SNHD AEMT EXAM QUESTIONS AND ANSWERS LATEST UPDATED 2024 (100% CORRECT)

SNHD AEMT EXAM QUESTIONS AND ANSWERS LATEST UPDATED 2024 (100% CORRECT) If the ability to adequately ventilate a patient cannot be established the patient should be transported to... - ANSWER the nearest emergency department Sexual assault victims 13 y/o should be transported to... - ANSWER sunrise Sexual assault victims between 13 and 18 y/o should be transported to... - ANSWER sunrise or UMC Sexual assault victims 18 and older should be transported to... - ANSWER UMC For sexual assault victims outside a 50 mile radius from UMC or Sunrise transport should be... - ANSWER to the nearest appropriate facility A patient not on a legal psychiatric hold meeting all of the following criteria may be placed in the hospital waiting room or other appropriate location: - ANSWER HR 60-100 RR 10-20 Systolic 100-180 Diastolic 60-100 Room air 94 AOx4 no parenteral medication except 1 dose morphine sulfate and/or ondansetron no ECG monitoring no IV maintains sitting position If a hospital declares internal disaster that facility is to be bypassed for all patients except... - ANSWER patients in cardiac arrest or in whom the ability to ventilate has not been established For trauma pt, c-spine stabilized, GCS 8 and NO palpable radial pulse you SNHD AEMT EXAM QUESTIONS AND ANSWERS LATEST 2023/2024 (100% CORRECT) should... - ANSWER E: BVM if sat 94 and under A: vascular access and give 1L NS bolus For trauma patients try to keep the SpO2 over... - ANSWER 94, BVM if equal to or less than If a trauma patient has a radial pulse you should... - ANSWER still obtain vascular access BVM is an acceptable method of ventilating and managing an airway if pulse ox can be maintained... - ANSWER 90 or greater For patients w/ abdominal/flank pain/nausea/vomiting, if the pt shows signs of hypovolemia you should.. - ANSWER obtain vascular access and give a 500 ml NS bolus (repeat up to 2000 ml) Neuro disorders or signs of hypo perfusion/shock in the presence of abdominal pain may indicate... - ANSWER an aneurysm After each fluid bolus you should... - ANSWER repeat vital signs Abdominal pain in women of childbearing age should be considered... - ANSWER pregnancy until proven otherwise For patients with suspected acute coronary syndrome you should.... - ANSWER obtain vascular access, keep spo2 94, give 324 mg ASA PO, and assist pt with own NTG as prescribed may repeat 3x Nitro is contraindicated in any patient with... - ANSWER -hypotension -bradycardia -tachycardia in absence of heart failure -evidence of R ventricular infarction - use of ED meds or a patient seeming to have an allergic reaction without evidence of airway involvement/difficulties you should... - ANSWER - obtain vascular access - give 50 mg Dipenhydramine IM/IV For a patient having an allergic reaction with evidence of airway involvement you should... - ANSWER E: assist with pts own auto injector A: give epi 0.5 mg 1:1000 IM (may repeat in 15 min w/ may of 1.5 mg) If a patient having a severe allergic reaction is not in shock you can... - ANSWER E: assist with albuterol MDI A: give albuterol 2.5 mg SVN, provide ventilation management, gain IV access and give 500 cc MS bolus up to 2 L, then 50 mg diphenhydramine IM/IV If a pt having a severe allergic reaction is in shock you should... - ANSWER provide ventilation management, give albuterol 2.5 mg SVN repeated as needed, IV access and give 500 cc NS bolus up to 2L, give 50 mg diphenhydramine IM/IV _________________ should be administered in priority before or during attempts at IV or IO access for anaphylactic reactions. - ANSWER IM epi (1:1000) For refractory anaphylaxis... - ANSWER contact medical control _______________ involve skin rashes, itchy sensation, or hives with no respiratory involvement. - ANSWER Mild reactions __________________ involve skin disorders and may include some respiratory involvement like wheezing, yet the patient still maintains good tidal volume air exchange. - ANSWER Moderate reactions _________________ involve skin disorders, respiratory difficulty, and may include hypotension. - ANSWER Severe reactions For AMS/syncope you should first... - ANSWER assess BG and obtain vascular access If BG is 60... - ANSWER E: give oral glucose A: give D10 25g IV, repeat 1x if needed in 5 min, glucagon 1.0 mg for no IV access *w/ no improved mental status consider 500 ml IV NS up to 2000 ml If BG is 60... - ANSWER consider NS 500ml IV up to 2000 ml If a pt is found unresponsive with respiratory depression and suspected narcotic overdose you should... - ANSWER give 0.4-2 mg naloxone IN/IM/IV, max dose 10 mg Dystonic reaction - ANSWER condition causing involuntary muscle movemenets or spasms of the face neck and upper extremities typically as a recession to drugs, give Dipenhydramine For a patient with bradycardia you should... - ANSWER obtain vascular access A common cause of bradycardia is... - ANSWER hypoxemia First thing to do for burns - ANSWER stop burning process with water or saline, remove smoldering clothing/jewelry, do not remove clothing if stuck, cover burned area with dry sterile dressing For burns with signs of hypo perfusion or 10% BSA burn present you should... - ANSWER obtain vascular access and give NS 500 ml fluid bolus, if no improvement give fluid challenge up to 2000ml Superficial (1st degree) burn - ANSWER red and painful Partial thickness (2nd degree) burn - ANSWER blistering Full thickness (3rd degree) burn - ANSWER painless/charred or leathery skin ____________________ burns to extremities are dangerous due to potential vascular compromise secondary to soft tissue swelling. - ANSWER circumferential Burn patients are prone to... - ANSWER hypothermia Patients meeting the following criteria shall be transported to the UMC Burn Center via the adult or pediatric trauma center: - ANSWER - 2nd/3rd degree burns 20 BSA - 2nd/3rd degree burns 10 BSA in pts under 10 or over 50 - burns to hands, face, feet, genitalia, perineum or major joints Parkland formula for fluid replacement - ANSWER 4ml x wt in kg x % bsa burned= total fluids for 24 hrs (give first half in first 8 hrs) If witnessed by EMS or CPR in progress and patient is unresponsive with no pulse begin... - ANSWER E: CCC, apply AED and defibrillate if prompted, insert