PLATINUM EMT EVALUATION EXAM 2026 QUESTIONS
AND SOLUTIONS RATED A+
✔✔Pulseless VFIB and VTACH - ✔✔1. ABC
2. CPR
3. Quick look with or pads
4. Confirm V Fib or pulseless V Tach
5. Defibrillate 360 J -
6. CPR x 2 min (5 cycles of 30:2)IV, ETT, ECG (do not interrupt CPR except for
intubation - 10 sec)
7. Check Rhythm
8. Defibrillate 360 J
9. Epinephrine 1 mg of 1:10,000 (repeat q 3 - 5 min)
10. Defibrillate
11. Amiodarone 300 mg (dilute in 10 mL NS) (repeat @ 150 mg in 3 - 5 min) - max 2.2
G in 24 hrsORLidocaine 1 - 1.5 mg/kg (repeat @ 0.5 - 0.75 mg/kg in 3 - 5 min)
12. Defibrillate - 360 J
✔✔ - ✔✔*** Magnesium Sulfate 1 - 2 g over 1 - 2 min for Torsades (No Amiodarone)***
Perform 2 minutes of CPR after each shock - Do Not Check Pulse*** Drugs should be
prepared and administered during CPR - Do not delay shock. *** Check rhythm before
each shock; if rhythm changes check pulse
✔✔After ROSC - ✔✔administer 1 - 2 L fluid bolus to maintain a BP of 90 systolic
➢ O2 Sat 92% - 98%
➢ Target PETCO2 to 35 - 45 mm Hg
*** May hang a maintenance drip after arrhythmias have been resolved
*** Amiodarone Maintenance Infusion
-Run at 1 mg/min for first 6 hours
-Mix 150 mg in a 100 mL bag of NS
-1mg/min = 33 mL/hr = 40 gtts/min (60 gtt set) for first 6 hours
*** Procainamide Maintenance Infusion
-Run at 1 - 4 mg/min
-1 G in 250 mL - (4 mg/mL)
-1 G in 500 mL - (2 mg/mL)
*** Lidocaine Maintenance Infusion
-Run at 1 - 4 mg/min
✔✔PEA / Asystole - ✔✔ABC
CPR
3. Quick look with pads
4. Continue CPR
5. IV, ETT, ECG
6. Epinephrine 1 mg of 1:10,000 (repeat q 3 - 5 min)
7. Consider causes and treat
, *Administer epinephrine as soon as feasible
✔✔Wide complex tachycardia PALS - ✔✔Stable:
Vagal maneuvers Adenosine 0.1 mg/kg
Unstable:
Synchronized cardioversion 0.5 - 1 J/kg, max 2 J/kg
- Seek medical direction: may order Amiodarone 5 mg/kg
Be able to identify Pulseless VT/ VF and the treatment for it. Know your PALS
protocols!CPRShock @ 2 J/kgCPR - establish IV/IOShock @ 4 J/kgCPR - Epi 0.01
mg/kgShock @ 6 J/kgCPR - Amiodarone 5 mg/kg (may repeat up to 3 doses total) OR
Lidocaine 1 mg/kg Shock @ 8 J/kgCPR - Epi 0.01 mg/kgShock @ 10 J/kgCPR -
Amiodarone 5 mg/kgBe able to identify PULSELESS ELECTRICAL ACTIVITY (PEA)
OR ASYSTOLE and the treatment for it. Know your PALS protocols!CPR - IV/IO, Airway
CPR - Epi 0.01 mg/kg repeated every 3 - 5 minutes Consider H's & T's
Know the dosage ranges of your ACLS drips
After ROSC
administer 1 - 2 L fluid bolus to maintain a BP of 90 systolic O2 Sat 92% - 98%
Target PETCO2 to 35 - 45 mm Hg
✔✔S/S and HX of ischemic stroke - ✔✔Embolitic stroke
Solid or liquid carried to blood vessel from a remote site
Clots arise from dead vessels in neck or abnormally contacting chambers in heart
AFIB results in atrial dilation precursor to clots
Thrombotic strokes
Gradually develops in and obstructs cerebella artery
✔✔S/S of hemmoragic stroke - ✔✔Sudden onset
Severe headache
Hypertensive
✔✔S/S of stroke - ✔✔Paralysis or numbness to move body
Asphasia
Headache with vomiting
Vision issues
Metallic taste Difficulty swallowing Trouble walking
✔✔Tx for Stroke - ✔✔Early recognition
Supportive measures
Rapid transport
Head elevated 30 degrees
Start IV
Get BGL
Monitor cardiac, spO2 and ETCO2 LAMS
Facial droop -0,1 present
Arm drift - 0,1 slow 2 fast
Grip - 0, 1 weak 2 none
AND SOLUTIONS RATED A+
✔✔Pulseless VFIB and VTACH - ✔✔1. ABC
2. CPR
3. Quick look with or pads
4. Confirm V Fib or pulseless V Tach
5. Defibrillate 360 J -
6. CPR x 2 min (5 cycles of 30:2)IV, ETT, ECG (do not interrupt CPR except for
intubation - 10 sec)
7. Check Rhythm
8. Defibrillate 360 J
9. Epinephrine 1 mg of 1:10,000 (repeat q 3 - 5 min)
10. Defibrillate
11. Amiodarone 300 mg (dilute in 10 mL NS) (repeat @ 150 mg in 3 - 5 min) - max 2.2
G in 24 hrsORLidocaine 1 - 1.5 mg/kg (repeat @ 0.5 - 0.75 mg/kg in 3 - 5 min)
12. Defibrillate - 360 J
✔✔ - ✔✔*** Magnesium Sulfate 1 - 2 g over 1 - 2 min for Torsades (No Amiodarone)***
Perform 2 minutes of CPR after each shock - Do Not Check Pulse*** Drugs should be
prepared and administered during CPR - Do not delay shock. *** Check rhythm before
each shock; if rhythm changes check pulse
✔✔After ROSC - ✔✔administer 1 - 2 L fluid bolus to maintain a BP of 90 systolic
➢ O2 Sat 92% - 98%
➢ Target PETCO2 to 35 - 45 mm Hg
*** May hang a maintenance drip after arrhythmias have been resolved
*** Amiodarone Maintenance Infusion
-Run at 1 mg/min for first 6 hours
-Mix 150 mg in a 100 mL bag of NS
-1mg/min = 33 mL/hr = 40 gtts/min (60 gtt set) for first 6 hours
*** Procainamide Maintenance Infusion
-Run at 1 - 4 mg/min
-1 G in 250 mL - (4 mg/mL)
-1 G in 500 mL - (2 mg/mL)
*** Lidocaine Maintenance Infusion
-Run at 1 - 4 mg/min
✔✔PEA / Asystole - ✔✔ABC
CPR
3. Quick look with pads
4. Continue CPR
5. IV, ETT, ECG
6. Epinephrine 1 mg of 1:10,000 (repeat q 3 - 5 min)
7. Consider causes and treat
, *Administer epinephrine as soon as feasible
✔✔Wide complex tachycardia PALS - ✔✔Stable:
Vagal maneuvers Adenosine 0.1 mg/kg
Unstable:
Synchronized cardioversion 0.5 - 1 J/kg, max 2 J/kg
- Seek medical direction: may order Amiodarone 5 mg/kg
Be able to identify Pulseless VT/ VF and the treatment for it. Know your PALS
protocols!CPRShock @ 2 J/kgCPR - establish IV/IOShock @ 4 J/kgCPR - Epi 0.01
mg/kgShock @ 6 J/kgCPR - Amiodarone 5 mg/kg (may repeat up to 3 doses total) OR
Lidocaine 1 mg/kg Shock @ 8 J/kgCPR - Epi 0.01 mg/kgShock @ 10 J/kgCPR -
Amiodarone 5 mg/kgBe able to identify PULSELESS ELECTRICAL ACTIVITY (PEA)
OR ASYSTOLE and the treatment for it. Know your PALS protocols!CPR - IV/IO, Airway
CPR - Epi 0.01 mg/kg repeated every 3 - 5 minutes Consider H's & T's
Know the dosage ranges of your ACLS drips
After ROSC
administer 1 - 2 L fluid bolus to maintain a BP of 90 systolic O2 Sat 92% - 98%
Target PETCO2 to 35 - 45 mm Hg
✔✔S/S and HX of ischemic stroke - ✔✔Embolitic stroke
Solid or liquid carried to blood vessel from a remote site
Clots arise from dead vessels in neck or abnormally contacting chambers in heart
AFIB results in atrial dilation precursor to clots
Thrombotic strokes
Gradually develops in and obstructs cerebella artery
✔✔S/S of hemmoragic stroke - ✔✔Sudden onset
Severe headache
Hypertensive
✔✔S/S of stroke - ✔✔Paralysis or numbness to move body
Asphasia
Headache with vomiting
Vision issues
Metallic taste Difficulty swallowing Trouble walking
✔✔Tx for Stroke - ✔✔Early recognition
Supportive measures
Rapid transport
Head elevated 30 degrees
Start IV
Get BGL
Monitor cardiac, spO2 and ETCO2 LAMS
Facial droop -0,1 present
Arm drift - 0,1 slow 2 fast
Grip - 0, 1 weak 2 none
