Advanced Life Support Clinical Guidelines for
EMS Providers Exam Review 2026| 300+
Questions and Verified Answers
What is the purpose of the Clinical Operating Guidelines (COGs)?
To provide evidence-based guidelines for prehospital clinicians that are continually updated.
What should clinicians do if they find an error in the COGs?
Notify the authors as soon as possible for corrections.
What is the recommended action if the COGs have not been signed off by a medical director?
Use them as an educational tool only.
What is the importance of humility in the medical profession according to the guidelines?
The day you think you know everything is the day you should consider leaving the field.
What is the treatment for hypothermia?
Remove wet clothes and cover with blankets; protect from the external environment.
What is the core temperature threshold for hypothermia?
Core temperature ≤ 35°C.
,What is the treatment for hypothermic patients found down for a prolonged period?
Consider hypothermia and manage accordingly.
What is esophageal rupture also known as?
Boerhaave syndrome.
What is the mortality rate for untreated esophageal rupture within 24 hours?
50%.
What can severe hematemesis indicate in patients with liver disease?
Esophageal varices.
What is the recommended dose of diphenhydramine for pregnant patients?
25-50 mg IV/IM.
What can inhaling isopropyl alcohol from an alcohol swab help with?
It can decrease nausea.
What is the maximum dose of ondansetron for children aged 6-24 months?
,2 mg ODT PO or 0.1 mg IV/IM.
What does projectile vomiting in an infant suggest?
Pyloric stenosis.
What is the maximum dose of ondansetron for children over 24 months?
4 mg ODT PO or 0.1 mg IV/IM.
What should be considered in older patients presenting with headache and vomiting?
Cardiac ischemia.
What are common causes of severe nausea and vomiting due to pain?
Testicular torsion, ovarian torsion, and kidney stones.
What should be documented in a patient with nausea and vomiting?
Duration of vomiting, abdominal pain, diarrhea, fever, head trauma, neurological deficits.
What is the target SpO2 level for neonatal resuscitation?
85-95%.
, What is the recommended CPR ratio for neonates?
3:1 (~30 breaths/min & 90 compressions/min).
What medication should never be given to a neonate?
Naloxone.
What is the effect of pregnancy on maternal cardiac output?
Increases by 50% (~1500 ml).
What is the recommended treatment for post-partum hemorrhage?
High flow O2 and tranexamic acid 2 g IV slow push.
What is a common surgical emergency in pregnancy?
Appendicitis.
What is the significance of abruptio placentae?
It is intrauterine bleeding due to premature separation of the placenta.
What is the recommended position for a pregnant patient in cardiac arrest?
Left lateral recumbent position.
EMS Providers Exam Review 2026| 300+
Questions and Verified Answers
What is the purpose of the Clinical Operating Guidelines (COGs)?
To provide evidence-based guidelines for prehospital clinicians that are continually updated.
What should clinicians do if they find an error in the COGs?
Notify the authors as soon as possible for corrections.
What is the recommended action if the COGs have not been signed off by a medical director?
Use them as an educational tool only.
What is the importance of humility in the medical profession according to the guidelines?
The day you think you know everything is the day you should consider leaving the field.
What is the treatment for hypothermia?
Remove wet clothes and cover with blankets; protect from the external environment.
What is the core temperature threshold for hypothermia?
Core temperature ≤ 35°C.
,What is the treatment for hypothermic patients found down for a prolonged period?
Consider hypothermia and manage accordingly.
What is esophageal rupture also known as?
Boerhaave syndrome.
What is the mortality rate for untreated esophageal rupture within 24 hours?
50%.
What can severe hematemesis indicate in patients with liver disease?
Esophageal varices.
What is the recommended dose of diphenhydramine for pregnant patients?
25-50 mg IV/IM.
What can inhaling isopropyl alcohol from an alcohol swab help with?
It can decrease nausea.
What is the maximum dose of ondansetron for children aged 6-24 months?
,2 mg ODT PO or 0.1 mg IV/IM.
What does projectile vomiting in an infant suggest?
Pyloric stenosis.
What is the maximum dose of ondansetron for children over 24 months?
4 mg ODT PO or 0.1 mg IV/IM.
What should be considered in older patients presenting with headache and vomiting?
Cardiac ischemia.
What are common causes of severe nausea and vomiting due to pain?
Testicular torsion, ovarian torsion, and kidney stones.
What should be documented in a patient with nausea and vomiting?
Duration of vomiting, abdominal pain, diarrhea, fever, head trauma, neurological deficits.
What is the target SpO2 level for neonatal resuscitation?
85-95%.
, What is the recommended CPR ratio for neonates?
3:1 (~30 breaths/min & 90 compressions/min).
What medication should never be given to a neonate?
Naloxone.
What is the effect of pregnancy on maternal cardiac output?
Increases by 50% (~1500 ml).
What is the recommended treatment for post-partum hemorrhage?
High flow O2 and tranexamic acid 2 g IV slow push.
What is a common surgical emergency in pregnancy?
Appendicitis.
What is the significance of abruptio placentae?
It is intrauterine bleeding due to premature separation of the placenta.
What is the recommended position for a pregnant patient in cardiac arrest?
Left lateral recumbent position.
