2026 BEST EMS PROTOCOL PRACTICE
TEST ACCURATE LATEST EDITION 2026
REVISED EXAM
What is the adult ketamine dose for seizure after 2 rounds of versed? - ANSWER-
100 mg
What is the pedi ketamine dose for seizure after 2 rounds of versed? - ANSWER-
1mg/kg (max of 50mg)
What are the 3 drugs to consider for hyperkalemia with a pulse? - ANSWER-
Calcium gluconate (1 G), sodium bicarbonate (1 mEq/kg), Albuterol (2.5mg)
What is the age for a distal femur IO? - ANSWER-All ages
Preferred IO sites? - ANSWER-Proximal humerus, distal femur
What is the pedi Solumedrol dose? - ANSWER-2 mg/kg (Max 125 mg)
What is the fall height to consider C-spine immobilization? - ANSWER-3 feet or 5
stairs
,Which 3 drugs have pregnancy as a contraindication? - ANSWER-Amio, Phenergan,
and Ketamine
T/F - Narcan is an antidote to ketamine - ANSWER-False
T/F - Narcan is an antidote to fentanyl - ANSWER-True
What is the adult Narcan dose? - ANSWER-0.4 - 2 mg IV/IO/IM/IN/Neb
What is the pediatric Narcan dose? - ANSWER-0.1 mg/kg
What is the drug and dose for a suspected TCA overdose? - ANSWER-Sodium
bicarbonate - 1 mEq/kg
At what age is nebulized Epi 1:1000 no longer weight based? - ANSWER-4 years
old (0.05 ml/kg for <4, 0.5 ml for >4)
How do you determine hypotensive BP for a pedi? - ANSWER-70 + 2xAge
What is the amiodarone dose for a pediatric in v fib? - ANSWER-5 mg/kg
What is the pediatric Mag sulfate dose for a pedi in torsades de pointes? -
ANSWER-25 - 50 mg/kg (Max 2 G)
,Can you nebulize Mag for severe respiratory distress in adults? - ANSWER-No
What drug can be given for suspected a fib with RVR and SBP > 110? And dose? -
ANSWER-Cardizem 10-20 mg slow IV/IO. Every 5 mins for goal HR <100
If suspected AFib with RVR and SBP is 90-110, what do you administer? - ANSWER-
250-500 fluid bolus
If you have suspected AFib with RVR, SBP is 90-110, and you gave a fluid bolus yet
the BP is still 90-110...what do you do next? - ANSWER-Administer Amio 150mg
(mix in 100-250 bag and give over 10mins)
How do you perform a patellar reduction? - ANSWER-Gently extend the leg and
push the patella towards the midline
What is the angle of needle insertion for a pericardiocentesis? - ANSWER-15 - 30
degrees
What is the landmark for needle insertion during periocardiocentesis? - ANSWER-
One finger width to the left of the xyphoid process and inferior to the left lower
ribs
Before RSI what O2 saturation should the patient be oxygenated to? - ANSWER-
>94%
What is the drug class of Cardizem? - ANSWER-Calcium channel blocker
, T/F. Atropine is indicated prior to RSI for a child < 1 yo. - ANSWER-False
What are the drugs and doses for pain mgmt before pacing/cardioversion? -
ANSWER-Etomidate - 0.1 mg/kg or Ketamine - 0.3mg/kg
What is the maximum kg for adults when dosing a medication? - ANSWER-100kg
What is the pediatric Benadryl dose? - ANSWER-1 mg/kg
Can succinylcholine be used in a patient with burns? - ANSWER-Yes, as long as
they are <24 hours old
What is the drug and dose for a neonate with a blood glucose <50 - ANSWER-D10
- 2cc/kg
What is the ketamine dose for pedi pain management? - ANSWER-0.3 mg/kg (Max
15 mg)
What is the repeat Ketamine pain dose? - ANSWER-1/2 initial dose (max 3 doses)
Max Fentanyl Pedi dose for pain? - ANSWER-50mcg
What is the pedi fluid bolus dose? - ANSWER-20 cc/kg
TEST ACCURATE LATEST EDITION 2026
REVISED EXAM
What is the adult ketamine dose for seizure after 2 rounds of versed? - ANSWER-
100 mg
What is the pedi ketamine dose for seizure after 2 rounds of versed? - ANSWER-
1mg/kg (max of 50mg)
What are the 3 drugs to consider for hyperkalemia with a pulse? - ANSWER-
Calcium gluconate (1 G), sodium bicarbonate (1 mEq/kg), Albuterol (2.5mg)
What is the age for a distal femur IO? - ANSWER-All ages
Preferred IO sites? - ANSWER-Proximal humerus, distal femur
What is the pedi Solumedrol dose? - ANSWER-2 mg/kg (Max 125 mg)
What is the fall height to consider C-spine immobilization? - ANSWER-3 feet or 5
stairs
,Which 3 drugs have pregnancy as a contraindication? - ANSWER-Amio, Phenergan,
and Ketamine
T/F - Narcan is an antidote to ketamine - ANSWER-False
T/F - Narcan is an antidote to fentanyl - ANSWER-True
What is the adult Narcan dose? - ANSWER-0.4 - 2 mg IV/IO/IM/IN/Neb
What is the pediatric Narcan dose? - ANSWER-0.1 mg/kg
What is the drug and dose for a suspected TCA overdose? - ANSWER-Sodium
bicarbonate - 1 mEq/kg
At what age is nebulized Epi 1:1000 no longer weight based? - ANSWER-4 years
old (0.05 ml/kg for <4, 0.5 ml for >4)
How do you determine hypotensive BP for a pedi? - ANSWER-70 + 2xAge
What is the amiodarone dose for a pediatric in v fib? - ANSWER-5 mg/kg
What is the pediatric Mag sulfate dose for a pedi in torsades de pointes? -
ANSWER-25 - 50 mg/kg (Max 2 G)
,Can you nebulize Mag for severe respiratory distress in adults? - ANSWER-No
What drug can be given for suspected a fib with RVR and SBP > 110? And dose? -
ANSWER-Cardizem 10-20 mg slow IV/IO. Every 5 mins for goal HR <100
If suspected AFib with RVR and SBP is 90-110, what do you administer? - ANSWER-
250-500 fluid bolus
If you have suspected AFib with RVR, SBP is 90-110, and you gave a fluid bolus yet
the BP is still 90-110...what do you do next? - ANSWER-Administer Amio 150mg
(mix in 100-250 bag and give over 10mins)
How do you perform a patellar reduction? - ANSWER-Gently extend the leg and
push the patella towards the midline
What is the angle of needle insertion for a pericardiocentesis? - ANSWER-15 - 30
degrees
What is the landmark for needle insertion during periocardiocentesis? - ANSWER-
One finger width to the left of the xyphoid process and inferior to the left lower
ribs
Before RSI what O2 saturation should the patient be oxygenated to? - ANSWER-
>94%
What is the drug class of Cardizem? - ANSWER-Calcium channel blocker
, T/F. Atropine is indicated prior to RSI for a child < 1 yo. - ANSWER-False
What are the drugs and doses for pain mgmt before pacing/cardioversion? -
ANSWER-Etomidate - 0.1 mg/kg or Ketamine - 0.3mg/kg
What is the maximum kg for adults when dosing a medication? - ANSWER-100kg
What is the pediatric Benadryl dose? - ANSWER-1 mg/kg
Can succinylcholine be used in a patient with burns? - ANSWER-Yes, as long as
they are <24 hours old
What is the drug and dose for a neonate with a blood glucose <50 - ANSWER-D10
- 2cc/kg
What is the ketamine dose for pedi pain management? - ANSWER-0.3 mg/kg (Max
15 mg)
What is the repeat Ketamine pain dose? - ANSWER-1/2 initial dose (max 3 doses)
Max Fentanyl Pedi dose for pain? - ANSWER-50mcg
What is the pedi fluid bolus dose? - ANSWER-20 cc/kg
