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PARAMEDIC NATIONAL REGISTRY REVIEW QUESTIONS & ANSWERS RATED 100% CORRECT!! $12.99
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PARAMEDIC NATIONAL REGISTRY REVIEW QUESTIONS & ANSWERS RATED 100% CORRECT!!

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PARAMEDIC NATIONAL REGISTRY REVIEW QUESTIONS & ANSWERS RATED 100% CORRECT!!

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  • May 7, 2024
  • 96
  • 2023/2024
  • Exam (elaborations)
  • Questions & answers
  • PARAMEDIC NATIONAL REGISTRY
  • PARAMEDIC NATIONAL REGISTRY
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PARAMEDIC NATIONAL REGISTRY REVIEW
QUESTIONS & ANSWERS RATED 100% CORRECT!!
Assessment Sequence (correct answer) BSI



Scene Size Up

Scene Safety

MOI/NOI

Number of Pt.

Additional Resources

Consider C-Spine



Primary Survey

General Impression

AVPU

Chief Complaint/Life Threats

Airway, Breathing, Circulation

Treatment/Transport



Medical Assessment (correct answer) History of Present Illness

Past Medical History

Secondary Assessment

Vitals

Field Impression

Interventions

Reassessment

Verbal Report



Trauma Assessment (correct answer) SAMPLE

,Secondary Assessment

Assess baseline vitals

Manage secondary injuries

Reassess



Stridor, Snoring, Gurgling (correct answer) Stridor - harsh, high-pitched sound, swelling, foreign
body in upper airway.



Snoring - tongue



Gurgling - fluids in upper airway, suction



CDC Trauma Guidelines for Transport (correct answer) IF YES TO STEP ONE OR TWO TRANSPORT TO
A LEVEL 1 TRAUMA CENTER



Step 1: Physiological Criteria

GCS below 14

Systolic below 90

Respirations <10 or >29 (<20 under 1yr)

Ventilation assistance needed



Step 2: Anatomic Criteria

Penetrating wounds head, neck, torso, high extremities

Chest wall instability

Amputation proximal to wrist/ankle

Longbone fx x2

Crushed/devolved/mangled/pulseless extremity

Pelvic fx

Open/depressed skull fx

,Paralysis



IF YES TO STEP THREE OR FOUR TRANSPORT TO TRAUMA CENTER, NOT NECESSARILY LEVEL ONE



Step3: MOI Criteria

Adult falls >20' / Children >10' or 2x height

Vehicle intrusion >12" occupant side or 18" anywhere

Partial or complete ejection

Death in same passenger compartment

Vehicle data consistent with high injury risk

Auto vs. Bed thrown, run over or >20mph

Motorcycle crash >20mph



Step 4: Special Considerations

Elderly falls <55yrs

Systolic <100 in >65yrs

Pediatric Trauma

Bleeding and anticoagulants

Burns

Pregnancy >20 weeks

EMS Judgement



IF BURNS WITH NO FURTHER TRAUMA USE A BURN CENTER



GCS (correct answer) Eyes - 4 spont, 3 speech, 2 pain, 1 absent



Verbal - 5 orient, 4 not orient, 3 inapp, 2 incomp, 1 absent



Motor - 6 obeys, 5 pain loc, 4 pain withdraw, 3 flexion (decorticate), 2 extension (decerebrate), 1 absent

, Decorticate (correct answer) Elbows, wrists, fingers flexed



Legs extended and internally rotated



Decerebrate (correct answer) Worse condition consistent with brain stem injury



Extended and internally rotated elbows and legs, trismus, legs stiff and feet extended



Babinski's Response (correct answer) Signifies CNS Problems



Big toe moves upward and other toes fan out when stroking bottom of foot



Pupils Symptoms (correct answer) Dilated (mydriasis) - cardiac arrest, shock, cerebral hypoxia,
cocaine, epinephrine, amphetamines



Constricted (miosis) - narcotics, CNS disorders, glaucoma meds, bright light



Unequal - brain injury, bring tumor, stroke, artificial eye, some eye medications, eye injury or disease



Anisocoria - normal unequal pupils



Nystagmus - rapid involuntary movements of the eye(s)



JVD (correct answer) Best seen at 45 deg angle



May be caused by: diaphragmatic rupture, tension pneumothorax, cardiac tamponade, right heart
failure, traumatic asphyxia, chronic bronchitis

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