Air methods Critical Care Test and Scenarios
Master Deck Exam Practice 2026
1. Initial Assessment (TNCC) 1. Preparation and Triage
2. Primary Survery (ABCDE) with resuscitation adjuncts (F,G)
3. Reevaluation (consideration of transfer)
4. Secondary Survey (HI) with reevaluation adjuncts
5. Reevaluation and post resuscitation care
6. Definitive care of transfer to an appropriate trauma nurse
2. XABCDEFGHI (primary)
X- Assess for and control massive hemorrhage
A- Across the room survey, AVPU w/ cervical spine immobilization,
airway
B- Breathing and ventilation
C- Circulation
D- Disability
E- Exposure
(interventions/ resus adjuncts)
F- Full set of vitals and family presence
G- Get adjuncts (LMNO)
L- labs
M- monitor cardiac rhythm
N- Naso/ orogastric tube (if intubated/ indicated by injury)
O- oxygenation ventilation analysis: SpO2, ETCO2
(secondary, complete after fixing problems of primary)
H- History and head to toe
I- Inspect posterior service while maintaining cervical immobi-
lization
J- Just keep evaluating (VIPP)
V- VS
I- Identified injuries
P- Primary assessment
P- Pain
, Air methods Critical Care Test and Scenarios
Master Deck Exam Practice 2026
3. ABCDEFGHI (in- depth) Primary survey
X- Assess for and control massive hemorrhage (see also "A)
A- AAA
Across the room survey checking for massive hemorrhage
(re-prioritize to C-ABC; pressure, elevate, tourniquet)
Alertness (AVPU) with simultaneous cervical spinal stabilization
Airway (check patency and intervene w/ suction or insert airway
adjunct)
B- Breathing and Ventilation
Spontaneous breathing, symmetrical rise and fall of chest, depth,
pattern, rate of respiration, signs of respiratory diflculty, skin
color (cyanotic or pale), wounds, contusions, abrasions, or de-
formities
Auscultate for breath sounds and heart sounds
Palpate bony structures of chest looking for any deformities,
subcutaneous emphysema, or soft tissue injury (bruises or seat
belt marks)
If adequate breathing/ ventilation present: 15L NRB and assess
ETCO2
If adequate breathing/ ventilation not present:
Open the airway, jaw thrust with second person, Inser
4. If uncontrolled hemorrhage reorganize care to C-ABC
..
5. Airway and AVPU: Used at the beginning of the initial assessment
1. A Alert. If the pt is alert he or she will be able to maintain his
or her airway once it is clear.
2. V responds to verbal stimuli responds to pain. If the patient
needs verbal stimulation to respond, an airway adjunct may be
, Air methods Critical Care Test and Scenarios
Master Deck Exam Practice 2026
needed to keep the tongue from obstructing the airway.
3. P responds to pain. If the pt. responds only to pain, he or she
may not be able to maintain his or her airway adjunct may need
to be placed while further assessment is made to determine the
need for intubation.
4. U Unresponsive. If the pt. is unresponsive, announce it loudly
to the team and direct someone to chk in the pt is pulseless while
assessing if the cause of the problem is the airway.
6. While assessing airway the ask pt to open his or her mouth
patient is alert and re-
sponds to verbal stimuli you
should..
7. While assessing airway pt is jaw thrust maneuver to open airway and assess for obstruction.
unable to open mouth, re- If pt has a suspected CSI, the jaw thrust procedure should be
sponds only to pain, or is un- done by two providers. One provider can maintain c-spine and
responsive you should.. the other can perform the jaw thrust maneuver.
8. Inspect the mouth for: 1. The tongue obstructing the airway
2. loose or missing teeth
3. foreign objects
4. blood, vomit, or secretions'
5. edema
6. burns or evidence of inhalation injury
Auscultiate or listen for:
1. Obstructive airway sounds such as snoring or gurgling
2. Possible occlusive maxillofacial bony deformity
3. Subcutaneous emphysema
9. If the pt has a definitive air- 1. Check the presence of adequate rise and fall of the chest with
way in what should you do? assisted ventilation
Master Deck Exam Practice 2026
1. Initial Assessment (TNCC) 1. Preparation and Triage
2. Primary Survery (ABCDE) with resuscitation adjuncts (F,G)
3. Reevaluation (consideration of transfer)
4. Secondary Survey (HI) with reevaluation adjuncts
5. Reevaluation and post resuscitation care
6. Definitive care of transfer to an appropriate trauma nurse
2. XABCDEFGHI (primary)
X- Assess for and control massive hemorrhage
A- Across the room survey, AVPU w/ cervical spine immobilization,
airway
B- Breathing and ventilation
C- Circulation
D- Disability
E- Exposure
(interventions/ resus adjuncts)
F- Full set of vitals and family presence
G- Get adjuncts (LMNO)
L- labs
M- monitor cardiac rhythm
N- Naso/ orogastric tube (if intubated/ indicated by injury)
O- oxygenation ventilation analysis: SpO2, ETCO2
(secondary, complete after fixing problems of primary)
H- History and head to toe
I- Inspect posterior service while maintaining cervical immobi-
lization
J- Just keep evaluating (VIPP)
V- VS
I- Identified injuries
P- Primary assessment
P- Pain
, Air methods Critical Care Test and Scenarios
Master Deck Exam Practice 2026
3. ABCDEFGHI (in- depth) Primary survey
X- Assess for and control massive hemorrhage (see also "A)
A- AAA
Across the room survey checking for massive hemorrhage
(re-prioritize to C-ABC; pressure, elevate, tourniquet)
Alertness (AVPU) with simultaneous cervical spinal stabilization
Airway (check patency and intervene w/ suction or insert airway
adjunct)
B- Breathing and Ventilation
Spontaneous breathing, symmetrical rise and fall of chest, depth,
pattern, rate of respiration, signs of respiratory diflculty, skin
color (cyanotic or pale), wounds, contusions, abrasions, or de-
formities
Auscultate for breath sounds and heart sounds
Palpate bony structures of chest looking for any deformities,
subcutaneous emphysema, or soft tissue injury (bruises or seat
belt marks)
If adequate breathing/ ventilation present: 15L NRB and assess
ETCO2
If adequate breathing/ ventilation not present:
Open the airway, jaw thrust with second person, Inser
4. If uncontrolled hemorrhage reorganize care to C-ABC
..
5. Airway and AVPU: Used at the beginning of the initial assessment
1. A Alert. If the pt is alert he or she will be able to maintain his
or her airway once it is clear.
2. V responds to verbal stimuli responds to pain. If the patient
needs verbal stimulation to respond, an airway adjunct may be
, Air methods Critical Care Test and Scenarios
Master Deck Exam Practice 2026
needed to keep the tongue from obstructing the airway.
3. P responds to pain. If the pt. responds only to pain, he or she
may not be able to maintain his or her airway adjunct may need
to be placed while further assessment is made to determine the
need for intubation.
4. U Unresponsive. If the pt. is unresponsive, announce it loudly
to the team and direct someone to chk in the pt is pulseless while
assessing if the cause of the problem is the airway.
6. While assessing airway the ask pt to open his or her mouth
patient is alert and re-
sponds to verbal stimuli you
should..
7. While assessing airway pt is jaw thrust maneuver to open airway and assess for obstruction.
unable to open mouth, re- If pt has a suspected CSI, the jaw thrust procedure should be
sponds only to pain, or is un- done by two providers. One provider can maintain c-spine and
responsive you should.. the other can perform the jaw thrust maneuver.
8. Inspect the mouth for: 1. The tongue obstructing the airway
2. loose or missing teeth
3. foreign objects
4. blood, vomit, or secretions'
5. edema
6. burns or evidence of inhalation injury
Auscultiate or listen for:
1. Obstructive airway sounds such as snoring or gurgling
2. Possible occlusive maxillofacial bony deformity
3. Subcutaneous emphysema
9. If the pt has a definitive air- 1. Check the presence of adequate rise and fall of the chest with
way in what should you do? assisted ventilation
