Critical Care Transport
A STEMI patient with three vasoactive medications infusing in a community hospital that
is 10 miles away, 45 minutes with current traffic, would be a candidate for which mode
of transportation? - ✔️✔️Rotor-wing transport
During the hand-off report from the transferring nurse, he tells you that the patient has a
DNR and only wants comfort measures performed. En-route, the patient codes but you
are unable to find the patient's DNR in the chart. How do you manage the cardiac
arrest? - ✔️✔️Perform basic resuscitation, then seek clarification
Which of the following patient populations would likely require high inspiratory pressures
to adequately achieve gas exchange? - ✔️✔️Asthma patietns
What additional healthcare provider may become part of the transport team during the
transport of a patient receiving extracorporeal membrane oxygenation (ECMO)? -
✔️✔️Perfusionist
A person's ability to withstand negative pressure or "bounce back" from difficulties is
known as: - ✔️✔️Resilience
CMS defines __________ as the use of specialized equipment and specialized training
beyond the paramedic scope of practice to manage critically ill patients from facility to
facility. - ✔️✔️Specialty Care Transport
What agency dictates CCTPs' scope of practice? - ✔️✔️The state agency responsible
for licensure
When was the United States' first city ambulance service established? - ✔️✔️1869
Which of the following will indicate to dispatch that the interfacility transport requires
critical care transport? - ✔️✔️Intra-aoritic balloon pump (IABP)
__________ is the reaction of the mind and body to demand for change. - ✔️✔️Stress
How do critical care transport services ensure that their providers maintain proficiency?
- ✔️✔️Mandatory competency training
Your physical assessment reveals that the posterior pharynx is partially exposed. What
classification Mallampati would you identify this patient as? - ✔️✔️II
A 3-month old patient in Louisville, Kentucky, has a unique heart condition that requires
an intervention that is currently only performed at the Children's Hospital of
,Philadelphia. What is the best mode of transportation for this patient? - ✔️✔️Fixed-
wing transport
Which type of transport is the most expensive to operate? - ✔️✔️Specialty Care
Transport
Interfacility transport is the transport of a patient between: - ✔️✔️Two healthcare
facilities
Critical care is the management of patients with life-threatening conditions that requires:
- ✔️✔️Continuous monitoring and drugs of equipment required to sustain life
What is the first point of contact for the rotor-wing critical care team? - ✔️✔️The
dispatcher
What is necessary for a CCTP to act outside of his or her protocols? - ✔️✔️Medical
command physician orders
In preparation for transport, the sending facility physician must have identified and
communicated with a __________ in order to initiate the patient transfer. -
✔️✔️Receiving facility physician
The transferring neonatal orders a neonatal physician assistant to your transport team
for the transfer of an 1,800-g neonate with an intraventricular hemorrhage and
hydrocephalus. What dictates the management of the patient's care during this
transport? - ✔️✔️The physician assistant
When is it acceptable to transfer an unstable patient from a facility? - ✔️✔️The sending
facility cannot perform the needed interventions
What allows individuals to accepts or refuse treatment, to receive appropriate care, and
to receive care without interruption? - ✔️✔️Patient rights
What type of consent is obtained after you discuss the treatment and transport plan with
the patient and patient's family? - ✔️✔️Informed consent
What information must be sent with a patient during all interfacility patient transfers? -
✔️✔️Current diagnosis and interventions
While a CCTP contacts their medical director for additional medication doses, he or she
is operating under: - ✔️✔️Online medical control
,When does an adult patient of sound mind have the right to refuse treatment by a
CCTP? - ✔️✔️At any point the CCTP is present
__________ is the intentional and unjustifiable detention of a person without his or her
consent or other legal authority. - ✔️✔️False imprisonment
The CCTP has an obligation to obtain __________ consent for air medical transport,
including a written statement that the patient understands the risks and benefits of
transport. - ✔️✔️Informed
Your pediatric CCT unit arrives at a regional hospital to transport a 3-day old infant with
atrioventricular septal defect that is extremely unstable. As you enter the room of the
level I NICU, the parents are alarmed and agitated. Uninformed and confused about the
transport, the father says, "This hospital is the best in the state," and declines the
transport. How do you manage this patient? - ✔️✔️Discuss the concerns with the
family and sending physician
What type of consent is granted for a patient found unresponsive and seizures? -
✔️✔️Implied
You've administered vecoronium and realized you forgot to administer midazolam. Your
partner pushes the midazolam but the patient's heart rate continues to rise. You notice
the line was clamped and the bolus went into the bag. What type of incident occurred? -
✔️✔️Adverse drug event
During ground transport of a critically injured patient, a CCTP should be mindful to: -
✔️✔️All of these are correct (ensure that the patient is securely fastened to the
stretcher; remain seated and secured with seatbelt applied as much as possible; and,
ensure all loose equipment is secured and equipment lockers are closed)
Once everything is in place for an RSI, what can be done to improve team
communication prior to performing the RSI? - ✔️✔️A universal time-out
The use of __________ allows health care providers to hone their skills in a safe
environment without risk of patient harm. - ✔️✔️Simulation
Issues with communication with __________ have resulted in loss of key patient
information. - ✔️✔️Handoff reports
Medical errors during critical care transport regularly result in harm or potential harm to
patients. Viewing these errors as the outcomes of human-error, at-risk behavior, or
reckless behavior is a concept designed to differentiate the different types of error, and
is also known as: - ✔️✔️Just culture
, What type of organization focuses on managing its inevitable failures, helping to reduce
their effects on patient care? - ✔️✔️A highly reliable organization
What occurs when a planned action fails to be completed as intended? - ✔️✔️A
medical error
When a clinician utilizes premixed infusions instead of mixing their own infusion, they
are meeting the Institution of Medicine's __________ Quality Aim. - ✔️✔️Efficiency
What system requires someone to develop a risk matrix for each potential failure that
incorporates the likelihood of that failure, the ability to detect failure, and the potential
harm in order to assign a risk score to the environment? - ✔️✔️Failure mode and effect
analysis
What can help reduce the risk of adverse events and errors of omission during IABP
transports? - ✔️✔️Checklists
One aspect of crew resource management (CRM) in which all members of the crew
should hold equal empowerment is the decision of: - ✔️✔️Whether to accept a flight
Overtriage of rotor-wing air medical utilization would go against which IOM Quality Aim?
- ✔️✔️Efficiency
What system encourages self-reporting of errors that will be free from disciplinary action
and aid in corrections of the overall system? - ✔️✔️Just culture
A CCTP reports a medical error where he administered midazolam instead of fentanyl.
When the incident was investigated, the crew member claimed responsibility and stated
that he didn't realize the label for the fentanyl had changed to brown after the last supply
order. How should this incident be managed? - ✔️✔️The officer responsible for
ordering should try to order the same brand
When a CCTP transports a patient from a scene to the appropriate facility, they are
meeting the Institute of Medicine's __________ Quality Aim? - ✔️✔️Effectiveness
What is a potential contraindication for aeromedical transportation? - ✔️✔️Sterile
cockpit
The area of the atmosphere that contains the oxygen and barometric pressure needed
for a normal, healthy person to live is the: - ✔️✔️Physiologic zone
Patients with a history of or injury predisposing them to __________ should be
protected from the effects of flicker vertigo. - ✔️✔️Seizures
A STEMI patient with three vasoactive medications infusing in a community hospital that
is 10 miles away, 45 minutes with current traffic, would be a candidate for which mode
of transportation? - ✔️✔️Rotor-wing transport
During the hand-off report from the transferring nurse, he tells you that the patient has a
DNR and only wants comfort measures performed. En-route, the patient codes but you
are unable to find the patient's DNR in the chart. How do you manage the cardiac
arrest? - ✔️✔️Perform basic resuscitation, then seek clarification
Which of the following patient populations would likely require high inspiratory pressures
to adequately achieve gas exchange? - ✔️✔️Asthma patietns
What additional healthcare provider may become part of the transport team during the
transport of a patient receiving extracorporeal membrane oxygenation (ECMO)? -
✔️✔️Perfusionist
A person's ability to withstand negative pressure or "bounce back" from difficulties is
known as: - ✔️✔️Resilience
CMS defines __________ as the use of specialized equipment and specialized training
beyond the paramedic scope of practice to manage critically ill patients from facility to
facility. - ✔️✔️Specialty Care Transport
What agency dictates CCTPs' scope of practice? - ✔️✔️The state agency responsible
for licensure
When was the United States' first city ambulance service established? - ✔️✔️1869
Which of the following will indicate to dispatch that the interfacility transport requires
critical care transport? - ✔️✔️Intra-aoritic balloon pump (IABP)
__________ is the reaction of the mind and body to demand for change. - ✔️✔️Stress
How do critical care transport services ensure that their providers maintain proficiency?
- ✔️✔️Mandatory competency training
Your physical assessment reveals that the posterior pharynx is partially exposed. What
classification Mallampati would you identify this patient as? - ✔️✔️II
A 3-month old patient in Louisville, Kentucky, has a unique heart condition that requires
an intervention that is currently only performed at the Children's Hospital of
,Philadelphia. What is the best mode of transportation for this patient? - ✔️✔️Fixed-
wing transport
Which type of transport is the most expensive to operate? - ✔️✔️Specialty Care
Transport
Interfacility transport is the transport of a patient between: - ✔️✔️Two healthcare
facilities
Critical care is the management of patients with life-threatening conditions that requires:
- ✔️✔️Continuous monitoring and drugs of equipment required to sustain life
What is the first point of contact for the rotor-wing critical care team? - ✔️✔️The
dispatcher
What is necessary for a CCTP to act outside of his or her protocols? - ✔️✔️Medical
command physician orders
In preparation for transport, the sending facility physician must have identified and
communicated with a __________ in order to initiate the patient transfer. -
✔️✔️Receiving facility physician
The transferring neonatal orders a neonatal physician assistant to your transport team
for the transfer of an 1,800-g neonate with an intraventricular hemorrhage and
hydrocephalus. What dictates the management of the patient's care during this
transport? - ✔️✔️The physician assistant
When is it acceptable to transfer an unstable patient from a facility? - ✔️✔️The sending
facility cannot perform the needed interventions
What allows individuals to accepts or refuse treatment, to receive appropriate care, and
to receive care without interruption? - ✔️✔️Patient rights
What type of consent is obtained after you discuss the treatment and transport plan with
the patient and patient's family? - ✔️✔️Informed consent
What information must be sent with a patient during all interfacility patient transfers? -
✔️✔️Current diagnosis and interventions
While a CCTP contacts their medical director for additional medication doses, he or she
is operating under: - ✔️✔️Online medical control
,When does an adult patient of sound mind have the right to refuse treatment by a
CCTP? - ✔️✔️At any point the CCTP is present
__________ is the intentional and unjustifiable detention of a person without his or her
consent or other legal authority. - ✔️✔️False imprisonment
The CCTP has an obligation to obtain __________ consent for air medical transport,
including a written statement that the patient understands the risks and benefits of
transport. - ✔️✔️Informed
Your pediatric CCT unit arrives at a regional hospital to transport a 3-day old infant with
atrioventricular septal defect that is extremely unstable. As you enter the room of the
level I NICU, the parents are alarmed and agitated. Uninformed and confused about the
transport, the father says, "This hospital is the best in the state," and declines the
transport. How do you manage this patient? - ✔️✔️Discuss the concerns with the
family and sending physician
What type of consent is granted for a patient found unresponsive and seizures? -
✔️✔️Implied
You've administered vecoronium and realized you forgot to administer midazolam. Your
partner pushes the midazolam but the patient's heart rate continues to rise. You notice
the line was clamped and the bolus went into the bag. What type of incident occurred? -
✔️✔️Adverse drug event
During ground transport of a critically injured patient, a CCTP should be mindful to: -
✔️✔️All of these are correct (ensure that the patient is securely fastened to the
stretcher; remain seated and secured with seatbelt applied as much as possible; and,
ensure all loose equipment is secured and equipment lockers are closed)
Once everything is in place for an RSI, what can be done to improve team
communication prior to performing the RSI? - ✔️✔️A universal time-out
The use of __________ allows health care providers to hone their skills in a safe
environment without risk of patient harm. - ✔️✔️Simulation
Issues with communication with __________ have resulted in loss of key patient
information. - ✔️✔️Handoff reports
Medical errors during critical care transport regularly result in harm or potential harm to
patients. Viewing these errors as the outcomes of human-error, at-risk behavior, or
reckless behavior is a concept designed to differentiate the different types of error, and
is also known as: - ✔️✔️Just culture
, What type of organization focuses on managing its inevitable failures, helping to reduce
their effects on patient care? - ✔️✔️A highly reliable organization
What occurs when a planned action fails to be completed as intended? - ✔️✔️A
medical error
When a clinician utilizes premixed infusions instead of mixing their own infusion, they
are meeting the Institution of Medicine's __________ Quality Aim. - ✔️✔️Efficiency
What system requires someone to develop a risk matrix for each potential failure that
incorporates the likelihood of that failure, the ability to detect failure, and the potential
harm in order to assign a risk score to the environment? - ✔️✔️Failure mode and effect
analysis
What can help reduce the risk of adverse events and errors of omission during IABP
transports? - ✔️✔️Checklists
One aspect of crew resource management (CRM) in which all members of the crew
should hold equal empowerment is the decision of: - ✔️✔️Whether to accept a flight
Overtriage of rotor-wing air medical utilization would go against which IOM Quality Aim?
- ✔️✔️Efficiency
What system encourages self-reporting of errors that will be free from disciplinary action
and aid in corrections of the overall system? - ✔️✔️Just culture
A CCTP reports a medical error where he administered midazolam instead of fentanyl.
When the incident was investigated, the crew member claimed responsibility and stated
that he didn't realize the label for the fentanyl had changed to brown after the last supply
order. How should this incident be managed? - ✔️✔️The officer responsible for
ordering should try to order the same brand
When a CCTP transports a patient from a scene to the appropriate facility, they are
meeting the Institute of Medicine's __________ Quality Aim? - ✔️✔️Effectiveness
What is a potential contraindication for aeromedical transportation? - ✔️✔️Sterile
cockpit
The area of the atmosphere that contains the oxygen and barometric pressure needed
for a normal, healthy person to live is the: - ✔️✔️Physiologic zone
Patients with a history of or injury predisposing them to __________ should be
protected from the effects of flicker vertigo. - ✔️✔️Seizures
