EMT-basic Critical Thinking Questions And Answers

Which of the following scenarios does not involves the administration of advanced life support? A) a 48-year-old apneic patient who is intubated by the nasal route B) A 53-year-old cardiac arrest patient who is manually defibrillated C) A 61-year-old trauma patient whose chest is decompressed with a needle D) A 64-year-old cardiac arrest patient who is defibrillated with an AED - ANS D) A 64-year-old cardiac arrest patient who is defibrillated with an AED You are dispatched to the scene of a crash involving a large tanker truck. While you are en route, dispatch advises you that there are multiple patients and that the fire department is en route as well. As you approach the scene, you should: A) Maintain a safe distance and try to read the placard with binoculars. B) Cordon off the area and quickly remove all of the injured patients. C) Immediately begin evacuating residents that live near the crash site. D) Don PPE and quickly triage all patients. - ANS A) Maintain a safe distance and try to read the placard with binoculars. You are called to the scene of a medical emergency. While loading you unconscious patient into the ambulance the patients arm gets caught between the gurney and the ambulance and is broken. You could be held liable for negligence under this legal theory. A) Negligence per se. B) Res ipsa loquitor. C) Mens Rea. D) In loco parentis. - ANS B) Res ipsa loquitor. You arrive at the scene of a motor vehicle versus pedestrian accident. The patient, a 13-year-old male, is unconscious and has multiple injuries. As you are treating the child, a law enforcement officer advises you that the child's parents will be at the scene in approximately 15 minutes. What should you do? A) Transport the child immediately and have the parents meet you at the hospital. B) Treat the child at the scene and wait for the parents to arrive and give consent. C) Begin transport at once and have the parents meet you en route to the hospital. D) Withhold treatment until the parents arrive and give you consent for treatment. - ANS A) Transport the child immediately and have the parents meet you at the hospital. While transporting a woman with diabetes, you inadvertently give her oral glucose even though her blood glucose level was high. You reassess the patient and note that her condition did not change; she remained stable. You should: A) Document the error and report it to your supervisor. B) Notify law enforcement so they can file an incident report. C) Contact medical control and notify him or her of the error. D) Exclude this from the PCR since it did not harm the patient. - ANS C) Contact medical control and notify him or her of the error. An elderly man is sitting in his recliner complaining of crushing chest pain and shortness of breath. His blood pressure and pulse are elevated. Which is the best method for moving him onto the gurney? A) Ask him to walk to the gurney and have an EMT assist him. B) Use an extremity lift with one EMT lifting the torso and one lifting the legs. C) Secure him to a long spine board and carry him to the stretcher. D) Transfer him to the floor and use a direct carry technique. - ANS B) Use an extremity lift with one EMT lifting the torso and one lifting the legs. You and your partner respond to the scene of a 49-year-old male with acute abdominal pain. As you enter his residence, you find him lying on the floor in severe pain. He is conscious and alert. The patient appears to weigh in excess of 350 lb. Your FIRST action should be to: A) Request the fire department if one attempt to move him fails. B) Encourage the patient to walk himself to the awaiting ambulance. C) Assess him and then move him to the stretcher with a direct carry. D) Request additional personnel before making any attempts to lift him. - ANS D) Request additional personnel before making any attempts to lift him. You respond to a fall injury at a popular hiking trail and follow a park ranger almost a mile down the trail to your patient. The MOST appropriate device to use for transporting your patient is: A) Scoop stretcher. B) Basket Stretcher. C) Long Spine Board. D) Wheeled Ambulance stretcher. - ANS B) Basket Stretcher. You are dispatched to the residence of an Asian family for a child with a high fever. When you assess the child, you note that he has numerous red marks on his back. The child's parents explain that these marks represent coining—a traditional Asian healing practice in which hot coins are rubbed on the back. You should: A) Document this on your patient care report and advise the emergency department staff of what the child's parents told you. B) Acknowledge and respect this practice as a cultural belief, but advise the child's parents that it has no healing power. C) Advise the child's parents that this is a harmful practice and is considered a form of child abuse in the United States. D) Advise the emergency department physician that you feel as though the child was intentionally abused by his parents. - ANS A) Document this on your patient care report and advise the emergency department staff of what the child's parents told you.