NYC REMAC PROTOCOLS for 2020. ALL EXAM REVISION QUESTIONS AND
CORRECT ANSWERS (ALREADY GRADED A+) (2024 UPDATE) 100% GUARANTEED
Defib at what joule setting for adult v-fib/Pulseless V-tach - ANSWER- Max joule setting
Epi dose for V-fib/Pulseless V-tach Adult - ANSWER- Epi 1mg (10mL of a 1:10,000) IV bolus
every 3-5 minutes
Amiodarone dose for V-fib/Pulseless V-tach Adult - ANSWER- Amiodarone 300mg, IV bolus
Med. Control Options for V-fib/Pulseless V-tach Adult - ANSWER- Repeat dose of Amio
150mg, IV bolus
Sodium Bicarb 4-88mEq IV bolus, with repeat of 44mEq, bolus, every 10 minutes
Mag Sulfate 2mg, IV bolus in 10mL of Normal Saline over 2 minutes
Calc. Chloride 1gm, SLOWLY, IV bolus, followed by flush
PEA/Asystole Adult Epi Dose - ANSWER- 1mg (10mL of 1:10,00) IV bolus, every 3-5
minutes
,If BGL is below 60mg/dL in PEA/Asystole - ANSWER- Give 25gm of Dextrose, IV bolus
Med. Control Options for PEA/Asystole Adult - ANSWER- Sodium Bicarb 44-88 mEq Iv
Bolus with a repeat of 44 mEq, bolus, every 10 min
Calc. Chloride 1gm, SLOWLY, followed by a flush.
Crystalloid fluid up to 3 liters.
Non-Traumatic Cardiac Arrest & Severe Brady PEDIATRIC < 9 y/o, HR < 60 BPM, &
decompensated shock - ANSWER- Brady: assist ventilations at a rate of 20 breathes/min
Begin CPR if HR is not increasing following 30 seconds of assisted ventilations
Check pulse every 2 minutes
If infant or child is in cardiac arrest: - ANSWER- Immediately initiate CPR as per AHA
continue CPR until pulse returns at a rate greater than 60 BPM
continue ventilations at a rate of 20 breathes/min, once the HR is greater than 60 BPM
,Once infant or child HR is 100 BPM, RR is >20 breathes/min & central cyanosis resolves switch
to: - ANSWER- Blow by Oxygen; all must be true
Non-traumatic Cardiac Arrest & Severe Brady Pediatric Defib settings: - ANSWER- V-fib or
pulseless V-tach
defib at 4 joules/kg
resume cpr for 5 cycles/2minutes
If no rhythm change
defib repeat at 10joules/kg
resume cpr for 5 cycles/2min
When do you obtain IV access for pediatric arrest/brady - ANSWER- If txp is delayed or during
txp; obtain IV access: ONE IV attempt, ONE IO attempt
Epi dose for Infant/Child Cardiac arrest - ANSWER- Epi 0.01mg/kg (0.1mL/kg 1:10,000)
bolus every 3-5 min.
Amiodarone dose for Infant/Ped arrest - ANSWER- 5mg/kg IV bolus
, What is the max joule setting for infant/pediatric defib? - ANSWER- 10joules/kg
Medical Control Options for Ped. Non-traumatic Arrest/ Bradycardia - ANSWER-
Hemodynamically unstable:
repeat any of the standing orders
=,> 2y/o 2mg Narcan IV bolus
<2y/o 1mg Narcan IV bolus
Dextrose 0.5G/kg IV bolus
<,= one month use 10% dextrose
> one month, < 15y/o use 25% dextrose
Sodium Bicarb 1mEq/kg, IV Bolus
(Torsades) Mag Sulfate 25-50mg/kg iv bolus
Crystalloid fluid 20mg/kg
CPR ratio for infant (2 rescuers) - ANSWER- 15:2 at rate of 120 "events" (105 compressions :
15 ventilations) per minute.
Respiratory Distress/Failure/APE Adult - ANSWER- Monitor cardiac
CORRECT ANSWERS (ALREADY GRADED A+) (2024 UPDATE) 100% GUARANTEED
Defib at what joule setting for adult v-fib/Pulseless V-tach - ANSWER- Max joule setting
Epi dose for V-fib/Pulseless V-tach Adult - ANSWER- Epi 1mg (10mL of a 1:10,000) IV bolus
every 3-5 minutes
Amiodarone dose for V-fib/Pulseless V-tach Adult - ANSWER- Amiodarone 300mg, IV bolus
Med. Control Options for V-fib/Pulseless V-tach Adult - ANSWER- Repeat dose of Amio
150mg, IV bolus
Sodium Bicarb 4-88mEq IV bolus, with repeat of 44mEq, bolus, every 10 minutes
Mag Sulfate 2mg, IV bolus in 10mL of Normal Saline over 2 minutes
Calc. Chloride 1gm, SLOWLY, IV bolus, followed by flush
PEA/Asystole Adult Epi Dose - ANSWER- 1mg (10mL of 1:10,00) IV bolus, every 3-5
minutes
,If BGL is below 60mg/dL in PEA/Asystole - ANSWER- Give 25gm of Dextrose, IV bolus
Med. Control Options for PEA/Asystole Adult - ANSWER- Sodium Bicarb 44-88 mEq Iv
Bolus with a repeat of 44 mEq, bolus, every 10 min
Calc. Chloride 1gm, SLOWLY, followed by a flush.
Crystalloid fluid up to 3 liters.
Non-Traumatic Cardiac Arrest & Severe Brady PEDIATRIC < 9 y/o, HR < 60 BPM, &
decompensated shock - ANSWER- Brady: assist ventilations at a rate of 20 breathes/min
Begin CPR if HR is not increasing following 30 seconds of assisted ventilations
Check pulse every 2 minutes
If infant or child is in cardiac arrest: - ANSWER- Immediately initiate CPR as per AHA
continue CPR until pulse returns at a rate greater than 60 BPM
continue ventilations at a rate of 20 breathes/min, once the HR is greater than 60 BPM
,Once infant or child HR is 100 BPM, RR is >20 breathes/min & central cyanosis resolves switch
to: - ANSWER- Blow by Oxygen; all must be true
Non-traumatic Cardiac Arrest & Severe Brady Pediatric Defib settings: - ANSWER- V-fib or
pulseless V-tach
defib at 4 joules/kg
resume cpr for 5 cycles/2minutes
If no rhythm change
defib repeat at 10joules/kg
resume cpr for 5 cycles/2min
When do you obtain IV access for pediatric arrest/brady - ANSWER- If txp is delayed or during
txp; obtain IV access: ONE IV attempt, ONE IO attempt
Epi dose for Infant/Child Cardiac arrest - ANSWER- Epi 0.01mg/kg (0.1mL/kg 1:10,000)
bolus every 3-5 min.
Amiodarone dose for Infant/Ped arrest - ANSWER- 5mg/kg IV bolus
, What is the max joule setting for infant/pediatric defib? - ANSWER- 10joules/kg
Medical Control Options for Ped. Non-traumatic Arrest/ Bradycardia - ANSWER-
Hemodynamically unstable:
repeat any of the standing orders
=,> 2y/o 2mg Narcan IV bolus
<2y/o 1mg Narcan IV bolus
Dextrose 0.5G/kg IV bolus
<,= one month use 10% dextrose
> one month, < 15y/o use 25% dextrose
Sodium Bicarb 1mEq/kg, IV Bolus
(Torsades) Mag Sulfate 25-50mg/kg iv bolus
Crystalloid fluid 20mg/kg
CPR ratio for infant (2 rescuers) - ANSWER- 15:2 at rate of 120 "events" (105 compressions :
15 ventilations) per minute.
Respiratory Distress/Failure/APE Adult - ANSWER- Monitor cardiac
