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| Section | Objectives |
|---|---|
| Trauma | - Trauma Assessment and Care
|
| Cardiology and Resuscitation | - Cardiac Emergencies
|
| Airway, Respiration and Ventilation | - Airway Management
|
| EMS Operations | - Operational Procedures
|
| Medical, Obstetrics and Gynecology | - Obstetrics and Gynecology
|
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NEW QUESTION # 176
Following an EMS call, any requests concerning protected health information should be directed to the
Answer: A
Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
Under HIPAA (Health Insurance Portability and Accountability Act), only designated personnel are authorized to handle inquiries regarding a patient's Protected Health Information (PHI). The Privacy Officer is responsible for enforcing compliance with privacy regulations and addressing PHI access requests.
Shift supervisors or hospitals do not have the legal authority to release PHI unless specifically designated.
References:
NREMT Guidelines on EMS Operations
U.S. Department of Health and Human Services: HIPAA Privacy Rule
National EMS Education Standards - Ethics, Documentation, and Privacy
NEW QUESTION # 177
A 21-year-old patient has loss of movement and sensation in the legs. The patient is under a car, which fell on them. Bystanders have lifted the vehicle off the patient. Which method, clothes drag or long backboard, should the EMT use to move the patient, and why?
Answer: A
Explanation:
NREMT guidelines clearly state that life-threatening danger overrides spinal motion restriction. This patient shows signs of a spinal cord injury (loss of movement and sensation), but they were previously trapped under a vehicle-an inherently unstable and dangerous environment.
Option A is correct because the clothes drag is an emergency move designed to remove a patient from immediate danger as quickly as possible. In emergency situations, speed and rescuer safety take priority over spinal immobilization.
Option B is incorrect because clothes drags do not minimize spinal movement.
Option C is incorrect because preparing and using a long backboard delays removal.
Option D is incorrect because spinal protection is secondary to immediate life threats.
NREMT emphasizes: "You cannot help the patient if you become injured."
NEW QUESTION # 178
A 58-year-old patient reports chest pain and difficulty breathing after missing their last three hemodialysis treatments. Which of the following signs and symptoms should the EMT suspect to find?
Answer: C
Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
Missing dialysis leads tofluid overload, causing:
* Pulmonary edema, evident bycrackleson auscultation
* Dyspnea and chest discomfort
Bradycardia is less likely; patients more often present withtachycardiadue to volume stress. Fever would suggest infection (not stated here), and hypotension can occur later, but hypertension is more common in early fluid overload.
References:
NREMT Medical Emergencies - Renal and Dialysis Patients
National Kidney Foundation Guidelines - Missed Dialysis and Pulmonary Symptoms AAOS EMT Textbook - Urologic and Fluid Volume Imbalance
NEW QUESTION # 179
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: B
Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
This is ahigh-risk cardiac eventdue to unstable angina or possiblemyocardial infarction. The EMT should:
* Administer oxygenif SpO# is <94%
* Avoid nitroglycerinif systolic BP is <90 mmHg
* Obtain a 12-lead ECGto identify ST-elevation MI (STEMI) and transmit it if trained and authorized CPAP is indicated forpulmonary edema, and albuterol is forbronchospasm, 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 # 180
A 9-year-old patient who was injured in an MCI is brought to the treatment area with a delayed triage tag. Which of the following signs or symptoms would the EMT expect to find? Select the three correct options.
Answer: A,D,F
Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
In pediatric START orJumpSTARTtriage, a "delayed" status is appropriate if the child is breathing adequately, has palpable pulses, and follows commands. The respiratory rate of 16 is normal for a 9-year-old, and being able to walk also supports the "delayed" tag.
"Mottled skin" and "breathing only after airway opening" would more likely lead to "immediate" or even
"expectant" categories depending on associated symptoms.
References:
JumpSTART Pediatric MCI Triage Algorithm
National EMS Education Standards - Triage
PALS Provider Manual (American Heart Association)
NEW QUESTION # 181
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