CCT Paramedic ACADIAN Final
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What is the best reason to apply capnography monitoring to your intubated and
mechanically ventilated patient prior to moving her from the hospital bed to your
stretcher? - Answer✅✅rapid and real time evidence of ET tube dislodgement
An intubated patient being prepared for transport is gagging, mouthing her tube
and raising her head off the ED bed. What should the CCT medic do? -
Answer✅✅provide sedation
List the elements of assessment of the CCT patient. - Answer✅✅scene size up w
dispatch- eqipment needed
hx of illness- MOI, vital trends, med hx, parameters
chart review-demographic, insuarnce last meds given
ongoing treatment- meds routes doses
reassess all lines and tubings after moving
ensure all proper documents, discs and films brought w pt
What is the hierarchy of medical control for CCT transports? - Answer✅✅heirarchy
of orders =Sending physician - recieving physician- med control
How do you handle giving report when you had to change vent settings enroute? -
Answer✅✅provide initial vent settings and vitals, report new vent settings and why
with trending vital signs
, Recall the difference between protocols and standing orders. Can you honor a
verbal order as you are "heading out the door" with a patient? - Answer✅✅if you
are still "heading out the door" ensure all orders are written.
Identify a case in which a hospital would be EXEMPT from the requirement to
provide a patient with an appropriate screening exam and stabilizing treatment. -
Answer✅✅EXEMPT- if ems is using the helipad for transfer of care to fly pt out
otherwise that facility must do what they can within their capabilities to stabilize.
sometimes they have limited services and the best option to stabilze the pt is to
transfer them to an appropriate facility
Who is responsible for all clinical aspects of a CCT program? - Answer✅✅Medical
director
What makes a transfer CCT eligible? (meds, equipment). A pump alone does NOT! -
Answer✅✅
What are the requirements for Medicare reimbursement for SCT? - Answer✅✅
What is lobular consolidation indicative of? - Answer✅✅mucus in the lungs such as
in bacterial pneumonia
What is a flattened diaphragm suggestive of? - Answer✅✅emphysema or
COPD(will also see hyperinflation)
What features would you note on the chest xray of a patient with ARDS? -
Answer✅✅edema patchy bilateral, scratchy glass looking, foggy
How are different densities represented on an xray? - Answer✅✅dark shadows =
low density ex lung tissue
light shadows= high density ex bone, dense organs
air will appear black or "radiolucent"
soft tissue/water appears grey
bone appears the brightest "radiopaque"
the more rays absorbed the brighter or white the object appears
What diagnosis is consistent with a "ground glass" appearance of the lungs? -
Answer✅✅associated with edema seen in ARDS
What is normal HgB for men and women (they are different!) - Answer✅✅MEN 13-
18 g/dl
WOMEN 12-16 g/dl
What features would you note on the chest xray of a patient with CHF? -
Answer✅✅widened mediastinum w/ shaggy borders, engorged upper lobes
Exam| Verified Exam Questions
with 100%Correct Clear Verified
Answers| All Graded A+|Latest
Premium Update|100%
Guaranteed Success.
What is the best reason to apply capnography monitoring to your intubated and
mechanically ventilated patient prior to moving her from the hospital bed to your
stretcher? - Answer✅✅rapid and real time evidence of ET tube dislodgement
An intubated patient being prepared for transport is gagging, mouthing her tube
and raising her head off the ED bed. What should the CCT medic do? -
Answer✅✅provide sedation
List the elements of assessment of the CCT patient. - Answer✅✅scene size up w
dispatch- eqipment needed
hx of illness- MOI, vital trends, med hx, parameters
chart review-demographic, insuarnce last meds given
ongoing treatment- meds routes doses
reassess all lines and tubings after moving
ensure all proper documents, discs and films brought w pt
What is the hierarchy of medical control for CCT transports? - Answer✅✅heirarchy
of orders =Sending physician - recieving physician- med control
How do you handle giving report when you had to change vent settings enroute? -
Answer✅✅provide initial vent settings and vitals, report new vent settings and why
with trending vital signs
, Recall the difference between protocols and standing orders. Can you honor a
verbal order as you are "heading out the door" with a patient? - Answer✅✅if you
are still "heading out the door" ensure all orders are written.
Identify a case in which a hospital would be EXEMPT from the requirement to
provide a patient with an appropriate screening exam and stabilizing treatment. -
Answer✅✅EXEMPT- if ems is using the helipad for transfer of care to fly pt out
otherwise that facility must do what they can within their capabilities to stabilize.
sometimes they have limited services and the best option to stabilze the pt is to
transfer them to an appropriate facility
Who is responsible for all clinical aspects of a CCT program? - Answer✅✅Medical
director
What makes a transfer CCT eligible? (meds, equipment). A pump alone does NOT! -
Answer✅✅
What are the requirements for Medicare reimbursement for SCT? - Answer✅✅
What is lobular consolidation indicative of? - Answer✅✅mucus in the lungs such as
in bacterial pneumonia
What is a flattened diaphragm suggestive of? - Answer✅✅emphysema or
COPD(will also see hyperinflation)
What features would you note on the chest xray of a patient with ARDS? -
Answer✅✅edema patchy bilateral, scratchy glass looking, foggy
How are different densities represented on an xray? - Answer✅✅dark shadows =
low density ex lung tissue
light shadows= high density ex bone, dense organs
air will appear black or "radiolucent"
soft tissue/water appears grey
bone appears the brightest "radiopaque"
the more rays absorbed the brighter or white the object appears
What diagnosis is consistent with a "ground glass" appearance of the lungs? -
Answer✅✅associated with edema seen in ARDS
What is normal HgB for men and women (they are different!) - Answer✅✅MEN 13-
18 g/dl
WOMEN 12-16 g/dl
What features would you note on the chest xray of a patient with CHF? -
Answer✅✅widened mediastinum w/ shaggy borders, engorged upper lobes
