CPR CPR - Certified Paramedic Response Hemorrhage Control and Vascular Access Questions and Answers

Question 1

Which of the following is the MOST appropriate first-line intervention for massive extremity hemorrhage in the prehospital setting?

Accepted Answer

Apply a tourniquet proximal to the wound

Answer

For massive extremity hemorrhage, a tourniquet applied proximal to the wound is the most effective and rapid intervention to control life-threatening bleeding.

Question 2

When establishing intraosseous (IO) access in an adult during a cardiac arrest, which site is preferred as the FIRST choice?

Accepted Answer

Proximal humerus

Answer

The proximal humerus is preferred as the first-choice IO site in adults because it allows faster drug delivery to the central circulation during CPR.

Question 3

A patient presents with a femoral artery laceration with bright red, pulsatile bleeding. After a tourniquet is applied and bleeding is controlled, what is the MAXIMUM recommended tourniquet time before reassessment?

Accepted Answer

2 hours

Answer

Tourniquet time should not exceed 2 hours to prevent irreversible ischemic injury to the extremity.

Question 4

Which IV fluid is currently recommended by PHTLS and most EMS systems for hemorrhagic shock resuscitation?

Accepted Answer

Lactated Ringer's solution

Answer

Lactated Ringer's solution is favored over normal saline for hemorrhagic shock due to its lower chloride content and closer physiologic composition.

Question 5

In a hypotensive trauma patient with suspected internal hemorrhage, which blood pressure target best reflects current permissive hypotension guidelines?

Accepted Answer

Systolic BP 80–90 mmHg

Answer

Permissive hypotension targets a systolic BP of 80–90 mmHg to limit further hemorrhage while maintaining perfusion to vital organs.

(CPR) Certified Paramedic Response Practice Test

(CPR) Certified Paramedic Response Practice Test

CPR CPR - Certified Paramedic Response Hemorrhage Control and Vascular Access Questions and Answers