Skills

Question 1

Bougie indication

Answer 1

Assist with intubation

Question 2

CPAP Indication

Answer 2

Age >15 years
Respiratory Distress: CHF, COPD, asthma, pneumonia or drowning. Moderate to severe respiratory distress. Retractions/accessory muscle use AND
• RR >25/min OR
• SpO2 <94%

Question 3

CPAP Contraindication

Answer 3

Unconscious
Non-verbal patients with poor head/neck tone may be too obtunded for CPAP
CPR
BP <90 mmHg Vomiting
Age <15
Possible pneumothorax
 Facial trauma
Unable to maintain airway

Question 4

Intubation Indication

Answer 4

Apnea or ineffective respirations for unconscious adult patient or decreasing LOC.

Question 5

Intubation contraindications

Answer 5

?Opioid OD prior to Narcan
Able to adequately ventilate the pediatric patient via BVM
Gag reflex
Infants and pediatric patients

Question 6

Magill Forceps indications

Answer 6

Airway obstruction from foreign body with decreasing LOC/unconscious

Question 7

Magill Forceps contraindications

Answer 7

None

Question 8

Nasogastric / Orogastric tube indications

Answer 8

Gastric distention interfering w/ ventilations

Question 9

Nasogastric / Orogastric tube contraindications

Answer 9

Severe facial trauma Known esophageal disease

Question 10

Needle Thoracostomy indication

Answer 10

Severe respiratory distress with unilateral, diminished breath sounds and systolic BP <90
Pediatric: severe respiratory distress with unilateral diminished breath sounds AND BP <70 + (2x age)

Question 11

Needle Thoracostomy contraindications

Answer 11

None

Question 12

Removal of Impaled Object indication

Answer 12

Compromised ventilation of patient with impaled object in face/cheek or neck.

Question 13

Removal of Impaled Object contraindication

Answer 13

None

Question 14

Intraosseous IO indication

Answer 14

Fluid/medication administration in acute status patient when needed for definitive therapy and unable to establish venous access.
Pediatric patient: unconscious.

Question 15

Intraosseous IO contraindication

Answer 15

Tibial fracture
Vascular Disruption Prior attempt to place in target bone
Humeral fracture
Local infection at insertion site

Question 16

Intubation: Perilaryngeal airway adjunct

(ETAD/Combitube. Laryngeal-Tracheal/King Airway) indications

Answer 16

Apnea or ineffective respirations for unconscious patient or decreasing LOC.

Question 17

Intubation: Perilaryngeal airway adjunct

(ETAD/Combitube. Laryngeal-Tracheal/King Airway) contraindications

Answer 17

Gag reflex present Patient <4’ tall ?Opioid OD prior to Narcan
Ingestion of caustic substances
Hx esophageal disease Laryngectomy/Stoma
Infants and pediatric patients