Emergency Medical Procedures & Protocols Flashcards
7 cards from real CPR practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Emergency Medical Procedures & Protocols flashcards as text
A patient with suspected acute coronary syndrome has a blood pressure of 90/60 mmHg. Which medication should be WITHHELD?
Answer: Nitroglycerin 0.4 mg sublingual
Nitroglycerin is contraindicated in hypotensive ACS patients (SBP <90 mmHg) as further vasodilation can cause hemodynamic collapse.
Which intraosseous (IO) insertion site is PREFERRED in adults when IV access cannot be obtained rapidly?
Answer: Proximal humerus or proximal tibia
The proximal humerus and proximal tibia are the preferred adult IO sites; the proximal humerus allows faster drug delivery due to higher flow rates.
What is the appropriate treatment for a patient with hyperkalemia presenting with peaked T-waves and widened QRS on the ECG?
Answer: Calcium chloride 1 g IV to stabilize the myocardium
Calcium chloride (or calcium gluconate) is given first in symptomatic hyperkalemia to stabilize the cardiac membrane and prevent fatal arrhythmias.
During a difficult airway scenario, a surgical cricothyrotomy is indicated. What is the correct anatomical landmark for incision?
Answer: Between the thyroid and cricoid cartilage (cricothyroid membrane)
The cricothyroid membrane, located between the thyroid and cricoid cartilages, is the correct site for emergency cricothyrotomy.
A patient with suspected stroke is being evaluated using the Cincinnati Prehospital Stroke Scale. Which three assessments does this tool include?
Answer: Facial droop, arm drift, and speech abnormality
The Cincinnati Prehospital Stroke Scale assesses facial droop, arm drift, and speech abnormality — any one positive finding indicates high stroke probability.
What is the MOST appropriate prehospital intervention for a patient with a sucking chest wound?
Answer: Apply a vented chest seal or three-sided occlusive dressing
A vented chest seal (or three-sided dressing) allows air to exit the pleural space during exhalation while preventing air entrainment during inhalation.
When calculating a pediatric drug dose using the Broselow tape, what does the color zone indicate?
Answer: The estimated weight range and corresponding drug doses/equipment sizes
The Broselow tape color zones correspond to estimated weight ranges, with precalculated drug doses and equipment sizes for each zone.