AIR EVAC ACTUAL FINAL PAPER 2025/2026 QUESTIONS
WITH ANSWERS RATED A+
✔✔Contraindications of thrombolytics - ✔✔Hx of hemorrhagic stroke
CVA <12 months
SBP>180
Pregnancy or <1month
Postpartum
✔✔Pediatric BP - ✔✔SBP:90 + (2x age)
DBP: 2/3 SBP
✔✔CVP - ✔✔2-6
✔✔Cardiac Output CO - ✔✔SV x HR (4-8 L/min)
✔✔Cardiac Index CI - ✔✔2.5-4.2
✔✔PAS/PAD pulmonary artery - ✔✔Systolic 15-25
Diastolic 8-15
✔✔Wedge PAWP/PCWP - ✔✔PAWP/wedge 8-12
✔✔SVR - ✔✔800-1200 dynes/sec/cm*5
✔✔Cardiogenic Shock - ✔✔High CVP
High PAS/PAD
High PCWP
High SVR
Low CO
Low CI
HR initially fast~slows
✔✔Hypoxic hypoxia - ✔✔Altitude hypoxia
Decreased alveolar oxygen
Tension pneumothorax
✔✔Change CO2 Ventilator - ✔✔Adjust rate
TV
✔✔Change O2 ventilator - ✔✔Adjust PEEP
PAP
✔✔Parkland - ✔✔4 ml x kg x TBSA
, 1/2 over first 8 hrs
Remaining over next 16 hrs
✔✔ Nitroglycerine Drip - ✔✔10 mcg/min
titrate 10 mcg
max 200 mcg/min
✔✔Lasix Dose - ✔✔40 mg
2X daily dose
200 mg/day max
✔✔Norepinephrine Drip - ✔✔5-10 mcg/min
✔✔Epinephrine Drip - ✔✔2-10 mcg/min
✔✔SIRS (systemic inflammatory response syndrome) - ✔✔Temperature < 36 or > 38
HR > 90
RR > 20 or PaCO2 < 32
WBC < 4,0000 or > 12,000, or > 10% bands
Early sepsis.
✔✔Sepsis - ✔✔SIRS + a documented infection
✔✔Severe Sepsis - ✔✔Sepsis + end organ damage/tissue hypoperfusion (hypotension,
elevated lacate, decreased urine output)
✔✔Septic Shock - ✔✔Severe sepsis + hypotension despite fluid administration
✔✔Treatment if not eligible for tPA - ✔✔Treat if: SBP >200 and/or DBP > 120
Options:
Labetalol 10-20 mg, may repeat x1 to max total of 40 mg
Cardene 5 mg/hr, titrated by 2.5 mg/hr to max of 15 mg/hr. Reduce to 3 mg/min when
target met.
✔✔Treatment for known hemorrhagic stroke - ✔✔Treat pain, anxiety, nausea
If SBP remains > 150: (target 140)
Labetalol 10 mg q 10 min to max of 300 mg
Cardene 5 mg/hr titrated by 2.5 mg/hr to max of 15 mg/hr
If SBP > 220:
Contact medical control or receiving facility
WITH ANSWERS RATED A+
✔✔Contraindications of thrombolytics - ✔✔Hx of hemorrhagic stroke
CVA <12 months
SBP>180
Pregnancy or <1month
Postpartum
✔✔Pediatric BP - ✔✔SBP:90 + (2x age)
DBP: 2/3 SBP
✔✔CVP - ✔✔2-6
✔✔Cardiac Output CO - ✔✔SV x HR (4-8 L/min)
✔✔Cardiac Index CI - ✔✔2.5-4.2
✔✔PAS/PAD pulmonary artery - ✔✔Systolic 15-25
Diastolic 8-15
✔✔Wedge PAWP/PCWP - ✔✔PAWP/wedge 8-12
✔✔SVR - ✔✔800-1200 dynes/sec/cm*5
✔✔Cardiogenic Shock - ✔✔High CVP
High PAS/PAD
High PCWP
High SVR
Low CO
Low CI
HR initially fast~slows
✔✔Hypoxic hypoxia - ✔✔Altitude hypoxia
Decreased alveolar oxygen
Tension pneumothorax
✔✔Change CO2 Ventilator - ✔✔Adjust rate
TV
✔✔Change O2 ventilator - ✔✔Adjust PEEP
PAP
✔✔Parkland - ✔✔4 ml x kg x TBSA
, 1/2 over first 8 hrs
Remaining over next 16 hrs
✔✔ Nitroglycerine Drip - ✔✔10 mcg/min
titrate 10 mcg
max 200 mcg/min
✔✔Lasix Dose - ✔✔40 mg
2X daily dose
200 mg/day max
✔✔Norepinephrine Drip - ✔✔5-10 mcg/min
✔✔Epinephrine Drip - ✔✔2-10 mcg/min
✔✔SIRS (systemic inflammatory response syndrome) - ✔✔Temperature < 36 or > 38
HR > 90
RR > 20 or PaCO2 < 32
WBC < 4,0000 or > 12,000, or > 10% bands
Early sepsis.
✔✔Sepsis - ✔✔SIRS + a documented infection
✔✔Severe Sepsis - ✔✔Sepsis + end organ damage/tissue hypoperfusion (hypotension,
elevated lacate, decreased urine output)
✔✔Septic Shock - ✔✔Severe sepsis + hypotension despite fluid administration
✔✔Treatment if not eligible for tPA - ✔✔Treat if: SBP >200 and/or DBP > 120
Options:
Labetalol 10-20 mg, may repeat x1 to max total of 40 mg
Cardene 5 mg/hr, titrated by 2.5 mg/hr to max of 15 mg/hr. Reduce to 3 mg/min when
target met.
✔✔Treatment for known hemorrhagic stroke - ✔✔Treat pain, anxiety, nausea
If SBP remains > 150: (target 140)
Labetalol 10 mg q 10 min to max of 300 mg
Cardene 5 mg/hr titrated by 2.5 mg/hr to max of 15 mg/hr
If SBP > 220:
Contact medical control or receiving facility
