The following time, I will be sitting down at a computer terminal (tomorrow) taking my NR test. Hate to say it, but my future is depending on this quite a bit now...
So, feel free to ask me questions, help me out. Post em here, multiple choice it. Stress from hellmart and this is piling up heavy...
You and your EMT-B partner arrive at the scene of an older man suffering from cardiac arrest. The arrest was not witnessed, but family says the patient was not feeling well when he was last seen 20 minutes ago. You should:
A. begin CPR and call for a paramedic intercept.
B. begin CPR and intubate the patient to help maintain his airway.
C. call the code on scene since the patient is clearly dead.
D. administer nitro and begin CPR
:confused:
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Believe it or not, you would actually get that one wrong :eek:. We can use them here too, but the Combitube isn't part of the NR protocols. A is the right answer, even though a combitube is the right answer when you are in the field. You should also definitely call for ALS in a cardiac arrest, if they are or become asystolic they are probably going to need drugs that only a medic can give. It will throw stuff like that in there, be careful!!!
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Last edited by noelchabanel; 07-23-08 at 06:06 PM.
Believe it or not, you would actually get that one wrong :eek:. We can use them here too, but the Combitube isn't part of the NR protocols. A is the right answer, even though a combitube is the right answer when you are in the field. You should also definitely call for ALS in a cardiac arrest, if they are or become asystolic they are probably going to need drugs that only a medic can give. It will throw stuff like that in there, be careful!!!
Yeah like I said, A was probably the right answer. But B is what I would do. But yeah I forgot that the NR protocol doesn't allow combitube
You arrive at the scene of a motor vehicle rollover to find a disoriented patient complaining of back pain. There is a star shaped deformity in the middle of the windshield in front of the driver's seat. When you ask the patient about the accident she can't remember what happened, isn't sure where she was going, and can't remember where she came from. She tells you she is fine, doesn't want you touching her, and insists she does not need medical care. You should:
A. Ask her to sign a release and help her call a friend to drive her to the hospital.
B. Inform her that the police will put her in protective custody if she continues to refuse necessary care.
C. Call her husband, explain what is going on, and ask him to covince her to come with you.
D. Attempt to persuade her that her injuries may be serious and she should allow you to examine her.
You are called to the home of a patient complaining of difficulty breathing. The patient is sitting on the edge bed in a tripod position, and has audible snoring respirations at a rate of 12 per minute. He tells you he feels faint and has some swelling in his throat. During transport you should:
A. Insert an oral airway and administer 15 LPM of oxygen by non-rebreather mask.
B. Administer 4 LPM of oxygen by nasal cannula and keep talking with the patient to see if his airway remains patent.
C. Ventilate the patient with high flow oxygen and a bag-valve-mask.
D. Administer 15 LPM of oxygen by non-rebreather mask and have the patient lift the mask occasionally to answer questions.
You are called to Wal Mart to the scene of an attempted suicide. An employee is in the bathroom with his head in his hands and mumbling that he just wants his life to be over. There is an empty $4 bottle of discount prescription pills with a "made in china" label on it on the floor. You should:
A. Have him sign a release to refuse care and call a priest, because his life probably really is that bad.
B. Have the patient drink one tube of activated charcoal.
C. Call poison control and ask for assistance before beginning any treatment.
D. Put the patient on high flow oxygen and ventilate him.
E. Bring him to the ambulance and immediately administer a 2000 cc diesel bolus.
You arrive at the scene of a motor vehicle rollover to find a disoriented patient complaining of back pain. There is a star shaped deformity in the middle of the windshield in front of the driver's seat. When you ask the patient about the accident she can't remember what happened, isn't sure where she was going, and can't remember where she came from. She tells you she is fine, doesn't want you touching her, and insists she does not need medical care. You should:
A. Ask her to sign a release and help her call a friend to drive her to the hospital.
B. Inform her that the police will put her in protective custody if she continues to refuse necessary care.
C. Call her husband, explain what is going on, and ask him to covince her to come with you. D. Attempt to persuade her that her injuries may be serious and she should allow you to examine her.
She has an altered mental status.
She goes.
Just convince her to go and explain why.
Quote:
Originally Posted by noelchabanel
You are called to the home of a patient complaining of difficulty breathing. The patient is sitting on the edge bed in a tripod position, and has audible snoring respirations at a rate of 12 per minute. He tells you he feels faint and has some swelling in his throat. During transport you should:
A. Insert an oral airway and administer 15 LPM of oxygen by non-rebreather mask. B. Administer 4 LPM of oxygen by nasal cannula and keep talking with the patient to see if his airway remains patent.
C. Ventilate the patient with high flow oxygen and a bag-valve-mask.
D. Administer 15 LPM of oxygen by non-rebreather mask and have the patient lift the mask occasionally to answer questions.
Normal rates for an adult are 12-20. If the nasal cannula doesn't work, switch to NRB.
But a small part of me wants to put D down...
Quote:
Originally Posted by noelchabanel
You are called to Wal Mart to the scene of an attempted suicide. An employee is in the bathroom with his head in his hands and mumbling that he just wants his life to be over. There is an empty $4 bottle of discount prescription pills with a "made in china" label on it on the floor. You should:
A. Have him sign a release to refuse care and call a priest, because his life probably really is that bad.
B. Have the patient drink one tube of activated charcoal. C. Call poison control and ask for assistance before beginning any treatment.
D. Put the patient on high flow oxygen and ventilate him.
E. Bring him to the ambulance and immediately administer a 2000 cc diesel bolus.
You had to put this question in there didn't you... :p
In real life you probably would go with the nasal cannula first on the difficulty breathing patient, BUT NR protocol tells EMT-B's to go with the NRB mask unless the patient will not tolerate it. Seems silly to me, but the correct answer is D.
In real life you probably would go with the nasal cannula first on the difficulty breathing patient, BUT NR protocol tells EMT-B's to go with the NRB mask unless the patient will not tolerate it. Seems silly to me, but the correct answer is D.
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