EMD EMD - Emergency Medical Dispatch Obstetric and Pediatric Emergency Protocols Questions and Answers 2 — Questions and Answers
Question 1: During an obstetric call, the caller reports the umbilical cord is visible before the baby emerges. What is this condition?
- Placenta previa
- Breech presentation
- Umbilical cord prolapse (Correct answer)
- Postpartum hemorrhage
Correct answer: Umbilical cord prolapse
Umbilical cord prolapse occurs when the cord precedes the baby and is a life-threatening emergency requiring immediate EMD action.
Question 2: What is the correct compression-to-ventilation ratio for single-rescuer infant CPR?
- 15:2
- 30:2 (Correct answer)
- 30:1
- 15:1
Correct answer: 30:2
Single-rescuer infant CPR uses a 30:2 compression-to-ventilation ratio, identical to the ratio used for adult CPR.
Question 3: When should an EMD begin providing pre-arrival instructions for a pediatric febrile seizure call?
- Only after the child stops seizing
- Immediately upon learning the child is having a seizure (Correct answer)
- Only if the child is under 1 year old
- Only if the temperature exceeds 104°F
Correct answer: Immediately upon learning the child is having a seizure
Pre-arrival seizure management instructions must begin immediately to protect the child and guide the caller regardless of cause or age.
Question 4: A caller reports a 2-year-old who ingested household chemicals. After dispatch, what should the EMD do?
- Tell the caller to induce vomiting immediately
- Advise giving the child milk to dilute the chemical
- Provide pre-arrival instructions per poisoning protocol, referencing Poison Control guidance (Correct answer)
- Disconnect the call after confirming dispatch
Correct answer: Provide pre-arrival instructions per poisoning protocol, referencing Poison Control guidance
EMDs must follow poisoning protocols which include pre-arrival instructions and may incorporate Poison Control guidance; inducing vomiting is contraindicated for chemical ingestion.
Question 5: For a premature birth where the baby is delivered before EMS arrives, what is the most critical care concern?
- The baby may overheat in normal room temperatures
- The premature newborn is at high risk for hypothermia (Correct answer)
- Room temperature has no measurable effect on outcomes
- Only the mother's temperature requires monitoring
Correct answer: The premature newborn is at high risk for hypothermia
Premature newborns lack insulating body fat and are highly vulnerable to rapid heat loss, making warmth a critical pre-arrival priority.
Question 6: What infant airway difference is important to communicate when giving CPR instructions to a caller?
- Children require faster chest compressions than adults
- Children have larger airways than adults
- The infant's head should be tilted only slightly to avoid airway collapse (Correct answer)
- Infants do not require rescue breaths during CPR
Correct answer: The infant's head should be tilted only slightly to avoid airway collapse
An infant's airway is pliable, so a neutral or slight tilt is recommended; over-extension can actually collapse the airway.
EMD EMD - Emergency Medical Dispatch Obstetric and Pediatric Emergency Protocols Questions and Answers 2
During an obstetric call, the caller reports the umbilical cord is visible before the baby emerges.
What is this condition?