EMT Psychomotor Exam

Question 1

Long Board Immobilization

Answer 1

BSI, Scene Safe, Ask for inline manual stabilization of c-spine, CMS, cervical collar, roll patient onto board, strap in torso, strap abdomen, strap legs, secure head, pad voids, secure arms by folding over chest and tying, CMS

Question 2

BVM of Apneic Patient

Answer 2

BSi, Scene Safe, AVPU, check breathing, check pulse (5 sec), call for additional EMS assistance, head tilt chin lift, measure suction, insert without suction, suction 10-15seconds in sweeping motion, insert OPA, BVM at rate of 12/min (1 every 6 seconds), have partner connect BVM to oxygen, check pulse, continue BVM, look for adequate chest rise

Question 3

Oxygen Admin by Non-Rebreather Mask

Answer 3

BSI, Scene safe, gather equipment, crack valve on tank, check regular for O-ring, apply regulator, open the tank, check tank pressure, connect NRB, turn regulator to 15L/min, check for leaks, let bag fill halfway, apply mask to patient’s face

Disassembly (bonus): Remove mask, close regulator, close tank, open regulator, remove regulator, put tank away.

Question 4

Cardiac Arrest Management

Answer 4

BSI, Scene safe, ask if anyone saw what happened, AVPU, check breathing, check pulse, begin compressions, call for additional EMS, call for AED, 30 compressions to 2 breaths with pocket mask, after 5 cycles, check for pulse quickly, communicate exchange when AED arrives, turn AED on, follow prompts to apply pads, then plug in pads, clear patient when analyzing, clear again when shocking, direct partner to resume compressions

Question 5

Bleeding/Shock Management

Answer 5

BSI, Scene safe, apply direct pressure, apply tourniquet and note the time, lay patient supine, cover with blanket, oxygen by NRB at 15L/min, immediate transport

Question 6

Long Bone Immobilization

Answer 6

BSI, scene safe, direct partner to manually stabilize injury, CMS, measure splint, immobilize joint above and below injury, keep hand/foot in position of function, secure whole extremity, CMS

Question 7

Joint Immobilization

Answer 7

BSI, scene safe, direct partner to manually stabilize injury, CMS, measure splint, immobilize long bone above and below injury, secure whole extremity, CMS

Question 8

Medical Patient (Whole)

Answer 8

BSI, Scene Safe, # patients, ALS backup, NOI, c-spine consideration, general impression, AVPU, chief complaint, airway, breathing, circulation, transport decision (usually high priority, move to ambulance), OPQRST, SAMPLE, Secondary, Baseline vitals, field impression, radio for treatment clearance, treat, radio hospital, reassess every 5 if unstable, 15 if stable

Question 9

Airway Steps

Answer 9

Patent airway, insert adjunct if not

Question 10

Breathing Steps

Answer 10

Respiratory Rate, is it adequate, provide O2 or positive pressure ventilation

Question 11

Circulation Steps

Answer 11

Check for major bleeding, assess skin temp and condition, pulse, treat for shock if indicated

Question 12

OPQRST

Answer 12

Onset, Palliation/Provocation, Quality, Radiation, Severity, Time

Question 13

SAMPLE

Answer 13

Symptoms (OPQRST), Allergies, Medications, Pertinent Past History, Last Oral Input/Output, Events leading to call

Question 14

Vitals

Answer 14

Pulse, Respiratory Rate, Blood Pressure, O2 Sat, Skin Condition/Temperature, maybe Blood Glucose Level