EMS Grand Rounds CE Self Quiz: February 2020

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In field airway management

Resuscitation should rarely be performed prior to attempts at initubation

Elevation of the head of bed is sufficient to achieve the "sniffing position"

Patients should be placed in "flextension" with the pace parallel to the floor and ear level to sternal notch

Intubation perfomed on scene should be performed where the patient is found wiithout movement

Clear selection

True or False: Lubbers thinks that you can't use paralytics and sedation if the patient's SPO2 is <93%

True

False

Clear selection

During preoxygenation for intubation

Use of BVM is contrainicated

NIVPP should not be used if GCS is depressed

Use of a NRB mask with nasal cannula may improve oxygenation

Use of standard nasal cannula alone is usually sufficient

Clear selection

The most dangerous cause of bleeding in early pregnancy is

missed menstrual period

spontaneous abortion

ectopic pregnancy

Clear selection

A patient at 22 weeks gestation is found to have blood pressure 155/90. Her normal blood pressure is 120/60.

This is ok, blood pressure goes up in pregnancy

As long as her heart rate is normal the blood pressure is not important

the patient should be evaluated at a facility with OB services

the patient should be given labetalol 20 mg IV push now

Clear selection

When transporting a pregnant patient at 32 weeks gestation

She should be laid flat after trauma in order to prevent spine injury

Patient should be allowed to ride on all fours facing backward if she is having contractions

EMS providers should ask about fetal movement, leakage of fluid, vaginal bleeding, and contractions

Providers should stay on scene and resuscitate for 20 minutes prior to movement if in cardiac arrest

Clear selection

A 36 week pregnant female with no seizure history has a seizure. She remains post-ictal, BP 185/110, P 125, SPO2 98%, RR 24. The most appropriate medication is

Hydralazine 10 mg slow push

Versed 2 mg over 2 minutes

Magnesium 4 g over 30 min

Labetalol 10 mg IV push

Clear selection

For a 3rd trimester pregnant patient in ventricular fibrillation

Amiodarone is the preferred agent for cardioversion

Defibrillation energy should be reduced to pediatric dosing (4 J/kg)

Interventions should be performed on scene rather than en route

Manual displacement of the uterus to the patient's left is critiical

Clear selection

T/F: Charging the defibrillator while chest compressions are ongoing is dangerous to providers and patient

True

False

Clear selection

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