EMS Treatment Planning & Management 4

Question 1

You are managing a patient with an open chest wound (sucking chest wound). After sealing three sides, the patient deteriorates. What is the NEXT action?

Accepted Answer

Perform needle decompression on the injured side

Answer

Deterioration after sealing a sucking chest wound suggests tension pneumothorax development, requiring immediate needle decompression.

Question 2

During an MCI, a patient is found apneic after repositioning the airway. Under START triage, this patient is tagged:

Accepted Answer

Black (Expectant/Deceased)

Answer

In START triage, a patient who remains apneic after airway repositioning is tagged Black (Expectant/Deceased) as resources are allocated to salvageable patients.

Question 3

A patient with a suspected spinal injury is found in a vehicle. When is it appropriate to perform a rapid extrication?

Accepted Answer

When the scene is unsafe or the patient is in immediate life threat

Answer

Rapid extrication overrides spinal precautions only when the scene is unsafe or the patient requires immediate life-saving intervention.

Question 4

A neonate is delivered in the field and has a heart rate of 90 bpm, poor muscle tone, and weak cry. What is the CORRECT initial intervention?

Accepted Answer

Stimulate and suction, then reassess

Answer

Initial neonatal resuscitation begins with warming, drying, stimulation, and suctioning before escalating to positive pressure ventilation or compressions.

Question 5

A patient is in pulseless ventricular tachycardia. After the first defibrillation, CPR is immediately resumed. When should the rhythm be NEXT checked?

Accepted Answer

After 2 minutes (5 cycles) of CPR

Answer

Current AHA guidelines recommend 2 minutes (5 cycles) of CPR after each defibrillation before pausing for rhythm and pulse check.

(EMS) Emergency Medical Services Certified Practice Test

(EMS) Emergency Medical Services Certified Practice Test

EMS Treatment Planning & Management 4