Pre-Hospital Care & Treatment Flashcards
7 cards from real EMS practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Pre-Hospital Care & Treatment flashcards as text
A patient in ventricular fibrillation does not respond to three defibrillation attempts. After CPR and IV epinephrine, which antiarrhythmic is given next per ACLS protocols?
Answer: Amiodarone 300 mg IV
Amiodarone 300 mg IV is the first-line antiarrhythmic for shock-refractory VF/pulseless VT.
A patient with COPD is in respiratory distress with SpO2 of 84%. The appropriate oxygen therapy is:
Answer: Titrate oxygen to achieve SpO2 88-92%
In COPD, titrate oxygen to SpO2 88-92% to correct hypoxia while avoiding hyperoxia-driven hypercapnia.
Which finding on a 12-lead ECG is most consistent with a STEMI?
Answer: ST elevation ≥1 mm in two contiguous leads
ST elevation ≥1 mm in two or more contiguous leads indicates a STEMI requiring emergent reperfusion.
During a mass casualty incident, a patient is breathing but requires repositioning of the airway to breathe. This patient is tagged:
Answer: Red (Immediate)
A patient who breathes only after airway repositioning is classified as Immediate (Red) in START triage.
A patient is experiencing a generalized tonic-clonic seizure lasting 8 minutes. The EMT's priority is:
Answer: Protect the patient from injury and maintain airway patency
During a seizure, protect the patient from injury and maintain a patent airway; never insert objects into the mouth.
When should spinal motion restriction (SMR) be applied in trauma patients according to current evidence-based guidelines?
Answer: Patients with a mechanism for spinal injury AND neurological symptoms or midline tenderness
Current evidence-based protocols (NEXUS/Canadian C-Spine) apply SMR selectively based on mechanism plus neurological findings or midline spinal tenderness.
A newborn delivered in the field is limp, cyanotic, and not breathing. After drying and stimulation, what is the next step?
Answer: Open the airway and provide positive pressure ventilation
If a newborn does not respond to drying and stimulation, positive pressure ventilation (PPV) is the next critical intervention.