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| Section | Objectives |
|---|---|
| EMS Operations | - Operational procedures
|
| Airway, Respiration & Ventilation | - Airway management
|
| Medical, Obstetrics & Pediatrics | - Medical emergencies
|
| Cardiology & Resuscitation | - Cardiac emergencies
|
| Trauma | - Traumatic injuries
|
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NEW QUESTION # 162
A 24-year-old patient is in cardiac arrest after being submerged in cold water. Which of the following circumstances should occur prior to considering termination of resuscitation efforts?
Answer: C
Explanation:
Cold-water submersion changes the usual cardiac arrest approach because hypothermia can slow metabolism and sometimes preserve viability longer than expected . That is why EMS and resuscitation teaching emphasizes the principle often summarized as "not dead until warm and dead." In other words, before stopping resuscitation in a hypothermic drowning patient, the patient should be adequately rewarmed first. Resuscitation guidance for hypothermic cardiac arrest states that termination decisions should generally wait until rewarming has occurred, commonly to at least about 32°C (90°F) if there is still no return of circulation. ( wms.org ) So the correct choice is A because rewarming is the key condition that must happen before considering termination in this kind of case. ( RCEM Learning )
NEW QUESTION # 163
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 # 164
A 60-year-old patient has crushing, midsternal chest pain that began about 5 minutes ago with exercise. The patient has no prescription medications. The vital signs are BP 142/102 mmHg, P 90/min, R 16/min, and SpO# 95% on room air. What treatments should the EMT provide? Select the two answer options that are correct.
Answer: A,D
Explanation:
The correct answers are D. Aspirin administration and E. Attaching AED pads.
This patient is presenting with classic signs of acute coronary syndrome (ACS):
* Crushing, midsternal chest pain
* Onset with exertion
* Age and risk profile
D). Aspirin administration is a priority intervention. Aspirin helps by inhibiting platelet aggregation and limiting clot formation in coronary arteries.
NREMT-aligned guidance states:
* "Administer aspirin to patients with suspected cardiac chest pain."
E). Attaching AED pads is also correct because patients with suspected cardiac ischemia are at risk for sudden cardiac arrest. Continuous cardiac monitoring (via AED pads or monitor) allows for rapid defibrillation if needed.
NREMT material emphasizes early readiness for deterioration:
* "Be prepared to manage sudden cardiac arrest in patients with chest pain." Why the other options are incorrect:
* A. Sublingual nitroglycerin administration:EMTs may only assist with nitroglycerin if it is prescribed to the patient. This patient has no prescription medications, so nitroglycerin is contraindicated.
* B. 12-lead acquisition and transmission:This is typically an ALS (paramedic-level) intervention, not standard EMT scope in NREMT context.
* C. Applying supplemental oxygen:The patient's SpO# is 95% on room air, which does not indicate hypoxia. NREMT guidelines recommend oxygen only if SpO# is low or patient is in respiratory distress.
NREMT guidance:
* "Oxygen should be administered based on patient need, not routinely." Exact Extracts:
* "Administer aspirin to patients with suspected cardiac chest pain."
* "Oxygen should be given only if the patient is hypoxic or shows signs of respiratory distress."
* "Be prepared for cardiac arrest in patients with suspected myocardial infarction." References:
NREMT EMT Education Standards - Cardiology / Acute Coronary Syndrome
NREMT National Continued Competency Program (NCCP) - Cardiac Emergencies Standard EMT Text (aligned with NREMT): Cardiovascular Emergencies
NEW QUESTION # 165
What should the EMT do when preserving evidence at a crime scene?
Answer: A
Explanation:
The correct answer is D. Use the knife holes to remove clothing.
When EMS providers are at a crime scene, their role is to preserve evidence while providing patient care. This includes minimizing disturbance of physical evidence.
Why D is correct:
* When removing clothing, EMTs should cut around holes such as knife or bullet holes, not through them.
* This preserves important forensic evidence (e.g., wound patterns, weapon characteristics).
* It is a standard evidence-preservation technique taught in EMS.
Why the other options are incorrect:
* A. Use gloves to tag possible evidence # EMTs should avoid handling or tagging evidence unless necessary
* B. Take pictures to document the scene # EMS providers do not photograph scenes; this is law enforcement's role
* C. Leave a deceased person uncovered # The deceased should be treated with dignity and typically covered unless directed otherwise Exact Extracts:
* "Avoid cutting through holes in clothing; cut around them to preserve evidence."
* "Do not disturb the scene more than necessary."
* "Preserve evidence while providing patient care."
References:
NREMT EMT Education Standards - EMS Operations (Crime Scene Awareness)
National EMS Education Standards - Medical/Legal Responsibilities
NREMT Candidate Handbook - Scene Safety and Legal Considerations
NEW QUESTION # 166
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 # 167
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