Air Methods Critical Care exam
AIR METHODS CRITICAL CARE EXAM NEWEST 2025/2026
COMPLETE ALL QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND NEW
VERSION!
PALS Management of Anaphylaxis
In addition to ABC....
- Administer IM epic by auto injector or regular syringe every 10 to 15
minutes as needed. Repeat doses may be needed.
-Treat bronchospasm with albuterol MDI or Nebulizer
-Give continuous nebulizer treatment if needed.
-**For severe respiratory distress anticipate further airway swelling and
prepare for endotracheal intubation
PALS Management of anaphylaxis continues
To treat hypotension:
-Place child in trendelenburg position as tollerated
-administer isotonic crystalloid (NS/LR) at 20ml/kg repeat as needed.
-For hypotension unresponsive to fluids and IM epinephrine, start a gtt
at 0.05-2 mcg/kg/min titrate to effect
Pals Management of anaphylaxis continues finally...
Administer Diphenhydramine 1mg/kg and an H2 blocker, ranitadine IV.
-Administer methylprednisolone or equivalent IV
PALS Management of Lower Airway Obstruction
After ABC... If assisted ventilation is needed provide at a slow rate.
1|Page
, Air Methods Critical Care exam
PALS Management of Lower Airway Obstruction Bronchiolitis
After ABC
-Suction as needed
Consider labs: viral studies, chest X-ray and ABG
trial nebulize epi or albuterol, if no improvement, Discontinue
PALS Management of acute asthma Mild to Moderate
-Administer humidified O2 in high concentration via nasal cannnula or
O2 mask. K
-Keep SpO2 >= 94%
-Administer Albuterol via MDI or Nebulizer
-PO corticosteroids
PALS Management of Moderate to Severe Asthma
-Administer O2 for a SpO2 >= 94% NC or NRB
-Albuterol via MDI with Spacer or Nebulizer
-Continuous Albuterol may be needed
-Administer Ipatroprium in combo with the albuterol
-Corticosterorids IV
-Magnesium Sulfate 25-50mg/Kg via slow IV bolus over 15 to 30
minutes. MAX 2g
-Labs as indicated
PALS Management of Severe Asthma
In Addition to all of the interventions for moderate to sever asthma...
-Consider Terbutaline 10mcg/Kg load over 5 minutes SQ or as a gtt 0.1
mcg/kg/min or IM epi as an alt.
-Bipap
-If refractory hypoxemia intubate.
2|Page
, Air Methods Critical Care exam
Epi Dose, Flight nurse trick
0.1ML/kg no matter what concentration according to Bill.
PALS Defibrillation dose
2 J/kg
PALS Cardioversion dose
0.5-1 J/KG
PALS Calcium Dose & Indication
Only for known/suspected hypocalcemia
20 mg/kg Calcium Chloride SLOW IV push
PALS Increased ICP Cushings Triad
Caused by increased ICP and impending herniation.
-Irregular Breathing
-Hypertension
-Tachycardia
In adults it's bradycardia
Hyperventilate the patient to prevent further increases in ICP
-hypertonic saline, Osmotic agents (dose?)
-Treat pain and agitation aggressively once airway is established.
-Avoid hyperthermia
PALS management of respiratory distress due to poisoning
-Support airway
-give antidote
-call poison control
3|Page
, Air Methods Critical Care exam
Ventilation Management
a Tidal volume is 5-7mL/Kg aprox. 500ml for an adult
-
hemodynamic changes in Cardiogenic shock
SBP (Down)
SVR (UP)
CVP (UP)
CO (Down)
PAP (UP)
Wedge (UP)
PVR (UP)
Coags (PT/INR/PTT)
PT 11-14s
PTT (20-40 sec) heparin
INR (0.9-1.2) Coumadin
Platelets : 150-450k
Blood Gas
pH: 7.35-7.45
PaCO2: 35-45
PaO2: 80-100
HCO3: 22-26
chemistry panels (renal, hepatic, comprehensive, metabolic)
Na+ 135-145
Cl- 95-105
K+ 3.5-4.5
4|Page
AIR METHODS CRITICAL CARE EXAM NEWEST 2025/2026
COMPLETE ALL QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND NEW
VERSION!
PALS Management of Anaphylaxis
In addition to ABC....
- Administer IM epic by auto injector or regular syringe every 10 to 15
minutes as needed. Repeat doses may be needed.
-Treat bronchospasm with albuterol MDI or Nebulizer
-Give continuous nebulizer treatment if needed.
-**For severe respiratory distress anticipate further airway swelling and
prepare for endotracheal intubation
PALS Management of anaphylaxis continues
To treat hypotension:
-Place child in trendelenburg position as tollerated
-administer isotonic crystalloid (NS/LR) at 20ml/kg repeat as needed.
-For hypotension unresponsive to fluids and IM epinephrine, start a gtt
at 0.05-2 mcg/kg/min titrate to effect
Pals Management of anaphylaxis continues finally...
Administer Diphenhydramine 1mg/kg and an H2 blocker, ranitadine IV.
-Administer methylprednisolone or equivalent IV
PALS Management of Lower Airway Obstruction
After ABC... If assisted ventilation is needed provide at a slow rate.
1|Page
, Air Methods Critical Care exam
PALS Management of Lower Airway Obstruction Bronchiolitis
After ABC
-Suction as needed
Consider labs: viral studies, chest X-ray and ABG
trial nebulize epi or albuterol, if no improvement, Discontinue
PALS Management of acute asthma Mild to Moderate
-Administer humidified O2 in high concentration via nasal cannnula or
O2 mask. K
-Keep SpO2 >= 94%
-Administer Albuterol via MDI or Nebulizer
-PO corticosteroids
PALS Management of Moderate to Severe Asthma
-Administer O2 for a SpO2 >= 94% NC or NRB
-Albuterol via MDI with Spacer or Nebulizer
-Continuous Albuterol may be needed
-Administer Ipatroprium in combo with the albuterol
-Corticosterorids IV
-Magnesium Sulfate 25-50mg/Kg via slow IV bolus over 15 to 30
minutes. MAX 2g
-Labs as indicated
PALS Management of Severe Asthma
In Addition to all of the interventions for moderate to sever asthma...
-Consider Terbutaline 10mcg/Kg load over 5 minutes SQ or as a gtt 0.1
mcg/kg/min or IM epi as an alt.
-Bipap
-If refractory hypoxemia intubate.
2|Page
, Air Methods Critical Care exam
Epi Dose, Flight nurse trick
0.1ML/kg no matter what concentration according to Bill.
PALS Defibrillation dose
2 J/kg
PALS Cardioversion dose
0.5-1 J/KG
PALS Calcium Dose & Indication
Only for known/suspected hypocalcemia
20 mg/kg Calcium Chloride SLOW IV push
PALS Increased ICP Cushings Triad
Caused by increased ICP and impending herniation.
-Irregular Breathing
-Hypertension
-Tachycardia
In adults it's bradycardia
Hyperventilate the patient to prevent further increases in ICP
-hypertonic saline, Osmotic agents (dose?)
-Treat pain and agitation aggressively once airway is established.
-Avoid hyperthermia
PALS management of respiratory distress due to poisoning
-Support airway
-give antidote
-call poison control
3|Page
, Air Methods Critical Care exam
Ventilation Management
a Tidal volume is 5-7mL/Kg aprox. 500ml for an adult
-
hemodynamic changes in Cardiogenic shock
SBP (Down)
SVR (UP)
CVP (UP)
CO (Down)
PAP (UP)
Wedge (UP)
PVR (UP)
Coags (PT/INR/PTT)
PT 11-14s
PTT (20-40 sec) heparin
INR (0.9-1.2) Coumadin
Platelets : 150-450k
Blood Gas
pH: 7.35-7.45
PaCO2: 35-45
PaO2: 80-100
HCO3: 22-26
chemistry panels (renal, hepatic, comprehensive, metabolic)
Na+ 135-145
Cl- 95-105
K+ 3.5-4.5
4|Page
