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NEW QUESTION # 61
A 12-year-old male suffered helmet-to-helmet contact while playing football. A bystander states, "He passed out for several seconds, then walked off the field under his own power." He is now unresponsive, and his vital signs are BP 180/110, P 90, and R 6. You should suspect
Answer: B
Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
Anepidural hematomaclassically presents with a"lucid interval"- a brief period of regained consciousness following head trauma, followed by rapid deterioration. This is due to arterial bleeding, often from themiddle meningeal artery, leading to increasing intracranial pressure.
Signs include:
* High blood pressure
* Decreasing respiratory rate
* Altered LOC or unresponsiveness
Subdural hemorrhages are slower venous bleeds, common in elderly patients. Subarachnoid hemorrhage often presents with "worst headache of life." Intracerebral bleeds are less commonly linked to lucid intervals.
References:
NREMT Trauma Module - Head Injuries
AAOS Emergency Care Textbook (11th ed.), Chapter: Head and Spine Trauma Emergency Neurological Life Support (ENLS) Guidelines - Traumatic Brain Injury
NEW QUESTION # 62
A patient is having an asthmatic attack. The EMT receives orders from medical control to assist with the patient's inhaler. What are the expected side effects of this medication? Select the three correct options.
Answer: A,B,E
Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
Albuterol, a commonbeta-2 adrenergic agonistused in inhalers, stimulates bronchial smooth muscle relaxation. However, stimulation of beta receptors can also produce systemic effects such as:
* Tachycardia(due to beta-1 cross-reactivity)
* Nervousness(from central stimulation)
* Coughing(a local airway response)
Confusion and drowsiness are not typical side effects of beta-agonists. Hypotension is rare unless severe overdose occurs.
References:
NREMT Scope of Practice Model - Medication Administration
American Heart Association BLS and ACLS Drug List
"Emergency Care and Transportation of the Sick and Injured" (AAOS, 11th ed.), Chapter on Respiratory Emergencies
NEW QUESTION # 63
Defusing sessions should do which of the following in order to be successful? Select the two correct options.
Answer: C,E
Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
Defusingis an informal, short-term intervention after acritical incident. It should:
* Occur within hoursof the event (ideally the same shift)
* Encourage voluntary open discussionin a confidential setting
It isnot a full debriefor counseling session and doesn't requiremental health professionalspresent. Forcing participation or waiting too long (e.g., 72+ hours) can reduce its effectiveness.
References:
NREMT EMS Operations - Critical Incident Stress Management (CISM)
International Critical Incident Stress Foundation (ICISF) Guidelines
National EMS Education Standards - Mental Health and Stress Response
NEW QUESTION # 64
What characteristics of the pediatric airway are different from the adult airway?
Answer: D
Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
Compared to adults, pediatric patients have:
* Aproportionately larger tongue, which increases the risk of airway obstruction
* Alarger occiput, which causes natural neck flexion when lying supine, potentially occluding the airway This anatomical difference is why EMS providers often use ashoulder rollinstead of a head tilt to maintain a neutral airwayin infants and toddlers.
References:
NREMT Pediatric Airway Management Standards
AHA PALS Manual - Pediatric Anatomy and Airway Considerations
National EMS Education Standards - Pediatric Assessment and Airway Anatomy
NEW QUESTION # 65
A 38-year-old patient is unconscious with slow, shallow, and gasping breaths. The patient is not moving.
What should the EMT perform first?
Answer: B
Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
In anyunresponsive patient, the first step is toassess and open the airwayto determine patency and identify obstruction or inadequate breathing.
Gasping respirations (agonal) are not effective; they requireBVM ventilationsupport. The airway must be openbefore checking for a pulse or performing auscultation. A secondary assessment is performed only after primary survey and stabilization.
References:
AHA BLS Provider Manual (2020) - Unresponsive Patient Algorithm
NREMT Airway Skills - Primary Assessment
National EMS Education Standards - Airway, Breathing, Circulation (ABC) Sequence
NEW QUESTION # 66
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