EMT RESUSCITATION QUESTIONS AND SOLUTIONS RATED
A+
✔✔what do you do after return of spontaneous circulation - ✔✔maintain O2 sat at 94%
treat hypotension (fluids vasopressor)
12 lead EKG
if in coma consider hypothermia
if not in coma and ekg shows STEMI or AMI consider re-perfusion
✔✔what are the 5 h's and 5 t's - ✔✔hypovolemia
hypoxia
hydrogen ion (acidosis)
hypo/hyperkalemia
hypothermia
tension pneumothorax
tamponade, cardiac
toxins
thrombosis, pulmonary
thrombosis, coronary
✔✔Bradycardia require treatment when? - ✔✔chest pain or shortness of breath is
present
✔✔how do you treat non-symptomatic bradycardia - ✔✔monitor and observe
✔✔what constitutes symptomatic bradycardia - ✔✔hypotension
altered mental status
signs of shock
chest pain
acute heart failure
✔✔A patient with sinus bradycardia and a heart rate of 42 has diaphoresis and blood
pressure of 80/60. What is the initial dose of atropine? - ✔✔0.5 mg
✔✔how do you treat symptomatic bradycardia - ✔✔give 0.5mg atropine every 3-5 mins
to max of 3mg
if that doesn't work try one of the following:
transcutaneous pacing
2-10mcg/kg / minute dopamine infusion
2-10mcg per minute epinephrine infusion
✔✔what is considered a tachycardia requiring treatment - ✔✔over 150 per minute
, ✔✔when do you consider cardioversion - ✔✔if persistent tachycardia is causing:
hypotension
altered mental status
signs of shock
chest pain
acute heart failure
✔✔if persistent tachycardia does not present with symptoms what do you need to
consider - ✔✔wide QRS?
greater than 0.12 seconds
✔✔Your patient has been intubated. IV/IVO access is not available. Which combination
of drugs can be administered by endotracheal route? - ✔✔Lidocaine, epinephrine,
vasopressin
✔✔reentry supraventricular tachycardia - ✔✔
✔✔polymorphic ventricular tachycardia - aka torsades - ✔✔
✔✔atrial fibrilation - ✔✔
✔✔sinus tachycardia - ✔✔
✔✔coarse ventricular fibrillation - ✔✔
✔✔atrial flutter - ✔✔
✔✔reentry supraventricular tachycardia - ✔✔
✔✔sinus bradycardia - ✔✔
✔✔monomorphic ventricular tachycardia - ✔✔
✔✔fine ventricular fibrillation - ✔✔
✔✔second degree AV block type 1 wenckenbach - ✔✔
✔✔second degree AV block mobitz type 2 - ✔✔
✔✔third degree AV block - ✔✔
✔✔asystole - ✔✔
A+
✔✔what do you do after return of spontaneous circulation - ✔✔maintain O2 sat at 94%
treat hypotension (fluids vasopressor)
12 lead EKG
if in coma consider hypothermia
if not in coma and ekg shows STEMI or AMI consider re-perfusion
✔✔what are the 5 h's and 5 t's - ✔✔hypovolemia
hypoxia
hydrogen ion (acidosis)
hypo/hyperkalemia
hypothermia
tension pneumothorax
tamponade, cardiac
toxins
thrombosis, pulmonary
thrombosis, coronary
✔✔Bradycardia require treatment when? - ✔✔chest pain or shortness of breath is
present
✔✔how do you treat non-symptomatic bradycardia - ✔✔monitor and observe
✔✔what constitutes symptomatic bradycardia - ✔✔hypotension
altered mental status
signs of shock
chest pain
acute heart failure
✔✔A patient with sinus bradycardia and a heart rate of 42 has diaphoresis and blood
pressure of 80/60. What is the initial dose of atropine? - ✔✔0.5 mg
✔✔how do you treat symptomatic bradycardia - ✔✔give 0.5mg atropine every 3-5 mins
to max of 3mg
if that doesn't work try one of the following:
transcutaneous pacing
2-10mcg/kg / minute dopamine infusion
2-10mcg per minute epinephrine infusion
✔✔what is considered a tachycardia requiring treatment - ✔✔over 150 per minute
, ✔✔when do you consider cardioversion - ✔✔if persistent tachycardia is causing:
hypotension
altered mental status
signs of shock
chest pain
acute heart failure
✔✔if persistent tachycardia does not present with symptoms what do you need to
consider - ✔✔wide QRS?
greater than 0.12 seconds
✔✔Your patient has been intubated. IV/IVO access is not available. Which combination
of drugs can be administered by endotracheal route? - ✔✔Lidocaine, epinephrine,
vasopressin
✔✔reentry supraventricular tachycardia - ✔✔
✔✔polymorphic ventricular tachycardia - aka torsades - ✔✔
✔✔atrial fibrilation - ✔✔
✔✔sinus tachycardia - ✔✔
✔✔coarse ventricular fibrillation - ✔✔
✔✔atrial flutter - ✔✔
✔✔reentry supraventricular tachycardia - ✔✔
✔✔sinus bradycardia - ✔✔
✔✔monomorphic ventricular tachycardia - ✔✔
✔✔fine ventricular fibrillation - ✔✔
✔✔second degree AV block type 1 wenckenbach - ✔✔
✔✔second degree AV block mobitz type 2 - ✔✔
✔✔third degree AV block - ✔✔
✔✔asystole - ✔✔
