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,The main focus when treating a patient with disseminated Correct the underlying pathology
intravascular coagulation (DIC) is to:
Correct the underlying pathology
Administer heparin
Administer fresh frozen plasma (FFP)
Replacement of clotting factors
The hallmark indicator of rhabdomyolysis in a hyperthermic Elevated creatine kinase (CK)
patient is?
Elevated creatine kinase (CK)
Hyperthermia
Increased blood urea nitrogen (BUN)
Altered mental status
The intra-aortic balloon pump (IABP) is indicated in all of Aortic dissection
the following patients EXCEPT:
Cardiogenic shock
Aortic dissection
Aortic insufficiency
Weaning from cardiopulmonary bypass
A patient being transported presents with minimal air IV corticosteroids, racemic epinephrine, IV magnesium sulfate
movement despite having received two nebulized
breathing treatments of albuterol and ipratropium. The next
best action for this patient will be:
Repeat chest x-ray
Endotracheal intubation
IM epinephrine, IM corticosteroids, and normal saline
IV corticosteroids, racemic epinephrine, IV magnesium
sulfate
The flight team is flying an intubated and mechanically 156.6
ventilated patient in ARDS. The patient has been in a The formula for evaluating Dalton's law and the partial pressure of oxygen is:
refractory hypoxic state for the past 12 hours, with the (atmospheric pressure x oxygen concentration)
highest SpO2 reflecting 87%. The patient is currently on a Based on the information provided above: (522 x 0.30) = 156.6
FiO2 of 0.30. They are flying at 10,000 feet MSL, with the
atmospheric pressure at that altitude being 522 mmHg.
Based on Dalton's law, what would the partial pressure of
oxygen be?
169.3
156.6
109.6
137.8
A pediatric patient is presenting with clinical signs of a C7
spinal cord injury after a diving accident. They have no
lower extremity movement; however, they can flex their
arms but not extend them. Where is the fracture?
C4
C7
C5
C6
A 13-year-old patient has a history of insulin-dependent Acute infection
diabetes and recently admitted to a local ICU. The family
states that they have had a cold over the past week and
have become more lethargic over the last 24 hours. Lab
results are as follows: Na+ 150, Cl- 103, glucose 504,
WBC 12.3, bands 14%, leukocytes represent 68%. The
most likely cause of this patient's DKA state is:
Dehydration
Noncompliance with insulin
Acute infection
Pancreatitis
, A patient is exhibiting signs of citrate toxicity after receiving Calcium chloride
multiple units of packed red blood cells (PRBCs). What
medication is indicated in this patient?
Magnesium sulfate
Calcium chloride
Potassium chloride
Sodium chloride
Diagnosis of a left bundle branch block (LBBB) meeting ST segment elevation equal to, or greater than, 1 mm that is concordant with the
Sgarbossa criteria uses which diagnostic indicator for an QRS complex
award of 5 points?
ST segment elevation equal to, or greater than, 2 mm that
is discordant with the QRS complex
ST segment elevation equal to, or greater than, 1 mm that
is discordant with the QRS complex
ST segment elevation equal to, or greater than, 2 mm that
is concordant with the QRS complex
ST segment elevation equal to, or greater than, 1 mm that
is concordant with the QRS com
During the ascent phase of flight, a flight crew member Asking the pilot to stop ascending and attempt the Valsalva maneuver
reports a sharp pain over their sinuses. Treatment is
accomplished by:
Asking the pilot to continue to ascend to cruising altitude
Asking the pilot to stop ascending and attempt the Valsalva
maneuver
Asking the pilot to descend at a faster rate, if safe and
possible
Asking your partner to give you IM pain medication
Calculate the cerebral perfusion pressure (CPP) with the 41 mmHg
following findings: BP 90/60, HR 110, RR 22, SpO2 98%,
ICP 29, CVP 20, PA 32/14, PCWP 15.
41 mmHg
49 mmHg
32 mmHg
21 mmHg
The transport of two patients concurrently requires all the Additional didactic training yearly
following except:
Additional didactic training yearly
Clear roles and responsibilities of each crew member
Adequate equipment for both patients
Proper aircraft configuration
The patient is currently receiving a magnesium infusion Absent patellar reflexes
due to hypomagnesemia (1.2 mEq/L initially). Upon
assessment, which finding would alert to stop the infusion
immediately?
An increase in the blood pressure of 15 mmHg
Occasional PVCs on the ECG
Absent patellar reflexes
Development of diarrhea
A patient is suffering from an episode secondary to acute Hypoxic hypoxia
cardiovascular disease and is being transported via
rotorcraft. The crew is currently flying at an altitude of
8,000 feet mean sea level (MSL). This patient is most
susceptible to what type of hypoxia?
Histotoxic hypoxia
Hypemic hypoxia
Hypoxic hypoxia
Stagnant hypoxia