PEM Source

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PEM Questions

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You are seeing a critically ill 4 week old with bilious vomiting, abdominal distension, and shock. You have a high suspicion for volvulus. You have resuscitated the infant and improved hemodynamic stability but you are at an ED with no pediatric surgeon available and no PICU. The nearest children’s hospital with these capabilities is 100 miles away. There is a light rain but the road conditions are good and there is no traffic. 

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(Click the link to comment and to vote - voting not working through email, sorry!) Paramedics are caring for a toddler with respiratory distress in the field. They contact the base hospital and receive instruction to administer nebulized albuterol. [yop_poll id="174"]
(Click the link to comment and to vote - voting not working through email, sorry!) A 17 year old boy was scuba diving with his father. Soon after coming to surface, he began to experience symptoms of decompression illness, including joint pains, itchiness, ataxia, paresthesias, and confusion. He has been placed on 100% oxygen by non-rebreather and an IV has been placed and the plan is to transport him to a facility with a hyperbaric chamber. [yop_poll id="30"]
(Click the link to comment and to vote - voting not working through email, sorry!) You are triaging patients from a multi-casualty incident. The following patients are seen: Patient A: Approximately 2 years old, ambulatory, crying, large 8cm parietal hematoma, obvious right humeral deformity Patient B: Approximately 5 years old, unresponsive, apneic after airway positioning and 5 rescue breaths, weak palpable pulse Patient C: Approximately 3 years old, responsive to painful stimuli, breathing at 40 breaths per minute, very weak palpable pulse Patient D: Approximately 7 years old, unresponsive, breathing at 30 breaths per minute, weak palpable pulse [yop_poll id="25"]
What is the difference between Enhanced 911 and 911? A. With Enhanced 911, operators are able to give instructions on how to perform CPR in the field B. With Enhanced 911, EMS response times are under 10 minutes C. With Enhanced 911, ALS units are available, whereas with 911 only BLS units are available D. With Enhanced 911, the caller’s location and phone number is automatically transmitted to the operator E. With Enhanced 911, calls are routed by type to specific specialized call centers
Which of the following is true of EMT scopes of practice (EMT-B = EMT-Basic, EMT-I = EMT-Intermediate, EMT-P = Paramedic)?
  1. Only EMT-I and Paramedic level EMT’s can administer oxygen
  2. Training to become an EMT-B is usually 100-150 hours
  3. Training to become a Paramedic is an additional 250 hours of training
  4. IV therapy may be given by EMT-I and EMT-P
A. 1 and 3 B. 2 and 4 C. 1, 2, and 3 D. 4 only E. All of the above
For aeromedical transport, transport mode transitions from helicopter to fixed wing aircraft when the distance from base station to patient pick-up location exceeds how many miles? A) 70 miles B) 150 miles C) 200 miles D) Distance is not a factor

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