2017 Nyc Remac - Gop - Cpr & Pt Managment

Front 1

CPR should be initiated on all patients who are apneic and pulseless unless one of the following five conditions exist:

Back 1

(1) Extreme dependent lividity

(2) Rigor mortis

(3) Tissue decomposition

(4) Obvious mortal injury

(5) A valid DNR or MOLST is present

Front 2

True or False

Terminal illness is not a contraindication to CPR.

Back 2

True

Front 3

Cardiac arrests secondary to the following five conditions should be treated as MEDICAL in nature.

Back 3

(1) drowning

(2) hanging

(3) electrocution

(4) smoke inhalation

(5) cyanide toxicity

Front 4

CPR should be initiated in newborns, infants and children with a heart rate of less than _____ and signs of _____.

Back 4

60

inadequate central perfusion

Front 5

CPR is necessary in _____ newborns, infant and children with extremely slow heart rates and poor vital organ perfusion.

Back 5

unconscious

Front 6

CPR should be continued until one of the following five conditions occurs:

Back 6

(1) ROSC

(2) transfer to equal or higher care

(3) physician assumes responsibility

(4) crew is exhausted and unable

(5) a DNR is presented after CPR has been started (stop CPR)

Front 7

Whenever Advanced Airway Management is implemented...

Back 7

...the use of continuous end-tidal waveform capnography is mandatory.

Front 8

The use of pulse oximetry in airway management is mandatory for _____ and optional for _____.

Back 8

ALS

BLS

Front 9

The following six elements shall be utilized to monitor airway:

Back 9

(1) Head position

(2) Adjuncts PRN

(3) Suction PRN

(4) ALS PRN

(5) Pulse Ox

(6) Capnography

Front 10

All patients who are in respiratory arrest must have ventilator assistance unless...

Back 10

...MOLST or DNR is presented.

Front 11

Do not use a _____ resuscitator due to the possibility of causing severe, life threatening complications.

Back 11

demand valve

Front 12

Adult patients who require supplemental oxygen should receive _____ via _____ set at _____ LPM.

Back 12

high concentration oxygen

non-rebreather mask

10-15

Front 13

The NRB reservoir bag must be at least _____ full following inspiration.

Back 13

one-third

Front 14

If a mask is not tolerated by the patient, a _____ set at _____ should be used and such use properly documented.

Back 14

nasal cannula

6 LPM

Front 15

Patients who are chronically maintained on oxygen and do not require high concentration oxygen shall be administered oxygen...

Back 15

...at their prescribed rate of flow.

Front 16

True or False

There is no reason to withhold high concentration oxygen when required in adult patients.

Back 16

True

Front 17

Assisted ventilations should be done with one of the following two methods:

Back 17

(1) Pocket mask

(2) BVM and reservoir

(w/ 10-15 LMP O2)

Front 18

For pediatric patients, ______ oxygen via NRB is preferred.

Back 18

humidified

Front 19

If a mask is not tolerated by a pediatric patient, _____ oxygen is acceptable.

Back 19

blow-by

Front 20

Compensated shock in an adult patient is characterized by a systolic BP of _____ and signs of ______.

Back 20

above 90 mmHg

inadequate perfusion

Front 21

Signs of inadequate perfusion in an adult may include the following five conditions:

Back 21

(1) AMS

(2) Tachycardia

(3) Pallor

(4) Diaphoresis

(5) Orthostasis

Front 22

Compensated shock in a pediatric patient is characterized by signs of inadequate _____ perfusion.

Back 22

peripheral

Front 23

Signs of inadequate peripheral perfusion (compensated shock) in a pediatric patient may include any of the following seven conditions:

Back 23

(1) AMS

(2) Tachycardia

(3) Pallor

(4) Cool, cyanotic lower extremities

(5) Delayed cap refill

(6) Mottling

(7) Weak/absent peripheral pulses

Front 24

The definition of shock in a pediatric patient does not depend upon _____.

Back 24

blood pressure

Front 25

Decompensated shock in an adult patient is characterized by a systolic BP of _____ and signs of ______.

Back 25

below 90mmHg

Front 26

Decompensated shock in a pediatric patient is characterized by signs of inadequate _____ perfusion or a systolic BP of _____.

Back 26

central (proximal)

below 70mmHg+2x age

Front 27

Signs of inadequate central perfusion (decompensated shock) in a child may include the following three conditions:

Back 27

(1) AMS

(2) Extensive cyanosis of all extremities

(3) Weak/impalpable central pulses

Front 28

In the control of bleeding, the following three elements must be considered:

Back 28

(1) direct sterile pressure

(2) pressure bandage

(3) tourniquet

Front 29

True or False

CFRs, EMTs and AEMTPs may allow a patient to self-administer the patient's own medication as prescribed by the patient's physician.

Back 29

True

Front 30

True or False

A basic EMT may transport at patient with a saline lock in place.

Back 30

True

(as long as no fluids or meds are attached)

Front 31

True or False

High concentration oxygen should always be used in pediatric patients.

Back 31

True