurologic symptoms, and headache is a common presenting complaint while orthopnea points to pulmonary congestion. ( NCBI ) So in an EMT testing context, the best two choices are B. Orthopnea and E. Headache because they fit the pattern of a hypertensive crisis with serious organ-system effects, not just isolated elevated blood pressure. ( NCBI )
NEW QUESTION # 111
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