National Registry EMT

Your patient has a distended abdomen which you know can disrupt proper movement of the diaphragm and lead to?

You arrive on scene at a single-car accident involving a moose. Your patient was driving about 50 MPH when she hit the moose. After completing your scene size up, to which of the following would you proceed?

During one person CPR you can assess ventilations by watching what?

You assess a young man who has yellow colored sclera. You would suspect he is suffering from?

You and your partner Abraham arrive on scene to a one-car collision with a cow. Your patient was driving about 45 MPH around a corner when the cow leaped from the roadside in front of the car. After doing your initial scene size up, which of the following would you proceed to?

What would a baby that had a cephalic presentation during birth be considered?

Without knowing anything else, what condition would you say the following patient is in? A 30 year old male with a pulse rate of 40, breathing at 10 breaths per minute, and a systolic BP of 90.

You arrive on scene with your partner Emilio to find a woman who is having problems breathing. She is speaking in 1 or 2 word bursts and is on oxygen at 3 liters per minute. There is an ashtray next to her bed loaded with cigarette butts. She says her care taker called the ambulance and she does not want you there. She says she will allow you to take her vitals but then you have to leave. Her BP is 100/60 her pulse is 48 and her respirations are 18. She says she is 89 years old and has a pacemaker and is on high blood pressure medication. “I just want to be old, please leave”, she says. What should you do?

You are treating a female patient who is complaining of chest pain. She is diaphoretic with a blood pressure of 98/50. You have her medications on board which includes a prescription for nitroglycerin. Medical control has instructed you to administer 1 nitroglycerin tablet sublingually. How would you respond?

You and your partner Grimes are called to the scene of a stabbing. There are two patients reported. A woman with a stab wound to the URQ and a man with a stab wound to the LRQ. The woman with the wound in the URQ is having problems breathing, has a pulse of 103, respirations of 35, and they are shallow. The patient with the stab wound to the LRQ is complaining of severe abdominal pain and has a pulse of 48 and a respiration rate of 24. Which patient is most likely to have a low blood pressure? Why?

You are standing by at a local sporting event when a mother rushes up to you with a 3-year-old boy in her arms. ” He was playing with my car keys and then just started gagging and coughing!”, she tells you in a panic. The child is having difficulty breathing and crying along with audible inspiratory stridor. What should you do?

You arrive on scene with your partner Elija to a multiple vehicle accident where you are the 2nd ambulance to arrive. Scene size up indicates there are 7 patients in 3 cars all requiring extrication. In the first car is a 27 year old woman who is 32 weeks pregnant, conscious, and crying, a 12 year old girl who is screaming and complaining of back pain, and an 8 year old boy who has a facial laceration and open fracture of the tibia who is also conscious but breathing very shallow. In the second car is an 86 year old man who is slumped against the steering wheel with no pulse and has a piece of metal impaled through his head. In the third car are 3 teenagers 17 years of age. The two in the front seat are complaining of neck pain and appear to have an altered level of consciousness. Neither of them were wearing a seatbelt and both have contusions on their foreheads. In the back seat is the last occupant, a girl who said she was having a seizure and vomiting earlier so her friends were taking her to the hospital. She was wearing her seat belt and has no sign of injury. Who should be receiving treatment first?

Which of the following statements is correct regarding the operation of an emergency vehicle:

Respirations in an adolescent would be considered normal at ________________.

The primary survey is used to:

A woman has fallen 20 ft. from a ski lift. You are the first medical unit on scene. She is conscious and breathing normally. C-spine is in place, you package her on a backboard with high flow O2 and begin transport. The patient is looking around the ambulance and begins using inappropriate words to describe things she is seeing. You have given her several requests to wiggle her toes but she does not respond. This woman has a GCS of what?

You are dispatched to a boat fire with multiple victims in the water. You are the only provider on scene. Upon arrival you find patient #1 shivering uncontrollably, but able to answer questions appropriately. Patient #2 is on a boat across the bay with another EMS unit. That unit relates that the patient is mildly hypothermic and doesn’t want to be transported. Both patients indicate that a third person was with them and that he was burned badly. On scene command confirms that this patient is still in the water. Which is the most critical patient, and why?

Your local Emergency Medical System is regulated by:

The symptoms of a TIA usually last around ______.

Who is responsible for developing protocols for an EMS system?

The patient is a 6 year old girl whose mother says has been sick for a few days and then started having breathing problems this morning. Upon assessment, you notice the child is flaring her nostrils and has a hoarse voice when talking. What is she most likely suffering from and what should you do?

Name three medical conditions that often cause tachypnea?

You are assessing a patient who is complaining of severe chest pain. The patient is sweating and has a BP of 96/55. You have the patient’s medications with you including a prescription for nitroglycerin. You contact medical control and are ordered to give the patient 1 nitro tablet sublingually. What would you do?

Which type of shock would you expect to find in a patient who has vomiting, urinating, and diarrhea?

You are dispatched to an amusement park where a 16-month-old boy is reported to have something wedged in his throat. Dispatch says that the child is breathing, but it sounds very noisy like a whistle. Upon arrival you can see that the child is breathing with stridor, is pale, and is beginning to turn blue around the lips. What is the best treatment plan for this patient?