AEMCA -Study Guide Questions with
Complete Solutions.
According to the BLS, what are considered to be baseline vitals? - Answer HR, RR, BP, SPO2,
GCS, pupils, skin condition & color.
According to the BLS, what calls would typically warrant a cardiac monitor? - Answer - All VSA
pt
- Unconscious/ altered pt
- Collapse or syncope
- Suspected cardiac ischemia
- Mod- severe SOB
- CVA
- Overdose
- Multi-system trauma
- Electrocution
- Submersion
- Hypothermia, heat exhaustion, heat illness
According to the BLS, how long should we be reassessing vitals (minimum)? - Answer 30 mins
According to the BLS, how should all CTAS 1 and 2 pt be moved? - Answer Pt should be moved
to the stretcher using the most appropriate lift or carry.
According to the BLS, how should all CTAS 3-5 pt be moved? - Answer Transport the pt using
the appropriate lift, carry or ambulatory assistance w/ respect to pt condition.
When is it appropriate for a paramedic to carry out emergency treatment and transport to a pt
(according to the BLS)? - Answer - The pt doesn't have capacity
- The pt is apparently experiencing severe suffering or is at risk.
- If the delay required to obtain a consent or refuse on the pt behalf will prolong the suffering of
the pt.
According to the BLS, a paramedic shall transmit a report en route to the receiving facility for
what CTAS pt? - Answer CTAS 1 & 2
,According to the oxygen therapy standard, paramedics shall attempt to maintain a pt SPO2
saturation of what value? - Answer 92-96%
According to the oxygen therapy standard, what pt will continuously be administered a high
concentration of O2? - Answer - Confirmed or suspected carbon monoxide or cyanine toxicity
or noxious gas exposure.
- Upper a/w burns.
- Scuba- diving related disorders.
- CPR
- Completed a/w obstruction.
- Sickle cell anemia w/ suspected vaso-occulsive crisis.
According to the oxygen therapy standard in regards to COPD pts, paramedics shall attempt to
maintain a pt SPO2 saturation of what value? - Answer 88-92%
If SPO2is not working, how should we be administering O2 to COPD pt & at what value? -
Answer - 2L/ min via NC (above the pt home O2 setting)
- If the pt is not on home O2, start at 2L/min via NC.
According to the BLS, when should we be reassessing vitals of a COPD pt? - Answer
Approximately every 10 mins.
According to the BLS, if a COPD pt's status starts to deteriorate, or if the pt indicates they are
feeling worse, how are we to adjust the O2? - Answer Increase O2 by 2L approximatley every
2-3 mins.
According to the Field Trauma Triage Standard, how is transport time defined? - Answer The
time from scene departure to time of arrival at destination.
According to the Field Trauma Triage Standard, what are the components of the physiological
criteria? - Answer - Pt doesn't follow commands
- SPB <90mmHg
- RR <10 or ≥30/ min OR need for ventilatory support. (RR <20 in infants aged <1 yr)
According to the Field Trauma Triage Standard, what are the components of the anatomical
criteria? - Answer - Any penetrating injuries to the head, neck, torso and extremities proximal
to the elbow or knee.
- Chest wall instability or deformity (ex. flail chest).
- 2 or more proximal long bone fractures.
, - Crushed, de-gloved, mangled or pulseless extremity.
- Amputation proximal to wrist or ankle.
- Pelvic fracture.
- Open or depressed skull fracture.
- paralysis
What are the 5 p's? - Answer 1. pain
2. pallor
3. pulse
4. paralysis
5. paresthesia
According to the Field Trauma Triage Standard, what are the components of the mechanism of
injury in regards to FALLS? - Answer Adults: falls ≥6 meters
Children: (age <15) falls ≥3 metres to 2-3x the height of the child.
According to the Field Trauma Triage Standard, what are the components of the mechanism of
injury in regards to HIGH RISK AUTO CRASH? - Answer - Intrusion≥0.3 metres at occupant site,
≥0.5 meters at any site.
- Ejection (partial or complete) from automobile.
- Death in the same passenger compartment.
- Pedestrian or bicyclist struck w/ significant impact (≥30km/hr)
- Motorcycle crash ≥30km/hr
According to the Field Trauma Triage Standard, what are the components of the special criteria?
- Answer - Age: risk increases after 55 yrs, SBP <110 may represent shock after 65 yrs.
- Anticoagulation and bleeding disorders.
- Burns (w/ trauma mechanism).
- Pregnancy ≥20wks
T/F: FTT states that the 30 min transport time may be amended to up to 60 mins as per
ambulance service. - Answer True.
According to BLS SMR standard, what pt should be considered for SMR? - Answer - Any
trauma associated w/ complaints of neck or back pain.
- Sports accidents
- Diving incidents & submersion injuries.
Complete Solutions.
According to the BLS, what are considered to be baseline vitals? - Answer HR, RR, BP, SPO2,
GCS, pupils, skin condition & color.
According to the BLS, what calls would typically warrant a cardiac monitor? - Answer - All VSA
pt
- Unconscious/ altered pt
- Collapse or syncope
- Suspected cardiac ischemia
- Mod- severe SOB
- CVA
- Overdose
- Multi-system trauma
- Electrocution
- Submersion
- Hypothermia, heat exhaustion, heat illness
According to the BLS, how long should we be reassessing vitals (minimum)? - Answer 30 mins
According to the BLS, how should all CTAS 1 and 2 pt be moved? - Answer Pt should be moved
to the stretcher using the most appropriate lift or carry.
According to the BLS, how should all CTAS 3-5 pt be moved? - Answer Transport the pt using
the appropriate lift, carry or ambulatory assistance w/ respect to pt condition.
When is it appropriate for a paramedic to carry out emergency treatment and transport to a pt
(according to the BLS)? - Answer - The pt doesn't have capacity
- The pt is apparently experiencing severe suffering or is at risk.
- If the delay required to obtain a consent or refuse on the pt behalf will prolong the suffering of
the pt.
According to the BLS, a paramedic shall transmit a report en route to the receiving facility for
what CTAS pt? - Answer CTAS 1 & 2
,According to the oxygen therapy standard, paramedics shall attempt to maintain a pt SPO2
saturation of what value? - Answer 92-96%
According to the oxygen therapy standard, what pt will continuously be administered a high
concentration of O2? - Answer - Confirmed or suspected carbon monoxide or cyanine toxicity
or noxious gas exposure.
- Upper a/w burns.
- Scuba- diving related disorders.
- CPR
- Completed a/w obstruction.
- Sickle cell anemia w/ suspected vaso-occulsive crisis.
According to the oxygen therapy standard in regards to COPD pts, paramedics shall attempt to
maintain a pt SPO2 saturation of what value? - Answer 88-92%
If SPO2is not working, how should we be administering O2 to COPD pt & at what value? -
Answer - 2L/ min via NC (above the pt home O2 setting)
- If the pt is not on home O2, start at 2L/min via NC.
According to the BLS, when should we be reassessing vitals of a COPD pt? - Answer
Approximately every 10 mins.
According to the BLS, if a COPD pt's status starts to deteriorate, or if the pt indicates they are
feeling worse, how are we to adjust the O2? - Answer Increase O2 by 2L approximatley every
2-3 mins.
According to the Field Trauma Triage Standard, how is transport time defined? - Answer The
time from scene departure to time of arrival at destination.
According to the Field Trauma Triage Standard, what are the components of the physiological
criteria? - Answer - Pt doesn't follow commands
- SPB <90mmHg
- RR <10 or ≥30/ min OR need for ventilatory support. (RR <20 in infants aged <1 yr)
According to the Field Trauma Triage Standard, what are the components of the anatomical
criteria? - Answer - Any penetrating injuries to the head, neck, torso and extremities proximal
to the elbow or knee.
- Chest wall instability or deformity (ex. flail chest).
- 2 or more proximal long bone fractures.
, - Crushed, de-gloved, mangled or pulseless extremity.
- Amputation proximal to wrist or ankle.
- Pelvic fracture.
- Open or depressed skull fracture.
- paralysis
What are the 5 p's? - Answer 1. pain
2. pallor
3. pulse
4. paralysis
5. paresthesia
According to the Field Trauma Triage Standard, what are the components of the mechanism of
injury in regards to FALLS? - Answer Adults: falls ≥6 meters
Children: (age <15) falls ≥3 metres to 2-3x the height of the child.
According to the Field Trauma Triage Standard, what are the components of the mechanism of
injury in regards to HIGH RISK AUTO CRASH? - Answer - Intrusion≥0.3 metres at occupant site,
≥0.5 meters at any site.
- Ejection (partial or complete) from automobile.
- Death in the same passenger compartment.
- Pedestrian or bicyclist struck w/ significant impact (≥30km/hr)
- Motorcycle crash ≥30km/hr
According to the Field Trauma Triage Standard, what are the components of the special criteria?
- Answer - Age: risk increases after 55 yrs, SBP <110 may represent shock after 65 yrs.
- Anticoagulation and bleeding disorders.
- Burns (w/ trauma mechanism).
- Pregnancy ≥20wks
T/F: FTT states that the 30 min transport time may be amended to up to 60 mins as per
ambulance service. - Answer True.
According to BLS SMR standard, what pt should be considered for SMR? - Answer - Any
trauma associated w/ complaints of neck or back pain.
- Sports accidents
- Diving incidents & submersion injuries.
