Airway

Question 1

DO NOT use _____ in patients with severe front facial trauma or basilar skull fracture

Answer 1

NPA

Question 2

Oxygen administration should be based on a patient’s __________ and medical condition

Answer 2

respiratory effort

Question 3

While the goal is to maintain a SpO2 of ___or greater, oxygen should not be reduced or withheld based solely on pulse oximetry readings in patients with distress or medical conditions potentially requiring oxygen.

Answer 3

90%

Question 4

Non Re-breather Mask at _______ for breathing patients with signs of moderate to severe distress, impending shock, or signs of hypoxia

Answer 4

10-15 LPM

Question 5

Adult – __________ – 10/minute

Answer 5

1 breath every 6 seconds

Question 6

Pediatric – __________ – 20/minute

Answer 6

1 breath every 3 seconds

Question 7

Hyperventilation for brain herniation is considered: (maintain a CO2 level__________)

Answer 7

of 30-35 mm/Hg

Question 8

Hyperventilation rate for adult is

Answer 8

1 breath every 3 seconds

Question 9

Hyperventilation rate for child is

Answer 9

1 breath every 2 seconds – 30/minute

Question 10

• Autovent contraindicated in __________

Answer 10

Cardiac arrest

Question 11

Consider as a vital sign for documentation on patients being treated for a medical or traumatic condition if appropriate, however do not base treatment solely on the _________________

Answer 11

monitors findings

Question 12

The goal shall be to maintain a pulse oximetry level between _________

Answer 12

90 and 99%

Question 13

Capnography - numeric and waveform CO2 monitoring. Normal finding should be ________

Answer 13

35-40 mm/Hg

Question 14

ET tube device for intubated patients to help assess:

Answer 14

• Additional verification of ET tube placement
• Detection of ET tube dislodgement
• Confirmation of return of pulses

Question 15

Adequate BVM ventilations shall initially take precedence over _________

Answer 15

intubation attempts

Question 16

All intubation attempts should be preceded by at least _______ of ventilations with a basic airway device in place.

Answer 16

2 minutes

Question 17

Intubation attempts lasting longer than __ seconds, or ___ compression cycle of the Autopulse, should be re-ventilated prior to secondary attempts.

Answer 17

18 seconds, one

Question 18

All intubation attempts will be made while compressions are being performed. If interruption of compressions is needed, limit to ______ or less.

Answer 18

10 seconds

Question 19

Limit intubation to no more than _______ before securing the airway with a secondary device

Answer 19

2 attempts

Question 20

Additional intubation attempts may be attempted at the discretion of the

Answer 20

EMS Captain

Question 21

Confirm tube placement clinically by assessing chest rise,___________, and the presence of bilateral lung sounds

Answer 21

absence of epigastric sounds

Question 22

Adequate BVM ventilations shall initially take precedence over _________

Answer 22

Intubation attempts

Question 23

All intubation attempts should be preceded by at least of ventilations with a basic airway device in place.

Answer 23

2 minutes

Question 24

All intubation attempts will be made while _______ are being performed.

Answer 24

compressions

Question 25

Always assign at least __ paramedics to the airway during intubation procedures.

Answer 25

2

Question 26

What is for patients requiring intubation who are breathing spontaneously and still have protective airway reflexes or clenched jaw but are NOT candidates for paralysis; contraindicated in pediatrics or patients with severe front facial trauma or signs of a basilar skull fracture

Answer 26

Nasal Intubation

Question 27

ESOPHAGEAL FOOD BOLUS OBSTRUCTION treatment

Answer 27

Glucagon 2 mg slow IV push, or IM

Question 28

PHARMACOLOGICAL ASSISTED INTUBATIONS preparation and equipment

Answer 28

• Oxygenate 2 minutes, if practical 
• Apply appropriate monitors, ECG, pulse ox, ETCO2  *Prepare back up ventilation equipment 
• Administer Zofran 4.0 mg IV/IO 
• Administer Etomidate 0.3 mg/kg IV slowly or:  *Ketamine: asthmatic patients only: dose is Adult: 2.0 mg/kg IV/IO (EMS Captain must accompany Pt. to hospital) Pediatric: 1.0 mg/kg IV/IO

Question 29

Re-sedation dose for PHARMACOLOGICAL ASSISTED INTUBATIONS

Answer 29

2-5 mg versed

Question 30

The 5 P’s Approach to RSI

Answer 30

– Position, Pre-treat, Pre-Sedate, Paralyze, Place

Question 31

Hyperkalemia TX

Answer 31

Consider Calcium Chloride 1 gram then Sodium Bicarbonate 1 mEq/kg IV/IO