CPR CPR - Certified Paramedic Response Hemorrhage Control and Vascular Access Questions and Answers

Question 1

Which of the following is the MOST appropriate first-line intervention for massive extremity hemorrhage in the prehospital setting?

Accepted Answer

Apply a tourniquet proximal to the wound

Answer

Apply direct pressure with a sterile dressing

Answer

Elevate the extremity above the heart

Answer

Apply a pressure bandage and reassess

Question 2

When establishing intraosseous (IO) access in an adult during a cardiac arrest, which site is preferred as the FIRST choice?

Accepted Answer

Proximal humerus

Answer

Proximal tibia

Answer

Distal femur

Answer

Sternum

Question 3

A patient presents with a femoral artery laceration with bright red, pulsatile bleeding. After a tourniquet is applied and bleeding is controlled, what is the MAXIMUM recommended tourniquet time before reassessment?

Accepted Answer

2 hours

Answer

30 minutes

Answer

1 hour

Answer

4 hours

Question 4

Which IV fluid is currently recommended by PHTLS and most EMS systems for hemorrhagic shock resuscitation?

Accepted Answer

Lactated Ringer's solution

Answer

5% Dextrose in water (D5W)

Answer

Normal saline (0.9% NaCl)

Answer

3% Hypertonic saline

Question 5

In a hypotensive trauma patient with suspected internal hemorrhage, which blood pressure target best reflects current permissive hypotension guidelines?

Accepted Answer

Systolic BP 80–90 mmHg

Answer

Systolic BP > 120 mmHg

Answer

Mean arterial pressure > 90 mmHg

Answer

Systolic BP > 100 mmHg

Question 6

Which of the following BEST describes the correct technique for applying a wound-packing agent to a junctional hemorrhage?

Accepted Answer

Pack the agent tightly into the wound and apply firm direct pressure for 3 minutes

Answer

Pour the agent into the wound and apply light pressure for 30 seconds

Answer

Apply the agent to the wound surface only and cover with a dressing

Answer

Insert the agent and immediately apply a tourniquet above the site