ICEMA Protocol Test Questions and Answers with Verified Solutions |
Latest 2026 Update
Q: Obstetrical emergencies - Excessive vaginal bleed or postpartum hemorrhage
Answer:
High flow
O2/IV/EKGFluid bolus 500mlMaintain IV at 150ml/hr (25gtts/min)2nd large bore
IVBASE or RCF
Dopamine 400mg/250ml @ 5-20mcg/kg/min titrated to BP>90
Q: Obstetrical emergencies - Hypertension/Eclampsia
Answer:
IV TKOL lateral positionMag Sulfate
4gm/20ml IV/IO over 3-4 minutesMag Sulfate 2gm/100ml at 30cc/hr IV/IO to
prevent
continued seizuresMidazolam 2.5mg IV/IO/IN. MR in 5min or 5mg IM MR in
10min max of 3
doses
,ICEMA Protocol Test Questions and Answers with Verified Solutions |
Latest 2026 Update
Q: Newborn care/Neonatal resuscitation
Answer:
Dry/Warm/Suction mouth then nose/tactile
stimulationPosition at level of vagina/clamp cord 7 & 10" from babyRR <20 ->
tactile and
ventilate PRNHR <100 -> BVM for 20 secsHR still <100 -> CPR 3:1Central
cyanosis -> O2 15LPM
by nose 30sec then BVMAPGAR at 1 and 5 minIV/IOAdvanced Airway PRN c cap
and OG tubeBG
heel stick - <35 D10 0.5mg/kg (5ml/kg)If HR <60 after one minuteEpi 1:10,000
0.01mg/kgBASE
or RCF for hypovolemia - 10ml/kg over 5minsBASE for hypotension after vent and
fluid resus -
0.005mg/kg IV/IO q 10 min
,ICEMA Protocol Test Questions and Answers with Verified Solutions |
Latest 2026 Update
Q: Unstable Bradycardia
Answer:
O2/IV/EKG 12 lead300ml bolus NS. Maintain IV rate at 300ml/hr if
lungs clearAtropine 0.5mg IV/IO MR q 5 in PRn (max 3mg or 0.04mg/kgTCP for
MI, 3rd HB, and
2nd type II
Q: A-fib/A-flutter
Answer:
TransportSynchronized cardioversion @70/120,150,200 (100/200/300/360)
Play/Pause VideoMute/Unmute Video
ADVERTISEMENT
, ICEMA Protocol Test Questions and Answers with Verified Solutions |
Latest 2026 Update
Q: V-tach or Wide complex Tachycardia
Answer:
For reg rate/monomorphic - Adenosine
6/12/12Lidocaine 1.5mg/kg SIVP/IO MR @0.75mg/kg x1 in 5-10minPolymorphic
VT - Defib @
120/150/200Mag Sulfate 2gm in 100ml NS over 5 min if sinus with prolonged QT
post
conversionWitnessed Spontaneous VT = precordial thumpSynchronized
Cardioversion @
100/200/300/360
Latest 2026 Update
Q: Obstetrical emergencies - Excessive vaginal bleed or postpartum hemorrhage
Answer:
High flow
O2/IV/EKGFluid bolus 500mlMaintain IV at 150ml/hr (25gtts/min)2nd large bore
IVBASE or RCF
Dopamine 400mg/250ml @ 5-20mcg/kg/min titrated to BP>90
Q: Obstetrical emergencies - Hypertension/Eclampsia
Answer:
IV TKOL lateral positionMag Sulfate
4gm/20ml IV/IO over 3-4 minutesMag Sulfate 2gm/100ml at 30cc/hr IV/IO to
prevent
continued seizuresMidazolam 2.5mg IV/IO/IN. MR in 5min or 5mg IM MR in
10min max of 3
doses
,ICEMA Protocol Test Questions and Answers with Verified Solutions |
Latest 2026 Update
Q: Newborn care/Neonatal resuscitation
Answer:
Dry/Warm/Suction mouth then nose/tactile
stimulationPosition at level of vagina/clamp cord 7 & 10" from babyRR <20 ->
tactile and
ventilate PRNHR <100 -> BVM for 20 secsHR still <100 -> CPR 3:1Central
cyanosis -> O2 15LPM
by nose 30sec then BVMAPGAR at 1 and 5 minIV/IOAdvanced Airway PRN c cap
and OG tubeBG
heel stick - <35 D10 0.5mg/kg (5ml/kg)If HR <60 after one minuteEpi 1:10,000
0.01mg/kgBASE
or RCF for hypovolemia - 10ml/kg over 5minsBASE for hypotension after vent and
fluid resus -
0.005mg/kg IV/IO q 10 min
,ICEMA Protocol Test Questions and Answers with Verified Solutions |
Latest 2026 Update
Q: Unstable Bradycardia
Answer:
O2/IV/EKG 12 lead300ml bolus NS. Maintain IV rate at 300ml/hr if
lungs clearAtropine 0.5mg IV/IO MR q 5 in PRn (max 3mg or 0.04mg/kgTCP for
MI, 3rd HB, and
2nd type II
Q: A-fib/A-flutter
Answer:
TransportSynchronized cardioversion @70/120,150,200 (100/200/300/360)
Play/Pause VideoMute/Unmute Video
ADVERTISEMENT
, ICEMA Protocol Test Questions and Answers with Verified Solutions |
Latest 2026 Update
Q: V-tach or Wide complex Tachycardia
Answer:
For reg rate/monomorphic - Adenosine
6/12/12Lidocaine 1.5mg/kg SIVP/IO MR @0.75mg/kg x1 in 5-10minPolymorphic
VT - Defib @
120/150/200Mag Sulfate 2gm in 100ml NS over 5 min if sinus with prolonged QT
post
conversionWitnessed Spontaneous VT = precordial thumpSynchronized
Cardioversion @
100/200/300/360
