EMT Mod 4 Exam | 152 questions and answers 2023/24 | GRADED A+

EMT Mod 4 Exam | 152 questions and answers 2023/24 | GRADED A+ EMS is called to a 4-vehicle crash. Some of the passengers are out of their cars walking around and others are still in their vehicles. What is a paramedic's first responsibility? A. Call the Resource Hospital and report all the injuries B. Scene size up, call for assistance, begin triaging all pts C. Begin providing initial trauma care to each person per the ITC SOPs D. Begin ALS care for the most seriously injured and wait for help to arrive for the rest - B. Scene size up, call for assistance, begin triaging all pts Which is a role within the medical group in a medium/large scale multiple patient incident? A. Finance B. Logistics C. Treatment D. Public information - C. Treatment Under START triage, the first acuity distinction is based on the pt's ability to A. walk B. obey commands C. generate a radial pulse D. breathe spontaneously - A. walk Which of these should be tagged "yellow"? A. No respirations after head tilt B. Open pneumo; RR 32; rapid carotid pulse; does not obey commands C. Lacerations to the torso; radial pulse present; obeys commands; can walk; RR 16 D. Possible fx leg; RR 20; obeys commands; cannot walk; radial pulse present - D. Possible fx leg; RR 20; obeys commands; cannot walk; radial pulse present Which of these should be triaged red? A. No respirations after head tilt B. Unconscious, open chest wound; RR 36; rapid pulse; does not obey commands C. Lacerations to the torso; radial pulse present; obeys commands; can walk; RR 16 D. Possible fx leg; RR 20; obeys commands; cannot walk; radial pulse present - B. Unconscious, open chest wound; RR 36; rapid pulse; does not obey commands What is the purpose of primary triage at multiple patient incidents? A. Rapidly sort the pts by injury severity B. Determine each pt's receiving hospital C. Coordinate the procurement of necessary resources and supplies D. Establish logistics, build the medical group, and assist incident command - A. Rapidly sort the pts by injury severity Which of these is a component of secondary triage? A. SBP B. ECG C. Pupils D. Pulse oximetry - A. SBP Who should be contacted during a medium to large scale event in the NWC EMSS to help coordinate hospital destinations? A. Incident commander to have him relay field information to the hospital B. Sherman hospital as the Regional Coordinating Hospital C. Nearest System Hospital (resource or Associate) D. Northwest Community Hospital (Resource) - D. Northwest Community Hospital (Resource) What is meant by the "2 pts per hospital" protocol in multiple pt incidents? A. OLMC is required prior to sending 2 pts in any hospital B. All hospitals must accept 2 greens and OLMC must help distribute all yellows and reds C. Can transport 2 of the most critical pts to each hospital reached in 30 min to clear scene D. Nearest hospitals can get 2 pts of each triage category (2R, 2Y, 2G) (total of 6 pts) - C. Can transport 2 of the most critical pts to each hospital reached in 30 min to clear scene What action is required of paramedics during a medium to large scale multiple pt incident in the NWC EMSS? A. Complete an ePCR using Field Bridge on a portable device during secondary triage B. Fill out a regular pt care report after transport for a medical record of the incident C. Place a SMART tag on each pt; document on card during secondary triage and transport D. Make notes on separate paper; slide into SMART tag plastic holder to document pt findings - C. Place a SMART tag on each pt; document on card during secondary triage and transport An unconscious and unresponsive pt has blunt head and chest trauma with a GCS of 3 and apnea. IMC and vascular access has not been completed. Along with spine motion restriction, what approach should be taken first in the primary management of this pt? A. IO access B. I-gel airway C. drug-assisted ETI D. BLS airways and ventilate w/ BVM - D. BLS airways and ventilate w/ BVM At what point should a peripheral IV be attempted on a trauma pt who does NOT need intubation or immediate drug or fluid therapy? A. After the primary assessment, enroute to the hospital B. During the secondary assessment after a baseline BP reading C. During the primary assessment, as soon as the line can be set up D. After the secondary assessment, before placing the pt into the ambulance - A. After the primary assessment, enroute to the hospital Two attempts at peripheral IV lines have been unsuccessful in an unresponsive pt following severe blunt trauma to the head and fx of both tibias. The pt's BP is 60/40. What action is indicated? A. Transport rapidly w/ no vascular access to the nearest trauma center B. Insert an IO line into the anterior medial tibia of the least injured leg C. Insert an IO line into the proximal humerus D. Attempt an internal jugular IV line - C. Insert an IO line into the proximal humerus What is the harm of raising the BP above minimum levels in a pt w/ penetrating torso trauma? A. May pop a clot and increase bleeding/blood loss B. Fools the body into secreting more antidiuretic hormone C. Predisposes the pt to renal failure from rhabdomyolysis D. Suppresses the baroreceptor response and stops shock compensation - A. May pop a clot and increase bleeding/blood loss What should a PM suspect when a trauma pt's ETCO2 trends low (<31)? A. Hypoventilation B. Metabolic acidosis C. Metabolic alkalosis D. Adequate lung perfusion - B. Metabolic acidosis What is the first step in hemorrhage control per SOP for minor venous bleeding from a 1 inch superficial laceration to the left middlethigh? A. Apply a tourniquet B. Pack the wound with a hemostatic gauze dressing C. Lift the leg and apply pressure over the femoral artery D. Apply direct d