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Airway Management- EMT
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Terms in this set (75)
You are called to treat a 27-year-old male who was found unconscious on the side of the road. Which of the following would be the preferred method to initially open this patient's airway?
Jaw-thrust with manual cervical spine control.
What is the primary reason we administer an inhaler?
To calm and reassure the patient.
You are attempting to ventilate a near drowning/submersion patient who was just pulled from the water. Your ventilation efforts are unsuccessful. Which of the following is the MOST likely cause?
The larynx is having a spasm
which of the following is an abnormal lower-airway sound associated with breathing?
You are transporting a supine, unresponsive patient who begins vomiting forcefully. Rigid suctioning of the oropharyx is started but it is unable to keep up with the volume of emesis. You suspect aspiration of stomach contents. Which beneficial treatment have the rescuers neglected to exercise?
Rolling the patient into the left lateral recumbent position.
You are caring for patient who has difficulty breathing. This patient has a history of asthma and emphysema. The patient states his inhaler is not helping him. You watch the patient administer the inhaler, which he does by spraying in front of his nose. You know this is not the correct procedure. Which of the following would you recommend to the patient?
The inhaler goes in the mouth and he should hold his breath after aerosol spray.
You determine your unconscious patient must be moved downstairs by using a small elevator. If you are limited to the amount of equipment that will fit on the elevator, choose a piece of equipment that MUST be with you for the trip downstairs.
While off-duty having lunch at a restaurant with your family, you see an elderly customer coughing and turning red in the face. You go to the person and ask if he is choking. You can see he is having more trouble breathing, as he shakes his head "no" and states "asthma". You are aware that his patient would benefit from:
After a call for a motorcycle crash, a co-worker asks you to defend your reason for ignoring an obvious broken leg on the victim. Which of the following would be the BEST justification you could provide for ignoring the broken leg.
The patient had a problem protecting his own airway.
What does the medical term "dyspnea" represent?
What would be your priority when you find vomit in the mouth of a supine, unconscious trauma patient?
Logroll the patient on her side and clear the vomit.
You are preparing to suction the mouth of an adult patient who is apneic. Which of the following is TRUE regarding what you should do when suctioning this patient?
Have a container of sterile water on hand.
While awaiting an ALS transport of a critical patient, your fellow crew members begin returning non-essential equipment to the ambulance. Which piece of equipment must be left behind and should be most easily accessible?
Suction machine and tubing.
You arrive at a scene with a patient in respiratory distress. Shortly into your assessment the patient becomes unconscious and stops breathing. You begin to ventilate with a BVM and an OPA in place. Your ventilations do not produce chest rise. Your partner removes the patient's shirt and you see the patient has a stoma. You begin ventilating through the stoma with the BVM. Because the ventilations are through a stoma, which of the following will most likely occur?
Unless the seal is adequate, air will escape around the stoma.
Two rescuers are assisting ventilations on an unconscious patient. If one rescuer compresses the bag-valve-mask, the other rescuer should:
Hold the face mask in place.
The BEST way to measure an oropharyngeal airway is from the:
Corner of the mouth to the tip of the ear lobe.
Which of the following is MOST likely the cause of stridor?
A narrowing of the upper airway.
Which of the following sounds is corrected with a head-tilt-chin-lift?
If needed, when should a newborn first be suctioned?
As soon as the newborn's head delivers.
Which of the following is a common lower airway issue in the pediatric patient?
You are assessing a female patient who has labored breathing. Choose the BEST description of this finding.
Increased use of accessory muscles.
As a single rescuer, you are assisting ventilations for an unconscious adult patient with inadequate breathing. What is the preferred method of assisting the patient's ventilations?
Pocket mask with supplemental oxygen.
Identify which technique will work the BEST for ventilating a non-breathing stoma patient.
Use an adult bag-valve connected to a pediatric mask.
You are called to the scene of a 27-year-old male who just came home from the hospital after knee surgery and suddenly became short of breath. Assessment reveals jugular venous distention and equal lung sounds. This patient is MOST likely suffering from:
Which of the following would be the appropriate care for a patient with inadequate breathing?
Ventilate with supplemental oxygen.
Which of the following are you checking when you assess the upper airway during the primary assessment?
Sounds of snoring.
Which of the following newborn conditions will MOST likely benefit from blow-by delivery oxygen early on?
Newborn responding slowly to tactile stimulation.
You are called to treat a patient with sever dyspnea. Which of the following tank sizes would be the most appropriate to bring to the patient's side when you anticipate a 10-minute transfer form the patient's bed to the ambulance?
A D-tank with 1200 psi.
You are caring for a young adult patient with acute dyspnea. You suspect the patient is suffering from hyperventilation syndrome. The patient denies any previous medical history whatsoever and is normally very healthy. Which of the following BEST supports your conclusion of hyperventilation syndrome?
Spasms of the hands and feet.
While ventilating a patient with a flow-restricted oxygen-powered ventilation device, you should:
Listen for the alarm indicating the relief valve is activating.
You are called to the scene of a patient in respiratory distress who is now unresponsive to verbal stimuli and snoring. Which of the following is the MOST appropriate action for this case?
Insert a NPA.
You arrive to find a 63-year-old male complaining of chest pain. Choose the sing(s) that would match a situation indicating breathing is most likely adequate.
Skin that is warm and dry.
You are providing ventilations with a pocket mask. The mask has no oxygen inlet valve. Which of the following would be the BEST way to increase the oxygen amount delivered to the patient?
Place a nasal cannual on yourself.
You are dispatched to the residence of a 42-year-old male observed sitting in a tripod position. Which of the following would be the MOST critical sign regarding this patient?
Select the BEST way of obtaining the breathing rate on a conscious patient you suspect is having a heart attack.
Casually rest your hand on the patient's abdomen during your pulse evaluation to distract the patient and count.
You are transporting a 75-year-old emphysema patient complaining of dyspnea. You observe cyanosis. He asks how much oxygen you are giving him. You tell him 10 liters per minute and he becomes concerned. Which of the following is an appropriate response to your patient?
I'm concerned that your oxygen level is critically low and that is why you are having shortness of breath.
Which of these BEST explains why we check the breathing rate and volume of a patient with difficulty breathing?
To determine if assisting ventilations will be necessary.
Choose the patient to whom you would apply a nasal cannula instead of a non-rebreather face mask.
Patients who refuse to wear a mask because of a claustrophobic sensation.
A patient approaches your ambulance complaining of trouble breathing. Which finding indicates ineffective breathing?
Blue lips and fingers.
At a private residence you are evaluating a 2-year-old child that has a respiratory illness. You know this is the time of year for a lot of respiratory viruses to be seen in children. The mother states that the child sounds like her throat is swollen. The child hasn't wanted to eat or drink today and has a low-grade fever for three days. Why is this type of respiratory illness in children more significant than it is in adults?
Swelling can close the airway.
Which of the following unresponsive patients are breathing inadequately and are in need of assisted breathing?
A 27-year-old male breathing 12 times per minute and very shallow.
You are called to the scene of an 18-year-old male who suddenly became short of breath and is complaining of left shoulder pain. The symptoms began 15 minutes are after he tried to tighten a lug nut on his car. Lung sounds are slightly diminished in the left upper lobe, there is no JVD or tracheal deviation, and the patient is breathing at 24 times per minute. Which of the following would you do to initially treat this patient?
Provide supplemental oxygen
You have been called to care for a patient who has a history of asthma and now is having a lot of trouble breathing. The patient can barely talk to you. Which of the following explains the difficulty in speaking?
You are assessing an adult patient who suddenly complains of shortness of breath. The patient is also complaining of severe pain in the right chest. Which of the following assessments would be the MOST critical?
You are assisting in the care of a cardiac arrest patient. Your partner is ventilating the patient with a bag valve mask (BVM). Other rescuers arrive and take over chest compressions and possible defibrillation. You can see there is no chest rise when your partner ventilates the patient. Which of the following should you choose next to improve this situation?
Assist your partner to maintain a seal on the BVM.
One of the MOST important concepts to remember when dealing with a patient who has a stoma is:
The victim will likely need suctioning prior to ventilations.
ALS providers are reassessing a newborn patient after 30 seconds of bag-valve-mask ventilations. A crew member suggests that BVM ventilations should be stopped. What do you suspect he has witnessed to suggest ventilations can be discontinued?
The newborn begins screaming and crying vigorously.
You are at the scene of a MVC where you are caring for a patient that most likely broke his neck when he was thrown from the vehicle. The patient has no movement or sensation in his arms or his legs. The patient is conscious and alert when you arrived, but now he is starting to be irritable and moving his head while you are trying to stabilize him. The patient keeps saying "air, I need air". Because this patient has no leg or arm movement, it is possible that he:
Is experiencing some paralysis of his rib muscles.
During examination of a 55-year-old female complaining of chest pain, you are getting ready to listen to lung sounds. Which action would be MOST appropriate for a male provider when dealing with this patient?
First explain the procedure and why it must be done.
Which of the following is one of the EARLIEST signs that a patient has inadequate ventilations?
Anxiety or decreased LOC
You are treating a 26-year-old male with bradycardia who is in respiratory arrest. There are no signs of trauma as you begin ventilations. You suspect an opioid overdose. Assuming you are authorized to provide any of these, which of the following should you administer according to the 2015 AHA Guidelines?
Which of the following signs would indicate a lower airway respiratory problem?
Which of the following BEST explains why we perform chin lifts when opening a patient's airway?
It indirectly lifts the tongue up.
You have a patient who is having difficulty breathing as a result of an asthma attack. He has a prescribed inhaler. Which of the following should you do prior to assisting the patient with his inhaler?
Obtain authorization from medical control.
Rescuers are preparing to transfer a 52-year-old female with a mild pneumothorax to a larger hospital for further treatment. According to the physician arranging the transfer, he suspects her lung was punctured during a central line insertion two days ago. During transport a patient becomes unresponsive to painful stimuli and cyanosis is observed. Rescuers rub her sternum with their knuckles and lightly brush her eyelashes with a finger tip. What do you suspect they are assessing?
Likelihood the patient has a gag reflex.
When a patient is experiencing trouble breathing, our first concern is to rule out the presence of:
You are dispatched to an unresponsive patient who is breathing abnormally. You suspect the patient has pneumonia and it is causing the patient to have breathing problems today. The patient's wife explains to you that your patient has no insurance and is refusing transport to the hospital. Choose the TRUE statement.
The patient should be transported to the hospital by EMS.
Which of the following describes the action of an inhaler such as albuterol?
Dilates the bronchioles.
If your patient has cyanosis, which of the following should you MOST likely suspect>
Identify which of the following scenarios may benefit from application of humidified oxygen.
4-year-old female with suspected croup.
You have a bag-valve-mask device with a reservoir bag attached. Which of these provides the BEST description of oxygen volume to be delivered to the device?
Enough to keep the reservoir bag inflated.
What are you listening for when you first assess breathing during the primary assessment?
Air leaving the airway and inappropriate noises.
Your partner is preforming rescue ventilation. How often should he breath for the adult patient?
Once every 5 seconds.
You are opening a partially-occluded airway with a jaw thrust technique. Which maneuver must be preformed prior to displacing the jaw foward?
Holding the head and neck in neutral alignment.
When preforming the head-tilt-chin-lift maneuver a rescuer should:
Apply gentle backwards pressure to the patient's forehead.
During the resuscitation of a traumatic cardiac arrest patient, the patient is being ventilated with an automatic transport ventilator. You are aware that the patient's color has not improved at all during CPR and no carotid pulses are felt. Most likely there is no change in this patient because the ventilation is causing:
Reduced blood return to the heart.
Which of the following would be your HIGHEST priority when assessing a patient complaining of difficulty breathing who also has distended neck veins?
You are called to the scene of a 27-year-old male who had a sudden onset of severe dyspnea and chest pain. The patient has been a two-pack-a-day smoker for 12 years. He has a history of chronic bronchitis. Which of the following would lead you to determine that the cause of his problem today is a spontaneous pneumothorax versus exacerbation of his chronic bronchitis?
What care should you provide a patient who is adequately breathing but unresponsive?
Provide high-concentration oxygen.
You are dispatched to a 45-year-old male who has fallen from a roof. You discover he has an obvious head injury, two broken legs, and has vomited several times. What is your HIGHEST priority for this patient?
Protecting his airway.
Choose the proper liter flow for a nasal cannula.
1-6 liters per minute.
You are called to care for a young women who is dyspneic. She has a frequent cough with secretions and has audible wheezing. She is afebrile. Identify what condition this patient is MOST likely experiencing.
Which of the following describes the proper technique when performing the jaw-thrust maneuver?
Retract the lower lip with your thumb to keep the mouth open.
After assisting a patient with his inhaler, which of the following side effects should you expect?
Increased heart rate.
You are attempting to ventilate an apneic patient with a bag-valve-mask, but you are unsuccessful. Air is leaking around a poor mask seal on the face. What should you do NEXT to improve ventilations if you suspect a neck injury?
Have an assistant secure the mask to the patient's face while immobilizing the head.
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