CPR - Certified Paramedic Response Special Resuscitation Circumstances Questions and Answers

Question 1

A 34-year-old female who is approximately 30 weeks pregnant collapses in cardiac arrest.
While performing high-quality CPR, what is the most critical manual intervention to improve the effectiveness of resuscitation?

Accepted Answer

Manually displacing the uterus to the patient's left side.

Answer

Placing a rolled towel under the patient's right hip.

Answer

Applying continuous cricoid pressure during ventilation.

Answer

Increasing chest compression depth to account for anatomical changes.

Question 2

During the resuscitation of a severely hypothermic patient in cardiac arrest with a core temperature of 28°C (82.4°F), which of the following is the most appropriate approach to defibrillation and ACLS medication administration?

Accepted Answer

A single defibrillation attempt may be made, and subsequent shocks and IV medications should be withheld until the core temperature is above 30°C (86°F).

Answer

Defibrillation and medications should be withheld entirely until the core temperature is above 35°C (95°F).

Answer

Standard ACLS algorithms for defibrillation and medication administration should be followed without modification.

Answer

Medications should be administered at twice the standard dose to counteract the effects of the cold.

Question 3

You have just pulled an unresponsive, apneic, and pulseless adult from a swimming pool. After ensuring scene safety and activating EMS, what is the most appropriate first step in the resuscitation sequence for this drowning victim?

Accepted Answer

Open the airway and deliver 2 to 5 initial rescue breaths before starting chest compressions.

Answer

Immediately begin cycles of 30 chest compressions and 2 breaths.

Answer

Apply an AED and analyze the cardiac rhythm.

Answer

Perform abdominal thrusts to expel water from the lungs.

Question 4

Which of the following is a primary, potentially reversible cause of traumatic cardiac arrest that a paramedic should immediately address with a specific procedural intervention in the field?

Accepted Answer

Tension pneumothorax

Answer

Massive intracranial hemorrhage

Answer

Aortic transection

Answer

Severe abdominal evisceration

Question 5

A 28-year-old is found in cardiac arrest with suspected opioid overdose. Bystanders are performing chest compressions. According to AHA guidelines, what is the correct priority of interventions for this patient?

Accepted Answer

Prioritize high-quality CPR with ventilations and use an AED; administer naloxone without interrupting these core resuscitation efforts.

Answer

Administer naloxone immediately via the intranasal route, then begin ventilations.

Answer

Withhold naloxone as it is ineffective once cardiac arrest has occurred.

Answer

Apply the AED and deliver a shock before any other intervention.

Question 6

An avalanche victim has been buried for 40 minutes. Upon extrication, the patient is in asystole and has an airway completely obstructed with snow. According to resuscitation guidelines, which of these findings is the strongest indicator of a poor prognosis where termination of efforts may be considered?

Accepted Answer

The presence of an obstructed airway.

Answer

The duration of burial being greater than 35 minutes.

Answer

The initial rhythm being asystole.

Answer

Evidence of moderate hypothermia.

A 34-year-old female who is approximately 30 weeks pregnant collapses in cardiac arrest.While performing high-quality CPR, what is the most critical manual intervention to improve the effectiveness of resuscitation?

A 34-year-old female who is approximately 30 weeks pregnant collapses in cardiac arrest.
While performing high-quality CPR, what is the most critical manual intervention to improve the effectiveness of resuscitation?