EMS Clinical Procedures & Protocols 2

Question 1

When performing endotracheal intubation, the cuff should be inflated to what pressure range to minimize tracheal mucosal damage?

Accepted Answer

20–30 cmH2O

Answer

ETT cuff pressure should be maintained between 20–30 cmH2O to seal the airway while preventing mucosal ischemia.

Question 2

A patient in PEA arrest has bilateral absent breath sounds after intubation. What is the FIRST action?

Accepted Answer

Remove the ETT and BVM ventilate

Answer

Absent bilateral breath sounds after intubation indicates esophageal intubation; immediately remove the tube and resume BVM ventilation.

Question 3

Which needle decompression landmark is used in the anterior approach for tension pneumothorax?

Accepted Answer

2nd intercostal space, midclavicular line

Answer

The standard anterior landmark is the 2nd intercostal space at the midclavicular line, just above the 3rd rib.

Question 4

During IV cannulation, you advance the catheter and get a flashback but cannot flush. What is the most likely cause?

Accepted Answer

Catheter is kinked or the vein has been blown

Answer

A flashback followed by inability to flush usually means the catheter tip has blown the vein or the catheter is kinked against the vessel wall.

Question 5

When applying a tourniquet for hemorrhage control, it should be placed how far proximal to the wound?

Accepted Answer

2–3 inches proximal to the wound

Answer

Tourniquets should be applied 2–3 inches proximal to the bleeding wound to effectively compress the supplying vessel.

(EMS) Emergency Medical Services Certified Practice Test