EMT Skills and Training 4

Question 1

A patient has a sucking chest wound. After sealing the wound with an occlusive dressing, the patient deteriorates with absent breath sounds on the injured side. What should the EMT do?

Accepted Answer

Burp or partially open the dressing to release air

Answer

Burping the dressing by briefly lifting one edge allows trapped air to escape, relieving a tension pneumothorax caused by a sealed occlusive dressing.

Question 2

What is the preferred method for opening the airway in a patient with a suspected cervical spine injury?

Accepted Answer

Jaw-thrust maneuver

Answer

The jaw-thrust maneuver opens the airway while minimizing cervical spine movement and is the preferred technique when spinal injury is suspected.

Question 3

When treating a patient for shock (hypoperfusion), what is the recommended patient position if no spinal injury is suspected?

Accepted Answer

Supine with legs elevated 8-12 inches (Trendelenburg)

Answer

Elevating the legs 8-12 inches in the supine position helps return venous blood to the core circulation in hypovolemic shock.

Question 4

An EMT is sizing an oropharyngeal airway (OPA). The correct size is determined by measuring from:

Accepted Answer

The corner of the mouth to the earlobe

Answer

An OPA is sized by measuring from the corner of the mouth to the earlobe to ensure the airway adjunct reaches the base of the tongue without extending too far.

Question 5

During spinal motion restriction, which of the following would be considered a reason to forgo the procedure?

Accepted Answer

Patient is combative and refusing care

Answer

A combative patient who refuses care cannot safely be physically forced onto a backboard; EMTs should document refusal and use best judgment, including law enforcement assistance.

(EMT) Emergency Medical Technician Practice Test

(EMT) Emergency Medical Technician Practice Test

EMT Skills and Training 4