NYC REMAC PROTOCOLS 2020. ALL EXAM REVISION QUESTIONS AND
CORRECT ANSWERS (ALREADY GRADED A+) (2024 UPDATE) 100%
GUARANTEED
What are the inclusion criteria for preeclampsia? - answer- sbp over 160, dbp over 110
Headache, visual disturbances, upper abdominal tenderness or, pulmonary edema
What is the dose for magnesium sulfate for preeclampsia? - answer- via olmc:
2gm magnesium sulfate in 50-100 ml nss over 10-20 minutes via iv (standing orders) repeated if
seizures develop.
What are medical control options for neonatal resuscitation? - answer- none this protocol is
entirely standing orders
At what point should cpr be started for a neonate? - answer- at a hr under 60 bpm
When should endotracheal intubation be performed on a neonate? - answer- after 30 seconds
of cpr with no improvement in hr
In the event that abdominal distention occurs while resuscitating a neonate what procedure should
be performed? - answer- placement of a naso/orogastric tube
When should epinephrine be given to a neonate? What is the dose? - answer- a neonate with a
heart rate that is persistently under 60 bpm after endotracheal intubation should receive
epinephrine 0.1 mg/kg 1:10,000 via the ett
What is the maximum number of attempts allowed for iv access on a neonatal patient? - answer-
2 attempts iv/io under standing orders provided that transport is delayed or extended with nss
at 10 ml/kg
What is the iv dose of epinephrine for neonatal patients? - answer- 0.01 mg/kg 1:1,000
epinephrine iv/io
, What medications are given to neonatal patients? - answer- oxygen, normal saline, epinephrine
1:10,000 ett, and epinephrine 1:1,000 iv/io
What are the inclusion criteria for the pediatric respiratory arrest protocol? - answer- patients
under 14 years old who have actual or impending respiratory arrest or who are unconscious and
are unable to be adequately ventilated
What special notes are outlined in the pediatric respiratory arrest protocol? - answer- if
overdose is suspected refer to the pediatric ams protocol
Do not hyperextend the neck, if an obstructed airway is suspected refer to the obstructed airway
protocol
Tension pneumothorax may develop after resuscitation efforts have begun in children
What is the recommended airway management technique in the pediatric respiratory arrest? -
answer- endotracheal intubation if less invasive methods are ineffective
If a tension pneumothorax is suspected in a child with respiratory arrest what procedure is
indicated? - answer- needle decompression with an 18-20 ga iv catheter
In pediatric patients in respiratory arrest over 2 years old what is the dose for narcan? - answer-
0.5 mg max of 2 mg im/in
For a pediatric patient in respiratory arrest under 2 years what is the appropriate dose of narcan? -
answer- 0.5 mg increments up to 2 mg if im/in or up to 1 mg if iv
Under what circumstances may an iv be established in a pediatric pt in respiratory arrest? - answer-
on orders from medical control
What are the inclusion criteria for a pediatric obstructed airway? - answer- unable to speak,
cough or breathe
CORRECT ANSWERS (ALREADY GRADED A+) (2024 UPDATE) 100%
GUARANTEED
What are the inclusion criteria for preeclampsia? - answer- sbp over 160, dbp over 110
Headache, visual disturbances, upper abdominal tenderness or, pulmonary edema
What is the dose for magnesium sulfate for preeclampsia? - answer- via olmc:
2gm magnesium sulfate in 50-100 ml nss over 10-20 minutes via iv (standing orders) repeated if
seizures develop.
What are medical control options for neonatal resuscitation? - answer- none this protocol is
entirely standing orders
At what point should cpr be started for a neonate? - answer- at a hr under 60 bpm
When should endotracheal intubation be performed on a neonate? - answer- after 30 seconds
of cpr with no improvement in hr
In the event that abdominal distention occurs while resuscitating a neonate what procedure should
be performed? - answer- placement of a naso/orogastric tube
When should epinephrine be given to a neonate? What is the dose? - answer- a neonate with a
heart rate that is persistently under 60 bpm after endotracheal intubation should receive
epinephrine 0.1 mg/kg 1:10,000 via the ett
What is the maximum number of attempts allowed for iv access on a neonatal patient? - answer-
2 attempts iv/io under standing orders provided that transport is delayed or extended with nss
at 10 ml/kg
What is the iv dose of epinephrine for neonatal patients? - answer- 0.01 mg/kg 1:1,000
epinephrine iv/io
, What medications are given to neonatal patients? - answer- oxygen, normal saline, epinephrine
1:10,000 ett, and epinephrine 1:1,000 iv/io
What are the inclusion criteria for the pediatric respiratory arrest protocol? - answer- patients
under 14 years old who have actual or impending respiratory arrest or who are unconscious and
are unable to be adequately ventilated
What special notes are outlined in the pediatric respiratory arrest protocol? - answer- if
overdose is suspected refer to the pediatric ams protocol
Do not hyperextend the neck, if an obstructed airway is suspected refer to the obstructed airway
protocol
Tension pneumothorax may develop after resuscitation efforts have begun in children
What is the recommended airway management technique in the pediatric respiratory arrest? -
answer- endotracheal intubation if less invasive methods are ineffective
If a tension pneumothorax is suspected in a child with respiratory arrest what procedure is
indicated? - answer- needle decompression with an 18-20 ga iv catheter
In pediatric patients in respiratory arrest over 2 years old what is the dose for narcan? - answer-
0.5 mg max of 2 mg im/in
For a pediatric patient in respiratory arrest under 2 years what is the appropriate dose of narcan? -
answer- 0.5 mg increments up to 2 mg if im/in or up to 1 mg if iv
Under what circumstances may an iv be established in a pediatric pt in respiratory arrest? - answer-
on orders from medical control
What are the inclusion criteria for a pediatric obstructed airway? - answer- unable to speak,
cough or breathe
